Digital Health Interventions for Parental Engagement in Early Childhood Nutrition and Feeding: A Review
DOI:
https://doi.org/10.65310/bh1z2k73Keywords:
Parental Engagement, Digital Health, Child Feeding, Nutrition Behavior, Health Equity.Abstract
This review synthesizes global empirical evidence regarding digital health interventions designed to optimize parental engagement within early childhood nutrition and feeding frameworks. By systematically analyzing diverse modalities such as mobile applications, specialized websites, text messaging platforms, and interactive social media, the synthesis characterizes parental involvement patterns across multi dimensional behavioral trajectories and exposure frequencies. The extracted findings indicate that although advanced digital architectures successfully deliver tailored educational resources and evidence based behavior change mechanisms, sustaining active caregiver usage beyond initial uptake remains a critical challenge. Significant improvements in child dietary outcomes and parental responsive feeding practices are heavily concentrated within high active usage thresholds, whereas passive platform exposure yields minimal or transient behavioral shifts. Furthermore, intervention efficacy is strongly moderated by structural socio demographic variables, revealing profound equity divides where resource constrained families face heightened attrition driven by digital literacy limitations. Consequently, advancing pediatric nutritional health systematically necessitates a paradigm shift toward inclusive user centered architectures integrated within routine healthcare services to stabilize long term caregiver engagement across diverse populations.
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Afonso, L., Rodrigues, R., Reis, E. M., Miller, K., Castro, J., Parente, N., Teixeira, C., Fraga, A., & Torres, S. (2020). Fammeal: A gamified mobile application for parents and children to help healthcare centers treat childhood obesity. Ieee Transactions On Games, 12 (4), 351-359. https://doi.org/10.1109/TG.2020.3015804
Brown, A., Hudson, N., Pinfold, J., Sewter, R., Davies, L., Lecathelinais, C., Jackson, J., Delaney, T., Kavalec, S., & Sutherland, R. (2024). The impact of dose in an mhealth intervention to support parents and carers across the first 2000 days of life, healthy beginnings for hnekids; a quantitative study (preprint). JMIR Form Res;9:e70158. https://doi.org/10.2196/preprints.70158
Christensen, B. J., Bestle, S. M. S., Trolle, E., Biltoft-Jensen, A. P., Matthiessen, J., Gibbons, S. J., & Lassen, A. D. (2022). Evaluation of parental acceptability and use of intervention components to reduce pre-school children’s intake of sugar-rich food and drinks. International Journal of Environmental Research and Public Health, 19 (13), 7967-7967. https://doi.org/10.3390/ijerph19137967
Engels, L., Mons, C., Mergelsberg, E., Kothe, E., Hamilton, K., Gardner, B., Hoor, G. A. T., & Mullan, B. (2022). How to improve the diet of toddlers? The feasibility of an online, habit-based intervention targeting parental feeding behaviour. Health Psychology and Behavioral Medicine, 10 (1), 1020-1037. https://doi.org/10.1080/21642850.2022.2134869
Eppes, E., Augustyn, M., Gross, S. M., Vernon, P., Caulfield, L. E., & Paige, D. M. (2022). Engagement with and acceptability of digital media platforms for use in improving health behaviors among vulnerable families: Systematic review. Journal of Medical Internet Research, 25 null, e40934-e40934. https://doi.org/10.2196/40934
Gomes, A. I., Pereira, A. I., Roberto, M. S., Boraska, K., Boraska, K., & Barros, L. (2021). Changing parental feeding practices through web-based interventions: A systematic review and meta-analysis.. PLOS ONE, 16 (4), 1-22. https://doi.org/10.1371/JOURNAL.PONE.0250231
González, O. D., Tugault-Lafleur, C. N., Buckler, E. J., Hamilton, J., Ho, J., Buchholz, A., Morrison, K. M., Ball, G. D., & Mâsse, L. C. (2022). The aim2be mhealth intervention for children with overweight or obesity and their parents: Person-centered analyses to uncover digital phenotypes. Journal of Medical Internet Research, 24 (6), e35285-e35285. https://doi.org/10.2196/35285
