Department of Food and Nutrition, Faculty of Agriculture and Forestry, University of Helsinki, P.O. Box 66, 00014Helsinki, Finland.
Department of Food, Nutrition and Dietetics, School of Applied Human Sciences, Kenyatta University, Nairobi, Kenya.
Public Health Nutr. 2021 Aug;24(12):3845-3858. doi: 10.1017/S1368980021002342. Epub 2021 May 26.
The objective was to explore mothers’ perceptions on educational videos on infant and young child-feeding practices, and to assess whether viewing frequencies would influence maternal knowledge, attitudes and feeding practices (KAP).
A set of forty-seven videos were displayed in health centres for 6 months. At 3 months, we conducted focus group discussions (FGD) with mothers and, at 6 months, administered KAP-questionnaire-based interviews to mothers. Using a quasi-experimental design, we compared groups according to video viewing frequencies.
The study was conducted in a slum in Nairobi and a rural area in Machakos, Kenya. We installed TV screens in waiting rooms of six Mother and Child Health Centers, where mothers could choose to watch them.
Forty-three mothers with children aged 0–48 months participated in six FGD and 547 mothers of children aged 0–23 months in KAP interviews.
The mothers from the FGD found the videos acceptable and beneficial. Videos enhanced mothers’ learning and empowered them to support others in learning. The KAP data showed that after adjustments, breast-feeding (P = 0·06), complementary feeding knowledge (P = 0·01), complementary feeding attitudes (P = 0·08) and hygiene knowledge and practices (P = 0·003) were better among mothers who had seen videos three to four times, or five or more times, compared with mothers who had seen the videos once or twice.
Videos were an accepted form of education and were beneficial when watched repeatedly. The videos could be a good addition to current infant and young child-feeding education efforts in Kenya.
本研究旨在探讨母亲对婴儿和幼儿喂养实践教育视频的看法，并评估观看频率是否会影响母婴的知识、态度和喂养行为（KAP）。
在 6 个月的时间里，在卫生中心播放了 47 个视频。在 3 个月时，我们对母亲进行了焦点小组讨论（FGD），在 6 个月时，对母亲进行了基于 KAP 问卷调查的访谈。我们采用准实验设计，根据视频观看频率比较了各组。
本研究在肯尼亚内罗毕的一个贫民窟和马查科斯的一个农村地区进行。我们在 6 个母婴健康中心的候诊室安装了电视屏幕，母亲们可以选择观看。
43 名 0-48 个月大的儿童母亲参加了 6 次 FGD，547 名 0-23 个月大的儿童母亲参加了 KAP 访谈。
参加 FGD 的母亲认为视频可以接受且有益。视频增强了母亲的学习能力，并使她们有能力支持他人学习。KAP 数据显示，经过调整后，与观看视频一到两次的母亲相比，观看视频三到四次或五次及以上的母亲，其母乳喂养（P=0.06）、补充喂养知识（P=0.01）、补充喂养态度（P=0.08）和卫生知识及实践（P=0.003）更好。
视频是一种可接受的教育形式，重复观看效果更佳。视频可以成为肯尼亚目前婴儿和幼儿喂养教育的一个良好补充。
