Evidence map›Paper›PMID 38489346›Full record

Trial reportPloS one2024

Care groups in an integrated nutrition education intervention improved infant growth among South Sudanese refugees in Uganda's West Nile post-emergency settlements: 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 readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2024. 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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 3 institutions in 2 countries.

Joel J KomakechDepartment of Food Science, Nutrition, and Health Promotion, Mississippi State University, Starkville, Mississippi, United States of America.ORCID 0000-0003-0192-9068
Sam R EmersonDepartment of Nutritional Sciences, Oklahoma State University, Stillwater, OK, United States of America.
Ki L ColeResearch, Evaluation, Measurement, and Statistics Department, Oklahoma State University, Stillwater, OK, United States of America.
Christine N WaltersDepartment of Nutritional Sciences, Oklahoma State University, Stillwater, OK, United States of America.
Hasina RakotomananaDepartment of Nutritional Sciences, Oklahoma State University, Stillwater, OK, United States of America.
Margaret K KabahendaDepartment of Food Technology and Nutrition, Makerere University, Kampala, Uganda.
Deana A HildebrandDepartment of Nutritional Sciences, Oklahoma State University, Stillwater, OK, United States of America.
Barbara J StoeckerDepartment of Nutritional Sciences, Oklahoma State University, Stillwater, OK, United States of America.
Oklahoma State University · USMakerere University · UGMississippi State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study examined the effects of a peer-led integrated nutrition education intervention with maternal social support using Care Groups on infant growth among South Sudanese refugees in Uganda.

methodsA community-based cluster-randomized trial (RCT) was conducted among 390 pregnant women (third trimester). Two intervention study arms were Mothers-only(n = 131) and Parents-combined (n = 142) with a Control (n = 117). WHO infant growth standards defined length-for-age z-scores (LAZ) for stunting, weight-for-age z-scores (WAZ) for underweight and weight-for-length z-scores (WLZ) for wasting. The Medical Outcomes Study (MOS) social support index was a proxy measure for social support. A split-plot ANOVA tested the interaction effects of social support, intervention, and time on infant growth after adjusting for covariates. Further, pairwise comparisons explained mean differences in infant growth among the study arms.

resultsThe mean infant birth weight was 3.1 ± 0.5 kg. Over the study period, infant stunting was most prevalent in the Control (≥ 14%) compared to Mothers-only (< 9.5%) and Parents-combined (< 7.4%) arms. There were significant interaction effects of the Care Group intervention and social support by time on infant mean LAZ (F (6, 560) = 28.91, p < 0.001), WAZ (F (5.8, 539.4) = 12.70, p = < 0.001) and WLZ (F (5.3, 492.5) = 3.38, p = 0.004). Simple main effects by the end of the study showed that the intervention improved infant mean LAZ (Mothers-only vs. Control (mean difference, MD) = 2.05, p < 0.001; Parents-combined vs. Control, MD = 2.00, p < 0.001) and WAZ (Mothers-only vs. Control, MD = 1.27, p < 0.001; Parents-combined vs. Control, MD = 1.28, p < 0.001).

conclusionMaternal social support with an integrated nutrition education intervention significantly improved infant stunting and underweight. Nutrition-sensitive approaches focused on reducing child undernutrition among post-emergency refugees may benefit from using Care Groups in programs.

trial registrationClinicaltrials.gov, NCT05584969.

Indexed as

RefugeesThinnessChildFemaleGrowth DisordersHumansInfantMothersPregnancyUganda

Identifiers

PMID38489346
PMCPMC10942045
OpenAlexW4392861766

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.