Evaluation of a responsive feeding and stimulation intervention

ISRCTN ISRCTN17580242
DOI https://doi.org/10.1186/ISRCTN17580242
Secondary identifying numbers ICDDR,B #2008-010
Submission date
24/07/2008
Registration date
05/09/2008
Last edited
17/05/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Frances Aboud
Scientific

Department of Psychology
1205 Dr Penfield Avenue
Montreal
H3A 1B1
Canada

Study information

Study designCluster randomised, three-armed, single-blinded field trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEvaluation of a responsive feeding and stimulation intervention
Study acronymCRF II
Study objectives1. Mothers in the responsive program will show more verbal and nonverbal responsive behaviours in social and feeding interactions with their child, compared to mothers in the regular program. They will also provide more opportunities for stimulation as measured by the Home Observation for Measurement of the Environment (HOME) inventory.
2. Children in the responsive program will show more self-feeding behaviours, more gained weight and length, and better language development compared to the regular program children
3. Children in the responsive program plus iron supplementation will show more development and growth than those in the responsive program without iron

This trial is similar to a previously registered trial (see http://www.controlled-trials.com/ISRCTN15000469), but involves a different dataset, an extra arm to the trial and an extra outcome. Therefore this has been assigned to a different ISRCTN.
Ethics approval(s)Ethics approval received from the ethics committee of the International Centre for Diarrhoeal Diseases Research Bangladesh (ICDDR,B) in April 2008.
Health condition(s) or problem(s) studiedMalnutrition
InterventionThis is a cluster randomised field trial, with villages clusters randomly assigned to one of two interventions or a regular-program control. Mothers are not blinded; data collectors are blinded.

The Mothers in the Responsive Feeding intervention consisted of five weekly group sessions and a booster session given by trained village peer educators to mothers and their children using a Manual for Responsive Feeding and Play. Mothers observe a demonstration and then practice the behaviour with their child. Group discussions on how to handle feeding problems such as refusals without forceful feeding.

The Mothers in the Responsive Feeding and Iron Supplement intervention group also received seven sachets of Sprinkles per week and were shown how to add this to the child's food. Iron supplements continued for 6 months.

The Control mothers received the usual behaviour change communication (BCC) knowledge-transfer sessions from a Manual.

All mothers receive a laminated picture to remind them of the messages they learned. The interventions and controls last for six weeks; follow-up data collections occur five months later.
Intervention typeOther
Primary outcome measure1. Mother: responsive feeding and responsive talking
2. Child:
2.1. Length and weight
2.2. Self-feeding
2.3. Mouthfuls eaten
2.4. Language development

Outcomes are measured at baseline, two weeks after the end of the intervention and five months after the end of the intervention.
Secondary outcome measures1. Foods fed and messages recalled
2. Other maternal feeding behaviours such as forceful feeding and non-responsive encouragement

Outcomes are measured at baseline, two weeks after the end of the intervention and five months after the end of the intervention.
Overall study start date01/04/2008
Completion date30/12/2008

Eligibility

Participant type(s)Patient
Age groupOther
SexBoth
Target number of participants300
Total final enrolment302
Key inclusion criteria1. Living in four unions in Khansama, in the north of Bangladesh
2. Mothers and their children 8 to 20 months of age
3. Must have started complementary food
Key exclusion criteriaChildren too ill or disabled to feed themselves.
Date of first enrolment01/04/2008
Date of final enrolment30/12/2008

Locations

Countries of recruitment

  • Bangladesh
  • Canada

Study participating centre

Department of Psychology
Montreal
H3A 1B1
Canada

Sponsor information

International Centre for Diarrhoeal Diseases Research (Bangladesh)
Research organisation

Mohakhali (or GPO 128)
Dhaka
1212
Bangladesh

Email ACravioto@icddrb.org
Website http://www.icddrb.org/
ROR logo "ROR" https://ror.org/04vsvr128

Funders

Funder type

Government

Social Science & Humanities Research Council (SSHRC) (Canada) (grant ref: 861-2006-0033)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2011 17/05/2019 Yes No

Editorial Notes

17/05/2019: Publication reference and total final enrolment added.