About this trial
The objective of this prospective, real-world evidence/pragmatic study with a quality improvement program approach is to evaluate the feasibility and effectiveness of a community-engaged nutrition-focused program utilizing nutrition screening, education, supplementation and continuous follow up for children and their families.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children aged 1-5 years experiencing stunting or its risk (defined as HAZ ≤ -1 SD at baseline)
Children's legal guardian agrees to participate in the study
Full term pregnancy (defined as ≥ 37 weeks gestation and ≥ 2500g birth weight)
Residence in study area attending Children International (NGO) centers
Disqualifiers
None
Trial population
Via screening by existing community-based programming via Children International (NGO)
Trial design
Ecologic or community
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Program Feasibility
Caregiver and NGO staff program experience assessed via survey via Net Promoter Score (NPS) scored from 0 to 10 where higher score is more favorable
Growth Anthropometrics
Change in Height (cm), Head Circumference (cm), Weight (kg) and Mid-Upper Arm Circumference (MUAC) (mm) as compared to pediatric growth standards (i.e. percentiles and z-scores)
Secondary outcomes
Healthcare Resource Utilization
Caregiver completed open ended questions to obtain the frequency of healthcare resource utilization including illness frequency, severity and related missed school/work days, where more utilization means worse outcomes.
Pediatric Quality of Life Inventory
A 23-item questionnaire rated 0 to 4 where higher scores indicate better health-related quality of life
World Health Organization Quality of Life Brief Version
A 26-item caregiver completed questionnaire scored 0 to 100 where higher scores indicate higher quality of life
Nutrient Intake
Caregiver completed 24-hour dietary recall
Other outcomes
Nutrition Behavior
Parent completed 35-item questionnaire, where higher scores indicate higher levels for that specific eating behavior
Staff Experience Survey
Assesses caregiver experience, satisfaction, and recommendations for improvement regarding the nutrition program using a combination of closed- and open-ended questions. Closed-ended questions will use Likert-scale responses ranging from strongly disagree to strongly agree.
Nutrition Program Enrollment and Adherence
Enrollment and adherence to the nutrition program
Caregiver Experience Survey
Assesses caregiver experience, satisfaction, and recommendations for improvement regarding the nutrition program using a combination of closed- and open-ended questions in addition to the Net Promoter Score (NPS). Closed-ended questions will use Likert-scale responses ranging from strongly disagree to strongly agree or very unsatisfied to very satisfied.
Sponsors and contacts
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Abbott Nutrition
Lead sponsor
Children International
Collaborator