Evidence map›Paper›PMID 38853139›Full record

ArticleMaternal & child nutrition2024

Evaluation of ImpENSA technology-enabled behaviour change module delivered to healthcare professionals in South Africa to improve micronutrient nutrition during the first 1000 days.

Sunhea Choi, Corinna Walsh, Selma Omer, Bernadeta Patro-Golab, Wendy Lawrence, Lize Havemann-Nel, Ho Ming Yuen, Berthold Koletzko, Edelweiss Wentzel-Viljoen, Michael Hendricks and 6 more

Erratum issuedAbstract readEvaluation Study
In one paragraph

Article in Maternal & child nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Sunhea ChoiHuman Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0001-6288-3142
Corinna WalshDepartment of Nutrition and Dietetics, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.ORCID http://orcid.org/0000-0001-5578-9246
Selma OmerHuman Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
Bernadeta Patro-GolabDepartment of Paediatrics, Medical University of Warsaw, Warsaw, Poland.
Wendy LawrenceHuman Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0003-1264-0438
Lize Havemann-NelCentre of Excellence for Nutrition (CEN), North-West University, Potchefstroom, South Africa.
Ho Ming YuenHuman Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
Berthold KoletzkoDepartment of Paediatrics, Dr. von Hauner Children's Hospital, LMU-Ludwig Maximilian University of Munich, Munich, Germany.
Edelweiss Wentzel-ViljoenCentre of Excellence for Nutrition (CEN), North-West University, Potchefstroom, South Africa.
Michael HendricksDepartment of Paediatrics, University of Cape Town, Cape Town, South Africa.
Daniella WatsonHuman Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
Maciej KolodziejDepartment of Paediatrics, Medical University of Warsaw, Warsaw, Poland.
Jan LukasikDepartment of Paediatrics, Medical University of Warsaw, Warsaw, Poland.ORCID http://orcid.org/0000-0002-9385-857X
Hilary GoeimanDepartment of Health and Wellness, Western Cape Government, Cape Town, South Africa.
Keith M GodfreyHuman Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0002-4643-0618
ImpENSA Study Group

Funding

British Heart Foundation RG/15/17/3174British Heart Foundation SP/F/21/150013EU Erasmus+ 2018-3915/001-001National Institute for Health Research (NIHR) NF-SI-0515-10042NIHR Southampton 1000DaysPlus Global Nutrition Research Group 17/63/154NIHR Southampton Biomedical Research Centre IS-BRC-1215-20004UK Medical Research Council MC_UU_12011/4
6 · The paper itself

Abstract

Healthcare professionals (HCPs) have vital roles in providing evidence-based care to promote healthy micronutrient nutrition in early life. Providing such care requires scalable training to strengthen knowledge and confident application of effective behaviour change skills. Among 33 public and private HCPs (primarily dietitians) in South Africa, we evaluated the behaviour change aspects of a technology-enabled National Qualification Sub-Framework level 6 programme, Improving Early Nutrition and Health in South Africa ('ImpENSA'). This programme comprises two self-directed micronutrient and behaviour change knowledge-based eLearning and one facilitated online practical skills modules to improve maternal and infant micronutrient nutrition. Using assessments, questionnaires and interviews, we collected data at baseline, after module completion and at 3-month follow-up after programme completion. Questionnaire and interview data showed major improvements in understanding of and attitudes towards person-centred behaviour change support immediately following the eLearning module on behaviour change. The assessment pass rate increased from 38% at baseline to 88% postmodule, demonstrating significant knowledge gain in behaviour change support. Intention to change practice towards a person-centred approach was high and many had already started implementing changes. Three months postprogramme, support was centred around patients' needs. Open relationships with patients, improved patient outcomes and increased job satisfaction were among reported outcomes. Many reported becoming better change facilitators and reflective practitioners. Additional improvements in understanding and attitudes to behaviour change support were evident, reinforced by making changes and experiencing positive outcomes. The findings suggest that technology-enabled learning can equip HCPs with knowledge and skills to effectively support behaviour change for healthy micronutrient nutrition during pregnancy and infancy.

Indexed as

MicronutrientsAdultFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHealth PromotionHumansInfantInfant, NewbornInfant Nutritional Physiological PhenomenaMaleNutritional StatusProgram EvaluationSouth AfricaSurveys and QuestionnairesMicronutrientsbehaviour change supportearly nutritioneLearningfirst thousand dayshealth behaviour changemicronutrient nutritiontechnology‐enabled learning

Identifiers

PMID38853139
PMCPMC11574674

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.