Annual Research Review: Improved nutrition – a pathway to resilience / Aisha K. YOUSAFZAI in Journal of Child Psychology and Psychiatry, 54-4 (April 2013)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 54-4 (April 2013) . - p.367-377 Titre : Annual Research Review: Improved nutrition – a pathway to resilience Type de document : Texte imprimé et/ou numérique Auteurs : Aisha K. YOUSAFZAI, Auteur ; Muneera A. RASHEED, Auteur ; Zulfiqar A. BHUTTA, Auteur Article en page(s) : p.367-377 Mots-clés : Maternal and child nutrition deficiencies  responsive feeding  psychosocial stimulation  resilience  low- and middle-income countries Index. décimale : PER Périodiques Résumé : Background: Early child nutritional deficiencies are prevalent in low- and middle-countries with consequences linked not only to poor survival and growth, but also to poor development outcomes. Children in disadvantaged communities face multiple risks for nutritional deficiencies, yet some children may be less susceptible or may recover more quickly from malnutrition. A greater understanding is needed about factors which moderate the effects of nutrition-related risks and foster resilience to protect against or ameliorate poor development outcomes. Methods: A literature review was undertaken from August to December 2011 and updated in August 2012. Key word searches using terms Nutrition, Malnutrition, Child Development, Responsive Care, Stimulation, Low and Middle Income Countries and Resilience were undertaken using PubMed and Psychinfo. Results: Dietary adequacy is critical for growth and development, but current evidence indicates that nutrition supplementation alone is insufficient to foster resilience to protect against, mitigate, and recover from nutritional threats and to promote healthy development. The combination of nutrition interventions with stimulation and responsive care is necessary. Combined nutrition and psychosocial stimulation approaches can potentially work effectively together to promote protective factors and mitigate risks for poor cognitive, motor, social, and affective functioning helping children to adapt in times of adversity. However, there are gaps in our existing knowledge to combine nutrition and psychosocial stimulation interventions effectively and promote these interventions at scale. Conclusions: Research needs to address barriers at the level of family, community, programme, and policy which have prevented thus far the uptake of combined nutrition and psychosocial intervention strategies. Further investigations are needed on how to provide support to caregivers, enabling them to implement appropriate care for feeding and stimulation. Finally, the effect of combined interventions on pathways of care and protective mediators that foster resilience need to be better understood to determine focus areas for content of combined intervention curricula which help families in high-risk settings. En ligne : http://dx.doi.org/10.1111/jcpp.12019 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=194 [article] Annual Research Review: Improved nutrition – a pathway to resilience [Texte imprimé et/ou numérique] / Aisha K. YOUSAFZAI, Auteur ; Muneera A. RASHEED, Auteur ; Zulfiqar A. BHUTTA, Auteur . - p.367-377. in Journal of Child Psychology and Psychiatry > 54-4 (April 2013) . - p.367-377 Mots-clés : Maternal and child nutrition deficiencies  responsive feeding  psychosocial stimulation  resilience  low- and middle-income countries Index. décimale : PER Périodiques Résumé : Background: Early child nutritional deficiencies are prevalent in low- and middle-countries with consequences linked not only to poor survival and growth, but also to poor development outcomes. Children in disadvantaged communities face multiple risks for nutritional deficiencies, yet some children may be less susceptible or may recover more quickly from malnutrition. A greater understanding is needed about factors which moderate the effects of nutrition-related risks and foster resilience to protect against or ameliorate poor development outcomes. Methods: A literature review was undertaken from August to December 2011 and updated in August 2012. Key word searches using terms Nutrition, Malnutrition, Child Development, Responsive Care, Stimulation, Low and Middle Income Countries and Resilience were undertaken using PubMed and Psychinfo. Results: Dietary adequacy is critical for growth and development, but current evidence indicates that nutrition supplementation alone is insufficient to foster resilience to protect against, mitigate, and recover from nutritional threats and to promote healthy development. The combination of nutrition interventions with stimulation and responsive care is necessary. Combined nutrition and psychosocial stimulation approaches can potentially work effectively together to promote protective factors and mitigate risks for poor cognitive, motor, social, and affective functioning helping children to adapt in times of adversity. However, there are gaps in our existing knowledge to combine nutrition and psychosocial stimulation interventions effectively and promote these interventions at scale. Conclusions: Research needs to address barriers at the level of family, community, programme, and policy which have prevented thus far the uptake of combined nutrition and psychosocial intervention strategies. Further investigations are needed on how to provide support to caregivers, enabling them to implement appropriate care for feeding and stimulation. Finally, the effect of combined interventions on pathways of care and protective mediators that foster resilience need to be better understood to determine focus areas for content of combined intervention curricula which help families in high-risk settings. En ligne : http://dx.doi.org/10.1111/jcpp.12019 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=194

