Usefulness and effectiveness of locally available food that can improve gut health using mHealth: Audio-based Intervention for Malnourished Children living in tribal settings Rajasthan (AIM-Children) (Preprint)

2021 ◽  
Author(s):  
Shruti Sharma ◽  
Havagiray R Chitme ◽  
Mansi Gupta ◽  
Ashish Joshi
Keyword(s):  
Dietary Pattern ◽  
Intervention Group ◽  
Acute Malnutrition ◽  
Control Group ◽  
Gut Health ◽  
Long Term Effects ◽  
Post Intervention ◽  
Attitudes And Practices ◽  
Quasi Experimental ◽  
Barriers And Challenges

BACKGROUND Child malnutrition is a major global health problem that imposes morbidity and mortality burdens. Malnutrition has long-term effects on gut health which can affect the development of children. Gut microbes play a crucial role in the absorption of nutrients in food. Improving mothers’ awareness regarding gut health is one of the many ways to strengthen against diarrheal conditions and malnutrition among children. OBJECTIVE The objectives of the present study are to design, develop and evaluate a mobile-based intervention to improve gut health through mHealth. The study will further explore the association between socio-demographic characteristics, health status, dietary pattern of child and Water and Sanitation Hygiene Practice (WASH) related knowledge, attitude, practices of a mother living in tribal of Sikar, Rajasthan. METHODS A quasi-experimental randomized trial will be conducted between November 2021 and February 2022. 150 mothers of Moderate Acute Malnutrition (MAM) children will be recruited and enrolled using a non-probability complete enumeration sampling method from the Sapera, Loharu, and Banjara community of Sikar. The study participants will be randomized into two groups: Intervention (mobile linked audio-based messages); and Control group (no-mobile linked audio-based messages). Differences in the dietary pattern of children, mothers’ WASH-related knowledge, attitudes, and practices will be measured across the group. The data will be collected for the focus group, baseline, timeline 1 (after one month of the baseline) and timeline 2 (after one month of timeline 1). The study outcomes include the change in KAP of mothers pre- and post-intervention. RESULTS The study's results will help assess the usefulness and effectiveness of the proposed design and development of a user-centered informatics platform that can deliver multimedia-driven nutrition and health educational modules tailored to facilitate healthy habits and improvement in gut health in children of tribal settings. CONCLUSIONS The study will provide insights toward the barriers and challenges leading to malnutrition and poor gut health of the children in tribal populations and the relationship between gut health and malnutrition in the children. We anticipate that the intervention group will show a significant change in improvement in gut health, dietary pattern, WASH practices, knowledge, attitude, and practice of mother. CLINICALTRIAL Ethical approval was obtained from the UREC (University Research Ethics Committee) of DIT University, Dehradun, Uttarakhand, India (DITU/UREC/2021/07/6).

scholarly journals Effects and Responsiveness of a Multicomponent Intervention on Body Composition, Physical Fitness and Leptin in Overweight/Obese Adolescents

2021 ◽  
Vol 18 (14) ◽  
pp. 7267
Author(s):  
Leticia Borfe ◽  
Caroline Brand ◽  
Letícia Schneiders ◽  
Jorge Mota ◽  
Claudia Cavaglieri ◽  
...  
Keyword(s):  
Body Composition ◽  
Physical Fitness ◽  
Intervention Group ◽  
Interleukin 10 ◽  
Control Group ◽  
Post Intervention ◽  
Necrosis Factor Alpha ◽  
Obese Adolescents ◽  
Quasi Experimental ◽  
Multicomponent Program

