Understanding the Role of Gender Inequality and Food Insecurity on Maternal and Child Health (K01)

University of California San Francisco (UCSF)

Status: Completed

Conditions: Health Knowledge, Attitudes, Practice

Treatments: Behavioral: Sumadhur Aarambha

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04383847

DiamondSmithK01

K01HD086281 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

To pilot test a group intervention for newly married women and their households to improve nutrition, pregnancy and delivery knowledge, and intrahousehold communication

Full description

Aim: To test the feasibility of an empowerment and food insecurity intervention for newly married women and others in their households to improve maternal and child health outcomes. The investigators will pilot an intervention consisting of groups of newly married women, their husbands and mothers-in-law. Each household will be enrolled for 4 months in weekly sessions. Topics discussed will include behavioral messaging crafted specifically for newly married households (including husbands and in-laws) to address the perceptions of different family members about food consumption, gender inequality, and the relationship between women's nutrition, food consumption, maternal health, and birth outcomes. Behavioral messaging at the household level: Based on findings from preliminary studies, key barriers to newly married women receiving needed nutrition/food and potential mechanisms to address those barriers were identified, as well as informational messages that could be used to address specific barriers. Particular attention was paid to how household dynamics and decision-making relate to gender inequality and food insecurity. Thirty randomly selected newly married households will be recruited to participate in testing the feasibility and acceptability of the intervention. Acceptability will be assessed from women, husbands, and mothers-in-law through surveys at the end of 4 months with questions on relevance to their needs, information gained, and interest in participating further. Enrollment and retention at 4 months will also be used to measure acceptability. Preliminary changes in knowledge, attitudes and behaviors will be assessed through a comparison of pre and post survey data. The investigators will also conduct semi structured interviews with 15 participants and 5 stakeholders. If necessary, the intervention will then be refined.

Enrollment: 90 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• the household has a newly married couple (married in the last 3 months)
• a living mother-in-law
• both the woman and man being over the age of 18

Exclusion criteria

• Under 18
• not recently married

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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90 participants in 1 patient group

Main study

Experimental group

Description:

There is only 1 arm because this is a feasibility and acceptability pilot.

Treatment:

Behavioral: Sumadhur Aarambha