Pilot Psychoeducational Intervention Model to Improve Nutritional Status in Low Resource Settings

A Psychoeducational Intervention Model in Nutrition to Improve Nutritional Status in a Pilot Low Resource Population in the City of Saltillo, Coahuila Mexico.

The purpose of this study is to develop, implement and evaluate a psychoeducational intervention focused to improve nutritional status, specifically micronutrients, of mothers and caregivers of children between the ages of 5 and 13 years and their children through providing healthy cooking lessons in their communities.

Study Overview

• Status: Completed
• Conditions: Malnutrition; Malnutrition, Child; Malnutrition in Children; Child Malnutrition; Child Overnutrition; Nutrition Disorders, Child
• Intervention / Treatment: Behavioral: Psychoeducational intervention

Detailed Description

Mexico's malnutrition problem goes beyond lack of food. Nutrition transition in our country has modified dietary patterns in a way that now we observe more and more a decrease in consumption of micronutrient rich foods, like vegetables, and an increase in consumption of high energy-dense foods with low content of micronutrients (highly processed foods). In Mexico, over 70% of the population presents an inadequate vegetable intake, with a higher prevalence in scholars (5 - 11 years), where only 17% of them consume >50% of the recommended vegetable intake. A vegetable poor diet is related to malnutrition, poor cognitive development and low physical performance. Added to this, Mexican families have lost the tradition of cooking at home. It is well known that different factors contribute to a population's diet and cooking at home as well as eating with the family have been identified as fundamental factors to promote a healthy diet. Therefore, the aim of this psychoeducational intervention in nutrition is to improve nutritional status in families, particularly mothers and caregivers of children between the ages of 5 and 13 years and their children through providing healthy cooking lessons in their communities where the optimal preparation and use of local foods based on vegetables is promoted at the same time the importance of cooking at home and eating as a family is highlighted.

• Study Type: Interventional
• Enrollment (Actual): 65
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 60 years (ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

Description

Inclusion Criteria:

• Age 18 to 60 years
• Premenopausal
• BMI < 45 during enrollment
• Apparently healthy
• With a child in her care between the ages of 5 and 13 years

Exclusion Criteria:

• Pregnant or breastfeeding
• With a hysterectomy in the past 3 months
• Alcohol consumption > 14 drinks a week
• Use of vitamin supplements

Study Plan

How is the study designed?

Design Details

• Primary Purpose: PREVENTION
• Allocation: NON_RANDOMIZED
• Interventional Model: PARALLEL
• Masking: NONE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Psychoeducational intervention; Participants will be receiving a cooking lesson in their community every 2 weeks for 1 year.	Behavioral: Psychoeducational intervention; A mobile kitchen visits the 5 selected communities every 2 weeks for a period of 1 year. A 30 minute cooking lesson is given by a trained instructor, the recipes have been designed to be quick and easy to make, use local and inexpensive ingredients, contain mostly vegetables and have a good taste. During the lesson, healthy habit and cooking tips are mentioned. A printed version of the recipe is given to every participant. Every lesson a different participant is encouraged to help prepare the recipe. At the end of the lesson all the participants get to taste the meal and express their opinion.; Other Names: Psychoeducational intervention in nutrition
NO_INTERVENTION: Usual food practices; These are participants from the communities where the intervention is active but are not attending the cooking lessons.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in food knowledge and behaviour	questionnaire	baseline, 6 months, 1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in vegetable intake	24 hour recall	baseline, 1 year
Change in dietary practices	questionnaire	baseline, 6 months, 1 year
Change in food waste	questionnaire	baseline, 6 months, 1 year
Change in cognitive development in children	questionnaire	baseline, 1 year
Change in anthropometry	weight, height and waist circumference	baseline, 6 months, 1 year
Change in micronutrient status	serum sample	baseline, 1 year
Change in inflammatory markers	serum sample	baseline, 1 year

Collaborators and Investigators

• Sponsor: Universidad de Monterrey
• Collaborators: FEMSA Foundation

Study record dates

Study Major Dates

• Study Start: June 1, 2014
• Primary Completion (ACTUAL): July 1, 2015
• Study Completion (ACTUAL): December 1, 2015

Study Registration Dates

• First Submitted: September 30, 2014
• First Submitted That Met QC Criteria: October 2, 2014
• First Posted (ESTIMATE): October 7, 2014

Study Record Updates

• Last Update Posted (ESTIMATE): May 13, 2016
• Last Update Submitted That Met QC Criteria: May 11, 2016
• Last Verified: May 1, 2016

More Information

Terms related to this study

• Keywords: psychoeducational intervention; malnutrition; nutrition intervention; micronutrient deficiency; nutrition transition
• Additional Relevant MeSH Terms: Malnutrition; Nutrition Disorders; Child Nutrition Disorders; Overnutrition
• Other Study ID Numbers: 102014-CIE

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO