Nurture Early for Optimal Nutrition (NEON) participatory learning and action women's groups to improve infant feeding and practices in South Asian infants: pilot randomised trial study protocol

被引：1

作者：

Manikam, Logan ^{[1
,2
]}

Allaham, Shereen ^{[1
]}

Patil, Priyanka ^{[1
,2
]}

Naman, Maryan ^{[2
]}

Ong, Zhen Ling ^{[2
]}

Demel, Isabel-Catherine ^{[2
,3
]}

Batura, Neha ^{[4
]}

Llewellyn, Clare ^{[5
]}

Hayward, Andrew ^{[1
]}

Lakshman, Rajalakshmi ^{[6
,7
]}

Gilmour, Jenny ^{[8
]}

Webb-Martin, Kelley ^{[9
]}

Irish, Carol ^{[9
]}

Archibong, Mfon ^{[9
]}

Clarkson, Corinne ^{[10
]}

Delceta, Daley ^{[11
]}

Islam, Lily ^{[12
]}

Bajwa, Seema ^{[13
]}

Malek, Sabiha ^{[13
]}

Bhachu, Jasvir ^{[13
]}

Pushpakanthan, Geromini ^{[13
]}

Heys, Michelle ^{[14
,15
]}

Lakhanpaul, Monica ^{[14
,16
]}

机构：

[1] UCL Inst Epidemiol & Hlth Care, Dept Epidemiol & Publ Hlth, London, England

[2] Aceso Global Hlth Consultants Pte Ltd, Singapore, Singapore

[3] Kings Coll London, Fac Life Sci & Med, Guys Kings & St Thomas Sch Med, London, England

[4] UCL, Inst Global Hlth, London, England

[5] UCL Inst Epidemiol & Hlth Care, Dept Behav Sci & Hlth, London, England

[6] Cambridgeshire Cty Council, Publ Hlth Directorate, Cambridge, England

[7] Univ Cambridge, Med Res Council Epidemiol Unit, Cambridge, England

[8] Mile End Hosp, Tower Hamlets GP Care Grp, London, England

[9] 19 Serv, Childrens Hlth Serv 0 19, London, England

[10] Publ Hlth Directorate, London Borough Waltham Forest, London, England

[11] Chingford Hlth Ctr Waltham Forest, London, England

[12] London Borough Tower Hamlets, London, England

[13] London Borough Newham, London, England

[14] UCL Great Ormond St Inst Child Hlth, Dept Populat Policy & Practice, London, England

[15] East London NHS Fdn Trust, Specialist Children & Young Peoples Serv, London, England

[16] Whittington Hlth NHS Trust, London, England

来源：

BMJ OPEN | 2023年 / 13卷 / 11期

关键词：

Community child health; NUTRITION & DIETETICS; PAEDIATRICS; PUBLIC HEALTH; HEALTH;

D O I：

10.1136/bmjopen-2022-063885

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction Feeding practices developed in early life can impact a child's nutrition, growth, dental health, cognitive development and lifetime risk of chronic diseases. Substantial evidence suggests ethnic health inequalities, and non-recommended complementary infant feeding practices among UK's South Asian (SA) population. Nurture Early for Optimal Nutrition aims to use women's group participatory learning and action (PLA) cycles to optimise infant feeding, care and dental hygiene practices in SA infants <2 years in East London. Methods and analysis A three-arm pilot feasibility cluster randomised controlled trial will assess feasibility, acceptability, costs and explore preliminary effectiveness for proposed primary outcome (ie, reporting on body mass index (BMI) z-score). Multilingual SA community facilitators will deliver the intervention, group PLA Cycle, to mothers/carers in respective ethnic/language groups. 12 wards are randomised to face-to-face PLA, online PLA and usual care arms in 1:1:1 ratio. Primary outcomes are feasibility and process measures (ie, BMI z-score, study records, feedback questionnaires, direct observation of intervention and sustainability) for assessment against Go/Stop criteria. Secondary outcomes are cluster-level and economic outcomes (ie, eating behaviour, parental feeding practices, network diffusion, children development performance, level of dental caries, general practitioner utilisation, costs, staff time). Outcomes are measured at baseline, every 2 weeks during intervention, 14 weeks and at 6 months by blinded outcome assessors where possible. This study will use concurrent mixed-methods evaluation. Quantitative analyses include descriptive summary with 95% CI and sample size calculation for the definitive trial. The intervention effect with CI will be estimated for child BMI z-score. Implementation will be evaluated qualitatively using thematic framework analysis. Ethics and dissemination Ethics approval was obtained from University College London (UCL), National Health Service (Health Research Authority (HRA) and Health and Care Research Wales (HRCW)). Results will be published in peer-reviewed journals, presented at scientific conferences/workshops with commissioners, partners and participating communities. Plain language summaries will be disseminated through community groups, websites and social media. Trial registration number IRAS-ID-296259 (ISRCTN10234623).

引用

页数：11

共 32 条

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