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模块干预以提高印度南部沿海地区父亲对婴儿和幼儿喂养(IYCF)的参与度和实践-一项随机对照试验。

Module intervention to improve involvement and practices of fathers towards infant and young child feeding (IYCF) in Coastal South India - a randomized controlled trial.

机构信息

Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.

Novo Nordisk, Raipur, Chhattisgarh State, 492001, India.

出版信息

F1000Res. 2022 May 3;11:486. doi: 10.12688/f1000research.110851.2. eCollection 2022.

DOI:10.12688/f1000research.110851.2
PMID:35903418
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9277194/
Abstract

Overall child health depends on nutrition and its related practices. At the family level, responsibility of child feeding lies with both parents. There is no uniform and systematic way to determine and assess the practices of fathers in infant and young child feeding (IYCF). Also, there is a paucity of evidence related to interventions for fathers in improving their practices and involvement in the feeding of their infant or young child (aged less than two years). : This was a community-based randomized control trial, conducted among 120 fathers with infants and/or young children in Dakshina Kannada District of Karnataka. Fathers with poor level of involvement and practices towards IYCF, during the initial assessment, were included as the study participants. For the intervention, a module in the flipchart format was developed. Simple randomization technique was used to allot the participants into two groups - intervention and control. Participants in the intervention group received module intervention, in addition to the care which they received routinely, and the control group received only routine care. The participants in the intervention group were paid a monthly visit to implement the module, for six months. The post-intervention assessment was done at the end of 6 months. : A total of 117 participants provided post-intervention data. The mean age was 34.7 (+/- 5.48) years in the intervention group and 34.36 years (+/- 5.26) in the control group. The intervention group showed significantly higher improvement in knowledge, attitude, and practice components at 6 months (p<0.05), in both unadjusted and adjusted models. : The extent of increase in practice and involvement in child feeding was clearly higher among the intervention group. The module developed was successful in improving the practices of fathers in feeding their infants and young children. CTRI/2017/06/008936 (29/06/2017).

摘要

儿童整体健康取决于营养及其相关实践。在家庭层面,儿童喂养的责任由父母双方共同承担。目前,尚没有确定和评估父亲在婴幼儿喂养(IYCF)方面实践的统一、系统方法。此外,关于干预父亲以改善其行为和参与喂养婴儿或幼儿(年龄小于 2 岁)的证据也很少。

这是一项在卡纳塔克邦 Dakshina Kannada 区进行的基于社区的随机对照试验,共纳入 120 名有婴儿和/或幼儿的父亲。在初步评估中,那些在 IYCF 方面参与度和实践水平较差的父亲被纳入研究对象。对于干预,开发了一个翻页格式的模块。采用简单随机化技术将参与者分为两组 - 干预组和对照组。干预组的参与者除了接受常规护理外,还接受模块干预,而对照组仅接受常规护理。干预组的参与者每月接受一次家访以实施该模块,为期六个月。在 6 个月结束时进行干预后评估。

共有 117 名参与者提供了干预后数据。干预组的平均年龄为 34.7(+/-5.48)岁,对照组为 34.36 岁(+/-5.26)岁。在未调整和调整模型中,干预组在 6 个月时在知识、态度和实践方面的改善均具有统计学意义(p<0.05)。

在增加儿童喂养的实践和参与度方面,干预组的效果更为明显。开发的模块成功地提高了父亲喂养婴儿和幼儿的实践水平。

CTRI/2017/06/008936(29/06/2017)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da3/9277199/a095598b0bd2/f1000research-11-135364-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da3/9277199/c63f2f1f6681/f1000research-11-135364-g0000.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da3/9277199/a095598b0bd2/f1000research-11-135364-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da3/9277199/c63f2f1f6681/f1000research-11-135364-g0000.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da3/9277199/a095598b0bd2/f1000research-11-135364-g0001.jpg

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