Trial reportThe international journal of behavioral nutrition and physical activity2014
Mediators of improved child diet quality following a health promotion intervention: the Melbourne InFANT Program.
Trial report in The international journal of behavioral nutrition and physical activity, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 6 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2024Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2020Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2019Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2018Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2018Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2017Pooled it
- Baby-Feed Pilot Trial for Improving Diet and Weight Gain in Infants and Toddlers.Maternal and child health journal · 2026Trial
- Effect of a theory-based educational intervention for enhancing nutrition and physical activity among Iranian women: a randomised control trial.Public health nutrition · 2021Trial
- Maternal knowledge in complementary feeding following Baby Friendly Community Initiative in Koibatek, Kenya.Maternal & child nutrition · 2020Trial
- Long-term outcomes (2 and 3.5 years post-intervention) of the INFANT early childhood intervention to improve health behaviors and reduce obesity: cluster randomised controlled trial follow-up.The international journal of behavioral nutrition and physical activity · 2020Trial
- Evaluation of an eHealth intervention aiming to promote healthy food habits from infancy -the Norwegian randomized controlled trial Early Food for Future Health.The international journal of behavioral nutrition and physical activity · 2019Trial
- Trial
- Latina mothers as agents of change in children's eating habits: findings from the randomized controlled trial Entre Familia: Reflejos de Salud.The international journal of behavioral nutrition and physical activity · 2018Trial
- Mediation Analysis as a Means of Identifying Dietary Components That Differentially Affect the Fecal Microbiota of Infants Weaned by Modified Baby-Led and Traditional Approaches.Applied and environmental microbiology · 2018Trial
- Translating an early childhood obesity prevention program for local community implementation: a case study of the Melbourne InFANT Program.BMC public health · 2016Trial
- Assessing the associations between public works participation, household water and sanitation conditions, and child nutrition in Southern Madagascar: a mediation analysis.Frontiers in public health · 2026Article
- Parent-Reported Measures of Weight-Related Health Behaviors in Early Childhood: A Scoping Review.Childhood obesity (Print) · 2025Article
- Article
- Associations Between Personality Traits, Self-Efficacy and Complementary Feeding Behavior Among Infant Caregivers in Western Rural China.Maternal & child nutrition · 2025Article
- Barriers and facilitators to healthy eating during post-partum among non-Hispanic Black mothers.Maternal & child nutrition · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundYoung children's diets are currently suboptimal. Given that mothers have a critical influence on children' diets, they are typically a target of interventions to improve early childhood nutrition. Understanding the maternal factors which mediate an intervention's effect on young children's diets is important, but has not been well investigated. This research aimed to test whether maternal feeding knowledge, maternal feeding practices, maternal self-efficacy, and maternal dietary intakes acted as mediators of the effect of an intervention to improve child diet quality.
methodsThe Melbourne Infant Feeding Activity and Nutrition Trial (InFANT) Program was a cluster-randomized controlled trial, conducted from 2008-2010. This novel, low-dose, health promotion intervention was delivered quarterly over 15 months and involved educational activities, promotion of peer discussion, a DVD and written materials. Post-intervention, when children were approximately 18 months of age, child diets were assessed using multiple 24-hour recalls and a purpose-developed index of diet quality, the Obesity Protective Dietary Index. Maternal mediators were assessed using a combination of previously validated and purpose-deigned tools. Mediation analysis was conducted using the test of joint significance and difference of coefficients methods.
resultsAcross 62 parents' groups in Melbourne, Australia, 542 parents were recruited. Post- intervention, higher maternal feeding knowledge and lower use of foods as rewards was found to mediate the direct intervention effect on child diet quality. While other aspects of maternal feeding practices, self-efficacy and dietary intakes did not act as mediators, they were associated with child diet quality.
conclusionsMediation analysis of this novel health promotion intervention showed the importance of maternal feeding knowledge and use of foods as rewards in impacting child diet quality. The other maternal factors assessed were appropriate targets but further research on how to impact these in an intervention is important. This evidence of intervention efficacy and mediation provides important insights for planning future interventions.
trial registrationCurrent Controlled Trials ISRCTN81847050, registered 23 November 2007.
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