Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in <scp>B</scp>angladesh

Nahar, Baitun; Hossain, Iqbal; Hamadani, Jena D.; Ahmed, Tahmeed; Grantham‐McGregor, Sally; Persson, Lars‐Åke

doi:10.1111/cch.12176

Cited by 22 publications

(15 citation statements)

References 56 publications

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“…The RCF&P group did not differ from the CF group in the total HOME score, despite receiving detailed responsive feeding and play stimulation intervention content. Our results contrast with a number of studies in which large effects were reported for mother–child interaction and the caregiving environment when responsive care and stimulation was focal to the intervention (Nahar et al, 2014; Orri, Côté, Tremblay, & Doyle, 2019; Tessier et al, 2009; Yousafzai et al, 2015). We, however, report significant difference on two subscales of the HOME scale: ‘Opportunities for Daily Stimulation’ and ‘Caregiver Promotes Child Development’ in the RCF&P group, compared with the C and CF groups from 9 to 15 months.…”

Section: Discussioncontrasting

confidence: 99%

A complementary feeding and play intervention improves the home environment and mental development among toddlers in rural India

Rao

Bentley

Balakrishna

et al. 2020

Maternal & Child Nutrition

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A cluster randomized trial design was used to test the efficacy of a behaviour change communication intervention on the quality of the home environment and infant development at 15 months of age. Children ( n = 600) in rural South India were followed from 3 through 15 months of age. The control group (C group) received the standard of care, the complementary feeding group (CF group) received recommendations on complementary foods and the responsive complementary feeding and play group (RCF&P group) received recommendations on complementary foods plus skills on responsive feeding and play. The intervention was delivered in biweekly home visits to caregivers using flip charts. At postintervention, infants ( n = 521) were assessed for development (Bayley‐II scales) and their home environment was assessed (Home Observation for Measurement of the Environment [HOME] scale). Cluster adjusted analysis of variance showed no significant differences at baseline. The HOME score at 15 months differed by group, F (2, 38) = 6.41, P = 0.004; the CF and RCF&P groups had higher scores than the C group. Scores on subscales ‘Opportunities for Variety in Daily Stimulation’ and ‘Caregiver Promotion of Child Development’ (CPCD) were higher for the RCF&P group than for the C and CF groups. Mental development index (MDI) scores differed by group, F (2, 37) = 3.31, P = 0.04, with the RCF&P group showing higher scores than the C group ( P < 0.04); no differences were noted in psychomotor development index (PDI) scores ( P = 0.48). The subscales of HOME associated with MDI at 15 months were ‘CPCD’ and ‘Cleanliness of Child’ ( R 2 = 0.076). ‘CPCD’ was also associated with PDI ( R 2 = 0.039). A responsive complementary feeding and play intervention delivered through home visits benefitted children's mental development and caregiving environment at 15 months.

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Section: Discussioncontrasting

confidence: 99%

A complementary feeding and play intervention improves the home environment and mental development among toddlers in rural India

Rao

Bentley

Balakrishna

et al. 2020

Maternal & Child Nutrition

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“…Higher scores indicate a higher frequency of depressive symptoms. 22 Anxiety was assessed during lockdown only, and was measured using the Generalised Anxiety Disorder (GAD-7) tool, 23 which has been previously successfully deployed in Bangladesh. 24 The tool assessed the frequency of seven symptoms of anxiety over the past 2 weeks.…”

Section: Methodsmentioning

confidence: 99%

Immediate impact of stay-at-home orders to control COVID-19 transmission on socioeconomic conditions, food insecurity, mental health, and intimate partner violence in Bangladeshi women and their families: an interrupted time series

Hamadani

Hasan

Baldi

et al. 2020

The Lancet Global Health

402

430

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Summary Background Stay-at-home orders (lockdowns) have been deployed globally to control COVID-19 transmission, and might impair economic conditions and mental health, and exacerbate risk of food insecurity and intimate partner violence. The effect of lockdowns in low-income and middle-income countries must be understood to ensure safe deployment of these interventions in less affluent settings. We aimed to determine the immediate impact of COVID-19 lockdown orders on women and their families in rural Bangladesh. Methods An interrupted time series was used to compare data collected from families in Rupganj upazila, rural Bangladesh (randomly selected from participants in a randomised controlled trial), on income, food security, and mental health a median of 1 year and 2 years before the COVID-19 pandemic to data collected during the lockdown. We also assessed women's experiences of intimate partner violence during the pandemic. Results Between May 19 and June 18, 2020, we randomly selected and invited the mothers of 3016 children to participate in the study, 2424 of whom provided consent. 2414 (99·9%, 95% CI 99·6–99·9) of 2417 mothers were aware of, and adhering to, the stay-at-home advice. 2321 (96·0%, 95·2–96·7) of 2417 mothers reported a reduction in paid work for the family. Median monthly family income fell from US$212 at baseline to $59 during lockdown, and the proportion of families earning less than $1·90 per day rose from five (0·2%, 0·0–0·5) of 2422 to 992 (47·3%, 45·2–49·5) of 2096 (p<0·0001 comparing baseline with lockdown period). Before the pandemic, 136 (5·6%, 4·7–6·6) of 2420 and 65 (2·7%, 2·1–3·4) of 2420 families experienced moderate and severe food insecurity, respectively. This increased to 881 (36·5%, 34·5–38·4) of 2417 and 371 (15·3%, 13·9–16·8) of 2417 during the lockdown; the number of families experiencing any level of food insecurity increased by 51·7% (48·1–55·4; p<0·0001). Mothers' depression and anxiety symptoms increased during the lockdown. Among women experiencing emotional or moderate physical violence, over half reported it had increased since the lockdown. Interpretation COVID-19 lockdowns present significant economic, psychosocial, and physical risks to the wellbeing of women and their families across economic strata in rural Bangladesh. Beyond supporting only the most socioeconomically deprived, support is needed for all affected families. Funding National Health and Medical Research Council, Australia.

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“…27 Six programs were delivered only in individualized sessions, 17-19, 25, 28, 30-32 2 were delivered only in group sessions, 27,33 and 5 involved both group and individualized sessions. 14-16, 26, 29 Six programs were delivered by government health workers, 14,16,19,25,27,28,30,31 6 were delivered by trained community members, 15,17,18,29,32,33 and 1 involved both health workers and community members. 26 The intended total duration of the interventions was on average 11.5 months (SD = 5.95), which ranged from 6 months 17, 26, 29 -31, 33 to 24 months.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

Stimulation Interventions and Parenting in Low- and Middle-Income Countries: A Meta-analysis

2018

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Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in Bangladesh

Abstract: The study did not show a significant effect of the intervention on the level of maternal depressive symptoms. Interventions with higher intensity and/or of longer duration focusing directly on maternal psychosocial functioning are probably needed to reduce maternal depressive symptoms.

Cited by 22 publications

References 56 publications

A complementary feeding and play intervention improves the home environment and mental development among toddlers in rural India

A complementary feeding and play intervention improves the home environment and mental development among toddlers in rural India

Immediate impact of stay-at-home orders to control COVID-19 transmission on socioeconomic conditions, food insecurity, mental health, and intimate partner violence in Bangladeshi women and their families: an interrupted time series

Stimulation Interventions and Parenting in Low- and Middle-Income Countries: A Meta-analysis

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