Browsing by Subject "breastfeeding"
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Item The Baby Bites Text Messaging Project with randomized controlled trial: texting to improve infant feeding practices(AME Publishing Company, 2023-04-24) Davis, Kathleen E.; Klingenberg, Adyson; Massey-Stokes, Marilyn; Habiba, Nusrath; Gautam, Rupali; Warren, Cynthia; Yeatts, PaulBACKGROUND: Rapid weight gain and overweight in infancy are associated with childhood obesity. Thus, effective, accessible interventions to promote healthy infant feeding practices to prevent early obesity are essential. METHODS: This mixed-methods study involved diverse parents of infants in an urban, low-income pediatric clinic. Qualitative interviews explored parental attitudes towards feeding, early obesity, and communication with the pediatrician. A pilot, randomized controlled trial (RCT) informed by feedback provided by clinic parents compared text messages delivered for 12 months promoting healthy feeding practices to usual care to prevent early pediatric obesity. A computer-generated randomization schedule with balanced distribution for sex was used to place infants into groups. Weight-for-length percentiles and z-scores and feeding practices were measured at 0-2 weeks (baseline), 2-4 months, 6-9 months, and 12 months. Interviews were recorded, transcribed, and coded using thematic analysis. Weight for length percentile, Weight for length z scores, and feeding practices were compared between groups using repeated measures mixed analysis of variance (ANOVA). RESULTS: Participants in the interviews were 15 parents of infants less than 1 month old. RCT participants were 38 parents of newborns (17 control; 21 intervention). Most parents in the qualitative evaluation viewed breastfeeding positively but also discussed barriers. Most also wanted practical information regarding infant feeding. There were no differences in weight-for-length percentile (F=0.52; P=0.60) or z-scores (F=0.7922; P=0.79), breastfeeding persistence chi(2)[1] =1.45, P=0.23, or age of introduction of solids in the intervention (statistical analysis not possible due to low counts) compared to the control group; however, low response to surveys limited the study's power. CONCLUSIONS: Text messaging has potential to extend the healthcare provider's communication beyond clinic. However, texting interventions should be flexible to mitigate barriers such as loss of phone service and challenges customizing messages to parent needs.Item Transmission and Establishment of Helicobacter pylori Infection in Childhood(2013-08-01) Cervantes, Diana; David SterlingTransmission of Helicobacter pylori infection is thought to occur predominately during childhood in both developed and developing countries. Various bacterial, host and environmental factors influence H. pylori transmission and establishment of infection. The most likely routes of H. pylori transmission include gastro-oral, fecal-oral and oral-oral. Therefore, conditions such as close, personal contact with a child’s infected mother and siblings may favor H. pylori transmission. The immunological response mounted against H. pylori infection by a child, possibly modulated by age and passive immunity, may alter the establishment of infection. The current research, utilizing data from The Pasitos Cohort Study, aimed to estimate the effect that H. pylori infected mothers, H. pylori infected siblings and breastfeeding may have in the acquisition and establishment of H. pylori infection in children. The Pasitos Cohort Study, a birth cohort established on the U.S.-Mexico border, recruited pregnant women from El Paso, Texas and Juarez, Mexico to identify risk factors for H. pylori infection during childhood. Assessment of active H. pylori infection for 615 children (472 index children and 143 younger siblings) was performed from April 1998 until December 2005 accounting for an average of 3.8 years of follow-up for the index child and an average of 2.5 years of follow-up for younger siblings of the index. The Pasitos Cohort Study provides advantages such as longitudinal assessment of H. pylori status for determination of directionality of H. pylori infection in familial transmission. In addition, differentiation between infection acquisition, short-term and long-term establishment of infection was attempted. The current study found that infected older siblings in the household were positively associated with both the acquisition and long-term infection establishment of H. pylori in younger siblings. Mothers and breastfeeding may also be positively associated with H. pylori outcomes but due to highly uncertain results obtained, further studies are need to assess their association with infection acquisition, short-term infection and long-term infection in children.