Physical exercise reduces the biochemical markers of obesity, but the effects of multicomponent interventions on these markers should be explored. The present study aimed to elucidate how overweight/obese adolescents respond to a multicomponent program approach on body composition, physical fitness, and inflammatory markers, using a quasi-experimental study with 33 overweight/obesity adolescents (control group (CG) = 16; intervention group (IG) = 17). The intervention consisted of 24 weeks with physical exercises and nutritional and psychological guidance. Both groups were evaluated at the pre/post-intervention moments on body mass index (BMI); body fat (%Fat); waist circumference (WC); waist/hip ratio (WHR); waist-to-height ratio (WHtR), cardiorespiratory fitness (CRF); abdominal strength, flexibility; leptin; interleukin 6; interleukin 10; and tumor necrosis factor-alpha. Mixed-analysis of variance and generalized estimation equations were used for statistical analysis. There was an interaction effect between groups and time on %Fat (p = 0.002), WC (p = 0.023), WHR (p < 0.001), WHtR (p = 0.035), CRF (p = 0.050), and leptin (p = 0.026). Adolescents were classified as 82.4% responders for %Fat, 70.6% for WC, 88.2% for WHR, and 70.6% for CRF. Further, there was an association between changes in %Fat (p = 0.033), WC (p = 0.032), and WHR (p = 0.033) between responders and non-responders with CRF in the IG. There was a positive effect on body composition, physical fitness, and leptin. In addition, reductions in body composition parameters were explained by CRF improvements.

scholarly journals Perceptions of caregivers on immunization in Ntungamo district, Uganda

2021 ◽  
Vol 8 (12) ◽  
pp. 5729
Author(s):  
Byamukama Topher ◽  
Keraka M. Margaret ◽  
Gitonga Eliphas
Keyword(s):  
Risk Factor ◽  
Intervention Group ◽  
Cost Effective ◽  
Systematic Sampling ◽  
Control Group ◽  
Post Intervention ◽  
Mortality And Morbidity ◽  
Significant Difference ◽  
Quasi Experimental ◽  
And Control

Background: Immunization is one of the most cost-effective public health interventions to reduce child mortality and morbidity associated with infectious diseases. The objective of this study was to determine the perceptions of caregivers on immunization in Ntungamo district.Methods: Quasi-experimental study was used with health centres assigned to intervention and control groups. Purposive sampling was used to select the two counties where the study was done. Proportional sampling was done to get study samples from each health facility, while systematic sampling was done to get study participants. A total of 787 children from twelve health facilities provided the study sample. A post intervention evaluation was conducted to determine the effect of these interventions. Association of variables was tested using Mann Whitney U-test and Chi-square.Results: On benefits, most caregivers in the intervention group (85.3%) and in the control group (54.3%) regarded immunization as very highly and moderately beneficial to their children respectively. On risks, most caregivers in the intervention group (85.5%) and control group (43.1%) regarded the risk factor associated with immunization as very low and moderate respectively. From hypothesis testing, there was a significant difference on the perceived benefits and risks of immunization between the intervention and control group.Conclusions: Most caregivers in the intervention and control group regarded immunization as very highly beneficial and moderately to their children respectively. Most of the caregivers in the intervention and control group regarded the risk factor associated with immunization as very low and moderate respectively. 

scholarly journals The Effectiveness of the Use of Nurse Safety Booklet on Nurse Knowledge in Ergonomic Injury Prevention in BIMA Hospital

2019 ◽  
Vol 4 (2) ◽  
pp. 108
Author(s):  
A. Haris ◽  
Abdul Haris
Keyword(s):  
Health Services ◽  
Intervention Group ◽  
Hospital Staff ◽  
Control Group ◽  
P Value ◽  
Research Subjects ◽  
Post Intervention ◽  
Quasi Experimental ◽  
The Difference ◽  
Nurse Knowledge

Safety has become a global issue in various sectors, including the health services sector. The hospital is one of the health service organizations that is guided to continuously improve quality by building safer and safer health services so as to get customer loyalty. Hospital staff is a major component of quality management in one of the indicators in evaluating hospital accreditation. This research uses a quasi-experimental research design pre and posttest with control group. Quasi experiment research is a study that tests an intervention in a group of research subjects and then measures the results of the intervention. Samples in this study are all nurses who are in the room of the General Hospital, Surgery and ICU Bima Hospital, which are 50 people. The results showed the results of different tests using paired t-test p value = 0.000 which can be concluded that there are differences between the intervention group and the control group, seen from the value of the difference in the intervention group is greater than the difference in the control group can be interpreted as education using more booklets affect the increase in nurse knowledge. The conclusion in this study was that there were significant differences in nurses' knowledge after being given education using pre and post intervention booklets between the intervention and control groups (p = 0.000).

