The Effect of Guided Counseling in Improving Dietary Practice, Nutritional Status and Birth Weight of Pregnant Women
|ClinicalTrials.gov Identifier: NCT03627156|
Recruitment Status : Completed
First Posted : August 13, 2018
Last Update Posted : June 6, 2019
Poor dietary intake affects maternal wellbeing, fetal growth, and development. However, many pregnant women in Ethiopia have poor dietary intake. To improve the dietary intake of pregnant women, nutrition education is often given at the community level during a home visit and at the health institution during antenatal care. Yet, there is no evidence on the effect of nutrition education on dietary intake, nutritional status, and birth weight in the study area. Hence, the objective of this study was to evaluate the effect of guided counseling in improving dietary practice, nutritional status and birth weight of pregnant women.
A two-arm parallel cluster randomized community trial was conducted among pregnant women in West Gojjam Zone, Amhara region, Ethiopia from May 2019 to May 2019. Baseline data on dietary practice and nutritional status of pregnant women were collected from May to August 2018 (13weeks). Endline data were collected from October 2018 to May 2019. Guided counseling using the health belief model and theory of planned behavior was given in the intervention arm (11 clusters) for 10 months.
Pregnant women were selected using a cluster sampling method. A validated interviewer-administered structured questionnaire was used for collecting data on the study subjects both at the baseline and after the intervention. Data were checked, coded and double entered into Epi-Info version 7.2.2 and exported to SPSS version 23 for statistical analysis. The outcome of the study finding could be useful for health and nutrition policymakers and other concerned bodies in decision making and to design effective intervention strategies to improve dietary practices of pregnant women as a result to prevent malnutrition. 19,553 US dollar was needed to conduct the study.
|Condition or disease||Intervention/treatment||Phase|
|Counseling||Behavioral: guided counseling||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||712 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||A two-arm parallel cluster randomized community trial|
|Masking:||Single (Outcomes Assessor)|
|Masking Description:||outcome assessors are not informed about the intervention and the group to which the intervention is assigned to avoid social desirability bias|
|Official Title:||The Effect of Guided Counseling in Improving Dietary Practice, Nutritional Status and Birth Weight of Pregnant Women in West Gojjam Zone, Amhara Region, Ethiopia: A Cluster Randomized Controlled Community Trial|
|Actual Study Start Date :||May 1, 2018|
|Actual Primary Completion Date :||August 20, 2018|
|Actual Study Completion Date :||May 31, 2019|
Intervention Arm is an arm to which community-based guided counseling using Health Belief Model and Theory of Planned Behavior will be given.
Behavioral: guided counseling
Community-based guided counseling using Health Belief Model and Theory of Planned Behavior is the intervention package for this study.
No Intervention: Control
Control Arm is an arm to which the intervention will not be implemented.
- Dietary practice (dietary intake) [ Time Frame: 10 month of intervention ]Improve dietary practice after intervention. Taking more than three meals daily plus the highest tercile of women's dietary diversity score from nine food groups plus the highest tercile of animal source food consumption plus food variety score above the mean
- nutritional status [ Time Frame: 10 months of intervention ]Improve mid-upper arm circumference (cm) of the pregnant women after intervention.
- Birth weight [ Time Frame: 10 month of intervention ]Increase in birth weight (gram) after intervention
- Dietary practice [ Time Frame: 10 weeks (baseline) ]Baseline dietary practice of pregnant women before the implementation of intervention. Taking more than three meals daily plus the highest tercile of women's dietary diversity score from nine food groups plus the highest tercile of animal source food consumption plus food variety score above the mean
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03627156
|Bahir Dar University|
|Bahir Dar, Ethiopia|
|Study Director:||Getu Alene, Phd||Bahir Dar University|