Table 1.
Authors, year, country, trial name, study design | No. of participants (% of original sample) | Study population, setting and intervention duration | Outcome definition and timing | Intervention content and delivery agent | Risk of biasa |
---|---|---|---|---|---|
Narrative syntdesis and ICA | |||||
Daniels et al., 2012, Australia, The NOURISH RCT, RCT26 | N = 541 (77.5%) | First-time, generally affluent mothers with mean age of 30 years. Healthcare. 3 months | WAZ change and >0.67 change in WAZ (binary 1/0) between 0 and 14 months | Behaviourally focused intervention promoting healthy feeding strategies when introducing solids foods. Delivered by dietitians and psychologists | Low to moderate risk |
Edmunds et al. 2014, The USA, WIC, Observational study30 | N = 157.590 (−) | Low-income mothers with mean age of 26.6 years. Healthcare and community. 5 years | >0.67 change in WAZ (binary 1/0) between 0 and 12 months | Behaviourally focused and community-based intervention providing nutritious supplemental foods, breastfeeding support, nutrition education, and medical and social referrals. Delivered by health professionals | Moderate risk |
Karanja et al. 2010, The USA, The TOTS Trial, Two-armed separate sample pretest–posttest study31 | N = 177 (86.3%) | Mothers from a native population with a mean age of 25 years. Home and community. No information on duration | WAZ change between 0 and 24 months | Behaviourally focused and community-based intervention promoting breastfeeding and reducing sugar-sweetened beverages. Delivered by community workers | Moderate to high risk |
Koletzko et al. 2009, Belgium, Germany, Italy, Poland, and Spain, The CHOP Study, RCT11 | N = 635 (55.8%) | General population of mothers with a mean age of 30 years. Home. 12 months | WAZ change between 0 and 3, 6, 12 and 24 months | Non-behaviourally focused intervention providing low or high protein content formulas. Delivered by researchers | Low risk |
Lakshman et al. 2018, The UK, The Baby Milk Trial, RCT27 | N = 586 (87.6%) | General healthy formula feeding mothers. Home and healthcare. 6 months | WAZ and >0.67 change in WAZ (binary 1/0) between 0 and 6 and 12 months | Behaviourally focused intervention reducing formula-milk intake, promoting responsive feeding, and monitor growth. Delivered by health professionals | Low risk |
Paul et al. 2011, The USA, The SLIMTIME Pilot Study, RCT28 | N = 110 (68.8%) | First-time, generally affluent mothers with mean age of 27 years. Home. 6 months | CWG between 0 and 12 months | Behaviourally focused intervention promoting healthy practices in terms of (i) infant sleep and/or (ii) introduction to solid foods. Delivered by health professionals | Moderate to high risk |
Savage et al. 2016, The USA, The INSIGHT Trial, RCT29 | N = 250 (85.9%) | First-time, generally affluent mothers with mean age of 29 years. Home. 10 months | CWG between 0 and 6 months | Behaviourally focused intervention promoting responsive parenting focusing on infant emotional regulation, feeding, active social play, sleep and growth chart education. Delivered by health professionals | Low to moderate risk |
Authors, year of publication, country | Relation to included trial | Study aim | Informants and data collection | Method of analysis | Weighting of study findingsa |
---|---|---|---|---|---|
Thematic synthesis and ICA | |||||
Guell et al. 2018, The UK33 | The Baby Milk Trial | To explain some of the underlying mechanisms that might have been at play when implementing and participating in The Baby Milk Trial and shaped its outcome | 10 intervention and 9 control mothers and 3 health professionals contributed in 22 individual interviews | Thematic analysis | High |
Lakshman et al. 2012, The UK34 | The Baby Milk Trial | To explore the views of healthcare professionals and bottle-feeding mothers on: (i) the Programme for Healthy Growth and Nutrition during infancy; (ii) the trial design for the planned Baby Milk trial and (iii) two draft leaflets | 10 mothers contributed in 3 focus groups discussions and 8 health professionals and one mother contributed in 9 individual interviews | Hierarchical thematic framework | Moderate to high |
Redsell et al. 2010, The UK39 | No | To explore UK parents’ beliefs on infant’s size, growth and feeding behaviour and parental receptiveness to early intervention aimed at reducing the risk of childhood obesity | 38 parents contributed in six focus groups | Thematic analysis | Moderate to high |
Redsell et al. 2017, The UK38 | No | To assess the feasibility and acceptability of using digital technology for Proactive Assessment of Obesity Risk during Infancy with the UK health visitors and parents | 12 parents and 15 health professionals contributed in 27 individual interviews | Thematic content analysis | Moderate to high |
Thébaud 2015, Australia36 | The NOURISH RCT | To develop and apply an evaluation framework based on pre-existing effect and process data collected as part of the NOURISH RCT, an obesity prevention research programme starting early in infancy | 344 mothers responded to questionnaires that included open-ended questions and health professionals ratings of 293 intervention sessions | Thematic content analysis | Low to moderate |
Valencia et al. 2016, The USA37 | Indirectly (WIC population) | To conduct a formative assessment among the WIC population in Southern Arizona, a group with a high percentage of Latino families, to evaluate mothers’ perceptions of infants’ growth/weight change in early life | 34 mothers and 19 caregivers contributed in 7 focus groups and 6 individual interviews were conducted with health professionals | Grounded theory | Moderate |
Authors, year of publication, country | Related to included trial | Study aim | Informants and data collection | Method of analysis | Weighting of study findings a |
ICA only | |||||
Lakshman et al. 2014, The UK35 | The Baby Milk Trial | To describe the experience of using the 2008 Medical Research Council’s framework to develop and evaluate a theory-based, behavioural infant feeding intervention aimed at preventing childhood obesity, including benefits and challenges of using this framework | Different health professionals and stakeholder-mothers were interviewed using both individual and focus group interviews to inform intervention development | Not specified in paper | Low |
Based on quality appraisal.
WAZ, weight-for-age z-scores; WIC, The Special Supplemental Nutrition Program for Women, Infants and Children; CWG, conditional weight gain.