Education Using WhatsApp and Face-to-Face Meetings on IYCF for the Nutritional Status of Infants

NCT05502978 | Completed

• 1 other identifier: 110289
• Study Type: interventional
• Target: 126
• Locations: 1 country
• Sites: 3

Brief Summary

The COVID-19 pandemic affects all activities, including stunting prevention. Almost all cities implement Internet-based learning can be used as an alternative to providing education and allows to exchange personal experiences and also establish interpersonal relationships. Education is one of the intervention efforts that aims to foster and improve the health status of the community, while counselling is a technical part of the educational process itself. blended counselling is the integration of online and offline counselling. Blended counselling is a strategy in the covid-19 pandemic condition and after pandemic. the virtual Education method has also been widely used around the world. The WhatsApp application ranks 2 among the most popular social media in Indonesia. Blended education innovations are offered online in the form of digital booklets, videos, online discussions, and online consultations carried out via WhatsApp and offline visits according to health protocols. This blended education is expected to facilitate the work of cadres in providing Infant and young child feeding (IYCF) education, to improve IYCF practices for infant nutritional status.

Conditions

Nutritional Stunting

Keywords

blended education; Infant and Young Child Feeding; Nutritional status of Infant

Outcome Measures

Primary Outcomes (5)

• Infant Nutritional status

  The baby's body condition is determined by the TB/U indicator (according to the WHO-MGRS standard book), nominal scale, body lenght measurement using Infantometer,1=stunting if TB/U \<-2 SD 2= not stunting if TB/U -2 SD to \< 3 SD, The higher scores mean a better nutritional status of infant

  birth to 7 months

• Infant and young child feeding practice (early initiation of breastfeeding practice)

  The process of breastfeeding that begins as soon as possible, immediately after birth by allowing the baby to make skin-to-skin contact with the mother's skin for at least the first hour after birth, nominal scale, Measurement using a questionnaire

  at birth to one hour

• Infant and young child feeding practice (Exclusive breastfeeding practice)

  The mother's behaviour is to give only breast milk without any additional food/drink, except for drugs or vitamins from birth to 6 months of age. nominal scale. Measurement using a questionnaire

  at birth to 6 months

• Infant and young child feeding practice (complementary feeding practice)

  Complementary feeding activities are carried out by providing food at the right time and adequate in terms of quantity, ratio scale, measurement using a questionnaire,The higher scores mean a better practice complementary feeding.

  6 months to 7 months

• Infant and young child feeding practice (continued breastfeeding >6 month practice)

  Breastfeeding at the age of \> 6 months as an additional consumption of complementary foods for breast milk, ordinal scale, measurement using a questionnaire, not good=given \<10 times, good=given \>10 times,The higher scores mean a better practice

  6 months to 7 months

Secondary Outcomes (7)

• Changes in knowledge breastfeeding

  37 weeks gestation to the child is 4 months

• Changes in attitude breastfeeding

  37 weeks gestation to the child is 6 months

• Changes in self-efficacy breastfeeding

  37 weeks gestation to the child is 6 months

• Changes in knowledge complementary feeding

  37 weeks gestation to the child is 7 months

• Changes in self-efficacy complementary feeding

  37 weeks gestation to the child is 7 months

Study Arms (1)

Intervention group

EXPERIMENTAL

The intervention group is third trimester pregnant women with 37 weeks of gestation who received blended education. Blended education is provided by cadres and nutritionists, both online and offline. Education consists of online assistance with digital booklets, videos via WhatsApp by cadres and consultation with nutritionists as well as home visits (offline/face-to-face) by cadres and the research team. One education is done during the third trimester at 37 weeks of gestation, second education is done at 38 weeks' gestation, the third education is done when the baby is 3 months old, all three of which are done online. Mother will be visited every month by cadres and the research team from birth to 7 month old. Consultation with a nutritionist is carried out via WhatsApp calls at critical times the failure rate in IYCF practice was for infants aged 1 month, 3 months, 6 and 7 months

