Abstract
Young children depend upon caregivers to make healthy food and beverage choices on their behalf. Research to understand caregiver perspectives may help develop interventions to improve diets and offer new insights for healthcare professionals and future nutrition studies. The main study aim was to explore caregiver feeding experiences, with a focus on portion sizes and attitudes towards beverages, for the first time in Switzerland, and contribute to the European perspective in this field. Inductive, qualitative study with purposive sampling of 19 male and female caregivers (low-high income, 20–46y) of children (1–5y) using in-depth interviews. The model, “Food Choice Process over the Life Course”, was used as a theoretical framework. Full transcripts underwent a thematic analysis. Key themes were developed from the data. Key themes were a) Rules and routines b) Tacit knowledge c) Explicit knowledge d) Managing. Rules about foods and beverages to encourage/limit were widespread. Participants struggled to explain how they portioned foods but offered volume-estimates of beverages portions. Perceptions about health effects of beverages influenced choices. Managing time and budget influenced purchases and meal preparation. There was good agreement with the theoretical framework. Rules and routines reflected anti-obesity recommendations and food-choice values. Perceived health effects of certain beverages, cultural classifications of snacking and the influence of income and time highlight multi-level determinants influencing dietary choices about feeding young children. Health-care professionals may wish to consider these emergent themes when advising on early-childhood feeding. Future studies are required to understand more about the attitudes and perceptions of beverages in the diets of toddlers and preschooler, along with perceptions related to snacking behaviours.
Highlights
Young children depend upon caregivers to make healthy food and beverage choices on their behalf
Research designed to understand the caregiver feeding experience is important, in the years before children go to school Young children depend on their caregivers to make choices about the types foods and beverages offered, when they are offered, the number and size of portions and if the eating experience is pleasurable or otherwise [1, 2]
There is surprisingly little research on the processes that caregivers go through when determining what, and how much, food and drink to provide to very young children, and the caregiver attitudes and perceptions related to the feeding experience
Summary
Young children depend upon caregivers to make healthy food and beverage choices on their behalf. Research to understand caregiver perspectives may help develop interventions to improve diets and offer new insights for healthcare professionals and future nutrition studies. Research designed to understand the caregiver feeding experience is important, in the years before children go to school Young children depend on their caregivers to make choices about the types foods and beverages offered, when they are offered, the number and size of portions and if the eating experience is pleasurable or otherwise [1, 2]. Qualitative research designed to understand the caregiver experience when feeding very young children may go towards designing future studies, interventions, or healthcareprofessional (HCP) led support, which could lead to improvements in food intake, diets and the caregiverchild feeding-experience. Qualitative studies such as this may help HCPs to understand how objective feeding advice is subjectively integrated into everyday life
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