Effectiveness of an Educational Intervention to Participation in Physical Activity: A quasi-experimental model-based study

2020 ◽  
Author(s):  
Saeideh Shahsavari ◽  
Sakineh dadipoor ◽  
Mohtasham Ghaffari ◽  
Ali Safari-Moradabadi
Keyword(s):  
Physical Activity ◽  
Educational Intervention ◽  
Stages Of Change ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
Post Intervention ◽  
Chi Square ◽  
Significant Difference ◽  
Quasi Experimental

Abstract Background: The aim of the present study was to assess readiness to become or stay physically active according to the Stages of Change Model.Methods: The present quasi-experimental study was conducted on 100 women working in the healthcare centres of Bandar Abbas, Iran. The sampling method is clustering in type. The subjects were assigned into two groups of intervention and control. The collected data were analysed by SPSS-16 software using descriptive and inferential statistics, including independent-sample t-test, paired-sample t-test and Chi-square test.Results: Before the educational intervention, 19 subjects (0.38%) from the intervention group showed to have regular physical activity (4-5 stages). This number changed to 29 (0.58%) and 25 (0.50%) after three months and six months of intervention. A statistically significant difference was found before the intervention and 3 and 6 months afterwards (P˂.001). In the control group, no statistically significant difference was found between the pre-intervention and post-intervention (three months (P=.351) and six months (P=.687).Conclusion: The educational intervention based on the stages of behaviour change model showed to be effective in promoting the physical activity of employed women. These findings may benefit health education researchers and practitioners who tend to develop innovative theory-based interventions and strategies to increase the level of physical activity in women.

scholarly journals The Effect of the Nursing Care Model Based on Culture to Improve the Care of Malnourished Madurese Children in Indonesia

2019 ◽  
Vol 7 (7) ◽  
pp. 1220-1225
Author(s):  
Abdul Aziz Alimul Hidayat ◽  
Musrifatul Uliyah
Keyword(s):  
Cultural Values ◽  
Nursing Care ◽  
Parenting Practices ◽  
Intervention Group ◽  
Rank Test ◽  
Control Group ◽  
Care Model ◽  
Post Intervention ◽  
Model Based ◽  
Quasi Experimental

AIM: The purpose of this study is to analyse the usage of nursing care model based on culture to improve parenting practices related to malnutrition among Madurese children. METHODS: This study uses a quasi-experimental design and a purposive sample of 102 respondents from families with toddlers who suffered from nutritional deficiency. The sample consisted of an intervention group (n = 51) and a control group (n = 51). Data were collected using a questionnaire and weight measurement. RESULTS: A t-test found a difference between all of the variables of care, including health technology utilization, when comparing the following variables between the intervention group and the control group (t = 14.12, p < 0.001), beliefs and philosophy (t = 10.20, p < 0.001), cultural values and lifestyle (t = 13.63, p < 0.001), economic reasons (t = 0.20, p = 0.837), nursing action response based on culture (t = 11.28, p < 0.001), and care behaviors for children (t = 16.43, p < 0.001). The Wilcoxon signed-rank test found a difference between pre-intervention nursing care model based on culture and post-intervention nursing care model based on culture regarding the variable malnutrition status (t = 16.43, p < 0.001). CONCLUSION: This study found that the application of nursing care model based on culture affects care practices. Nursing care model based on culture can be applied to families with toddlers who are malnourished because of the lack of a culture of care.

scholarly journals The impact of a peer-based education on fruits and vegetables intake among housewives

2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Roya Sheybani ◽  
Zahra Hosseini ◽  
Sayed Hossein Davoodi ◽  
Teamur Aghamolaei ◽  
Amin Ghanbarnejad
Keyword(s):  
Self Efficacy ◽  
Fruits And Vegetables ◽  
Group Discussion ◽  
Peer Education ◽  
Intervention Group ◽  
Control Group ◽  
Post Intervention ◽  
Significant Difference ◽  
Quasi Experimental ◽  
The Impact

