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Effectiveness of a community‐based responsive feeding programme in rural Bangladesh

A cluster randomized field trial

Bibliographic Data

ID15537264
AuthorsFrances E Aboud (0000-0001-9306-5740, McGill University, corresponding author), Anna C Moore (0009-0009-9361-9884, International Centre for Diarrhoeal Disease Research), Sadika Akhter (0000-0003-1807-4406, Dhaka International University)
Year2008
Volume4
Issue4
Pages275-286
Publication date2008-09-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1740-8709.2008.00146.x
PMID18811792
OpenAlexW2154486132
LanguageEN
Citations received16
References cited10

Responsive complementary feeding, whereby the mother feeds her child in response to child cues of hunger state and psychomotor abilities, is a problem in some countries, and likely contributes to malnutrition. Interventions are needed to evaluate whether promoting responsive feeding would add any benefit. Using a cluster randomized field trial, we evaluated a six-session educational programme that emphasized practice of two key behaviours, namely child self-feeding and maternal responsiveness. One hundred mothers and their 12- to 24-month-olds attended the sessions as part of village clusters randomly assigned to the intervention group. A similar number of controls received sessions on foods to feed and nutritional disorders. Outcomes assessed at pre-test, 2-week post-intervention and again 5-months post-intervention included weight, mouthfuls of food taken, self-feeding and maternal responsiveness. Research assistants, blind to group assignment, observed and coded mother and child behaviours during the midday meal. Secondary measures included foods fed and feeding messages recalled. Analysis was based on intention to treat and accounted for clustering. Only 10% of each group was lost to follow-up. Weight (d = 0.28), weight gain (d = 0.48) and child self-feeding (d = 0.30) were significantly higher in the responsive feeding group. Mouthfuls of food eaten and maternal responsiveness were not significantly increased by the intervention. Mothers in the intervention gave their children more vegetables, and spontaneously recalled more feeding messages at the 5-month follow-up. These results provide evidence that self-feeding and weight gain can improve by targeting specific behaviours, while maternal responsiveness may require more intensive strategies

Body weight · Cluster (spacecraft · Cluster randomised controlled trial · Environmental health · Intervention (counseling · Malnutrition · Meal · Psychiatry · Psychological intervention · Randomized controlled trial · Weight gain · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Medicine · Obesity, Physical Activity, Diet · Pediatrics

  • Nurturing care

    Open Access•Pia R Britto, Stephen J Lye et al.•The Lancet•2017

  • A measurement scale to assess responsive feeding among Cambodian young children

    Open Access•Ndèye S Sall, France Begin et al.•Maternal and Child Nutrition•2020

  • Is baby-led weaning feasible? When do babies first reach out for and eat finger foods

    Open Access•Charlotte M Wright, Ken Cameron et al.•Maternal and Child Nutrition•2010

  • Effectiveness of an educational intervention to improve child feeding practices and growth in rural C hina

    Open Access•Jingxu Zhang, Ling Shi et al.•Maternal and Child Nutrition•2012

  • Effects of responsive breastfeeding intervention on breastfeeding and infant growth in China

    Open Access•Shuliang Zhao, Huimin Jiang et al.•Maternal and Child Nutrition•2024

  • Caregiver Feeding Practices in Guinea

    Open Access•Teresa Schwendler, Kathleen L Keller et al.•Maternal and Child Nutrition•2025

  • Effect of complementary feeding behaviour change communication delivered through community‐level actors on infant growth and morbidity in rural communities of West Gojjam Zone, Northwest Ethiopia

    Open Access•Chalachew Abiyu Ayalew, Tefera Belachew•Maternal and Child Nutrition•2021

  • Sometimes they fail to keep their faith in us’

    Open Access•Chloe Puett, Harold Alderman et al.•Maternal and Child Nutrition•2013

  • Perils of scaling up

    Open Access•Anna Margaret Weber, Emanuela Galasso et al.•Maternal and Child Nutrition•2019

  • Efficacy of Nutrition and Wash/Malaria Educational Community-Based Interventions in Reducing Anemia in Preschool Children from Bengo, Angola

    Open Access•Cláudia Fançony, Ânia Soares et al.•International Journal of…•2019

  • The relationship between responsive caregiving and child outcomes

    Open Access•Elissa Scherer, A K Hagaman et al.•BMC Public Health•2019

  • Feeding styles of caregivers of children 6-23 months of age in Derashe special district, Southern Ethiopia

    Open Access•Mekitie Wondafrash, Tseganeh Amsalu et al.•BMC Public Health•2012

  • Parenting in Bangladesh

    Umme Habiba Jasmine, Mzikazi Nduna•Journal of Comparative Family…•2022

  • Association between caregivers' responsive feeding practices and the intake of fruit and vegetable among children aged 6–36 months

    Open Access•Meijing An, Xiyao Liu et al.•Appetite•2026

  • Father involvement and early child development in a low-resource setting

    Open Access•Italo Lopez Garcia, Lia C H Fernald et al.•Social Science & Medicine•2022

  • Effectiveness of a parenting program in Bangladesh to address early childhood health, growth and development

    Open Access•Frances E Aboud, Daisy R Singla et al.•Social Science & Medicine•2013

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    Open Access•Mary E Penny, Hillary Creed-Kanashiro et al.•The Lancet•2005

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    Open Access•Catherine S Tamis‐lemonda, Catherine S Tamis-Lemonda et al.•Child Development•2001

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    Open Access•Anna C Moore, Sadika Akhter et al.•Social Science & Medicine•2006

Unique citing works16
Citations per year1
Citation span2010 - 2026 (17)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 16

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