Abstract There are various risks associated with incorrect preparation and storage of infant formula, including microbiological hazards. Preparing and storing reconstituted infant formula correctly can reduce potential risks. The product label on infant formula is often the main source of information for caregivers on the correct handling of infant formula. Caregivers’ ability to understand and follow preparation and storage instructions is, therefore, of high importance in the safe use of infant formula. This study aims to increase understanding of how Australian caregivers perceive, interpret and use mandatory and voluntary “on-pack” label information when preparing and storing infant formula. An eye-tracking task requiring caregivers (n = 30) to prepare an unfamiliar infant formula product while wearing Tobi Pro 2 Glasses revealed that almost all caregivers look at the preparation instructions (93%), though fewer look at the warning advice (43%) and storage instructions (27%). Findings from retrospective think-aloud and in-depth interviews conducted immediately after the eye-tracking task, revealed that while preparation instructions are generally understood, they are not always adhered to, with most caregivers making modifications for convenience. Lack of awareness and low perceived risk to the infant’s health were other reasons for non-adherence. These findings suggest that mandated food-safety elements on infant formula products need to be more noticeable, clearer and more specific with respect to potential infant health risks associated with non-adherence, to ensure safe preparation and storage by all caregivers. These findings will be used to inform a review of the labelling requirements for infant formula products.

中文翻译：

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制备婴儿配方奶粉时标签信息的使用和理解：来自访谈和眼动追踪的证据

摘要 婴儿配方奶粉的错误制备和储存会带来各种风险，包括微生物危害。正确制备和储存重新配制的婴儿配方奶粉可以降低潜在风险。婴儿配方奶粉的产品标签通常是护理人员正确处理婴儿配方奶粉的主要信息来源。因此，护理人员理解和遵守制备和储存说明的能力对于婴儿配方奶粉的安全使用非常重要。本研究旨在加深对澳大利亚护理人员在制备和储存婴儿配方奶粉时如何看待、解释和使用强制性和自愿性“包装上”标签信息的理解。一项要求护理人员 (n = 30) 在佩戴 Tobi Pro 2 眼镜时准备不熟悉的婴儿配方产品的眼动追踪任务显示，几乎所有护理人员都会查看制备说明 (93%)，但很少有人会查看警告建议 (43%) ) 和存储说明 (27%)。眼动追踪任务后立即进行的回顾性思考和深入访谈的结果表明，虽然准备说明通常被理解，但并不总是得到遵守，大多数护理人员为了方便而进行了修改。缺乏意识和对婴儿健康的低感知风险是不依从的其他原因。这些调查结果表明，婴儿配方奶粉产品的强制性食品安全要素需要更加引人注目，更明确、更具体地处理与不依从相关的潜在婴儿健康风险，以确保所有护理人员安全准备和储存。这些调查结果将用于审查婴儿配方产品的标签要求。