GAIN, Menara Palma 7th floor unit 705, Jl. Rasuna Said Blok X2 Kav 6, Jakarta 12950, Indonesia.
GAIN, Rue de Varembé 7, 1202 Geneva, Switzerland.
Nutrients. 2018 Jun 8;10(6):747. doi: 10.3390/nu10060747.
The objective of this study was to examine the influence of improved information and educational messages on outer packaging of a micronutrient powder (MNP), locally known as “”, on knowledge and adherence to recommended use. A community-based cluster randomized controlled trial was conducted among 1149 caregivers and their children aged 6⁻36 months. Caregiver⁻child dyads were randomized by their villages to receive 30 sachets of with the: (i) original outer packaging; (ii) improved outer packaging; or (iii) improved outer packaging combined with cooking demonstrations. Adherence to use was assessed through caregiver interviews and observation of unused sachets during home visits; “high” adherence was defined as consuming 13⁻17 sachets in the previous month. Data collection included surveys and focus groups discussions. The majority of caregivers (>80%) preferred the improved packaging because it was more attractive and contained more comprehensive information. Caregivers who received the improved packaging had better knowledge regarding the recommended use of ( < 0.001) and higher adherence with the prescribed use of (43% with “high” adherence) ( < 0.001) than those who received the original packaging (29% with “high” adherence). Caregivers who participated in cooking demonstrations generally had better knowledge regarding the benefits of and recommended use, but this did not lead to higher adherence to recommended use. “Underconsumption” of (≤7 sachets) was much less prevalent than “overconsumption” (≥23 sachets), and original packaging users were more likely to consume daily instead of every two days as recommended. We conclude that the design of the outer packaging and comprehensiveness of information provided are important influencers of recommended MNP use by caregivers.
这项研究的目的是考察改善微量营养素粉（MNP）外包装上的信息和教育内容对当地称为“”的 MNP 知识和使用依从性的影响。在一个基于社区的群组随机对照试验中，对 1149 名照顾者及其 6-36 月龄的儿童进行了研究。根据村庄，将照顾者-儿童对随机分为三组，分别接受 30 袋：（i）原始包装；（ii）改良包装；或（iii）改良包装加烹饪示范。通过对照顾者的访谈和家访时对未使用的小袋进行观察来评估 MNP 的使用依从性；“高”依从性定义为在过去一个月内消耗 13-17 袋。数据收集包括调查和焦点小组讨论。大多数照顾者（>80%）更喜欢改良包装，因为它更具吸引力，并且包含更全面的信息。与接受原始包装的照顾者相比，接受改良包装的照顾者对 MNP 推荐使用的知识更好（<0.001），并且对 MNP 规定使用的依从性更高（43%为“高”依从性）（<0.001）。参加烹饪示范的照顾者通常对 MNP 的益处和推荐使用有更好的了解，但这并没有导致更高的推荐使用依从性。MNP 的“低摄入”（≤7 袋）比“高摄入”（≥23 袋）更为少见，并且原始包装使用者更有可能每天而不是按照推荐的每两天食用 MNP。我们得出的结论是，包装设计和提供的信息的全面性是影响照顾者推荐使用 MNP 的重要因素。
