Feasibility of the automatic ingestion monitor (AIM-2) for infant feeding assessment: a pilot study among breast-feeding mothers from Ghana

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dc.contributor.authorCerminaro, Caroline
dc.contributor.authorSazonov, Edward
dc.contributor.authorMcCrory, Megan A.
dc.contributor.authorSteiner-Asiedu, Matilda
dc.contributor.authorBhaskar, Viprav
dc.contributor.authorGallo, Sina
dc.contributor.authorLaing, Emma
dc.contributor.authorJia, Wenyan
dc.contributor.authorSun, Mingui
dc.contributor.authorBaranowski, Tom
dc.contributor.authorFrost, Gary
dc.contributor.authorLo, Benny
dc.contributor.authorAnderson, Alex Kojo
dc.contributor.otherUniversity of Georgia
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherBoston University
dc.contributor.otherUniversity of Ghana
dc.contributor.otherUniversity of Pittsburgh
dc.contributor.otherUnited States Department of Agriculture (USDA)
dc.contributor.otherBaylor College of Medicine
dc.contributor.otherImperial College London
dc.date.accessioned2023-09-28T19:07:33Z
dc.date.available2023-09-28T19:07:33Z
dc.date.issued2022
dc.description.abstractObjective: Passive, wearable sensors can be used to obtain objective information in infant feeding, but their use has not been tested. Our objective was to compare assessment of infant feeding (frequency, duration and cues) by self-report and that of the Automatic Ingestion Monitor-2 (AIM-2). Design: A cross-sectional pilot study was conducted in Ghana. Mothers wore the AIM-2 on eyeglasses for 1 d during waking hours to assess infant feeding using images automatically captured by the device every 15 s. Feasibility was assessed using compliance with wearing the device. Infant feeding practices collected by the AIM-2 images were annotated by a trained evaluator and compared with maternal self-report via interviewer-administered questionnaire. Setting: Rural and urban communities in Ghana. Participants: Participants were thirty eight (eighteen rural and twenty urban) breast-feeding mothers of infants (child age <= 7 months). Results: Twenty-five mothers reported exclusive breast-feeding, which was common among those < 30 years of age (n 15, 60 %) and those residing in urban communities (n 14, 70 %). Compliance with wearing the AIM-2 was high (83 % of wake-time), suggesting low user burden. Maternal report differed from the AIM-2 data, such that mothers reported higher mean breast-feeding frequency (eleven v. eight times, P = 0 center dot 041) and duration (18 center dot 5 v. 10 min, P = 0 center dot 007) during waking hours. Conclusion: The AIM-2 was a feasible tool for the assessment of infant feeding among mothers in Ghana as a passive, objective method and identified overestimation of self-reported breast-feeding frequency and duration. Future studies using the AIM-2 are warranted to determine validity on a larger scale.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationCerminaro, C., Sazonov, E., McCrory, M. A., Steiner-Asiedu, M., Bhaskar, V., Gallo, S., Laing, E., Jia, W., Sun, M., Baranowski, T., Frost, G., Lo, B., & Anderson, A. K. (2022). Feasibility of the automatic ingestion monitor (AIM-2) for infant feeding assessment: a pilot study among breast-feeding mothers from Ghana. In Public Health Nutrition (Vol. 25, Issue 10, pp. 2897–2907). Cambridge University Press (CUP). https://doi.org/10.1017/s1368980022001264
dc.identifier.doi10.1017/S1368980022001264
dc.identifier.orcidhttps://orcid.org/0000-0002-5080-108X
dc.identifier.orcidhttps://orcid.org/0000-0002-6839-9834
dc.identifier.orcidhttps://orcid.org/0000-0003-0529-6325
dc.identifier.urihttps://ir.ua.edu/handle/123456789/10903
dc.languageEnglish
dc.language.isoen_US
dc.publisherCambridge University Press
dc.rights.licenseAttribution 4.0 International (CC BY 4.0)
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAutomatic Ingestion Monitor
dc.subjectBreast-feeding
dc.subjectInfant feeding assessment
dc.subjectWearable technology
dc.subjectEATING BEHAVIOR
dc.subjectREASONS
dc.subjectQUESTIONNAIRE
dc.subjectBARRIERS
dc.subjectRECALL
dc.subjectPublic, Environmental & Occupational Health
dc.subjectNutrition & Dietetics
dc.titleFeasibility of the automatic ingestion monitor (AIM-2) for infant feeding assessment: a pilot study among breast-feeding mothers from Ghanaen_US
dc.typeArticle
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