Evidence map›Paper›PMID 40684168›Full record

Trial reportNutrition journal2025

Effect of behavioural change communication through women development army on optimal complementary feeding practice among children aged 6-23 months in Southwest Ethiopia: a cluster randomized controlled trial.

Meseret Tamrat Gebretsadik, Dessalegn Tamiru, Assefa Legesse Sisay, Tefera Belachew

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrition journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Interventions for positive parental feeding practices in low-income households: a scoping review.The international journal of behavioral nutrition and physical activity · 2026
    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

4 authors.

Meseret Tamrat GebretsadikDepartment of Nutrition and Dietetics, Public Health Faculty, Institute of Health, Jimma University, Jimma, Ethiopia. meseeden@gmail.com.
Dessalegn TamiruDepartment of Nutrition and Dietetics, Public Health Faculty, Institute of Health, Jimma University, Jimma, Ethiopia.
Assefa Legesse SisayDepartment of Epidemiology, Public Health Faculty, Institute of Health, Jimma University, Jimma, Ethiopia.
Tefera BelachewDepartment of Nutrition and Dietetics, Public Health Faculty, Institute of Health, Jimma University, Jimma, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptimal development and growth in children are primarily determined by dietary practice during the first 24 months of life. However, in low-income countries, especially in sub-Saharan Africa, ensuring adequate nutrition and maternal nutritional knowledge are challenging. As a result, it is a major public health issue in Ethiopia. Therefore, it is essential to address feeding practices and knowledge gaps through behavior change communication. This study assessed the effect of behaviour change communication through the women's development army on complementary feeding practices among children aged 6-23 months in Jimma Zone, Ethiopia.

methodsA cluster randomized controlled trial was conducted from December 2021 to November 2022 in rural Ethiopia. The study used two-stage cluster sampling to allocate villages into control and intervention groups and systematic random sampling methods to select participants. Fourteen villages were randomly chosen from 21 eligible ones, with seven clusters (villages) in each group. Initially, 438 mother-child pairs participated, and 404 pairs remained at the endline data collection. The intervention group, consisting of 219 pairs, received food-based BCC from the WDA, while the control group, also with 219 mother-child pairs, received routine health education by Health Extension workers. Data were collected through structured questionnaires and 24-hour dietary recall. The primary objective for this study was optimal complementary feeding practices. The chi-square statistic assessed sociodemographic differences, and the difference-in-differences method evaluated the intervention's effect. Generalized estimating equations were used to analyze BCC's impact and identify predictors.

resultsThe intervention group showed a 28.4% (DID: 28.4%, 95% CI: 18.1 to 38.6) improvement in optimal complementary feeding practices compared to the control group (p < 0.001). Factors associated with optimal complementary feeding practices included BCC (AOR = 5.00, 95% CI: 1.78-14.05), maternal education (AOR = 2.00, 95% CI: 1.33-3.01), not using traditional food processing methods (AOR = 0.34, 95% CI: 0.21-0.54), and maternal knowledge (AOR = 0.65, 95% CI: 0.43-0.99).

conclusionBCC, through the WDA, significantly improved complementary feeding knowledge and practices. Policymakers should support long-term BCC interventions and adopt a multi-sectoral approach to address the factors influencing child feeding practices. The study is registered retrospectively in the Pan African Clinical Trials Registry with number PACTR202106621156513 on 21/06/2021.

Indexed as

CommunicationFeeding BehaviorHealth EducationInfant Nutritional Physiological PhenomenaAdultCluster AnalysisEthiopiaFemaleHealth Knowledge, Attitudes, PracticeHumansInfantMaleMothersRural PopulationBehavioural change communicationChildren aged 6–23 monthsCluster randomized controlledOptimal complementary feeding practiceTrial

Identifiers

PMID40684168
PMCPMC12275457

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LicenceCC BY-NC-ND
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Registered trials

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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.