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Barriers and enablers to Caregivers' Responsive feeding Behaviour (CRiB): A systematic review to inform childhood obesity prevention

Redsell, S A; Slater, V; Rose, J; Olander, E; Matvienko-Sikar, K

Barriers and enablers to Caregivers' Responsive feeding Behaviour (CRiB): A systematic review to inform childhood obesity prevention Thumbnail


Authors

SARAH REDSELL SARAH.REDSELL@NOTTINGHAM.AC.UK
Professor of Childrens' Community and Public Health

V Slater

J Rose

E Olander

K Matvienko-Sikar



Abstract

Responsive infant feeding is a critical component of childhood obesity prevention. However, there is little guidance for caregivers on how to do this successfully. The first step to developing an intervention to promote responsive feeding is to systematically identify its barriers and enablers. Searches were conducted in CINAHL, Cochrane Library, Medline, Embase, PubMed, PsycINFO, Maternity, and Infant Care from inception to November 2020. All study designs were included if they reported a barrier or enabler to responsive feeding during the first 2 years of life. We used a “best fit” framework synthesis, with the Capacity, Opportunity, Motivation, and Behaviour (COM‐B) model. The Mixed Method Appraisal Tool (MMAT) was used to assess study quality. Forty‐three studies were included in the review. Barriers (n = 36) and enablers (n = 21) were identified across five COM‐B domains: psychological capacity, physical and social opportunity, and reflective and automatic motivation. Enablers were recognition of infant feeding cues, feeding knowledge and family and friends. Caregiver attitude toward control of feeding was a barrier, together with health care professional advice about formula feeding and breastfeeding expectation. These barriers and enablers provide a comprehensive evidence base to guide intervention development to improve responsive feeding and prevent obesity across individual and population levels.

Citation

Redsell, S. A., Slater, V., Rose, J., Olander, E., & Matvienko-Sikar, K. (2021). Barriers and enablers to Caregivers' Responsive feeding Behaviour (CRiB): A systematic review to inform childhood obesity prevention. Obesity Reviews, 22(7), Article e13228. https://doi.org/10.1111/obr.13228

Journal Article Type Article
Acceptance Date Feb 6, 2021
Online Publication Date Apr 29, 2021
Publication Date 2021-07
Deposit Date Mar 26, 2021
Publicly Available Date Mar 29, 2024
Journal Obesity Reviews
Print ISSN 1467-7881
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 22
Issue 7
Article Number e13228
DOI https://doi.org/10.1111/obr.13228
Public URL https://nottingham-repository.worktribe.com/output/5417320
Publisher URL https://onlinelibrary.wiley.com/doi/10.1111/obr.13228

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