Effects of engaging fathers and bundling parenting and nutrition interventions on early child development and maternal and paternal parenting in Mara, Tanzania: a factorial cluster-randomized controlled trial / Joshua JEONG in Journal of Child Psychology and Psychiatry, 65-5 (May 2024)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 65-5 (May 2024) . - p.694-709 Titre : Effects of engaging fathers and bundling parenting and nutrition interventions on early child development and maternal and paternal parenting in Mara, Tanzania: a factorial cluster-randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Joshua JEONG, Auteur ; Marilyn N. AHUN, Auteur ; Nilupa S. GUNARATNA, Auteur ; Ramya AMBIKAPATHI, Auteur ; Frank MAPENDO, Auteur ; Lauren GALVIN, Auteur ; Mary Pat KIEFFER, Auteur ; Mary MWANYIKA-SANDO, Auteur ; Dominic MOSHA, Auteur ; Savannah Froese O'MALLEY, Auteur ; Cristiana K. VERISSIMO, Auteur ; George PRAYGOD, Auteur ; Aisha K. YOUSAFZAI, Auteur Article en page(s) : p.694-709 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Multicomponent interventions are needed to address the various co-occurring risks that compromise early child nutrition and development. We compared the independent and combined effects of engaging fathers and bundling parenting components into a nutrition intervention on early child development (ECD) and parenting outcomes. Methods We conducted a 2*2 factorial cluster-randomized controlled trial across 80 villages in Mara Region, Tanzania, also known as EFFECTS (Engaging Fathers for Effective Child Nutrition and Development in Tanzania; ClinicalTrials.gov, NCT03759821). Households with children under 18?months of age residing with their mother and father were enrolled. Villages were randomly assigned to one of five groups: a nutrition intervention for mothers, a nutrition intervention for couples, a bundled nutrition and parenting intervention for mothers, a bundled intervention for couples, and a standard-of-care control. Interventions were delivered by trained community health workers through peer groups and home visits over 12?months. Mothers, fathers, and children were assessed at baseline, midline, and endline or postintervention. We used a difference-in-difference approach with intention-to-treat analysis to estimate intervention effects on ECD (Bayley Scales of Infant and Toddler Development, third edition) and maternal and paternal parenting and psychosocial well-being. Results Between October 29, 2018, and May 24, 2019, 960 households were enrolled (n = 192 per arm). Compared to nutrition interventions, bundled interventions improved children's cognitive (? = .18 [95% CI: 0.01, 0.36]) and receptive language development (? = .23 [0.04, 0.41]). There were no differences between interventions for other ECD domains. Compared to nutrition interventions, bundled interventions achieved additional benefits on maternal stimulation (? = .21 [0.04, 0.38]) and availability of home learning materials (? = .25 [0.07-0.43]) and reduced paternal parenting distress (? = ?.34 [?0.55, ?0.12]). Compared to interventions with mothers only, interventions that engaged fathers improved paternal stimulation (? = .45 [0.27, 0.63]). Conclusions Jointly bundling parenting components into nutrition interventions while also engaging both mothers and fathers is most effective for improving maternal and paternal parenting and ECD outcomes. En ligne : https://doi.org/10.1111/jcpp.13897 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=526 [article] Effects of engaging fathers and bundling parenting and nutrition interventions on early child development and maternal and paternal parenting in Mara, Tanzania: a factorial cluster-randomized controlled trial [Texte imprimé et/ou numérique] / Joshua JEONG, Auteur ; Marilyn N. AHUN, Auteur ; Nilupa S. GUNARATNA, Auteur ; Ramya AMBIKAPATHI, Auteur ; Frank MAPENDO, Auteur ; Lauren GALVIN, Auteur ; Mary Pat KIEFFER, Auteur ; Mary MWANYIKA-SANDO, Auteur ; Dominic MOSHA, Auteur ; Savannah Froese O'MALLEY, Auteur ; Cristiana K. VERISSIMO, Auteur ; George PRAYGOD, Auteur ; Aisha K. YOUSAFZAI, Auteur . - p.694-709. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 65-5 (May 2024) . - p.694-709 Index. décimale : PER Périodiques Résumé : Background Multicomponent interventions are needed to address the various co-occurring risks that compromise early child nutrition and development. We compared the independent and combined effects of engaging fathers and bundling parenting components into a nutrition intervention on early child development (ECD) and parenting outcomes. Methods We conducted a 2*2 factorial cluster-randomized controlled trial across 80 villages in Mara Region, Tanzania, also known as EFFECTS (Engaging Fathers for Effective Child Nutrition and Development in Tanzania; ClinicalTrials.gov, NCT03759821). Households with children under 18?months of age residing with their mother and father were enrolled. Villages were randomly assigned to one of five groups: a nutrition intervention for mothers, a nutrition intervention for couples, a bundled nutrition and parenting intervention for mothers, a bundled intervention for couples, and a standard-of-care control. Interventions were delivered by trained community health workers through peer groups and home visits over 12?months. Mothers, fathers, and children were assessed at baseline, midline, and endline or postintervention. We used a difference-in-difference approach with intention-to-treat analysis to estimate intervention effects on ECD (Bayley Scales of Infant and Toddler Development, third edition) and maternal and paternal parenting and psychosocial well-being. Results Between October 29, 2018, and May 24, 2019, 960 households were enrolled (n = 192 per arm). Compared to nutrition interventions, bundled interventions improved children's cognitive (? = .18 [95% CI: 0.01, 0.36]) and receptive language development (? = .23 [0.04, 0.41]). There were no differences between interventions for other ECD domains. Compared to nutrition interventions, bundled interventions achieved additional benefits on maternal stimulation (? = .21 [0.04, 0.38]) and availability of home learning materials (? = .25 [0.07-0.43]) and reduced paternal parenting distress (? = ?.34 [?0.55, ?0.12]). Compared to interventions with mothers only, interventions that engaged fathers improved paternal stimulation (? = .45 [0.27, 0.63]). Conclusions Jointly bundling parenting components into nutrition interventions while also engaging both mothers and fathers is most effective for improving maternal and paternal parenting and ECD outcomes. En ligne : https://doi.org/10.1111/jcpp.13897 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=526

---

1 (1 - 2 / 2)