Grady, A., Pearson, N., Lamont, H., Leigh, L., Wolfenden, L., Barnes, C., Wyse, R., Finch, M., Mclaughlin, M., Delaney, T., Sutherland, R., Hodder, R. K., & Yoong, S. L. (2023). The effectiveness of strategies to improve user engagement with digital health interventions targeting nutrition, physical activity, and overweight and obesity: Systematic review and meta-analysis.. Journal of Medical Internet Research, 25 null, e47987-e47987. https://doi.org/10.2196/47987
Hammersley, M. L., Okely, A. D., Batterham, M., & Jones, R. A. (2020). Can parental engagement in social media enhance outcomes of an online healthy lifestyle program for preschool-aged children?. Health Communication, 35 (9), 1162-1171. https://doi.org/10.1080/10410236.2019.1620423
Hasan, D. S., Arief, Y. S., & Krisnana, I. (2024). Mobile application intervention to improve nutritional literacy of mothers with stunting children: A systematic review. Pediomaternal Nursing Journal, 10 (2), 70-75. https://doi.org/10.20473/pmnj.v10i2.47436
Haycraft, E., Witcomb, G. L., & Farrow, C. (2020). The child feeding guide: A digital health intervention for reducing controlling child feeding practices and maternal anxiety over time. Nutrition Bulletin, 45 (4), 474-482. https://doi.org/10.1111/NBU.12445
Henström, M., Duncanson, K., Collins, C. E., Ashton, L. M., Davidson, E., & Ball, R. (2022). Online reach and engagement of a child nutrition peer-education program (picnic): Insights from social media and web analytics. BMC Public Health, 22 (1), . https://doi.org/10.1186/s12889-022-13252-3
Henström, M., Esplin, T., Schwartzkoff, E., Duncanson, K., Popović, G., & Ball, R. (2025). Engaging parents with child nutrition and feeding information on facebook: A retrospective content analysis. Food Science and Nutrition, 13 (6), . https://doi.org/10.1002/fsn3.70326
Isabel, G. A., Isabel, P. A., Tiago, G., Diogo, B., Sofia, R. M., Ana, P., Joana, S., Tom, B., & Luísa, B. (2021). Smartfeeding4kids, an online self-guided parenting intervention to promote positive feeding practices and healthy diet in young children: Study protocol for a randomized controlled trial. Trials, 22(90). https://doi.org/10.1186/s13063-021-05897-z
Jackson, J., Hudson, N., Delaney, T., Brown, A., Kavalec, S., Pinfold, J., Sewter, R., McCormick, H., Liackman, R., Lecathelinais, C., Davies, L., Wolfenden, L., Groombridge, D., Tully, B., Redman, S., Smart, T., Ghafournia, N., Craven, P. D., & Sutherland, R. (2025). A pilot mhealth text-messaging program targeting parents during the first 2000 days: A non-randomized, repeat cross-sectional analysis to pragmatically evaluate feasibility, engagement, acceptability and potential effectiveness within the hunter new england region of New South Wales, Australia. JMIR Mhealth Uhealth,14:e83162. https://doi.org/10.2196/preprints.83162
Jo, E., Bang, H., Ryu, M., Sung, E. J., Leem, S., & Hong, H. (2020). Mamas: Supporting parent--child mealtime interactions using automated tracking and speech recognition. Proceedings of the ACM on Human-Computer Interaction, 4(CSCW1), Article 66. https://doi.org/10.1145/3392876
Karssen, L. T., Larsen, J. K., Burk, W. J., Kremers, S. P. J., Hermans, R. C., Ruiter, E. L. M., Vink, J. M., & Weerth, C. D. (2022). Process and effect evaluation of the app-based parenting program samen happie! On infant zbmi: A randomized controlled trial. Frontiers in Public Health, 10 null, . https://doi.org/10.3389/fpubh.2022.1012431
Kling, S. M., Harris, H. A., Harris, H. A., Marini, M. E., Cook, A., Hess, L. B., Lutcher, S., Mowery, J., Bell, S., Hassink, S. G., Hayward, S. B., Johnson, G., Hosterman, J. F., Paul, I. M., Seiler, C., Sword, S., Savage, J. S., & Bailey-Davis, L. (2020). Advanced health information technologies to engage parents, clinicians, and community nutritionists in coordinating responsive parenting care: Descriptive case series of the women, infants, and children enhancements to early healthy lifestyles for baby (wee baby) care randomized controlled trial. JMIR Pediatr Parent, 24;3(2):e22121. https://doi.org/10.2196/22121
Lee, H., & Oldewage-Theron, W. (2022). An ehealth intervention, called healthy online parental education (hope), improves vegetable intake and active play among toddlers from low-income families in west texas. Current developments in nutrition, 6 null, 846-846. https://doi.org/10.1093/cdn/nzac065.030
