NTR6572

Trial name or title	Baby's first bites (The what and how in weaning: a randomised controlled trial to assess the effects of vegetable‐exposure and responsive feeding on vegetable acceptance in infants and toddlers)
Methods	Randomised controlled trial
Participants	240 first‐time mothers of healthy term infants
Interventions	Intervention A: this intervention repeatedly exposed infants and toddlers to vegetables and involved 2 days of pre‐test, a 15‐day feeding schedule and 2 days of post‐test. During 15 consecutive days, children are exposed to one of two target vegetables according to a set scheme where one target vegetable is offered to the infant every other day. On the days in between, infants receive other vegetables for variety. During the feeding‐schedule on day 5 and 12 mothers will receive a phone call to motivate them to continue exposing their infant to vegetables. When the children are 8, 13 and 16 months of age, mothers will receive a booster phone call to reinforce daily vegetable intake. Mothers are asked to keep serving their infant vegetables on a daily basis and receive a folder that emphasises the importance of repeated exposure to vegetables. Mothers also receive 20 vegetable purées a month, until 5 months after the feeding schedule to reinforce exposure to vegetables. Intervention B: receives an intervention on how to feed their infant, in addition to a 15‐day feeding schedule consisting of mostly fruit. The intervention mothers receive purely focuses on the promotion of responsive feeding practices. The intervention mothers will receive the Video‐feedback Intervention to promote Positive Parenting ‐Feeding Infants (VIPP‐FI) and will be delivered during home visits. VIPP‐FI focuses on improving responsive feeding and sensitive ways of dealing with unwilling infants during the feeding process. Mothers are shown videotapes of their own feeding‐interaction with their infant, and receive feedback on these tapes by a trained intervener. Intervention C: will receive a combination of Intervention A and Intervention B. Mothers will be asked to feed the infant according to the schedule for the vegetable‐exposure intervention and will also receive feedback on how they should go about feeding their infant according to the VIPP‐FI intervention. Attention‐Control Condition D: receive the same feeding schedule as Intervention B and receive phone calls at the same time‐points as the intervention groups in which they will not receive any specific advice, but will be asked about topics such as the general development of the child. If mothers have questions about weaning or feeding, they are referred to “Het Voedingscentrum” or their infant welfare centre.
Outcomes	Infants' and toddlers' vegetable consumption
Starting date	The trial started in April 2016
Contact information	Judi Mesman: mesmanj@fsw.leidenuniv.nl
Notes	NTR6572 and NCT03348176