Development of the responsiveness to child feeding cues scale

Hodges, Eric A.; Johnson, Susan L.; Hughes, Sheryl O.; Hopkinson, Judy M.; Butte, Nancy F.; Fisher, Jennifer O.

doi:10.1016/j.appet.2013.02.010

Cited by 148 publications

(106 citation statements)

References 57 publications

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“…This supports observations reported by Hodges et al (2013) in their development of the Responsive to the Child Feeding Cues Scale (RCFCS) in which 20 hunger cues were identified (engagement) compared to 28 satiation cues (disengagement). Eight cues were removed from the analysis in this study as they appeared infrequently.…”

Section: Resultssupporting

confidence: 75%

“…According to Hodges et al (2013) there are several observational tools to measure feeding interactions in early infancy but these have most often been used to identify eating pathology and were therefore not suitable for the present study. This study is based on the work of Dr. Kathryn Barnard and her colleagues who developed the child health assessment model to determine predictors that could identify children at risk for later developmental problems (Barnard and Eyres.…”

Section: Procedurementioning

confidence: 98%

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Looking for cues – infant communication of hunger and satiation during milk feeding

et al. 2017

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Article:Shloim, N orcid.org/0000-0001-7548-5434, Vereijkan, CMJL, Blundell, P et al. It is known that duration of breastfeeding and responsive feeding are associated with decreased risk of obesity. It is however, not clear whether breastfed infants signal more to mothers to facilitate responsive feeding, compared to formula fed, nor what communication cues are important during the feeding interaction. The present study aimed to explore feeding cues in milk-fed infants and to examine if such cues vary by mode of feeding. Twenty-seven mothers and infants were filmed while breastfeeding or formula feeding. Infants' age ranged from 3-22 weeks. Feeding cues were identified using a validated list of communication cues (NCAST). The frequency of each cue during the beginning, middle, and end of the meal was recorded. There were 22 feeding cues identified during the feeds, with significantly more frequent disengagement cues expressed than engagement cues. Significantly more frequent feeding cues were observed at the beginning than at the end of the meal showing that cue frequency changes with satiation. Breastfeeding infants exhibited more engagement and disengagement cues than formula fed infants. Supporting mothers to identify engagement and disengagement cues during a milk feed may promote more responsive feeding-strategies that can be acquired by mothers using different modes of feeding. Introduction:

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Section: Resultssupporting

confidence: 75%

Section: Procedurementioning

confidence: 98%

Looking for cues – infant communication of hunger and satiation during milk feeding

et al. 2017

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“…In a Finnish study, babies born large for gestational age were more likely found to be obese young adults 21 . Maternal responsiveness studies found that mothers were more responsive to child hunger than fullness clues 22 . This is consistent with the relation between appetite and BMI in our study.…”

Section: Discussionmentioning

confidence: 99%

Parental perception and child's nutritional status

Yalçin¹,

Serdaroğlu²,

Ince³

2016

Turk J Pediatr

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Childhood obesity is a health hazard increasing worldwide. Preschool period which is under supervision of parents is a critical period to detect overweight and take precautions. We studied the factors affecting parental estimation of their preschool child's weight. Three hundred sixty seven mothers completed questionnaires consisting of child's and parents' anthropometric measurements, parents' assessment of their child's and their own weight status, and general information about their lifestyle. Mothers also chose their wish for current and future body image of their child from child drawings representing percentiles. Child body mass index-for-age z score (BAZ) was related to birth weight and child's appetite. BAZ was not related to child's gender, presence of chronic disease, family pattern, parental age, education or income. 43.1 % of mothers correctly assessed child's BAZ verbally. Maternal verbal estimation was correlated with maternal visual estimation, paternal verbal estimation and child's BAZ. Mothers' wish for future figure of the child was not related to child's BAZ, but showed correlation with mothers' wish for current figure of the child. Mother's correct perception of her child's weight was found to be high, consistent with her spouse and related to child's BAZ.

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“…The authors also found that the prominence, intensity and specificity of infant cues guided decisions about initiating and ending feeds and that mothers found cues easier to interpret with increasing infant age. Hodges et al (2013) went on to develop a tool to characterise and code responsive feeding. The…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Understanding infant eating behaviour – Lessons learned from observation

Hetherington

2017

Physiology & Behavior

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Observations of human infants during feeding presents a rich source of data to identify the ways in which hunger, appetite and satiety are communicated in early life. Infants signal appetite through their interest or disinterest in food using a series of communication cues from rapid and transient facial expressions to subtle or potent gestures and bodily movements through to vocalisations and eventually speech. Even in the first days of life facial expressions in response to basic tastes are clearly demonstrated and shared between human infants, other primates and the rat. These sensory typical reactions are said to have biological significance since the positive affective response to sweet taste secures a safe and useful source of energy while an aversive response to bitter may protect against toxicity. However, beyond these shared responses to basic tastes, the human infant has a sophisticated communication system to demonstrate readiness to eat, avid or waning appetite and satiety. Video capture and behavioural coding of infant communication and caregiver responses during meals reveal the dynamic nature of mealtime interactions. Responsiveness to infant cues is influenced by maternal characteristics and mode of feeding. Breastfeeding facilitates communication by enhancing maternal responsiveness and increasing the frequency of engagement and disengagement cues of the infant. This demonstrates the bi-directionality and interdependence of infant communication during a feed, namely that more responsive feeding for example, through breastfeeding, is associated with more proficient communication by the infant. Overall, observational methods have revealed the complex ways in which infants signal energy needs to their caregivers, and in turn these same methods have captured on film the ways in which carers recognise and react to these signals as part of responsive feeding. Potential applications of these methods includes developing interventions to facilitate infant self-regulation through responsive feeding.

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Development of the responsiveness to child feeding cues scale

Cited by 148 publications

References 57 publications

Looking for cues – infant communication of hunger and satiation during milk feeding

Looking for cues – infant communication of hunger and satiation during milk feeding

Parental perception and child's nutritional status

Understanding infant eating behaviour – Lessons learned from observation

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