Assessing Change in Knowledge, Attitudes, and Practices of Mothers With Infants and Young Children Receiving a District-wide Interactive Nutrition Education Mass Media Programme in the Upper Manya Krobo District
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 689
- 试验地点
- 5
- 主要终点
- Change in infant feeding behaviour assessed by questionnaire
研究概览
简要总结
Optimal infant and young child feeding practices are largely inadequate in rural and poor households in Ghana. Child welfare clinics (CWCs) focus on immunization, supplementation, and growth monitoring and promotion (GMP) activities among infants and young children (IYC). An essential component of GMP activities is to counsel mothers to practice optimal IYC feeding and health practices, but most of the time this is completely missing or not specific enough to be effective.
This study will test the effect of a mass media nutrition education program on caregiver infant and young child feeding knowledge, attitudes and practices using a community-based cluster randomized design. Formative research will first be undertaken to determine the beliefs, attitudes, and constraints that prevent caregivers from adequately feeding their infants and young children with members of the community (caregivers with children under-five, men and elderly women).The information gathered will then be used to design specific messages that directly address the IYC feeding challenges of the community. Clusters will be randomized into active (radio messages with in-person engagement and follow-up) and passive (only radio messages) arms of the intervention. Farm Radio International (implementers of the mass media programming) will ensure the regular broadcast of twice weekly messages for a period of about 12-18 months.
详细描述
This study will be a community-based cluster randomized controlled trial. All communities in the Upper Manya Krobo District (UMKD) that are accessible 12 months of the year (with the exception of 19 communities that are participating in an agriculture-education intervention) will be considered eligible. These communities (n =168) will be stratified based on sub-district and the median community population size for the sub-district. Four communities will be randomly selected from each sub-district: two large and two small communities. These 24 communities will then be randomly assigned to active or passive radio engagement.
Each community will be considered a cluster. To achieve a total sample of 1258 caregivers, 52 women per cluster will be enrolled. If researchers are unable to enroll the sample size in one community, the cluster will be expanded to include the closest village and enrolment will continue until the sample size is achieved.
Enrolment strategy. A census of all communities was completed in 2013 and will be used to decide on the selection strategy. Field workers a priori will randomly select the 52 households in each cluster (only one mother per household, randomly chosen if there is > 1). If the selected household does not have a child < 5 y of age, the closest house will be approached. This will continue until enrolment is completed.
Data Collection Procedures
Phase 1: Baseline survey
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
盲法说明
The study design and communities' status as active or passive are not discussed with the field staff.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •lives in cluster randomly assigned to either active or passive arm
- •has child < 5 y of age
- •is the primary caregiver of the child
排除标准
- •has physical condition/illness that prevents from taking care of child
- •has physical condition/illness that prevents from responding to surveys
研究组 & 干预措施
Active mass media approach
Communities will be exposed to twice weekly radio programming for up to 18 months plus interactive voice response systems (IVRS) and monthly open community meetings.
干预措施: Active mass media approach (Behavioral)
Passive mass media approach
Communities will be exposed to twice weekly radio programming for up to 18 months
干预措施: Passive mass media approach (Behavioral)
结局指标
主要结局
Change in infant feeding behaviour assessed by questionnaire
时间窗: 12-18 months
Change in child feeding behaviours that are promoted on radio
次要结局
- Change in infant feeding attitudes of mother assessed by questionnaire(12-18 months)
- Change in infant feeding knowledge of mother assessed by questionnaire(12-18 months)
研究者
Grace S. Marquis
Associate Professor
McGill University