Food-Based Intervention and Psychosocial Stimulation to Improve Growth & Development of < 24 Month Indonesian Children (FIRST)

University of Indonesia (UI)

Status and phase

Unknown

Phase 3

Conditions

Nutritional Anemia

Child Development

Treatments

Other: Combinded FBDG and stimulation

Other: Control group

Other: FBDG group

Other: Stimulation

Study type

Interventional

Funder types

Other

Identifiers

NCT02078271

FIRST

Details and patient eligibility

About

WHO has urged all developing countries to develop programmes to improve complementary-feeding (CF) practices because of their importance for optimal growth, development and health of infants and young children While supplementation programmes and/or highly-fortified "super-foods" have limited success in improving CF-practices in disadvantaged environments, population-specific food-based dietary guidelines (FBDG), based on locally-available foods and requires minimal changes to local food pattern, will enhance the chances of programme success.

Our previous study was able to identify the need for, potential and finally develop FBDG for CF of 6-8mo and 9-11mo infants using combined linear-and-goal programming approach (LP approach). This research is therefore being made to support the next phase of the study i.e. to assess the efficacy of FBDG, for improving CF/dietary-practices and growth in <24mo children (window of opportunity). As growth and development is inter-related, home-based stimulation will be included in this trial to see the effect on child development. While studies have shown that stimulation at early age benefits children through their late adolescence; evidence from Indonesia is lacking. This study therefore aims to see the effect on growth and development of community trial using food-based dietary guideline and stimulation. It is expected that findings from this study will provide scientific evidence as the basis for program formulation.

Enrollment

480 patients

Sex

All

Ages

9 to 11 months old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

children aged 9-11 month on enrolment,
weight-for-age Z-score <-1.00 but >-3.00

Exclusion criteria

having mental or physical disabilities

Trial design

480 participants in 4 patient groups

FBDG group

Experimental group

Description:

The group received Food Based Dietary Guidelines for feeding recommendation. Monthly-session with group of mothers involving interactive activities e.g. cooking session, cooking competition and games.

Treatment:

Other: FBDG group

Stimulation group

Experimental group

Description:

The children received psychosocial stimulation from the mothers. Mothers were taught on psychosocial module which was developed using locally existing resources and was directed at improving four aspects of child development, namely gross motoric, fine motor, language and socio-emotional developments.

Treatment:

Other: Stimulation

Combined (FBDG and Stimulation)

Experimental group

Description:

The group received both FBDG and psychosocial stimulation

Treatment:

Other: FBDG group

Other: Stimulation

Other: Combinded FBDG and stimulation

Control

Other group