“Improved Mother Infant Feeding Interaction (MI-FI) at 12 Months With Very Early Parent Training”


Rise in childhood obesity and poor eating habits and eating problems is apparent over the last decades. Parents are at lose what the correct way to tackle these problems may be. This study examined whether professional behavioral and nutritional training of first time mothers improves feeding relationship and infants eating habits at 12 months.

Full Title of Study: “”Improved Mother Infant Feeding Interaction (MI-FI) at 12 Months With Very Early Parent”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Non-Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Prevention
    • Masking: Single (Outcomes Assessor)
  • Study Primary Completion Date: July 21, 2013

Detailed Description

From 166 first time mother-infant recruited, 128 completed the trail. Intervention group, mother-infant dyads got a month long weekly based training in small workshop groups about nutrition, feeding and parenting when infants were 4-6 months old. training was given by a highly experience pediatric dietitian and social worker. Thereafter, internet-based support continued until infants reached 12 months. The control group received customary support via municipal mother-child health clinics. Mealtime interactions were videotaped at home setting at 12 months and were evaluated using the Chatoor feeding scale by blinded (to group) viewers.


  • Behavioral: Mother Infant Feeding Interaction very early training
    • weekly training meetings on 4 topics: What – proper nutrition and supplements for solid feeding phase (dietitian); What – the meaning of feeding to mother and infant (social worker). Who – feeding skills – knowledge and actual practices From anxiety to serenity – knowledge concerning growth patterns and common physical and emotional issues troubling parents of infants 4-12 months old. Prevention of obesity and emotional eating – practical advise and tips.

Arms, Groups and Cohorts

  • Experimental: intervention group
    • First time mothers, when infants were ages 4-6 months old, took part in a training program in small group setting (10-12 mother-infants). the program continued for a month, with 4 weekly meetings. group coordinators were a highly experienced pediatric dietitian, and a social worker. Training topics addressed were infant healthy nutrition and growth, feeding skills, obesity and emotional feeding prevention, parenting. Thereafter, mothers were encouraged to stay in contact with the trainers, till infants reached age 12 months and data was collected using video taping of mealtime feeding interactions at home setting environment. Mother Infant Feeding Interaction very early training
  • No Intervention: control group
    • Control group first time mothers were recruited when infants were around 11-12 months of age for data collection of mealtime feeding interactions taping at home setting environment. They received during this year the official support and training given in municipality care centers.

Clinical Trial Outcome Measures

Primary Measures

  • Chatoor feeding scale
    • Time Frame: 12 months
    • the Chatoor observational scale for Mother-Infant interaction during feeding was purchased from the Chatoor Center. The Scale consists of 46 mother and infant behavior modes which are rated throughout the feeding session. Five subscale scores are derived: 1) Dyadic Reciprocity, 2) Dyadic Conflict, 3) Talk and Distraction, 4) Struggle for Control, and 5) Maternal Non-Contingency. The CFS has been demonstrated to discriminate between infants with and without feeding disorders and can be used with infants and toddlers ranging from 1 month to 3 years of age (Chatoor et al, 1997).

Secondary Measures

  • eating habitts
    • Time Frame: 12 months
    • Self reported questionnaires of Golan et al checking eating habits and obesogenic environment at home

Participating in This Clinical Trial

Inclusion Criteria

  • normal and healthy pregnancy – full term delivery of infants – infants with a normal birth weight and no health problems – Mothers recruited had at least a high school education – mothers lived near to or in the city (important for video taping) Exclusion Criteria:

  • Mothers with mental illness in the present or the past (such as schizophrenia, depression or an eating disorder) – infants with chronic diseases that required specific diets (such as milk allergy) or gastrointestinal diseases (celiac disease, type 1 diabetes, Crohn's disease etc.)

Gender Eligibility: Female

Minimum Age: 23 Years

Maximum Age: 35 Years

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Rambam Health Care Campus
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Ron Shaoul, MD, Principal Investigator, Pediatric Gastroenterology Unit, Ruth Rappaport Children’s Hospital Rambam Health Care Campus, Haifa, Israel, Rappaport Faculty of Medicine;


Redsell SA, Edmonds B, Swift JA, Siriwardena AN, Weng S, Nathan D, Glazebrook C. Systematic review of randomised controlled trials of interventions that aim to reduce the risk, either directly or indirectly, of overweight and obesity in infancy and early childhood. Matern Child Nutr. 2016 Jan;12(1):24-38. doi: 10.1111/mcn.12184. Epub 2015 Apr 20. Review. Erratum in: Matern Child Nutr. 2016 Jul;12(3):643.

Bryant-Waugh R, Markham L, Kreipe RE, Walsh BT. Feeding and eating disorders in childhood. Int J Eat Disord. 2010 Mar;43(2):98-111. doi: 10.1002/eat.20795. Review.

Meadows N. Assessment and management of feeding difficulties in infants. Community Pract. 2015 Feb;88(2):45-7.

Ammaniti M, Lucarelli L, Cimino S, D'Olimpio F, Chatoor I. Feeding disorders of infancy: a longitudinal study to middle childhood. Int J Eat Disord. 2012 Mar;45(2):272-80. doi: 10.1002/eat.20925. Epub 2011 Apr 14.

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