About this trial
This study aims to evaluate whether early childhood development is improved by a bundled set of interventions that promote responsive stimulation and improved nutrition by the provision of eggs and dried fish (nutrient-dense animal source foods), and whether, in combination, these stimulation and nutrition interventions are more effective than responsive stimulation or food provision alone.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Resides in selected community in Liberia
Household has a child aged 6-30 months at study enrollment
Child has a primary female caregiver and second (male or female) caregiver ≥ 18 years of age
Caregivers and child intend to continue residing in the study area for the follow-up duration
Disqualifiers
Children with known allergies to eggs or fish
Caregivers with cognitive and severe physical disabilities who are unable to implement intervention activities
Children with developmental disabilities
Trial design
Parallel
Treatments tested in this trial
Responsive stimulation, female and male caregivers
BehavioralCaregiving-related social and behavior change (SBC) messages and activities for primary female and secondary (male or female) caregivers focused on responsive stimulation, encompassing responsive caregiver-child interactions and the provision of early learning opportunities.
Food provision and nutrition education
Other interventionProvision of eggs and dried Bonny fish. Nutrition-related social and behavior change (SBC) messages focused on infant and young child feeding (IYCF), the importance of feeding the child eggs and dried fish, and ways to feed these foods to the child.
Treatment groups
Trial outcomes
Primary outcomes
Cognitive Development
Change from baseline to end-line in cognitive composite score on Bayley Scale of Infant and Toddler Development, 4th Edition. Raw scores range from 0 to 162 with higher scores representing higher cognitive development.
Language Development
Change from baseline to end-line in language composite score on the Bayley Scale of Infant and Toddler Development, 4th Edition. Raw scores range from 0 to 158 with higher scores representing higher language development.
Motor Development
Change from baseline to end-line in motor composite score on the Bayley Scale of Infant and Toddler Development, 4th Edition. Raw scores range from 0 to 208 with higher scores representing higher motor development.
Socio-emotional Development
Change from baseline to end-line in socio-emotional score on the Wolke Behavior Rating scale. Scores range from 9 to 81 with higher scores representing higher socio-emotional development.
Secondary outcomes
Child height or length-for-age z-score
Change from baseline to end-line in child height or length-for-age z-score.
Child weight-for-age z-score
Change from baseline to end-line in child weight-for-age z-score.
Child weight-for-height (or length) z-score
Change from baseline to end-line in child weight-for-height (or length) z-score.
Child egg consumption
Change from baseline to end-line in percent children consuming at least 3 eggs in the past week
Other outcomes
Child diarrhea
Change from baseline to end-line in percent children with at least one diarrheal episode in the past two weeks.
Child fever
Change from baseline to end-line in percent children with at least one fever in the past two weeks.
Child respiratory infection
Change from baseline to end-line in percent children with at least one respiratory infection in the past two weeks.
Child vomiting
Change from baseline to end-line in percent children with at least one instance of vomiting in the past two weeks.
Sponsors and contacts
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University of South Carolina
Lead sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator
Plan International
Collaborator
Research Institute of the McGill University Health Center
Collaborator
This trial is not recruiting at the moment. You can still explore other options: