Evidence map›Paper›PMID 37181933›Full record

ArticleCurrent developments in nutrition2023

A Peer-Led Integrated Nutrition Education Intervention through Care Groups Improved Complementary Feeding of Infants in Postemergency Settlements in the West-Nile Region in Uganda: A Cluster Randomized Trial.

Joel J Komakech, Sam R Emerson, Ki L Cole, Christine N Walters, Hasina Rakotomanana, Margaret K Kabahenda, Deana A Hildebrand, Barbara J Stoecker

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Current developments in nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05584969 (Peer Support Groups Improve Infant Growth and Complementary Feeding Practices Among Refugees in Post-emergency Settlements in the West- Nile Region in Uganda), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 29% 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.

NCT05584969 nacompletednot on this map

Peer Support Groups Improve Infant Growth and Complementary Feeding Practices Among Refugees in Post-emergency Settlements in the West- Nile Region in Uganda

TypeinterventionalSponsorOklahoma State UniversityRan2020 to 2020Enrolled390ConditionsInfant MalnutritionArmsPeer-led integrated nutrition education intervention delivered through Care Groups
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 6 citations in OpenAlex.

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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

8 authors at 5 institutions in 3 countries.

Joel J KomakechDepartment of Food Science, Nutrition, and Health Promotion, Mississippi State University, United States.
Sam R EmersonDepartment of Nutritional Sciences, Oklahoma State University, United States.
Ki L ColeResearch, Evaluation, Measurement, and Statistics Department, Oklahoma State University, United States.
Christine N WaltersScience Department, Oklahoma State University-Oklahoma City, United States.
Hasina RakotomananaNutrition Division, World Food Programme, Rome, Italy.
Margaret K KabahendaDepartment of Food Technology and Nutrition, Makerere University, Kampala, Uganda.
Deana A HildebrandDepartment of Nutritional Sciences, Oklahoma State University, United States.
Barbara J StoeckerDepartment of Nutritional Sciences, Oklahoma State University, United States.
Oklahoma State University · USMakerere University · UGMississippi State University · USOklahoma State University Oklahoma City · USWorld Food Programme · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Complementary feeding of infants in refugee settlements remains inadequate. Furthermore, there has been limited evaluation of interventions addressing these nutrition challenges. Objective: This study examined the effects of a peer-led integrated nutrition education intervention on infant complementary feeding by South Sudanese refugee mothers in the West-Nile region in Uganda. Methods: A community-based randomized trial enrolled 390 pregnant women (during third trimester) as the baseline. Two arms [mothers-only and parents-combined (both mothers and fathers)] comprised treatments with a control. Infant feeding was assessed using WHO and UNICEF guidelines. Data were collected at Midline-II and Endline. The medical outcomes study (MOS) social support index was used to measure social support. An overall mean score of >4 was considered optimal social support, a score of ≤2 was none or little support. Adjusted multivariable logistic regression models determined the effects of the intervention on infant complementary feeding. Results: At the end of the study, infant complementary feeding improved significantly in both mothers-only and parents-combined arms. There was a positive effect on the introduction of solid, semisolid, and soft foods (ISSSF) in the mothers-only arm at both Midline-II {adjusted odds ratio (AOR) = 4.0]} and Endline (AOR = 3.8). Likewise, ISSSF was better for the parents-combined arm at both Midline-II (AOR = 4.5) and Endline (AOR = 3.4). Minimum dietary diversity (MDD) was significantly better at the Endline for the parents-combined arm (AOR = 3.0). Minimum acceptable diet (MAD) was significantly better at Endline for both mothers-only (AOR = 2.3) and parents-combined arms (AOR = 2.7). Infant consumption of eggs and flesh foods (EFF) was improved only in the parents-combined arm at both Midline-II (AOR = 3.3) and Endline (AOR = 2.4). Higher maternal social support was associated with better infant MDD (AOR = 3.3), MAD (AOR = 3.6), and EFF (AOR = 4.7). Conclusion: Engaging both fathers and mothers in care groups benefited complementary feeding of infants. Overall, this peer-led integrated nutrition education intervention through care groups improved infant complementary feeding in the West-Nile postemergency settlements in Uganda.This trial was registered at clinicaltrials.gov as NCT05584969.

Indexed as

infant feedingmaternal social supportpostemergencyrefugee settlementsSouth SudaneseUganda

Identifiers

PMID37181933
PMCPMC10111604
OpenAlexW4319072220

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.