Effect of video-assisted educational intervention on improving knowledge, attitude and practice among mothers of children below five years on malnutrition: A systematic review

Objectives: This review aimed to assess the effect of video-assisted educational interventions in enhancing knowledge, attitudes, and practices (KAP) among mothers of malnourished children aged <5 years. Study design: This was a systematic review. Methods: A systematic search was conducted across PubMed, Scopus, and EMBASE databases from inception until November 2022. The selection criteria adhered to the PICOS framework, targeting randomized controlled trials (RCTs) involving mothers who received video-assisted educational interventions alongside comparison groups to evaluate malnutrition-associated KAP outcomes. Risk of bias was assessed using the Cochrane risk of bias assessment tool. Two independent reviewers performed study selection, data extraction, and quality assessment, resolving any disagreements through discussion or consultation with a third reviewer. Results: Among 11,434 screened articles, seven RCTs met the inclusion criteria, focusing on mothers of children aged <5 years. Statistically significant improvements were observed in maternal knowledge (n = 2), attitude (n = 1), and practice (n = 6) with respect to the feeding practices following video-assisted educational interventions. However, the effect of the educational intervention on children's z-scores remained inconclusive. Conclusions: Video-assisted educational interventions were effective in KAP concerning feeding practices among mothers of children aged <5 years. However, their impact on children's z-scores remain inconclusive, emphasising the need for further research to explore factors influencing these outcomes. Further research is needed to determine the long-term effect on children's nutritional status.