Change in Child-feeding Knowledge, Attitudes, and Practices With Nutrition Education Mass Media in Ghana
|ClinicalTrials.gov Identifier: NCT02800564|
Recruitment Status : Completed
First Posted : June 15, 2016
Last Update Posted : March 22, 2018
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.
|Condition or disease||Intervention/treatment||Phase|
|Health Education, Community Diet, Food, and Nutrition Malnutrition Infant Nutritional Sciences||Behavioral: Active mass media approach Behavioral: Passive mass media approach||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||689 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Outcomes Assessor)|
|Masking Description:||The study design and communities' status as active or passive are not discussed with the field staff.|
|Official Title:||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|
|Actual Study Start Date :||April 1, 2017|
|Actual Primary Completion Date :||February 28, 2018|
|Actual Study Completion Date :||February 28, 2018|
Experimental: 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.
Behavioral: Active mass media approach
Communities will be exposed to twice weekly radio programming for up to 18 months. Interactive voice response systems (IVRS) will be promoted where listeners can chose to receive pre-recorded audio/voice messages or text messages on mobile phones. Messages will be consistent with the weekly radio program. The topic of the radio program will be discussed in monthly open community meetings. Each individual may choose to participate or not to listen to the radio program, receive the IVRS system, and attend monthly meetings.
Experimental: Passive mass media approach
Communities will be exposed to twice weekly radio programming for up to 18 months
Behavioral: Passive mass media approach
These communities will be exposed to twice weekly radio programming for up to 18 months only.
- Change in infant feeding behaviour assessed by questionnaire [ Time Frame: 12-18 months ]Change in child feeding behaviours that are promoted on radio
- Change in infant feeding knowledge of mother assessed by questionnaire [ Time Frame: 12-18 months ]Change in knowledge about child feeding that is promoted on radio
- Change in infant feeding attitudes of mother assessed by questionnaire [ Time Frame: 12-18 months ]Change in attitudes about child feeding that are discussed on radio
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02800564
|Toronto, Ontario, Canada|
|Montreal, Quebec, Canada, H3A 2T5|
|Farm Radio International|
|University of Ghana|
|Principal Investigator:||Grace S Marquis, PhD||McGill University|