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CTRI Number  CTRI/2024/06/069571 [Registered on: 26/06/2024] Trial Registered Prospectively
Last Modified On: 24/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Preventive 
Study Design  Non-randomized, Placebo Controlled Trial 
Public Title of Study   Effect of nutritional counselling of mothers on the feeding practices of their infants 
Scientific Title of Study   Effect of nutritional counselling of mothers on the complementary feeding practices of their infants in an urban resettlement colony of Shahdara district: a quasi-experimental study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  NIHARIKA 
Designation  Post-graduate resident 
Affiliation  University College of Medical Sciences and Guru Teg Bahadur Hospital 
Address  Room no. 416, Department of Community Medicine, Fourth Floor, University College of Medical Sciences

North East
DELHI
110095
India 
Phone  8810516271  
Fax    
Email  1bniharika1@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR PRAGTI CHHABRA 
Designation  Director Professor 
Affiliation  University College of Medical Sciences 
Address  Fourth Floor, Department of Community Medicine, University College of Medical Sciences

North East
DELHI
110095
India 
Phone  9811687966  
Fax    
Email  pragschhabra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR PRAGTI CHHABRA 
Designation  Director Professor 
Affiliation  University College of Medical Sciences 
Address  Fourth Floor, Department of Community Medicine, University College of Medical Sciences

North East
DELHI
110095
India 
Phone  9811687966  
Fax    
Email  pragschhabra@gmail.com  
 
Source of Monetary or Material Support  
University College of Medical Sciences and Guru Teg Bahadur Hospital, Dilshad Garden, East Delhi, India, Pincode - 110095 
 
Primary Sponsor  
Name  University College of Medical Sciences and Guru Teg Bahadur Hospital 
Address  2, Tahirpur Rd, GTB Enclave, Dilshad Garden, New Delhi, Delhi, 110095 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Niharika  University College of Medical Sciences  Room no. 416, Fourth Floor, Department of Community Medicine, College Building.
North East
DELHI 
8810516271

1bniharika1@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE – HUMAN RESEARCH (IEC-HR) UNIVERSITY COLLEGE OF MEDICAL SCIENCES, UNIVERSITY OF DELHI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Malnutrition 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Family counselling   Two rounds of family planning counselling, of mothers enrolled in anganwadis for the control group, over a period of 4-6 months. 
Intervention  Nutritional counselling of mothers  Two rounds of group Counselling of mothers enrolled in anganwadis, in adherence to the Infant and Young Child Feeding Practices regarding complementary feeding over 4-6 months period.  
 
Inclusion Criteria  
Age From  3.00 Month(s)
Age To  5.00 Month(s)
Gender  Both 
Details  1.Mother and child dyads where the child aged 3-5 months is enrolled in Anganwadi.
2.Resident of Nand Nagri for at least past 6 months, not planning to shift for at least the duration of the study.
 
 
ExclusionCriteria 
Details  1. Mothers who have already started complementary feeding this child.
2. Children with any congenital anomaly and/or feeding difficulty.
Mothers with significant language barrier making counselling difficult.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1.To assess the effect of nutritional counselling on quality and quantity of complementary feeding of infants using minimum diet diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD) by comparing the intervention group with the control group.
2.To assess the effect of nutritional counselling on the consumption of unhealthy foods and sweetened beverages.
 
When the children attain 9 months of age 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the difference (if any) in the time of initiation of complementary feeding in the intervention and control groups of the study as a result of nutritional counselling.   When the children attain 9 months of age.  
To assess the difference (if any) in adoption of various responsive feeding methods as a result of nutritional counselling between the two groups.   When the children attain 9 months of age. 
To study the association of socio-demographic profile of the mother and the family with the complementary feeding practices  Towards the end of the study 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="91" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/07/2024 
Date of Study Completion (India) 20/07/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="5"
Days="1" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

TITLE: Effect of nutritional counselling of mothers on the complementary feeding practices of their infants in an urban resettlement colony of Shahdara district: a quasi-experimental study.

AIM: To improve the quality and quantity of complementary feeding of infants through nutritional counselling of mothers in an urban resettlement colony in Shahdara district of Delhi.

OBJECTIVES:

Primary Objectives:

1.     To assess the effect of nutritional counselling on quality and quantity of complementary feeding of infants using minimum diet diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD) by comparing the intervention group with the control group.

2.     To assess the effect of nutritional counselling on the consumption of unhealthy foods and sweetened beverages.

 

Secondary Objectives:

1.     To assess the difference (if any) in the time of initiation of complementary feeding in the intervention and control groups of the study as a result of nutritional counselling. 

2.     To assess the difference (if any) in adoption of various responsive feeding methods as a result of nutritional counselling between the two groups.

3.     To study the association of socio-demographic profile of the mother and the family with the complementary feeding practices.

STUDY SETTING: The study will be conducted in the Anganwadis of Nand Nagri, an urban resettlement colony in Shahdara district of Delhi.

STUDY AREA:  Nand Nagri is an urban resettlement colony in Shahdara district of Delhi. It is divided into five blocks which are comprised of a total 21 sub-blocks. Each sub-block is made up of approximately 500 houses. Each block of Nand Nagri has about 9-10 Anganwadis.

STUDY DESIGN: This shall be a community based quasi-experimental study.

SAMPLE SIZE: A study on effect of nutritional counselling on the MAD was done in tribal district of Palghar, Maharashtra by Surve et al, which found the MAD to be 5.32%, and 47.2% in the control and intervention group respectively.[21]  Assuming that our study will result in similar improvement in MAD, and keeping the significance level of the study at 95%, power at 80%, applying a design effect of 2, and accounting for an attrition of 10%, the sample size came out to be 40 in each group (intervention and control), totalling to 80.

STUDY TOOLS:

1.     A self-prepared, pre-tested, structured, interviewer administered proforma for recording socio-demographic details.

2.     Information and education material for nutritional counselling and responsive feeding from the IYCF training module by Breastfeeding Promotion Network of India (BPNI).

3.     WHO 24- hour dietary recall questionnaire for dietary assessment and intake of unhealthy foods and sweet beverages.

4.     A self-prepared, pre-tested, structured questionnaire for assessing responsive feeding practices. 

5.     5. A weighing scale and infantometer for anthropometry (weight and length).

 
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