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Pilot Psychoeducational Intervention Model to Improve Nutritional Status in Low Resource Settings

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ClinicalTrials.gov Identifier: NCT02258802
Recruitment Status : Completed
First Posted : October 7, 2014
Last Update Posted : May 13, 2016
Sponsor:
Collaborator:
FEMSA Foundation
Information provided by (Responsible Party):
Universidad de Monterrey

Brief Summary:
The purpose of this study is to develop, implement and evaluate a psychoeducational intervention focused to improve nutritional status, specifically micronutrients, of mothers and caregivers of children between the ages of 5 and 13 years and their children through providing healthy cooking lessons in their communities.

Condition or disease Intervention/treatment Phase
Child Malnutrition Child Overnutrition Malnutrition in Children Malnutrition, Child Nutrition Disorders, Child Malnutrition Behavioral: Psychoeducational intervention Not Applicable

Detailed Description:
Mexico's malnutrition problem goes beyond lack of food. Nutrition transition in our country has modified dietary patterns in a way that now we observe more and more a decrease in consumption of micronutrient rich foods, like vegetables, and an increase in consumption of high energy-dense foods with low content of micronutrients (highly processed foods). In Mexico, over 70% of the population presents an inadequate vegetable intake, with a higher prevalence in scholars (5 - 11 years), where only 17% of them consume >50% of the recommended vegetable intake. A vegetable poor diet is related to malnutrition, poor cognitive development and low physical performance. Added to this, Mexican families have lost the tradition of cooking at home. It is well known that different factors contribute to a population's diet and cooking at home as well as eating with the family have been identified as fundamental factors to promote a healthy diet. Therefore, the aim of this psychoeducational intervention in nutrition is to improve nutritional status in families, particularly mothers and caregivers of children between the ages of 5 and 13 years and their children through providing healthy cooking lessons in their communities where the optimal preparation and use of local foods based on vegetables is promoted at the same time the importance of cooking at home and eating as a family is highlighted.

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Study Type : Interventional
Actual Enrollment : 65 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: A Psychoeducational Intervention Model in Nutrition to Improve Nutritional Status in a Pilot Low Resource Population in the City of Saltillo, Coahuila Mexico.
Study Start Date : June 2014
Actual Primary Completion Date : July 2015
Actual Study Completion Date : December 2015

Arm Intervention/treatment
Experimental: Psychoeducational intervention
Participants will be receiving a cooking lesson in their community every 2 weeks for 1 year.
Behavioral: Psychoeducational intervention
A mobile kitchen visits the 5 selected communities every 2 weeks for a period of 1 year. A 30 minute cooking lesson is given by a trained instructor, the recipes have been designed to be quick and easy to make, use local and inexpensive ingredients, contain mostly vegetables and have a good taste. During the lesson, healthy habit and cooking tips are mentioned. A printed version of the recipe is given to every participant. Every lesson a different participant is encouraged to help prepare the recipe. At the end of the lesson all the participants get to taste the meal and express their opinion.
Other Name: Psychoeducational intervention in nutrition

No Intervention: Usual food practices
These are participants from the communities where the intervention is active but are not attending the cooking lessons.



Primary Outcome Measures :
  1. Change in food knowledge and behaviour [ Time Frame: baseline, 6 months, 1 year ]
    questionnaire


Secondary Outcome Measures :
  1. Change in vegetable intake [ Time Frame: baseline, 1 year ]
    24 hour recall

  2. Change in dietary practices [ Time Frame: baseline, 6 months, 1 year ]
    questionnaire

  3. Change in food waste [ Time Frame: baseline, 6 months, 1 year ]
    questionnaire

  4. Change in cognitive development in children [ Time Frame: baseline, 1 year ]
    questionnaire

  5. Change in anthropometry [ Time Frame: baseline, 6 months, 1 year ]
    weight, height and waist circumference

  6. Change in micronutrient status [ Time Frame: baseline, 1 year ]
    serum sample

  7. Change in inflammatory markers [ Time Frame: baseline, 1 year ]
    serum sample



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Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age 18 to 60 years
  • Premenopausal
  • BMI < 45 during enrollment
  • Apparently healthy
  • With a child in her care between the ages of 5 and 13 years

Exclusion Criteria:

  • Pregnant or breastfeeding
  • With a hysterectomy in the past 3 months
  • Alcohol consumption > 14 drinks a week
  • Use of vitamin supplements

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02258802


Sponsors and Collaborators
Universidad de Monterrey
FEMSA Foundation
Investigators
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Principal Investigator: Ana Carla Cepeda-Lopez, PhD Universidad de Monterrey

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Responsible Party: Universidad de Monterrey
ClinicalTrials.gov Identifier: NCT02258802     History of Changes
Other Study ID Numbers: 102014-CIE
First Posted: October 7, 2014    Key Record Dates
Last Update Posted: May 13, 2016
Last Verified: May 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Universidad de Monterrey:
psychoeducational intervention
nutrition intervention
malnutrition
micronutrient deficiency
nutrition transition

Additional relevant MeSH terms:
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Malnutrition
Nutrition Disorders
Child Nutrition Disorders
Overnutrition