Feeding Practices Used by Australian Parents of Young Children Living With Food Insecurity and Household Chaos DOI Creative Commons
Smita Nambiar,

Lisa Stanley,

Lisa M. Soederberg Miller

et al.

Maternal and Child Nutrition, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 25, 2024

ABSTRACT Responsive feeding practices are crucial for developing healthy eating behaviours in children. However, chaotic households and financial stress may disrupt these practices. This cross‐sectional study aimed to characterise among Australian parents experiencing hardship. Parents of children aged 5–35 months, who identified as hardship, completed an online questionnaire from October 2021 June 2022. Validated tools gathered data on practices, mealtime structure environment, household chaos (HC), food insecurity (HFI) sociodemographic characteristics. Bivariate correlations hierarchical regression assessed relationships between variables, adjusted parent age, education number Data 213 parent–child dyads were analysed (97% mothers, median age = 31 years, IQR 28–36; 50% boys, 12 8–17). Median HC score was 4 (IQR 2–7). Seventy‐six percent families reported HFI (median 6, 3–9). Over 80% often or always ate meals a family never rarely engaged ‘parent‐led’ 1.75, 1.00–2.50), used ‘(non)‐food reward’ 1.33, 1.00–2.00). ‘(Non)‐food positively correlated with ( p 0.016), ‘food calm’ associated 0.004). ‘Feeding demand’ negatively 0.002). ‘Persuasive feeding’ not either. Findings suggest that had more influence than some nonresponsive Increasing levels result less structured mealtimes. Interventions must consider how can impact parents' ability engage responsive examined facing 75% insecure. While the meal environment supported feeding, increasing led fewer mealtimes increased coercive such using (non)‐food rewards calm.

Language: Английский

A design thinking‐led approach to develop a responsive feeding intervention for Australian families vulnerable to food insecurity: Eat, Learn, Grow DOI Creative Commons
Kimberley A. Baxter, Jeremy T. Kerr, Smita Nambiar

et al.

Health Expectations, Journal Year: 2024, Volume and Issue: 27(2)

Published: April 1, 2024

Abstract Background Design thinking is an iterative process that innovates solutions through a person‐centric approach and increasingly used across health contexts. The lends itself to working with groups complex needs. One such group families experiencing economic hardship, who are vulnerable food insecurity face challenges child feeding. Objective This study describes the application of design framework, utilizing mixed methods, including co‐design, develop responsive child‐feeding intervention for Australian families—‘Eat, Learn, Grow’. Methods Guided by five stages thinking, which comprises empathizing, defining, ideating, prototyping, testing. We engaged parents/caregivers aged 6 months 3 years co‐design workshops ( n = 13), direct observation mealtimes 10), cross‐sectional survey 213) semistructured interviews 29). Findings these methods were synthesized using affinity mapping clarify parameters. Parent user testing 12) was conducted online prototypes determine acceptability accessibility. A workshop experts 9) then undertaken review content final intervention. Results Through process, innovative digital created. utilized mobile‐first consisted series short interactive modules learning technology tool. based on concept microlearning responds participants' preferences visual, brief plain language information accessed via mobile phone. User sessions parents expert indicated highly acceptable. Conclusions encourages researchers problems creatively interventions align participant Applying methods—including co‐design— within this framework allows better understanding contexts, priorities, ensuring more acceptable likely be engaged.

Language: Английский

Citations

5
The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations DOI Creative Commons
Kimberley A. Baxter,

Nidhi Sachdeva,

Sabine Baker

et al.

Health Education & Behavior, Journal Year: 2025, Volume and Issue: unknown

Published: March 27, 2025

Health and behavior change programs play a crucial role in improving health behaviors at individual family levels. However, these face challenges with engagement retention typically show modest efficacy. Cognitive load theory is an established highly used educational that proposes individuals have finite capacity to process new information (“working memory”). Learning, engagement, performance are negatively impacted when working memory exceeded. grounded understanding of human cognition conceptualizes different types cognitive loads imposed on by learning experience. aims guide the design experiences, considering how mind works, leading more meaningful effective learning. increasingly applied domains outside classroom, such as designing patient clinical education. Applying programs, their materials, interfaces can provide insights. By demands placed interacting be optimized reduce better facilitate adoption. This may enhance retention, effectiveness programs. particularly valuable for diminished due high levels mental stress. Design principles presented consolidate knowledge from existing approaches researchers, policymakers, programmers. Further research interdisciplinary collaboration needed realize potential health.

Language: Английский

Citations

0
Remote Inclusion of Vulnerable Users in mHealth Intervention Design: Retrospective Case Analysis DOI Creative Commons
Ingjerd J Straand, Kimberley A. Baxter, Asbjørn Følstad

et al.