Behavioral: Blended education of Infant and Young Child Feeding

Interventions

Blended education of Infant and Young Child Feeding BEHAVIORAL

Blended education is an intervention about IYCF consisting of 3 components: Education via WhatsApp group, counselling face to face, Consultation with nutritionist via WhatsApp call. In the intervention group, participants will get blended education about IYCF provided by trained cadres. Education via WhatsApp group. The implementation of this educational program was carried out for 3 meeting sessions, where previously trained cadres had distributed videos and digital booklets for IYCF material and opened a discussion session at the end of the meeting in WhatsApp group. Face to face Counselling (Home visit). The cadres conduct home visits every month when the participants have given birth until the child is 7 months old. Consultation with nutritionist via WhatsApp call. Consultations were carried out via WhatsApp calls about IYCF practice was for infants aged 1 month, 3 months, 6 and 7 months.

Intervention group

Eligibility Criteria

• Age: 20 Years - 35 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Pregnant women who are currently pregnant for the first or second time
• Mother does not have chronic disease such as asthma, hypertension and coronary heart disease
• Planning to stay minimal for a year in the research area
• Having smartphone with access to internet and whatsApp messaging application

You may not qualify if:

• Participants who have multiple pregnancies
• After the baby was born has a congenital disease/congenital disorders
• Participants unwilling to continue with the study

Sponsors & Collaborators

• Gadjah Mada University: lead

Study Sites (3)

Sewon community health center

Bantul, Special Region of Yogyakarta, 55185, Indonesia

Location

Pandak community health center

Bantul, Special Region of Yogyakarta, 55761, Indonesia

Location

Bambanglipuro Health centre

Bantul, Special Region of Yogyakarta, Indonesia

Location

Related Publications (7)

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  PMID: 31340809 RESULT

• Mousavi SR, Amiri-Farahani L, Hasanpoor-Azghady SB, Saravi SO. Comparing the effect of in-person and virtual childbirth preparation trainings on the fear of childbirth (FOC) and pregnancy experience of pregnant women: protocol for a quasi-experimental feasibility study. Pilot Feasibility Stud. 2021 Nov 5;7(1):194. doi: 10.1186/s40814-021-00933-w.

  PMID: 34740371 RESULT

• Susiloretni KA, Hadi H, Prabandari YS, Soenarto YS, Wilopo SA. What works to improve duration of exclusive breastfeeding: lessons from the exclusive breastfeeding promotion program in rural Indonesia. Matern Child Health J. 2015 Jul;19(7):1515-25. doi: 10.1007/s10995-014-1656-z.

  PMID: 25487415 RESULT

• Susiloretni KA, Hadi H, Blakstad MM, Smith ER, Shankar AH. Does exclusive breastfeeding relate to the longer duration of breastfeeding? A prospective cohort study. Midwifery. 2019 Feb;69:163-171. doi: 10.1016/j.midw.2018.11.008. Epub 2018 Nov 19.

  PMID: 30522038 RESULT

• Kang H. The prevention and handling of the missing data. Korean J Anesthesiol. 2013 May;64(5):402-6. doi: 10.4097/kjae.2013.64.5.402. Epub 2013 May 24.

  PMID: 23741561 RESULT

• Saleem AF, Mahmud S, Baig-Ansari N, Zaidi AK. Impact of maternal education about complementary feeding on their infants' nutritional outcomes in low- and middle-income households: a community-based randomized interventional study in Karachi, Pakistan. J Health Popul Nutr. 2014 Dec;32(4):623-33.

  PMID: 25895196 RESULT

• Hosmer DW, Hosmer T, Le Cessie S, Lemeshow S. A comparison of goodness-of-fit tests for the logistic regression model. Stat Med. 1997 May 15;16(9):965-80. doi: 10.1002/(sici)1097-0258(19970515)16:93.0.co;2-o.

  PMID: 9160492 RESULT

Related Links

• Blended counselling a means of supporting students University of Eastern Finland
• UNICEF/WHO/World Bank Group Joint Child Malnutrition Estimates

Study Officials

• Siti Helmyati, ph.D

  Gadjah Mada University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: August 9, 2022
• First Posted: August 16, 2022
• Study Start: October 7, 2022
• Primary Completion: July 15, 2023
• Study Completion: August 15, 2023
• Last Updated: September 15, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

ID (3)