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Change in Child-feeding Knowledge, Attitudes, and Practices With Nutrition Education Mass Media in Ghana

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02800564
Recruitment Status : Completed
First Posted : June 15, 2016
Last Update Posted : March 22, 2018
Sponsor:
Collaborators:
Global Affairs Canada
World Vision
Information provided by (Responsible Party):
Grace S. Marquis, McGill University

Brief Summary:

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

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 689 participants
Allocation: Randomized
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.
Primary Purpose: Prevention
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

Arm Intervention/treatment
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.




Primary Outcome Measures :
  1. Change in infant feeding behaviour assessed by questionnaire [ Time Frame: 12-18 months ]
    Change in child feeding behaviours that are promoted on radio


Secondary Outcome Measures :
  1. 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

  2. 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



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • lives in cluster randomly assigned to either active or passive arm
  • has child < 5 y of age
  • is the primary caregiver of the child

Exclusion Criteria:

  • has physical condition/illness that prevents from taking care of child
  • has physical condition/illness that prevents from responding to surveys

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02800564


Locations
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Canada, Ontario
World Vision
Toronto, Ontario, Canada
Canada, Quebec
McGill University
Montreal, Quebec, Canada, H3A 2T5
Ghana
Farm Radio International
Accra, Ghana
University of Ghana
Legon, Ghana
Sponsors and Collaborators
McGill University
Global Affairs Canada
World Vision
Investigators
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Principal Investigator: Grace S Marquis, PhD McGill University
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Responsible Party: Grace S. Marquis, Associate Professor, McGill University
ClinicalTrials.gov Identifier: NCT02800564    
Other Study ID Numbers: S065653b
First Posted: June 15, 2016    Key Record Dates
Last Update Posted: March 22, 2018
Last Verified: March 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Malnutrition
Nutrition Disorders