Infant Environment Study
- Conditions
- Infant DevelopmentMotivation
- Interventions
- Behavioral: Play DateBehavioral: Music Enhancement
- Registration Number
- NCT02936284
- Lead Sponsor
- State University of New York at Buffalo
- Brief Summary
This study evaluates the effect of a music enhancement program to strengthen the motivation to engage in music related behaviors rather than eating in infants who are high in motivation to eat. Half the participants will participate in a Music Together Program, while the other half will participate in a Play Date control. For both groups, participants will attend 34 weekly sessions for one year, and 12 monthly sessions the next year, in 6 cohorts.
- Detailed Description
Obesity is a disorder of positive energy balance in which energy intake exceeds energy expenditure. The motivation to eat is a basic human need, which is present at birth. One factor that may lead to increased energy intake is the imbalance between the motivation to eat and the motivation to engage in other behaviors. The motivation to eat versus engaging in other behaviors can be operationalized as the relative reinforcing value of eating versus alternative behaviors.
A strong motivation to eat instead of engaging in alternative behaviors has been related to increased energy intake in adults. The motivation to eat is cross-sectionally and prospectively related to obesity in children, adolescents, and adults, and cross-sectionally related to weight status in infants. Shifting the balance from high motivation to eat to increased motivation to engage in alternative behaviors can reduce energy intake, and may be protective against weight gain.
A structured program to enhance music engagement in infants who are strongly motivated to eat can shift their choice from food to music. This study will expand on this preliminary research and examine long-term effects of this intervention in infants who are highly motivated to eat.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 94
- High food reinforcement
- born preterm (<37 weeks gestation)
- a low birth weight (< 2500 grams)
- known developmental delay(s)
- subject's mother was < 18 years old at the time of pregnancy
- not yet eating finger foods
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Play Date Play Date 37 weekly group Play Date sessions for one year, then 12 monthly group Play Date sessions the following year. Music Enhancement Music Enhancement 37 weekly Music Together classes for one year, then 12 monthly Music Together classes the following year.
- Primary Outcome Measures
Name Time Method Change in Infant Food Reinforcing Proportion 0-, 3-, 6-, 12-, 24- month Food reinforcing proportion measures responding for food / total responding for both food and music as a proportion score. Scores range from 0 to 1.0 and higher scores indicate more responding for food than for non-food alternative reinforcer of music. Means reported here are estimated from the mixed-model regression analysis
- Secondary Outcome Measures
Name Time Method Infant 24-Hour Dietary Recall- Change in Energy Intake 0-, 12-, 24- month Energy intake was measured using a 24-recall with the parent and average kcals are reported. One participant was excluded for underreporting
Change in Infant Weight-for-length Z-score 0-, 3-, 6-, 12-, 24- month Weight for length is a measure of an infant (child under 5-years of age) height (cm) and weight (kg) scored using the World Health Organization (WHO) infant growth chart. Overweight cut-offs at a z-score between 1.0-1.99 and obese cut offs are at a z-score of \>=2.0
Trial Locations
- Locations (1)
University at Buffalo
🇺🇸Buffalo, New York, United States