JMIR mhealth and uhealth, Journal Year: 2024, Volume and Issue: 12, P. e55548 - e55548

Published: April 24, 2024

Background Mobile health (mHealth) interventions that promote healthy behaviors or mindsets are a promising avenue to reach vulnerable at-risk groups. In designing such mHealth interventions, authentic representation of intended participants is essential. The COVID-19 pandemic served as catalyst for innovation in remote user-centered research methods. capability methods effectively engage with requires inquiry into practice determine the suitability and appropriateness these Objective this study, we aimed explore opportunities considerations emerged from involving user groups remotely when interventions. Implications recommendations presented researchers practitioners conducting populations. Methods Remote practices 2 projects populations Norway Australia were examined retrospectively using visual mapping reflection-on-action approach. engaged low-income unemployed during user-based evaluation testing interactive, web-based Results Opportunities identified (1) reduced barriers inclusion; (2) digital literacy transition; (3) contextualized insights: window people’s lives; (4) seamless enactment roles; (5) increased flexibility participants. Conclusions Our findings support users facilitate recruitment, ease burden participation, level out power imbalances, provide rich relevant environment There potential much more agile practice. Future should consider privacy impacts access participants’ via webcams screen share how technology mediates action terms privacy. development procedures tools apps will be crucial capitalize on efficiency gains better protect

Language: Английский

Citations

1
Designing Child Nutrition Interventions to Engage Fathers: Qualitative Analysis of Interviews and Co-Design Workshops DOI Creative Commons
Tsz Hei Jeffrey So, Smita Nambiar, Rebecca Byrne

et al.

JMIR Pediatrics and Parenting, Journal Year: 2024, Volume and Issue: 7, P. e57849 - e57849

Published: April 30, 2024

Background Fathers play a pivotal role in parenting and child feeding, but they remain underrepresented intervention studies, especially those focused on disadvantaged populations. A better understanding of fathers’ experiences needs regarding support access nutrition information the context disadvantage can inform future interventions engaging fathers. Objective This study aims to explore experiences; perceived enablers; barriers accessing related parenting, co-design principles for tailoring engage Methods Australian fathers children aged 6 months 5 years with lived experience participated semistructured interviews workshops, primarily conducted via videoconference. Creative analogies were used guide ideation process workshops. Results total 25 3 workshops (n=10 participants) conducted, data analyzed using reflexive thematic analysis Capability, Opportunity, Motivation–Behavior model. The interview illuminated factors influencing initiation seeking nutrition, including their experiences. It highlighted diverse importance an inclusive environment encouragement. Enablers identified at individual (eg, personal goals resource constraints), interpersonal (family false beliefs about men’s caregiving role), organizational (inadequate fathering support), systemic levels (father-inclusive practice policy). Digital collection methods enabled Australia-wide participation, overcoming work capacity barriers. Videoconferencing technology was effectively creatively. Key co-designed from workshop data. Interventions resources need be father specific, centered, culturally appropriate; promote empowerment collaboration; provide actionable accessible strategies what how feeding. preferred multiformat implementation, which harnesses technology-based design websites mobile apps) gamification. should tailored child’s age targeted comprehensive promotion strategies. Conclusions faced feeding that may not adequately address needs. Future could integrate effectively. These findings have implications health service delivery policy development, promoting father-inclusive practice.

Language: Английский

Citations

1
Feeding Practices Used by Australian Parents of Young Children Living With Food Insecurity and Household Chaos DOI Creative Commons
Smita Nambiar,

Lisa Stanley,

Lisa M. Soederberg Miller

et al.

Maternal and Child Nutrition, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 25, 2024

ABSTRACT Responsive feeding practices are crucial for developing healthy eating behaviours in children. However, chaotic households and financial stress may disrupt these practices. This cross‐sectional study aimed to characterise among Australian parents experiencing hardship. Parents of children aged 5–35 months, who identified as hardship, completed an online questionnaire from October 2021 June 2022. Validated tools gathered data on practices, mealtime structure environment, household chaos (HC), food insecurity (HFI) sociodemographic characteristics. Bivariate correlations hierarchical regression assessed relationships between variables, adjusted parent age, education number Data 213 parent–child dyads were analysed (97% mothers, median age = 31 years, IQR 28–36; 50% boys, 12 8–17). Median HC score was 4 (IQR 2–7). Seventy‐six percent families reported HFI (median 6, 3–9). Over 80% often or always ate meals a family never rarely engaged ‘parent‐led’ 1.75, 1.00–2.50), used ‘(non)‐food reward’ 1.33, 1.00–2.00). ‘(Non)‐food positively correlated with ( p 0.016), ‘food calm’ associated 0.004). ‘Feeding demand’ negatively 0.002). ‘Persuasive feeding’ not either. Findings suggest that had more influence than some nonresponsive Increasing levels result less structured mealtimes. Interventions must consider how can impact parents' ability engage responsive examined facing 75% insecure. While the meal environment supported feeding, increasing led fewer mealtimes increased coercive such using (non)‐food rewards calm.

Language: Английский

Citations

0