Use of Videos to Provide Anticipatory Infant Feeding Guidance During Well-Child Visits: A Pragmatic Pilot Study

This pragmatic, quasi-experimental pilot study evaluated the feasibility, acceptability, and preliminary impact of using videos to deliver anticipatory infant feeding guidance during well-child visits (WCVs) at a pediatric primary care clinic. Control group parents (n = 116) participated between August 2021 and July 2022, and intervention group parents (n = 274) participated between November 2022 and May 2023. Parents viewed a brief video on infant feeding recommendations (intervention) or safe sleep (control) at their child's 4- or 12-month WCV and completed a brief post survey. Control parents and a subset of intervention parents (n = 56) also completed infant feeding surveys at the 6- or 15-month WCV. Most (78%-96%) found the intervention videos helpful, engaging, and informative. Introduction of fruit juice by the 6-month WCV was similar between groups (40%-42%), but intervention parents were less likely to have introduced sugar-sweetened beverages by the 15-month WCV. Clinic staff supported the use of videos during WCVs. These findings suggest that offering video-based anticipatory guidance during WCVs is a promising strategy for improving infant feeding.