- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04415450
Effect of Nutrition Education on Knowledge and Healthy Dietary Practice Among Pregnant Women
June 1, 2020 updated by: Lidia Ghirmai, Orotta College of Medicine and Health Sciences
Effect of Nutrition Education by Health Professionals on Pregnancy Specific Nutrition Knowledge and Healthy Dietary Practice Among Pregnant Women in Asmara, Eritrea
Healthy pregnancy and birth outcomes is greatly influenced by the intake of adequate and balanced nutrition.
Pregnant women's nutritional knowledge and practice have been identified as an important prerequisites for their proper nutritional intake.
The antenatal period with the opportunities for regular contact with health professionals appears to be the ideal time and setting to institute the intervention which could maximize pregnant women's outcome and that of their baby by motivating them to make nutritional changes.
The overall objective of the research was to assess the effect of nutrition education on the appropriate nutritional knowledge and practice of pregnant women.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Adequate and balanced nutrition during gestation has been recognized as a prerequisite for a healthy pregnancy and birth outcomes and this is significantly determined by their nutritional knowledge and practice.
This facility based single group pre-post quasi experimental study design was conducted with the objective of assessing the effect of nutrition education on the appropriate nutritional knowledge and practice of pregnant women.
The study was conducted in five health facilities providing ANC (Antenatal Care) service in Asmara on 226 pregnant women.
A predesigned and pretested questionnaire was used to collect data regarding nutritional knowledge via interview by trained data collectors during the pretest, immediate posttest and six weeks later.
This study showed that the current intervention generally was effective in accomplishing improved knowledge and practice level of pregnant women.
The simple nutrition education messages given to pregnant women using holistic approach of targeting all the major determinants in a sustained manner played a huge role in increasing their knowledge regarding nutrition during pregnancy.
Knowledge regarding duration of iron supplementation was very low in this study.
At the same time minor knowledge gap was seen in the sources of main food groups among pregnant women.
The provided nutrition education also helped the pregnant women to improve dietary intake during pregnancy, although their adherence to iron supplements was decreased.
Skipping meals and avoiding certain food items was also evident in this study.
A reassuring concept is that food taboos and cultural factors were never the reasons that prevented women from consuming the food items.
The educational intervention has shown more positive impact on increasing the scores regarding knowledge of appropriate nutrition during pregnancy for primigravida mothers than for multigravida mothers while the improvement in the dietary practice had no interaction with their socio-demographic characteristics.
To sum up, attenuation of maternal and infant malnutrition may not be remote if pregnant women are well educated and counseled about nutrition during pregnancy.
The study was conducted under limitations of not being able to control the possible effect of other sources like Television, books, magazines and radio broadcasting on the change in the knowledge and practice of pregnant women towards nutrition could not be controlled.
Face to face interview may lead to social desirability bias which may in turn bring higher proportion of correct practice among pregnant women on the follow-up questioning (as the practice is self-reported).
Study Type
Interventional
Enrollment (Actual)
226
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Maekel
-
Asmara, Maekel, Eritrea, 10549
- OCMHS
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
15 years to 49 years (ADULT, CHILD)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Pregnant women who were on their first and second trimester of pregnancy and willing to participate in the study were included
Exclusion Criteria:
- Pregnant women who were sick at the time of the study and those who cannot communicate verbally.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: OTHER
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Nutrition Education Group
The experimental group is the group who received the intervention which is the nutrition education and counseling.
Phase I of the data collection from the experimental group which is the pregnant women (baseline assessment) using a questionnaire immediately before receiving nutrition counseling from their ANC providers first took place.
Health professionals then started providing nutrition education to pregnant women preselected and assessed before the intervention.
Immediate post education evaluation of the pregnant women was done by the same questionnaire used to assess in the pretest.
Phase II or post intervention data collection of pregnant women was done after the client was appointed for 6 weeks after the counseling session.
|
In the context of health education program, an educational intervention was developed by the research team based on a training module.
The nutrition education contained introductory messages and focused on meanings of healthy diet, eating a variety of food, eating well with the locally available food, hazards of maternal malnutrition, important supplements to be taken during pregnancy, harmful substances to be avoided, and measures of alleviating common discomforts associated with nutrition during pregnancy.
The training program was carried out in the form of counseling using printed materials and flip charts for pictorial representation.
Self-reading of leaflets containing the core messages for every topic prepared in the native language of the participants was also employed as the women in the study had one each.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
knowledge level of pregnant women on nutrition and their appropriate nutrition-related practice after intervention
Time Frame: 6 weeks
|
The two outcome variables in this study were the knowledge level of pregnant women and their appropriate nutrition-related practice after intervention.
