A complementary feeding and play intervention improves the home environment and mental development among toddlers in rural India

Dados Bibliográficos

ID15537122
AutoresSylvia Fernandez Rao (0000-0002-6896-3140, National Institute of Nutrition, autor correspondente), Margaret E Bentley (0000-0002-1220-0208, University of North Carolina at Chapel Hill), N Balakrishna (0000-0002-5613-0942, National Institute of Nutrition), P Griffiths (0000-0002-0591-9724, Loughborough University), Hillary Creed-Kanashiro (0000-0001-8282-0835, Instituto de Investigación Nutricional), Hilary Creed‐Kanashiro (Department of Nutrition Research Instituto de Investigación Nutricional Lima Peru), Shahnaz Vazir (National Institute of Nutrition), Susan L Johnson (0000-0002-2804-9477, Children's Hospital Colorado)
Ano2020
Volume16
FascículoS3
Páginase13066-e13066
Data de publicação2020-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoMaternal and Child Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1740-8695 • E-ISSN: 1740-8709
EditoraWiley (PUBLISHER • GB)
DOI10.1111/mcn.13066
PMID33347725
OpenAlexW3116760093
IdiomaEN
Citações recebidas4
Referências citadas43

A cluster randomized trial design was used to test the efficacy of a behaviour change communication intervention on the quality of the home environment and infant development at 15 months of age. Children (n = 600) in rural South India were followed from 3 through 15 months of age. The control group (C group) received the standard of care, the complementary feeding group (CF group) received recommendations on complementary foods and the responsive complementary feeding and play group (RCF&P group) received recommendations on complementary foods plus skills on responsive feeding and play. The intervention was delivered in biweekly home visits to caregivers using flip charts. At postintervention, infants (n = 521) were assessed for development (Bayley-II scales) and their home environment was assessed (Home Observation for Measurement of the Environment [HOME] scale). Cluster adjusted analysis of variance showed no significant differences at baseline. The HOME score at 15 months differed by group, F(2, 38) = 6.41, P = 0.004; the CF and RCF&P groups had higher scores than the C group. Scores on subscales 'Opportunities for Variety in Daily Stimulation' and 'Caregiver Promotion of Child Development' (CPCD) were higher for the RCF&P group than for the C and CF groups. Mental development index (MDI) scores differed by group, F(2, 37) = 3.31, P = 0.04, with the RCF&P group showing higher scores than the C group (P 2 = 0.076). 'CPCD' was also associated with PDI (R 2 = 0.039). A responsive complementary feeding and play intervention delivered through home visits benefitted children's mental development and caregiving environment at 15 months

Bayley Scales of Infant Development · Cluster randomised controlled trial · Cognition · Intervention (counseling · Physical therapy · Psychiatry · Psychomotor learning · Randomized controlled trial · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Infant Development and Preterm Care · Medicine · Gerontology · Internal Medicine · Pediatrics