Lee, H., Oldewage-Theron, W., & Dawson, J. A. (2023). Effects of a theory-based, multicomponent ehealth intervention for obesity prevention in young children from low-income families: A pilot randomized controlled study. Nutrients, 15 (10), 2296-2296. https://doi.org/10.3390/nu15102296
Mahdi, S., Chilcott, J., & Buckland, N. J. (2025). The impact of the change4life food scanner app on children’s diets and parental psychological outcomes: A randomised pilot and feasibility study. BMC Public Health, 25 null, . https://doi.org/10.1186/s12889-025-23400-0
Milne‐Ives, M., Rahman, E., Bradwell, H., Baines, R., Boey, T., Potter, A., Lawrence, W., Velthoven, M. H. V., & Meinert, E. (2024). Barriers and facilitators to parents’ engagement with and perceived impact of a childhood obesity app: A mixed-methods study. PLOS digital health, 3 (3), e0000481-e0000481. https://doi.org/10.1371/journal.pdig.0000481
Mobley, A. R., Jake-Schoffman, D. E., Fedele, D. A., Varela, E. G., & Zeldman, J. (2023). Babybyte: Qualitative research to inform the development of an app to improve responsive feeding practices in parents of infants and toddlers. International Journal of Environmental Research and Public Health, 20 (6), 4769-4769. https://doi.org/10.3390/ijerph20064769
Power, T. G., Baker, S. S., Barale, K. V., Aragón, M. C., Lanigan, J., Parker, L., Garcia, K. S., Auld, G., Micheli, N., & Hughes, S. O. (2024). Using mobile technology for family-based prevention in families with low incomes: Lessons from a randomized controlled trial of a childhood obesity prevention program.. Prevention Science, null, . https://doi.org/10.1007/s11121-023-01637-8
Røed, M., Medin, A. C., Vik, F. N., Hillesund, E. R., Lippevelde, W. V., Lippevelde, W. V., Campbell, K. J., & Øverby, N. C. (2021). Effect of a parent-focused ehealth intervention on children's fruit, vegetable, and discretionary food intake (food4toddlers): Randomized controlled trial. Journal of Medical Internet Research, 23 (2), 1-18. https://doi.org/10.2196/18311
Røed, M., Vik, F. N., Hillesund, E. R., Lippevelde, W. V., Medin, A. C., & Øverby, N. C. (2020). Process evaluation of an ehealth intervention (food4toddlers) to improve toddlers' diet: Randomized controlled trial. https://doi.org/10.2196/18171
Sandborg, J., Markides, B., Simmons, S. F., Downing, K., Nicholson, J. M., Orellana, L., Koorts, H., Carson, V., Salmon, J., & Hesketh, K. D. (2024). Parent and demographic predictors of participant engagement in a parental mhealth intervention: Results from the let’s grow trial (preprint). JMIR Mhealth Uhealth,13:e60478. https://doi.org/10.2196/preprints.60478
Wibowo, D. A., Dewi, Y. L. R., Hikmayani, N. H., & Zen, D. N. (2024). Mobile learning applications and changes in maternal behavior in the provision of food for children: Systematic review. South Eastern European Journal of Public Healthnull, 1190-1203. https://doi.org/10.70135/seejph.vi.2371
Yudkin, J. S., Allicock, M. A., Atem, F., Galeener, C. A., Messiah, S. E., & Barlow, S. E. (2023). Efficacy of a primary care ehealth obesity treatment pilot intervention developed for vulnerable pediatric patients.. Childhood obesity, null. https://doi.org/10.1089/chi.2022.0185
Zarnowiecki, D., Mauch, C. E., Middleton, G., Matwiejczyk, L., Watson, W. L., Dibbs, J., Dessaix, A., & Golley, R. K. (2020). A systematic evaluation of digital nutrition promotion websites and apps for supporting parents to influence children’s nutrition. International Journal of Behavioral Nutrition and Physical Activity, 17 (1), 1-19. https://doi.org/10.1186/S12966-020-0915-1
Zhou, P., Li, Y., Lau, P. W., Yan, L., Song, H., & Shi, T. L. (2023). Effectiveness of parent-based electronic health (ehealth) intervention on physical activity, dietary behaviors, and sleep in preschoolers: A systematic review. https://doi.org/10.1016/j.jesf.2023.10.004
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Copyright (c) 2026 Noor Diah Erlinawati, Kezia Elian Devina, Hilda Taurina, Marisadonna Asteria, Nugrahayu Widyawardhani (Author)
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