Abstract Background Evidence indicates the lower intake of fruits and vegetables than the recommended daily amount. Study aimed at determining the effects of peer education intervention on the consumption of fruits and vegetable in housewives. Methods A quasi-experimental was conducted with 130 housewives referring to health care centers in Bandar Abbas, Iran. Sixty-five subjects were recruited in each of the intervention and the control groups. Intervention group were divided into three subgroups each receiving a seven-sessions educational programs (lecturing and group discussion) through peers about the importance of benefits of fruits and vegetables consumption. Participants were followed for two months. Data were collected using a questionnaire in two stages of pre- and post-intervention. Differences in the outcome before and after the intervention were tested using T-test and paired T-test. Results The daily servings of fruits and vegetables in the intervention group increased from 1.73 to 4.20 and in the control group from 1.96 to 2.16; a statistically significant difference was also observed between the groups (P < 0.001). After the intervention benefits and self-efficacy of fruits and vegetables consumption significantly increased and perceived barriers of fruits and vegetables consumption significantly decreased in the intervention group (P < 0.001). Conclusion Peer education improves benefits and self-efficacy, reduces barriers, and increases the daily servings of fruits and vegetables in housewives.

scholarly journals Effects of School-Based Exergaming on Urban Children’s Physical Activity and Cardiorespiratory Fitness: A Quasi-Experimental Study

2019 ◽  
Vol 16 (21) ◽  
pp. 4080 ◽  
Author(s):  
Ye ◽  
Pope ◽  
Lee ◽  
Gao
Keyword(s):  
Physical Activity ◽  
Cardiorespiratory Fitness ◽  
Repeated Measures ◽  
Intervention Group ◽  
Control School ◽  
Control Group ◽  
Post Intervention ◽  
School Based ◽  
Quasi Experimental ◽  
Over Time

Background: Modern-day technology is appealing to children. Few studies, however, have conducted longitudinal analyses of a school-based exergaming program’s effect on physical activity (PA) behaviors and fitness in children. Therefore, this study examined the longitudinal effect of an 8-month school-based exergaming intervention on children’s objectively-measured PA and cardiorespiratory fitness (CRF). Materials and Methods: Eighty-one fourth grade students (X̅age = 9.23 ± 0.62; 39 girls; 54.3% African American, 30.9% Non-Hispanic White, 14.8% other) participated in this study from 2014–2015. The intervention school’s children participated in a once-weekly 50-minute exergaming intervention during recess throughout the school year, while the control school continued regular recess. Children’s in-school PA and sedentary behavior (SB) were measured with ActiGraphGT3X+ accelerometers, with CRF assessed via the half-mile run. All measurements were taken at baseline, mid-intervention (four months) and post-intervention (eight months). Repeated-measures two-way ANCOVAs using age and race as covariates were conducted to examine between-school differences over time for SB, light PA (LPA), moderate-to-vigorous PA (MVPA), and CRF. Results: Significant time by group interactions were observed for LPA, F(1, 79) = 7.82, η2 = 0.09, p < 0.01, and MVPA, F(1, 79) = 4.58, η2 = 0.06, p < 0.05, as LPA increased among the control group, while MVPA increased among intervention group. Children in both groups experienced decreased SB during the intervention (intervention: −7.63 minutes; control: −17.59 minutes), but demonstrated lower CRF over time (intervention: +46.73 seconds; control: +61.60 seconds). Conclusions: Observations suggested that school-based exergaming implementation may be effective in increasing children’s MVPA and decreasing their SB over the course an academic year (i.e., ~eight months). More research is needed, however, to discern how modifications to school-based exergaming might also promote improved CRF in children.

Art therapy and self-image: A 5-year follow-up art therapy RCT study of women diagnosed with breast cancer

2021 ◽  
pp. 1-9
Author(s):  
Karin Egberg Thyme ◽  
Björn Tavelin ◽  
Inger Öster ◽  
Jack Lindh ◽  
Britt Wiberg
Keyword(s):  
Breast Cancer ◽  
Art Therapy ◽  
Intervention Group ◽  
Control Group ◽  
Long Term Effects ◽  
Post Intervention ◽  
Follow Up Study ◽  
Self Image ◽  
Behavioral System

Abstract Objective This follow-up study on perceived self-image and psychophysical distress/psychic symptoms was based on a ranomized contolled study of art therapy on women with breast cancer. Method The aim was to examine the long-term effects of time-limited art therapy using the instruments of Structural Analysis of Social Behavior (SASB) and Symptom Check List-90 (SCL-90). Results Three attachment clusters of the SASB showed significant changes post therapy: Autonomous self (cluster 1), Accepting self (cluster 2), and Loving self (cluster 3). Clusters 2 and 3 continued to change in favor of the intervention group at the 5-year follow-up. There were no significant differences in the SCL-90 results between the intervention group and the control group in the follow-up study. Significance of results The art therapy intervention was both therapeutic and psycho-educative. The conclusion of this study is that approaching emotions through time-limited art therapy seems to have a long-lasting effect on the attachment behavioral system shown in the SASB model post intervention, and this effect remained 5 years later.

