Psychoeducational Intervention Model to Improve Nutritional Status in Low Resource Settings

Malnutrition Clinical Trial

Official title:

A Psychoeducational Intervention Model in Nutrition to Improve Nutritional Status in 15 Low Resource Populations Through a Network of Food Banks in Mexico.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02914002
• Other study ID #: 502016-CIE
• Status: Completed
• Phase: N/A
• Start date: June 2016
• Est. completion date: March 1, 2018

Study information

• Verified date: April 2018
• Source: Universidad de Monterrey
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Comer en Familia is a psychoeducational intervention in nutrition aimed 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.

Description:

It is well known that in order to promote a proper nutrition and to prevent malnutrition in Mexican population, both by deficiencies and excesses, it is essential to recover Mexican food culture. It is known that only information is insufficient to implement healthy lifestyles. There are a number of barriers that interfere with the adoption of healthy dietary practices that need to be identified and addressed in order to achieve the adoption of healthy eating behaviors. Therefore, Comer en Familia focuses on the people, their lifestyles, motivations and social context, based on an action methodology. To design the program, culinary traditions from different country regions were integrated, the habits of proper food preparation at home, promoting eating in the company of family with special emphasis on the importance of enjoying the taste of food were also integrated. This model delivers information on the transcendence of preparing food at home, the impact of nutrients on health and the influence of eating habits of the family in the conducts of their members in a practical way. Comer en Familia is a nutritional educational model that aims to promote proper nutrition, and therefore improve health and welfare of the beneficiaries of food banks. Through 24 cooking workshops throughout a period of a year, each workshop every 15 days, communities will be trained in optimal food preparation and the use of local food, based mainly on vegetables, while promoting the importance of cooking and having family meals. Anthropometric evaluations and interviews on food practices will be conducted to the beneficiaries at the beginning and at the end of the program. Anthropometric evaluations will be carried out and psychosocial risks surveys will be applied to the children in charge of the mothers/ caregivers from Comer en Familia. Also, in a sub-sample of the population of mothers/caregivers benefitted from the program, fasting capillary glucose and hemoglobin will be measured at the beginning and at the end of Comer en Familia.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 12400
• Est. completion date: March 1, 2018
• Est. primary completion date: December 19, 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years to 50 Years

Eligibility

Inclusion Criteria:

• Age 18 to 50 years

• Premenopausal

• Related to the decision of purchase, planning, elaboration-preparation of meals at home.

• Not being pregnant during the period of the study or the six prior months, and planning not to be pregnant at least 3 months after the last visit of the study.

• With a child in her care between the ages of 5 and 13 years and that fulfills the inclusion criteria

Exclusion Criteria:

• Pregnant or breastfeeding

• With a hysterectomy in the past 3 months

• Alcohol consumption > 14 drinks a week

• Use of vitamin supplements

Related Conditions & MeSH terms

• Child Malnutrition
• Child Nutrition Disorders
• Child Overnutrition
• Malnutrition
• Malnutrition in Children
• Malnutrition, Child
• Nutrition Disorders
• Nutrition Disorders, Child
• Overnutrition

Intervention

Behavioral:
• Psychoeducational intervention
A mobile kitchen visits the 16 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 as well as the importance of cooking at home and having family meals . A printed version of the recipe is given to every participant. Every session participants are encouraged to prepare the recipe. At the end of the lesson all the participants get to taste the meal and express their opinion.

Locations

Country	Name	City	State
Mexico	Banco de Alimentos de Mexico	Mexico

Sponsors (3)

Lead Sponsor	Collaborator
Universidad de Monterrey	Fundación FEMSA A.C., Mexican Food Banks

Country where clinical trial is conducted

Mexico, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in food knowledge and behavior Questionnaire		Baseline, 1 year
Primary	Change in Weight		Baseline, 1 year
Primary	Change in height		Baseline, 1 year
Primary	Change in psychosocial risk Questionnaire		Baseline, 1 year
Secondary	Change in capillary hemoglobin	Capillary blood sample	Baseline, 1 year
Secondary	Change in capillary glucose	Capillary blood sample	Baseline, 1 year