At the Data set of pregnant women the categorical data from the knowledge part of the data collection was recorded to dichotomous data of 1 and 0, where 1 is having the correct answer and 0 is for incorrectly answering.
Practice components of the questionnaire of pregnant women were dichotomized to 1 and 0 as well, where 1 is having good practice and 0 is having no practice.
Composite scores of knowledge and practice of each pregnant woman was computed.
Mean scores of the knowledge (at pre, immediate post and 6 weeks later) and practice (at pre and 6 weeks later) of pregnant women were then calculated.
The pregnancy specific NEC was the independent variable in this study.
Co-variables on ANC clients were the demographics characteristics addition to source of information and frequency of ANC visits.
|
6 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Lidia G Teweldemedhin, MSc, Lecturer
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Daba G, Beyene F, Fekadu H, Garoma W: Assessment of knowledge of pregnant mothers on maternal nutrition and associated factors in Guto Gida Woreda, East Wollega Zone, Ethiopia. Journal of Nutrition & Food Sciences 2013, 3(6):1.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
August 31, 2018
Primary Completion (ACTUAL)
September 22, 2018
Study Completion (ACTUAL)
September 24, 2018
Study Registration Dates
First Submitted
May 23, 2020
First Submitted That Met QC Criteria
June 1, 2020
First Posted (ACTUAL)
June 4, 2020
Study Record Updates
Last Update Posted (ACTUAL)
June 4, 2020
Last Update Submitted That Met QC Criteria
June 1, 2020
Last Verified
June 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- OCMHS
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
I do not have plans to share my IPD
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Pregnancy Nutritional Disease
-
The Hospital for Sick ChildrenNational Institute of Allergy and Infectious Diseases (NIAID); Canadian Institutes... and other collaboratorsRecruitingMalnutrition | Pregnancy Complications | Pregnancy Related | Microbial Colonization | Breast Feeding | Pregnancy Loss | Parasitic Disease | Microbial Disease | Pregnancy; Parasitic Disease | Metabolomics | Malnutrition, Infant | Malnutrition PregnancyCanada
-
University of California, San FranciscoCentre de Recherche en Sante de Nouna, Burkina FasoNot yet recruitingInfectious Disease | Nutritional Deficiency | Neonatal DeathBurkina Faso
-
Aga Khan UniversityThe Hospital for Sick Children; Canadian Institutes of Health Research (CIHR); University of Alberta and other collaboratorsActive, not recruitingMalnutrition | Pregnancy Complications | Pregnancy Related | Microbial Colonization | Pregnancy Loss | Breastfeeding | Parasitic Disease | Microbial Disease | Pregnancy; Parasitic Disease | Infant Malnutrition | Malnutrition in Pregnancy | Weight Gain, PregnancyPakistan
-
Westlake UniversityPeking Union Medical College HospitalRecruiting
-
China Medical University HospitalChina Medical University, TaiwanUnknownKidney Disease | Autoimmune Rheumatologic Disease | Endocrine, Metabolic or Nutritional Diseases or ConditionsTaiwan
-
Chinese University of Hong KongCompletedCardiovascular Disease | Renal Failure | ESRDHong Kong
-
Galaad Torró FerreroCompleted
-
University of Southern DenmarkRegion of Southern Denmark; OPEN; Lida og Oskar Nielsens Fond; Esbjerg Fonden; Gangsted...Completed
-
VA Office of Research and DevelopmentCompleted
-
University Hospital, MontpellierRecruitingChronic Kidney DiseaseFrance
Clinical Trials on Nutrition Education counseling
-
University of Alabama, TuscaloosaAcademy of Nutrition and DieteticsRecruitingBrain InjuriesUnited States
-
Instituto Tecnologico y de Estudios Superiores...Not yet recruiting
-
Stanford UniversityNational Heart, Lung, and Blood Institute (NHLBI)CompletedHeart Diseases | Obesity
-
Boston Children's HospitalThrasher Research FundTerminated
-
Politeknik Kesehatan Kemenkes PadangIndonesia UniversityCompletedObesity | Dyslipidemias | Dietary Habits | Nutrient DeficiencyIndonesia
-
University of Alabama at BirminghamCompletedHead and Neck Cancer | Laryngeal Cancer | Pharyngeal CancerUnited States
-
University of CalgaryCompleted
-
University of Alabama at BirminghamAmerican Institute for Cancer ResearchCompletedHead and Neck Cancer | Laryngeal Cancer | Pharyngeal CancerUnited States
-
Loma Linda UniversityCompletedSedentary LifestyleUnited States
-
Harokopio UniversityState Scholarships Foundation, Athens, GreeceCompletedRheumatoid ArthritisGreece