Evaluating a Family-based Nutrition and Garden Intervention in Rural Guatemala

NCT ID: NCT03689504

Last Updated: 2021-11-09

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-20

Study Completion Date

2020-07-31

Brief Summary

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This is a pilot quasi-experimental study to evaluate the impact of adding a family garden intervention to an existing wrap-around nutrition intervention for children with chronic malnutrition and their family. The existing nutrition intervention is provided by community health workers affiliated with Wuqu' Kawoq \| Maya Health Alliance. A single community in rural Guatemala will participate in the intervention, with the goal to recruit approximately 70 families in the combined nutrition/garden intervention. A nearby community, also participating in the nutrition intervention, will serve as a nonrandom contemporaneous control.

Aims of the study include:

1. Evaluate the impact of the garden intervention on maternal and child dietary diversity, child growth and household food insecurity.
2. Use the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework to conduct a preliminary implementation analysis, to guide a future, well-controlled study.

Detailed Description

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Conditions

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Malnutrition Dietary Modification

Keywords

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Guatemala indigenous dietary diversity chronic malnutrition Maya agriculture behavior change food insecurity

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Standard of Care

The standard of care is an intensive individualized home-based nutrition education program, together with a home food ration and micronutrient supplement, delivered by frontline workers for 6 months.

Group Type ACTIVE_COMPARATOR

Standard of care nutrition support

Intervention Type DIETARY_SUPPLEMENT

Subjects will be provided with a standard food ration and with a multiple micronutrient powder (Chispitas) or lipid-based nutrient supplement (Nutributter)

Home-based nutrition education

Intervention Type BEHAVIORAL

Health promoters will use 24-hour dietary recall information to assess meal frequency and dietary diversity and then provide tailored nutrition coaching to parents.

Home Garden Intervention

This arm adds an 8 month individualized home-based family garden intervention to the existing standard of care (home-based nutrition education)

Group Type EXPERIMENTAL

Standard of care nutrition support

Intervention Type DIETARY_SUPPLEMENT

Subjects will be provided with a standard food ration and with a multiple micronutrient powder (Chispitas) or lipid-based nutrient supplement (Nutributter)

Home-based nutrition education

Intervention Type BEHAVIORAL

Health promoters will use 24-hour dietary recall information to assess meal frequency and dietary diversity and then provide tailored nutrition coaching to parents.

Home-based family gardening

Intervention Type BEHAVIORAL

Health promoters will facilitate the building and maintenance of a family home garden using a square foot or container gardening method.

Interventions

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Standard of care nutrition support

Subjects will be provided with a standard food ration and with a multiple micronutrient powder (Chispitas) or lipid-based nutrient supplement (Nutributter)

Intervention Type DIETARY_SUPPLEMENT

Home-based nutrition education

Health promoters will use 24-hour dietary recall information to assess meal frequency and dietary diversity and then provide tailored nutrition coaching to parents.

Intervention Type BEHAVIORAL

Home-based family gardening

Health promoters will facilitate the building and maintenance of a family home garden using a square foot or container gardening method.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Children who are already scheduled to be enrolled in Maya Health Alliance's intensive home-based nutrition program (non-investigational, standard of care) who are 6-24 months of age at the time of enrollment with a height-for-age Z scores of \<= -2.5
* At least one caregiver willing to provide written informed consent
* Caregiver of a child enrolled in the study (for caregiver/head of household outcomes), including women who may be pregnant
* Planned residence in the study area for the next 18 months

Exclusion Criteria

* Children with acute malnutrition (weight for length Z scores of \<= -2.0)
* Children with a severe medical illness that affects growth (e.g., heart disease, kidney disease, genetic condition) as determined by a Maya Health Alliance staff physician.
* Caregivers with cognitive impairments that prevent them from being able to provide informed consent
Minimum Eligible Age

6 Months

Maximum Eligible Age

24 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Academy of Nutrition and Dietetics

OTHER

Sponsor Role collaborator

Wuqu' Kawoq, Maya Health Alliance

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter Rohloff, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Wuqu' Kawoq

Beth Jimenez, RDN PhD

Role: PRINCIPAL_INVESTIGATOR

University of New Mexico

Andrea Guzman, RDN

Role: STUDY_DIRECTOR

Wuqu' Kawoq

Locations

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Wuqu' Kawoq

Tecpán Guatemala, Departamento de Chimaltenango, Guatemala

Site Status

Countries

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Guatemala

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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WK-2018-002

Identifier Type: -

Identifier Source: org_study_id