Evidence map›Paper›PMID 22625182›Full record

Trial reportMaternal & child nutrition2013

Cluster-randomized trial on complementary and responsive feeding education to caregivers found improved dietary intake, growth and development among rural Indian toddlers.

Shahnaz Vazir, Patrice Engle, Nagalla Balakrishna, Paula L Griffiths, Susan L Johnson, Hilary Creed-Kanashiro, Sylvia Fernandez Rao, Monal R Shroff, Margaret E Bentley

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Maternal & child nutrition, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers, 20 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed, 20 pooled it
9.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

124 citing papers in PubMed, 20 syntheses or guidelines pooled it, 251 citations in OpenAlex.

  1. Breastfeeding interventions for preventing postpartum depression.The Cochrane database of systematic reviews · 2025
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64 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 4 countries.

Shahnaz VazirBehavioral Sciences Unit of Field Studies, National Institute of Nutrition (ICMR), Hyderabad, India. s_vazir@hotmail.com
Patrice Engle
Nagalla Balakrishna
Paula L Griffiths
Susan L Johnson
Hilary Creed-Kanashiro
Sylvia Fernandez Rao
Monal R Shroff
Margaret E Bentley
California Polytechnic State University · USNational Institute of Nutrition · INUniversity of North Carolina at Chapel Hill · USInstituto de Investigación Nutricional · PELoughborough University · GBUniversity of Colorado Denver · US

Funding

Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
Infant Care, Feeding, and Risk of ObesityR01HD042219 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BENTLEY, MARGARET E · 2002 to 2008
$3.2M
NICHD NIH HHS 5 R01 HD042219-S1NICHD NIH HHS R01 HD042219NICHD NIH HHS R24 HD050924
6 · The paper itself

Abstract

Inadequate feeding and care may contribute to high rates of stunting and underweight among children in rural families in India. This cluster-randomized trial tested the hypothesis that teaching caregivers appropriate complementary feeding and strategies for how to feed and play responsively through home-visits would increase children's dietary intake, growth and development compared with home-visit-complementary feeding education alone or routine care. Sixty villages in Andhra Pradesh were randomized into three groups of 20 villages with 200 mother-infant dyads in each group. The control group (CG) received routine Integrated Child Development Services (ICDS); the complementary feeding group (CFG) received the ICDS plus the World Health Organization recommendations on breastfeeding and complementary foods; and the responsive complementary feeding and play group (RCF&PG) received the same intervention as the CFG plus skills for responsive feeding and psychosocial stimulation. Both intervention groups received bi-weekly visits by trained village women. The groups did not differ at 3 months on socioeconomic status, maternal and child nutritional indices, and maternal depression. After controlling for potential confounding factors using the mixed models approach, the 12-month intervention to the CFG and RCF&PG significantly (P < 0.05) increased median intakes of energy, protein, Vitamin A, calcium (CFG), iron and zinc, reduced stunting [0.19, confidence interval (CI): 0.0-0.4] in the CFG (but not RCF&PG) and increased (P < 0.01) Bayley Mental Development scores (mean = 3.1, CI: 0.8-5.3) in the RCF&PG (but not CFG) compared with CG. Community-based educational interventions can improve dietary intake, length (CFG) and mental development (RCF&PG) for children under 2 years in food-secure rural Indian families.

Indexed as

Community Health NursingWeaningBreast FeedingChild DevelopmentChild Nutrition SciencesCluster AnalysisFeeding BehaviorFemaleHumansIndiaInfantInfant, NewbornInfant Nutritional Physiological PhenomenaMaleMother-Child RelationsMothers

Identifiers

PMID22625182
PMCPMC3434308
OpenAlexW1803497403

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.