Infant feeding, care, and dental hygiene practices Not Applicable
Conditions
Interventions
The Participatory Learning and Action (PLA) group cycle is an iterative process led by multilingual facilitators who facilitate the participants through a four-stage cycle of identifying and prioritis
the control, face-to-face or contact-free study arm:
1. The face-to-face arm – This is where our intervention (PLA cycle) will be delivered in person in children centres/community centres. The partici
Sponsors
University College London
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Participants 1. Mothers or female carers of an infant aged <24 months (including pregnant women) 2. From the following Asian background: Indian, Pakistani, Sri Lankan, Bangladeshi 3. Resident in the London Boroughs of Tower Hamlets, Newham, Waltham Forest 4. Willing and able to provide written informed consent Study staff (community facilitators) 1. Female 2. Have at least one child, preferably <24 months 3. From the South Asian community in TH, NH, or WF 4. Able to read and write 5. Fluent in speaking English and one of other local languages (Gujarati, Punjabi, Urdu, Tamil, Bengali or Sylheti) 6. Understand social norms and values and the South Asian culture within the study boroughs 7. Known to and respected by their local community 8. Motivated to address issues related to infant growth and development 9. Able to manage a group and have some leadership qualities
Exclusion criteria
Exclusion criteria: 1. Participants <18 years old 2. Anticipating moving out of the a priori defined geographical area before or after delivery 3. Currently participating or having participated in another study within 4 weeks of the trial commencing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Individual child BMI Z-Score - Infants’ length/height, head circumference and weight and we will refer to the WHO 2006 growth standard to measure the BMI z-score - Baseline, 14 weeks, 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Children feeding behaviour - will be measured using 6 of 8 domains adapted from the validated Children’s Eating Behaviour Questionnaire (CEBQ) - Baseline, 14 weeks, 6 months 2. Parental feeding style - will be assessed with a validated self-reported Parental Feeding Style Questionnaire (PFSQ) - Baseline, 14 weeks, 6 months 3. Audio/Video recording of child eating behaviours and parental feeding practices - involves asking participants about the meal (e.g. name, ingredients) and creating annotations that link to behaviour codes identified from NEON formative study. Before-and-after audio/video recordings will be thematically analysed using Elan Software to measure intervention effect. - Baseline, 14 weeks 4. 4 day food diary - a self-reported, prospective, open-ended survey that collects detailed quantitative estimates of food consumption of infants between 4-18 months [6]. It assesses nutrient intake (e.g. total fat, total carbohydrate, salt, sugar) by comparing with age/sex-specific UK dietary reference values - Baseline, 14 weeks, 6 months 5. Network diffusion – measured by tracking the number of downloads using the eRedbook platform. Participants will also complete a questionnaire on the number of people they shared the material with, their family size, age, gender, relationship to the participant and platform used. -2 weeks, 4weeks, 6 weeks, 8 weeks, 10 weeks, 12 weeks, 14 weeks, 6 months 6. Equality impact assessment- An EIA tool will systematically assess likely effects of the intervention on people (e.g. with respect to disability, gender, ethnicity, age, sexual orientation, religion/belief etc.) - Baseline 7. Children’s development performance- The Ages and Stages questionnaire (ASQ-3) include communication, gross motor, fine motor, problem-solving, and personal-social domains - baseline, 6 months 8. Level of dental caries - NHS dental services records for registered patients - baseline, 6 months 9. GP healthcare utilisation- participants’ NHS medical r | — |
Countries
England, United Kingdom
Outcome results
None listed