Integrating Infant Feeding Counselling With Psychosocial Stimulation to Improve Child Growth and Development in Urban Slum of Bangladesh
1 other identifier
interventional
365
0 countries
N/A
Brief Summary
Undernutrition and poor cognitive development affect many children under 5 in developing countries, who are exposed to multiple risk factors including poverty, malnutrition, poor health, and unstimulating home environments. The optimum development and growth of young children requires affection and responsiveness from the mother/caregiver, cognitive stimulation, good nutrition and infection control. In Bangladesh, stimulation at home is generally poor and contributes to children's poorer development. It is important to show that psychosocial stimulation programmes through home visits integrated into the feeding programmes can benefit children's growth and development. This study will help to fill this evidence gap about effective interventions to improve infant and young child growth and development in Bangladesh. Considering the high prevalence of undernutrition and low prevalence of stimulating environments in Bangladesh, it is important to show evidence that integrating infant feeding counselling and psychosocial stimulation activities result in optimum child growth \& development. To determine if combined infant feeding counselling and psychosocial stimulation programme (promoting mothers positive parenting) starting in the 3rd trimester of pregnancy, further improves: children's cognitive, motor and language development along with growth and mothers' child rearing and child-feeding knowledge and practices compared to peer counselling alone or usual health messages only. We used a community-based CRCT to examine the impact of a peer counselling infant feeding education program with psychosocial stimulation starting in the third trimester of pregnancy to one year after delivery, to improve child growth and cognition, language, behaviour and psychomotor development compared to a control group receiving usual health messages. The outcome assessments were made on a cohort of infant-mother dyads measured at baseline and at follow up visits. Outcome assessments were conducted with all the mother-infant pairs recruited in the community clusters in the study, with an expected total of 334 mother-infant dyads (167 in each treatment group).The main outcomes are children's growth, cognition, language, behaviour and psychomotor development
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2014
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2016
CompletedFirst Submitted
Initial submission to the registry
December 27, 2016
CompletedFirst Posted
Study publicly available on registry
February 2, 2017
CompletedFebruary 2, 2017
November 1, 2014
1.6 years
December 27, 2016
January 31, 2017
Conditions
Outcome Measures
Primary Outcomes (3)
Changes in percentage of motor development among the children at 9 &12 months who received intervention
9 and 12 months
Early Initiation of Breastfeeding rate
from birth to every 2 months till 1 year
Differences in percentage of stunting, wasting and underweight among the children who received intervention
from birth to every 2 months till 1 year
Secondary Outcomes (3)
Differences in percentage of children at 6 & 9 months who receive solid, semi-solid or soft foods.
6 to 12 months
Differences in percentage of children consuming foods from >4 food groups
6 to 12 months
Differences in the mean intake of food energy, protein, carbohydrate, fat and selected micronutrients from complementary feeds
6 to 12 months
Study Arms (2)
Peer counselling
EXPERIMENTALThere were two types of intervention: one providing breast-feeding and complementary feeding counselling + psychosocial stimulation interventions.
Non peer counselling
NO INTERVENTIONUsual health messages
Interventions
Eligibility Criteria
You may qualify if:
- women aged 16 to 49 at third trimester pregnancy
- No medical record of chronic disease
- who would stay next 1 year in the study area
- Healthy neonate
You may not qualify if:
- Women having reported chronic illness
- Would not stay in the study area
- extremely low birth weight neonate
- neonate with congenital anomaly
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (1)
Ara G, Khanam M, Papri N, Nahar B, Kabir I, Sanin KI, Khan SS, Sarker MSA, Dibley MJ. Peer Counseling Promotes Appropriate Infant Feeding Practices and Improves Infant Growth and Development in an Urban Slum in Bangladesh: A Community-Based Cluster Randomized Controlled Trial. Curr Dev Nutr. 2019 Jun 18;3(7):nzz072. doi: 10.1093/cdn/nzz072. eCollection 2019 Jul.
PMID: 31334480DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 27, 2016
First Posted
February 2, 2017
Study Start
November 1, 2014
Primary Completion
June 1, 2016
Study Completion
June 1, 2016
Last Updated
February 2, 2017
Record last verified: 2014-11
Data Sharing
- IPD Sharing
- Will not share