Journal of pediatrics. Clinical practice · 2026
Navigating Solid Food Introduction: A Qualitative Exploration of Caregivers' Beliefs, Readiness, and Influences on Infant Feeding Practices.
СтатьяНазвание и аннотация: Перевод в очереди
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Jibrell Hodan, Malik Sara, King Claire, Samady Waheeda
Аннотация
OBJECTIVE: To evaluate beliefs and practices during solid food introduction (SFI) among a diverse sample of parents/caregivers using a qualitative approach. SFI aspects evaluated included timing, approach, beliefs, family/cultural influences, environmental factors, and interactions with their pediatrician.
METHODS: Semistructured interviews were conducted with parents of children between 7 and 13 months of age. Interview questions used the theory of planned behavior. Parents were recruited from academic, community, and private clinics in Chicago. Data were analyzed using a modified grounded theory approach, incorporating both deductive and inductive coding. Two researchers independently coded all interviews, and discrepancies were resolved through discussion and consensus.
RESULTS: A total of 49 interviews were conducted. Participants were primarily mothers (92%). By race, 21 (43%) identified as White, 14 (29%) as Black, 4 (8%) as Asian, 1 (2%) as Native American, 7 (14%) as mixed race or other, and 2 (4%) as unknown. By ethnicity, 14 (29%) identified as Latino or Hispanic. Twenty-eight participants (57%) had Medicaid. Most parents introduced solids between 5 and 6 months of age, primarily following pediatrician advice. Several major themes emerged around SFI: (1) conflicting beliefs about timing and caregiver readiness, (2) fear of choking, (3) parental control over feeding, (4) desire for a good start, (5) siblings shaping feeding practices, (6) cultural and family influences, and (7) adjusted feeding practices based on circumstances.
CONCLUSIONS: Although numerous factors influence SFI, many caregivers relied on pediatric guidance as an anchor for decision-making. However, caregivers reported gaps in support and information, suggesting that more flexible, practical, and culturally responsive recommendations are needed to better align with families' diverse experiences and circumstances.
METHODS: Semistructured interviews were conducted with parents of children between 7 and 13 months of age. Interview questions used the theory of planned behavior. Parents were recruited from academic, community, and private clinics in Chicago. Data were analyzed using a modified grounded theory approach, incorporating both deductive and inductive coding. Two researchers independently coded all interviews, and discrepancies were resolved through discussion and consensus.
RESULTS: A total of 49 interviews were conducted. Participants were primarily mothers (92%). By race, 21 (43%) identified as White, 14 (29%) as Black, 4 (8%) as Asian, 1 (2%) as Native American, 7 (14%) as mixed race or other, and 2 (4%) as unknown. By ethnicity, 14 (29%) identified as Latino or Hispanic. Twenty-eight participants (57%) had Medicaid. Most parents introduced solids between 5 and 6 months of age, primarily following pediatrician advice. Several major themes emerged around SFI: (1) conflicting beliefs about timing and caregiver readiness, (2) fear of choking, (3) parental control over feeding, (4) desire for a good start, (5) siblings shaping feeding practices, (6) cultural and family influences, and (7) adjusted feeding practices based on circumstances.
CONCLUSIONS: Although numerous factors influence SFI, many caregivers relied on pediatric guidance as an anchor for decision-making. However, caregivers reported gaps in support and information, suggesting that more flexible, practical, and culturally responsive recommendations are needed to better align with families' diverse experiences and circumstances.