Maternal and Child Health Journal

, Volume 15, Issue 8, pp 1217–1227

First Steps for Mommy and Me: A Pilot Intervention to Improve Nutrition and Physical Activity Behaviors of Postpartum Mothers and Their Infants

  • Elsie M. Taveras
  • Katherine Blackburn
  • Matthew W. Gillman
  • Jess Haines
  • Julia McDonald
  • Sarah Price
  • Emily Oken
Article

DOI: 10.1007/s10995-010-0696-2

Cite this article as:
Taveras, E.M., Blackburn, K., Gillman, M.W. et al. Matern Child Health J (2011) 15: 1217. doi:10.1007/s10995-010-0696-2

Abstract

To assess the feasibility of a pediatric primary care based intervention to promote healthful behaviors among 0–6 month old infants and their mothers. We enrolled two intervention practices (60 mother-infant pairs) and one usual care control practice (24 pairs) in a non-randomized controlled trial. We completed visits and interviews with 80 (95%) pairs at birth and 6 months. The intervention included (1) brief focused negotiation by pediatricians, (2) motivational counseling by a health educator, and (3) group parenting workshops. We evaluated the intervention effects on infant feeding, sleep duration, TV viewing, and mothers’ responsiveness to satiety cues. Maternal behavioral targets included postpartum diet, physical activity, TV and sleep. At 6 months, fewer intervention than control infants had been introduced to solid foods (57% vs. 82%; P = 0.04), and intervention infants viewed less TV (mean 1.2 vs. 1.5 h/d; P = 0.07). Compared to control infants, intervention infants had larger increases in their nocturnal sleep duration from baseline to follow up (mean increase 1.9 vs. 1.3 h/d; P = 0.05); larger reductions in settling time (mean reduction −0.70 vs. −0.10 h/d; P = 0.02); and larger reductions in hours/day of nighttime wakefulness (mean reduction −2.9 vs. −1.5 h/d; P = 0.08). There were no differences in breastfeeding, response to satiety cues, or maternal health behaviors. A program of brief focused negotiation by pediatricians, individual coaching by health educators using motivational interviewing, and group parenting workshops tended to improve infant feeding, sleep and media exposure, but had less impact on mothers’ own health-related behaviors.

Keywords

Postpartum womenInfancyNutritionPhysical activityObesity prevention

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Elsie M. Taveras
    • 1
    • 2
  • Katherine Blackburn
    • 3
  • Matthew W. Gillman
    • 1
    • 4
  • Jess Haines
    • 1
  • Julia McDonald
    • 1
  • Sarah Price
    • 1
  • Emily Oken
    • 1
  1. 1.Obesity Prevention Program, Department of Population MedicineHarvard Medical School and Harvard Pilgrim Health Care InstituteBostonUSA
  2. 2.Division of General PediatricsChildren’s HospitalBostonUSA
  3. 3.Department of PediatricsChildren’s Mercy Hospitals and Clinics, Center for Weight ManagementKansas CityUSA
  4. 4.Department of NutritionHarvard School of Public HealthBostonUSA