SPOON: Sustained Program for Improving Nutrition - Colombia

NCT ID: NCT03378726

Last Updated: 2017-12-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

3000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-28

Study Completion Date

2020-01-31

Brief Summary

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The primary goal of this study is to prevent undernutrition and obesity in peri-urban areas of Colombia. This study is designed to evaluate the impact of promoting adequate feeding practices and the use of SQ-LNS (Small Quantity Lipid-Based Nutrient Supplements) on the nutritional status of infants and young children. The study will be conducted in peri-urban areas of Pasto, Colombia in conjunction with Fundación Saldarriaga Concha and the Colombian Ministry of Health and Social Protection.

Detailed Description

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SPOON Colombia is an innovative strategy to prevent undernutrition and obesity in children aged 0-24 months living in high-poverty areas of Colombia. The SPOON program aims to improve infant and young children feeding practices, including exclusive breastfeeding during a child's first six months and home-fortification with peanut-based SQ-LNS (small quantity lipid-based nutrient supplements) for children 6 to 24 months of age.

The SPOON intervention will randomly assign participants at the household level to one of three groups: a control group, Treatment Group 1, and Treatment Group 2. Participants in the control group will receive the standard services provided by their local health clinics in addition to a supply of micronutrient powder. The powder consists of vitamins and minerals that are added to the child's food to increase his or her consumption of micronutrients. Participants in Treatment Group 1 will receive group counseling and the SQ-LNS supplement instead of micronutrient powder. The group counseling program consists of various lessons for the children's caregivers about the importance of breastfeeding and providing high quality food with the SQ-LNS supplement. Those assigned to Treatment Group 2 will receive all the services that those in Treatment Group 1 receive in addition to individualized counseling, where messages about nutrition and breastfeeding will be reinforced through home visits.

Comparing the three treatment arms will identify the marginal impact of the SPOON program. For example, measuring the differences in outcomes between the participants in the control arm and in Treatment Group 1 will identify the impact of the Spoon program package, which includes SQ-LNS and group counseling, compared to current government-provided services. Measuring the differences between Treatment Group 1 and Treatment Group 2 will indicate the marginal impact of individualized counseling, and measuring the difference between the control arm and Treatment Group 2 will determine the combined impact of the SPOON program combined with individualized counseling.

Conditions

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Exclusive Breast Feeding Child Obesity Malnutrition, Child

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Participants

Study Groups

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Standard Counseling and Micronutrients

Participants will receive standard services provided by the Ministry of Health, including powder micronutrients. Children receive 1 gram of powdered micronutrientes for 60 days between 6 and 12 months of age, and 60 daily packets per year from the time they are 1 year old until 5 years old.

Group Type EXPERIMENTAL

Micronutrients

Intervention Type DIETARY_SUPPLEMENT

Micronutrient powder is the current supplement provided by the Colombian Ministry of Health and Social Protection to children between 1 and 5 years of age.

Standard Counseling

Intervention Type BEHAVIORAL

Standard counseling refers to the counseling currently provided by health personnel to women and children in the selected intervention area of Colombia

SPOON Group Counseling with SQ-LNS

Participants will receive the supplement SQ-LNS in addition to SPOON group counseling, which is a new form of social communication in which participants will learn relevant lessons in a group format. SQ-LNS consists of a 20g nutrient supplement package that is to be consumed daily between 6 and 24 months of age.

Group Type EXPERIMENTAL

SPOON Group Counseling

Intervention Type BEHAVIORAL

SPOON group counseling is an innovative behavior change strategy in which participants will learn information related to child health and nutrition in a group format.

SQ-LNS

Intervention Type DIETARY_SUPPLEMENT

SQ-LNS is a peanut-based dietary supplement that has been shown to increase children's height and weight in several studies in Africa.

Group, Interpersonal Counseling, SQ-LNS

Participants will receive the supplement SQ-LNS in addition to SPOON group and interpersonal counseling, which will consist of both participants learning relevant lessons in group format as well as in formats in which participants will work one-on-one with an instructor. SQ-LNS consists of a 20g nutrient supplement package that is to be consumed daily between 6 and 24 months of age.

Group Type EXPERIMENTAL

SPOON Group Counseling

Intervention Type BEHAVIORAL

SPOON group counseling is an innovative behavior change strategy in which participants will learn information related to child health and nutrition in a group format.

Interpersonal Counseling

Intervention Type BEHAVIORAL

SPOON interpersonal counseling is an innovative behavior change strategy in which participants will learn information via one-on-one sessions with the instructor.

SQ-LNS

Intervention Type DIETARY_SUPPLEMENT

SQ-LNS is a peanut-based dietary supplement that has been shown to increase children's height and weight in several studies in Africa.

Interventions

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Micronutrients

Micronutrient powder is the current supplement provided by the Colombian Ministry of Health and Social Protection to children between 1 and 5 years of age.

Intervention Type DIETARY_SUPPLEMENT

SPOON Group Counseling

SPOON group counseling is an innovative behavior change strategy in which participants will learn information related to child health and nutrition in a group format.

Intervention Type BEHAVIORAL

Interpersonal Counseling

SPOON interpersonal counseling is an innovative behavior change strategy in which participants will learn information via one-on-one sessions with the instructor.

Intervention Type BEHAVIORAL

SQ-LNS

SQ-LNS is a peanut-based dietary supplement that has been shown to increase children's height and weight in several studies in Africa.

Intervention Type DIETARY_SUPPLEMENT

Standard Counseling

Standard counseling refers to the counseling currently provided by health personnel to women and children in the selected intervention area of Colombia

Intervention Type BEHAVIORAL

Other Intervention Names

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Group SPOON Interpersonal Counseling Small Quantity Lipid Nutrient Supplements

Eligibility Criteria

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Inclusion Criteria

* Participants must live in the defined intervention areas

Exclusion Criteria

* Any chronic disease or malformation
* Caretakers of the children plan on moving in the next 24 months
Maximum Eligible Age

3 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Fundación Saldarriaga Concha

OTHER

Sponsor Role collaborator

Instituto Departamental de Salud de Nariño

UNKNOWN

Sponsor Role collaborator

Ministerio de Salud y Protección Social de Colombia

UNKNOWN

Sponsor Role collaborator

Inter-American Development Bank

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sebastian Martinez

Role: STUDY_DIRECTOR

Inter-American Development Bank

Central Contacts

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Carolina González Acero

Role: CONTACT

Phone: (809) 784-6405

Email: [email protected]

Other Identifiers

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Inter-AmericanDB Colombia

Identifier Type: -

Identifier Source: org_study_id