Behavior Change, Egg Consumption, and Child Nutrition: A Cluster Randomized Controlled Trial
McKune SL, Stark H, Sapp AC, Yang Y, Slanzi CM, Moore EV, Omer A, Wereme N'Diaye A
Pediatrics · 27 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Randomized controlled trial (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
- Intake measured by
- Not stated
Who paid for it
- Funding
- Funding not disclosed
Publication
- Published
- 2020-11-25 · Pediatrics · vol. 146 · issue 6
- Publisher
- American Academy of Pediatrics
- Cited
- 46 citations · more than 93% of similar papers · 3.4× the field average
- Impact
- Top 10% most cited in its field
- References
- 48 works
- Access
- Paywalled
- Research areas
- Child Nutrition and Water Access · Obesity, Physical Activity, Diet · Iron Metabolism and Disorders
- Keywords
- Medicine, Underweight, Wasting, Psychological intervention, Randomized controlled trial, Malnutrition, Cluster randomised controlled trial, Environmental health, Intervention (counseling), Confidence interval, Consumption (sociology), Cluster (spacecraft), Behavior change, Pediatrics, Demography, Body mass index, Surgery, Overweight, Psychiatry, Internal medicine
- MeSH
- animals, chickens, humans, malnutrition, feeding behavior, nutritional status, eggs, adult, infant, female, male
8 authors
From US, ET, BF
- Sarah Lindley McKune · correspondingCenter for Global Health
- Heather A. StarkCenter for Global Health
- Amanda C. SappCenter for Global Health
- Yang Yang
- Crystal M. SlanziUniversity of Florida
- Emily V. MooreCenter for Global Health
Abstract
Background and objectives
Malnutrition is a significant contributor to child morbidity and mortality globally. Egg consumption has been associated with improved child nutrition yet is rare in rural, resource-poor settings. We test the effects of a culturally tailored behavior change intervention to increase child egg consumption.
Methods
A 3-arm cluster randomized controlled trial was conducted in rural Burkina Faso with 260 mother-child dyads. Children aged 4 to 17 months from 18 villages were included; those with reported history of malnutrition or egg allergy were excluded. Each child in the full intervention arm received 4 chickens, and mothers received the 10-month behavior change package. Participants in the partial intervention arm received only the behavior change package.
Results
In this analysis of 250 children, the full (β = 4.3; P = 6.6 × 10-12) and the partial (β = 1.0; P = .02) interventions significantly increased egg consumption. The full intervention also significantly increased poultry production (β = 11.6; 95% confidence interval 8.3-15; P = 1.1 × 10-5) and women's decision-making about eggs (β = .66; P = .02), and significantly decreased wasting (β = .58; P = .03) and underweight (β = .47; P = .02).
Conclusions
The culturally tailored behavior change package significantly increased child egg consumption. When coupled with the gift of chickens, the behavior change intervention yielded a greater increase in egg consumption and significantly reduced wasting and underweight. Behavior change strategies to increase egg consumption should be considered among nutrition and health programs in resource-poor settings where poultry is available.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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