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The effectiveness of nutrition education for overweight/obese mothers with stunted children (NEO-MOM) in reducing the double burden of malnutrition in Indonesia: study protocol for a randomized controlled trial.
- Source :
- BMC Public Health; 6/8/2016, Vol. 16 Issue 1, p1-11, 11p, 2 Diagrams, 1 Chart
- Publication Year :
- 2016
-
Abstract
- <bold>Background: </bold>Nutrition transition in developing countries were induced by rapid changes in food patterns and nutrient intake when populations adopt modern lifestyles during economic and social development, urbanization and acculturation. Consequently, these countries suffer from the double burden of malnutrition, consisting of unresolved undernutrition and the rise of overweight/obesity. The prevalence of the double burden of malnutrition tends to be highest for moderate levels (third quintile) of socioeconomic status. Evidence suggests that modifiable factors such as intra-household food distribution and dietary diversity are associated with the double burden of malnutrition, given household food security. This article describes the study protocol of a behaviorally based nutrition education intervention for overweight/obese mothers with stunted children (NEO-MOM) in reducing the double burden of malnutrition.<bold>Methods: </bold>NEO-MOM is a randomized controlled trial with a three-month behavioral intervention for households involving pairs of 72 stunted children aged 2-5 years old and overweight/obese mothers (SCOWT) in urban Indonesia. The SCOWT pairs were randomly assigned to either an intervention group or to a comparison group that received usual care plus printed educational materials. The intervention consisted of six classroom sessions on nutrition education and home visits performed by trained community health workers using a motivational interviewing approach. The primary outcomes of this study are the prevalence of double burden of malnutrition as measured in SCOWT, child's height-for-age z-score (HAZ) and maternal body mass index (BMI).<bold>Discussion: </bold>Because previous studies are mainly observational in nature, this study advances understanding of the double burden of malnutrition through a fully powered randomized controlled trial. The intervention assists participants in self-administered goal setting to improve diet and child feeding behaviors by improving self-efficacy. Maternal self-efficacy may be enhanced through vicarious and active mastery of experiences gained during six sessions of nutrition education and verbal persuasion during home visits.<bold>Trial Registration: </bold>The Universal Trial Number (UTN) for this study is U1111-1175-5834. This trial was registered in the Australian New Zealand Clinical Trials Registry (ANZCTR) and is allocated the registration number: ACTRN12615001243505 on 12 November 2015. [ABSTRACT FROM AUTHOR]
- Subjects :
- NUTRITION counseling
NUTRITION services
NUTRITION & psychology
FOOD habits
NUTRITION disorders
MALNUTRITION treatment
OBESITY treatment
MALNUTRITION
COMPARATIVE studies
DEVELOPING countries
DIET
EXPERIMENTAL design
FAMILIES
GROWTH disorders
HEALTH education
HEALTH promotion
RESEARCH methodology
MEDICAL cooperation
RESEARCH protocols
MOTHERS
NUTRITION disorders in children
OBESITY
RESEARCH
SOCIAL change
CITY dwellers
SOCIOECONOMIC factors
EVALUATION research
BODY mass index
RANDOMIZED controlled trials
PREVENTION
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 14712458
- Volume :
- 16
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- BMC Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 116065271
- Full Text :
- https://doi.org/10.1186/s12889-016-3155-1