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Table 2 Description of the content in the intervention “barnE-mat”

From: Early food for future health: a randomized controlled trial evaluating the effect of an eHealth intervention aiming to promote healthy food habits from early childhood

Age Title/Main theme Anticipatory guidance on when and what Anticipatory guidance on how Intervention-elements based on attachment theory/developmental psychology Guidance/demonstrating on skills in the movies (examples)
6 months
The first food
Time to introduce solid food
Small tastings of finely mashed consistency to raise interest
Variation in food from the beginning
Guidance of responsive feeding
Following the child’s signals of hunger and satiety
Child-centered care; emphasizing the importance of being sensitive and responding to the infant’s cues
Confirm and meet the child’s signals with facial expressions and voice
Sensitive/Responsive feeding; mother awaiting her baby’s signals in the meal
How to make food tastes and small portions of home-made infant food
7 months
Sweet and salty food
Development of taste and food preferences
Sensitive period for introduction of new flavors
Use of repeated exposures to promote taste and texture acceptance
Avoid pressuring to eat
The importance of being a role-model during meals
Promoting good mealtime routines
Child-centered care; emphasizing the importance of being sensitive and responding to the infant’s cues
The meal as a safe base for exploration
Sensitive/Responsive feeding; mother withdraws when the child has mouth closed
How to cut and mash fruit and vegetables
How to easily make varied baby food
8 months
Food with lumps
Introduction to new consistencies and textures
Gradual development of the oral-motor skills and mastery of firmer consistencies
Variety in taste and texture and repeated exposure to promote good eating habits
Making homemade baby-food to facilitate introduction to the family’s food
Child-centered care; emphasizing the importance of being sensitive and responding to the infant’s cues
The meal as a safe base for exploration
Sensitive/Responsive feeding and Family-meal/Modelling;
child picking pieces of food to eat
Age-appropriate, soft consistencies
How to make homemade food with varied consistency suitable for both baby and family
9 months
Eating alone and eating together
Age appropriate portion sizes
Recognition of hunger and fullness
Facilitate self-feeding
How to promote child autonomy and mastery in mealtimes
Awareness of the child’s signals of hunger and satiety; parent provide and child decide
Avoiding pressure to eat
The importance of family-meals and role-modelling
Promoting good mealtime routines
Child-centered care; emphasizing the importance of being sensitive and responding to the infant’s cues
The meal as a safe base for exploration
Parents` responsibility for creating a nurturing emotional climate
Sensitive/Responsive feeding and Family-meal/Modelling;
family-dinner with children allowed to explore food on their own
How to make homemade food easy for the child to eat, suitable for both baby and family
10 months
Food and feelings
Early establishment of food habits and eating behaviors Avoiding food as comfort or reward
Discourage use of restrictive and coercive feeding practices
Parents as positive role-models of eating behaviours
Promoting good mealtime routines
Child-centered care; emphasizing the importance of being sensitive and responding to the infant’s cues
Regulation of emotions; confirm and meet the child’s signals to facilitate self-regulation
Role modelling and social referencing; infants read and interpret facial expressions to understand their surroundings
Sensitive/Responsive feeding and Family-meal/Modelling; mother who comforts her child and regulates his feelings
Children enjoying eating healthy food
How to make homemade food for weekends and celebration, suitable for both baby and family
11 months
Food as building blocks – the important foundation
Early food habits and their relevance for later health and prevention of noncommunicable diseases
A balanced diet based on readily available raw materials is sufficient and “good enough”
Using fruit as a snack, water when thirsty
Variation and repeated exposure to facilitate acceptance of healthy foods like vegetables
Making homemade baby-food for greater variety
Having fruits and vegetables readily available at home
Child-centered care; emphasizing the importance of being sensitive and responding to the infant’s cues
Early, everyday experiences form patterns (cognitive schemas), and lay the foundation for later mental and physical health
Sensitive/Responsive feeding and Family-meal/Modelling; child “helping” her mother to prepare food showing enjoyment and engagement
How to make homemade food rich in important nutrients, suitable for both baby and family
12 months
Life ahead –
weekdays with
job and kindergarten
Introduction to family food and appropriate mealtime-structure
Using fruit as a snack, water when thirsty
Planning for healthy food-choices
Variation and repeated exposure to facilitate acceptance of healthy foods like vegetables
Involve the child in preparing meals
Avoiding pressure to eat; parent provide, child decide
Promoting good mealtime routines
Parents and other children as positive role-models of eating behaviours
Child-centered care; emphasizing the importance of being sensitive and responding to the infant’s cues
The meal as a safe base for exploration
Parents` responsibility for creating a nurturing emotional climate
Sensitive/Responsive feeding and Family-meal/Modelling; child allowed to assist in preparing the meal
How to make homemade food for busy weekdays, suitable for both baby and family