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A complementary feeding and play intervention improves the home environment and mental development among toddlers in rural India.
- Source :
- Maternal & Child Nutrition; Dec2020 Supplement S3, Vol. 16 Issue 3, p1-12, 12p
- Publication Year :
- 2020
-
Abstract
- 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 < 0.04); no differences were noted in psychomotor development index (PDI) scores (P = 0.48). The subscales of HOME associated with MDI at 15 months were 'CPCD' and 'Cleanliness of Child' (R2 = 0.076). 'CPCD' was also associated with PDI (R2 = 0.039). A responsive complementary feeding and play intervention delivered through home visits benefitted children's mental development and caregiving environment at 15 months. [ABSTRACT FROM AUTHOR]
- Subjects :
- EDUCATION of mothers
BEHAVIOR modification
BEHAVIOR therapy
CHILD development
COGNITION
COMPARATIVE studies
COUNSELING
HOME care services
INFANTS
INFANT development
NUTRITIONAL requirements
PLAY
RESEARCH funding
INDUSTRIAL research
RURAL population
STATISTICAL sampling
HOME environment
RANDOMIZED controlled trials
TREATMENT effectiveness
PRE-tests & post-tests
DATA analysis software
DESCRIPTIVE statistics
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 17408695
- Volume :
- 16
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Maternal & Child Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 147713481
- Full Text :
- https://doi.org/10.1111/mcn.13066