Trial reportHealth education research2014
Theory-driven process evaluation of a complementary feeding trial in four countries.
Trial report in Health education research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.
- What influences child feeding in the Northern Triangle? A mixed-methods systematic review.Maternal & child nutrition · 2020Pooled it
- Education of family members to support weaning to solids and nutrition in later infancy in term-born infants.The Cochrane database of systematic reviews · 2020Pooled it
- Junk food use and neurodevelopmental and growth outcomes in infants in low-resource settings.Frontiers in public health · 2024Trial
- Implementation, utilization and influence of a community-based participatory nutrition promotion programme in rural Ethiopia: programme impact pathway analysis.Public health nutrition · 2017Trial
- Meat as complementary food for older breastfed infants and toddlers: a randomized, controlled trial in rural China.Food and nutrition bulletin · 2014Trial
- Interpersonal Communication and Maternal Behavioral Practice: A Case Study of Explanatory Causal Machine Learning in Nepal.The Journal of nutrition · 2026Article
- A Multisectoral Nutrition Program in Nepal Improves Knowledge of Dietary Diversity, Sick Child Feeding, and Handwashing, but Not All Practices: a Program Impact Pathways Mediation Analysis.Current developments in nutrition · 2020Article
- Process Evaluation of a Large-Scale Community-Based Nutrition Program in Malawi.Current developments in nutrition · 2020Article
- Advancing child nutrition science in the scaling up nutrition era: a systematic scoping review of stunting research in Guatemala.BMJ paediatrics open · 2019Article
- Theory-Driven Process Evaluation of the SHINE Trial Using a Program Impact Pathway Approach.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
17 authors at 4 institutions in 3 countries.
Funding
Abstract
We conducted a theory-driven process evaluation of a cluster randomized controlled trial comparing two types of complementary feeding (meat versus fortified cereal) on infant growth in Guatemala, Pakistan, Zambia and the Democratic Republic of Congo. We examined process evaluation indicators for the entire study cohort (N = 1236) using chi-square tests to examine differences between treatment groups. We administered exit interviews to 219 caregivers and 45 intervention staff to explore why caregivers may or may not have performed suggested infant feeding behaviors. Multivariate regression analysis was used to determine the relationship between caregiver scores and infant linear growth velocity. As message recall increased, irrespective of treatment group, linear growth velocity increased when controlling for other factors (P < 0.05), emphasizing the importance of study messages. Our detailed process evaluation revealed few differences between treatment groups, giving us confidence that the main trial's lack of effect to reverse the progression of stunting cannot be explained by differences between groups or inconsistencies in protocol implementation. These findings add to an emerging body of literature suggesting limited impact on stunting of interventions initiated during the period of complementary feeding in impoverished environments. The early onset and steady progression support the provision of earlier and comprehensive interventions.
Indexed as
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What OpenQuestion holds
Registered trials
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.