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This randomized controlled trial aimed to compare adherence to two complementary feeding methods-Baby-Led Introduction to SolidS (BLISS) and Parent-Led Weaning (PLW)-in infants aged 6-12 months. A total of 130 infants aged 6-9 months were randomized to BLISS (n=65) or PLW (n=65) groups. Adherence was defined as self-feeding for BLISS and spoon-fed consistency for PLW. Follow-up continued until 12 months of age. The study found significantly higher adherence in the BLISS group compared to the PLW group (78.5% vs 52.3%, p=0.002).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| (BLISS) | Experimental | Infants assigned to this group followed the Parent-Led Weaning (PLW) method, receiving spoon-fed complementary foods of appropriate consistency from 6 to 12 months of age. |
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| (PLW) | Active Comparator | A complementary feeding approach encouraging infant self-feeding with appropriately sized solid foods under caregiver supervision. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Baby-Led Introduction to SolidS (BLISS) | Behavioral | Caregivers were instructed to offer age-appropriate solid foods that infants could grasp and self-feed, following BLISS principles, with emphasis on safe textures, iron-rich foods, and close supervision during feeding. |
| Measure | Description | Time Frame |
|---|---|---|
| Adherence to Assigned Complementary Feeding Method | Adherence was defined as the infant following the assigned complementary feeding approach: self-feeding of solid foods in the BLISS group and spoon-fed age-appropriate food consistency in the PLW group. | From 6 months to 12 months of age |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dr. Iqra hanif, MBBS | Shaheed Mohtarma Benazir Bhutto Medical University (SMBBMU) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shaheed Mohtarma Benazir Bhutto Medical University (SMBBMU), Larkana, Pakistan | Larkana | Sindh | Pakistan |
Individual participant data will not be shared with other researchers. Data will be used only for the purposes of this study and reported in aggregate form without identifying individual participants
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| Parent-Led Weaning (PLW) | Behavioral | Caregivers fed infants complementary foods using spoon-feeding techniques, progressing food texture and consistency according to age-appropriate feeding recommendations. |
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