Inayati Dyah Ayu, Scherbaum Veronika, Purwestri Ratna Chrismiari, Wirawan Nia Novita, Suryantan Julia, Hartono Susan, Bloem Maurice Alexander, Pangaribuan Rosnani Verba, Biesalski Hans Konrad, Hoffmann Volker, Bellows Anne Camilla
University of Hohenheim, Stuttgart, Germany.
Food Nutr Bull. 2012 Jun;33(2):117-27. doi: 10.1177/156482651203300205.
Inappropriate nutrition knowledge and feeding practices of caregivers are among several important causes of persistent malnutrition problems in young children. Thus, it is essential to provide caregivers with the necessary knowledge to help them modify their feeding practices.
To examine the effectiveness of two different nutrition education methods, weekly intensive nutrition education (INE) and monthly nonintensive nutrition education (NNE), designed for caregivers of mildly wasted children (weight-for-height z-score ≥ -1.5 to < -1) aged ≥ 6 to < 60 months on Nias Island, Indonesia.
To assess the impact of the two different nutrition education approaches on nutrition knowledge and practice of caregivers with their children, respondents were assigned to receive either weekly INE (n=114) or monthly NNE (n=96). The knowledge and practice levels of the mothers in each group were assessed and compared using a pretested validated questionnaire at admission and after the intervention period.
At admission, the knowledge and practice levels of caregivers in both groups were not statistically significantly different. After participating in the nutrition education program, the percentage of correct answers on nutrition knowledge and practice in the INE group was significantly higher than that in the NNE group. Significant improvement in knowledge and practice scores was observed in the INE group after the intervention (p < 0.001), whereas only a significant improvement in knowledge was found in the NNE group (p < .05).
In comparison with NNE, the INE approach was significantly better in bringing about a positive change in knowledge and practice of caregivers of mildly wasted children in the study area.
照顾者不恰当的营养知识和喂养方式是幼儿持续性营养不良问题的几个重要原因之一。因此，为照顾者提供必要的知识以帮助他们改变喂养方式至关重要。
考察为印度尼西亚尼亚斯岛6至60个月大轻度消瘦儿童（身高别体重z评分≥-1.5至<-1）的照顾者设计的两种不同营养教育方法的效果，即每周强化营养教育（INE）和每月非强化营养教育（NNE）。
为评估两种不同营养教育方法对照顾者及其子女营养知识和实践的影响，将受访者分为接受每周INE（n = 114）或每月NNE（n = 96）两组。在入院时和干预期后，使用经过预测试的有效问卷对每组母亲的知识和实践水平进行评估和比较。
入院时，两组照顾者的知识和实践水平在统计学上无显著差异。参与营养教育项目后，INE组在营养知识和实践方面的正确答案百分比显著高于NNE组。干预后，INE组的知识和实践得分有显著提高（p < 0.001），而NNE组仅在知识方面有显著提高（p < 0.05）。
与NNE相比，INE方法在使研究区域轻度消瘦儿童的照顾者的知识和实践产生积极变化方面明显更好。
