1. Initial email or phone screen:
Upon receiving an inquiry from a prospective participant, the study will be explained. If the prospective participant has an infant age 9 to 18 months, and the caregiver is interested in joining the study, a verbal consent will be obtained in order to screen for eligibility criteria. The initial screening questionnaire could be done via phone or online via Survey Monkey (see Initial Phone Screen/Survey Monkey Questionnaire for details). The information assessed during the initial screen is recorded in a secure database that requires a password. The database is used by select members of the Division of Behavioral Medicine and has been approved for use by previous IRB committees.
Families will also be sent a list of links of questionnaires to be completed at home before the assessments. These questionnaires include the Demographic Questionnaire, Pregnancy History and Infant Feeding Practice Questionnaire, Food Security Questionnaire, Infant Behavior Questionnaires-Revised (IBQ-R), and Baby Eating Behavior Questionnaire (BEBQ).
2. Session 1:
If families meet the initial criteria gathered from the initial screen, families will be scheduled for a laboratory visit (40 min). For this visit, the caregiver will be advised to choose a time of the day when the infant is generally alert, active, and ready to play. The infant needs to be fed one hour prior to the lab visit. The caregiver will be reminded to bring diapers or change of clothes for the infant. The caregiver will also be reminded not to feed her infant the test food (infant's favorite food) 24 hours before the laboratory visit. At the first visit, there will be an overview of the study. If interested, the caregiver will be asked to review and sign consent forms. Two copies of the consent forms will be signed by all parties involved, person obtaining consent, and the participating parent. One copy will be obtained by the study personnel and one copy will be given to the participants for their records. The copy obtained by study personnel will be kept in a locked cabinet.
After signing the consent form, the caregiver and infant will be escorted to a laboratory room where the food reinforcement game will take place. At this visit, infant will play the first part of the RRV game. Infants will be securely fastened on a high chair. The caregiver will be in the room with the infant at all-time during the game. The caregiver will be reminded that the entire reinforcement task procedure will be video recorded to obtain vocalization, body movement, and facial expression of the infant. The baseline state of the infant will be assessed. There are five states: 1 = drowsy, 2 = alert/calm, 3 = alert/active, 4 = fussy, 5 = crying. Before the start of the game, a study staff member will go through a training session with the infant to familiarize him/her with the computer based game and button/monitor interface. The caregiver will be asked to assist with the training by repeating phrases the researchers use during the game. After the training, the study staff member will start the actual game.
After the session is finished, a 3-day dietary recall will be conducted via phone by a dietetic student intern
3. Additional Laboratory Sessions:
Participants are invited to attend 3 additional 40 minute laboratory sessions. For these visits, the infants will be playing the second part of the RRV game (please refer Session 1 for details on the game), and then repeat RRV Games parts 1 and 2 on the subsequent laboratory visits. After Sessions 1, 2, and 3, the dietetic student intern will call the caregiver and conduct a 24-hour dietary recall. Before leaving the last visit, the height and weight of the caregiver and infant will be measured.
