Application of responsive feeding intervention on infants aged 6 - 12  months and their caregivers based on behaviour change wheel  theory

WANG Xue; LI Zhihui; KONG Yan; YU Guiling

doi:10.11852/zgetbjzz2024-1373

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Chinese Journal of Child Health Care ›› 2025, Vol. 33 ›› Issue (8) : 829-834. DOI: 10.11852/zgetbjzz2024-1373

Application of responsive feeding intervention on infants aged 6 - 12 months and their caregivers based on behaviour change wheel theory

WANG Xue¹, LI Zhihui², KONG Yan², YU Guiling²

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Abstract

Objective To evaluate the effectiveness of a responsive feeding intervention program based on the Behaviour Change Wheel (BCW) theory among infants aged 6 - 12 months and their caregivers, in order to provide a reference for enriching specific implementation methods of responsive feeding interventions. Methods A convenience sampling method was used to select 70 infants and their caregivers from the child health clinic of a tertiary hospital in Qingdao between February and March 2024.Participants were sequentially assigned to either the intervention group (n=35) or the control group (n=35) based on enrollment time.The control group received routine feeding guidance from the child health clinic, while the intervention group additionally received a BCW-based responsive feeding intervention.The intervention effects were assessed using the Responsive Feeding Parent Assessment Tool (RFPAT), the Baby Eating Behaviour Questionnaire (BEBQ), and the infant BMI-for-age Z-score (BMI Z). Results Repeated measures ANOVA showed statistically significant differences between the two groups in responsive feeding behavior scores, BEBQ subscale scores (food responsiveness, food fussiness, slowness in eating, and satiety responsiveness), and infant BMI Z-scores across time points, with significant group, time, and interaction effects (P<0.05).At 3 and 6 months post-intervention, the intervention group exhibited higher responsive feeding behavior and food fussiness scores (P<0.05) but lower food responsiveness, slowness in eating, satiety responsiveness scores, and infant BMI Z-scores compared to the control group (P<0.05). Conclusion The BCW-based responsive feeding intervention can significantly improve caregivers' responsive feeding practices, reduce infant feeding behavior problems, and promote healthier physical growth in infants.

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behavior change wheel theory / responsive feeding / infants / caregivers / growth and development

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WANG Xue, LI Zhihui, KONG Yan, YU Guiling. Application of responsive feeding intervention on infants aged 6 - 12 months and their caregivers based on behaviour change wheel theory[J]. Chinese Journal of Child Health Care. 2025, 33(8): 829-834 https://doi.org/10.11852/zgetbjzz2024-1373

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