scholarly journals COMPASSION-BASED ENVIRONMENTAL VOLUNTEERISM AMONG OLDER ADULTS: A CASE STUDY OF TZU CHI RECYLING PROGRAM

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S734-S734
Author(s):  
Hsinyi Hsiao ◽  
Chiu-Tien Hsu ◽  
Lei Chen ◽  
Jinli Wu ◽  
Pao-Sheng Chang ◽  
...  
Keyword(s):  
Older Adults ◽  
Environmental Sustainability ◽  
Rural Areas ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Long Term Effects ◽  
Social Good ◽  
Quasi Experimental ◽  
Environmental Volunteering

Abstract To promote environmental sustainability and mitigate climate change that causes numerous families to suffer from natural disasters, a group of older residents’ volunteer to recycle usable materials by setting up recycling stations in their communities and transform recycled bottles into eco-friendly blankets for disaster survivors globally. This study examined long-term effects of the peer-led Tzu Chi Recycling Program (TCRP) on older adults’ compassion, psychological and physiological well-being. Using a quasi-experimental design, 1-year longitudinal data were collected from older adults at recycling stations (intervention group n = 36) and community centers (control group n = 36) in rural areas in Southern Taiwan. Findings from two-way repeated analysis of variance show that TCRP significantly improved older adults’ self-compassion, compassion for others, depression, hostility, happiness, and hypertension. Older adults built resilience through environmental volunteering in the TCRP as an environmental sustainability model for health promotion and social good

scholarly journals The effect of nutrition and reproductive health education intervention on pregnant women in reducing stunting in Indonesia: A-quasi experimental study

2020 ◽  
Author(s):  
Tria Astika Endah Permatasari ◽  
Fauza Rizqiya ◽  
Walliyana Kusumaningati ◽  
Inne Indraaryani Suryaalamsah ◽  
Zahrofa Hermiwahyoeni
Keyword(s):  
Health Education ◽  
Reproductive Health ◽  
Pregnant Women ◽  
Small Groups ◽  
Intervention Group ◽  
Control Group ◽  
Attitudes And Practices ◽  
Reproductive Health Education ◽  
Quasi Experimental ◽  
Knowledge Attitudes And Practices

Abstract Background: Almost one-third of children under five suffer from stunting in Indonesia. Stunting can be prevented optimally since the period of pregnancy as the initial phase of the first 1000 days of life. This study aims to determine the effect of nutrition education and reproductive health on pregnant women in Bogor Regency, Indonesia.Methods: A quasi-experimental study was conducted among 194 pregnant women from August to November 2019. The pregnant women were randomly selected from two different villages that were the stunting locus in Bogor Regency. The intervention group (n=97) received two hours of nutrition and reproductive health education in small groups (4-5 mothers per group) every two weeks for three consecutive months. This interactive education had been given by a facilitator using some techniques such as role-playing, lectures, simulation, and games. The control group (n=97) were to obtain regular health care services. A structured questionnaire was applied to collect data consisting of maternal characteristics, nutritional and reproductive health knowledge, attitudes, and practices in the intervention and control groups. Data were analyzed using t-test and chi-square analysis.Results: Pregnant women in the intervention group indicate a significant increase in knowledge, attitudes, and practices regarding nutrition and health reproductive after being given an education. The pretest and posttest mean scores in the intervention group were 55.1 and 83.1; 40.2 and 49.0; and 36.2 and 40.2, for the overall mother's knowledge, attitudes, and practices, respectively. Whereas in the control group, there was no significance between the pretest and posttest mean for these three variables. There was a significant difference (p<0.05) in the posttest mean between the intervention group and the control group, but the difference was not significant (p>0.05) at the pretest.Conclusion: Providing nutrition and reproductive health education through small groups with interactive methods improves the knowledge, attitudes, and practices of pregnant women. This intervention has the potential to be replicated and developed into large-scale implementation by optimizing collaboration between government, non-governmental organizations, and maternal and child health service providers.

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