The Multiple Dimensions of Participation: Key Determinants of Nutrition Intervention Outcomes

Marquis, Grace S; Martin, Stephanie L.; Lartey, Anna

doi:10.1016/j.cdnut.2022.100001

Cited by 2 publications

(1 citation statement)

References 26 publications

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“…Recent research suggests that trusting and respectful relationships, reciprocal acknowledgement between partners and flexibility were key practices in the co-creation process of health-enabling initiatives in food retail [ 82 ]. Involving partners in the entire research process, from problem identification through to intervention design, implementation and evaluation, has also been proposed to optimize the added-value of co-creation, although it is not a common practice in participatory nutrition interventions [ 83 ].…”

Section: Discussionmentioning

confidence: 99%

Improving student diet and food security in higher education using participatory and co-creation approaches: a systematic review

Assilian,

Dehove,

Charreire

et al. 2024

Int J Behav Nutr Phys Act

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Background Higher education students are an important target group for public health nutrition interventions. When designing tailored and contextually relevant interventions, participatory and co-creation approaches are increasingly recognized as promising but their use and effectiveness has not been assessed in this type of population. We systematically reviewed interventions aiming to improve dietary quality and/or food security in higher education settings with the aims 1) to identify and describe their participatory and co-creation approaches and 2) to compare the effectiveness of interventions using or not using participatory and co-creation approaches. Methods Our search in PubMed, Google Scholar, Web of Science, EMBASE was performed in January 2023 and yielded 3658 unique records, out of which 42 articles (66 interventions) were included. Effectiveness of interventions was assessed at the individual level (longitudinal evaluations) or at the group level (repeated cross-sectional evaluations). A five-level classification was used to describe a continuum of engagement from students and other partners in the intervention design and implementation: no participation (level one), consultation, co-production, co-design and co-creation (levels two to five). To synthetize effectiveness, comparisons were made between studies without participation (level one) or with participation (levels two-five). Results Ten (24%) out of 42 studies used a participatory and co-creation approach (levels two-five). Studies using a participatory and co-creation approach reported a positive finding on individual-level outcome (i.e. overall diet quality or food group intake or food security) in 5/13 (38%) intervention arms (vs 13/31 or 42% for those without participation). Studies using a participatory and co-creation approach reported a positive finding on group-level outcomes (i.e. food choices in campus food outlets) in 4/7 (57%) (vs 8/23 or 35% in those without participation). Conclusions Participatory and co-creation approaches may improve the effectiveness of nutrition interventions in higher education settings but the level of evidence remains very limited. More research is warranted to identify best co-creation practices when designing, implementing and evaluating nutritional interventions in the higher education setting. Trial registration PROSPERO registration number CRD42023393004.

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Section: Discussionmentioning

confidence: 99%

Improving student diet and food security in higher education using participatory and co-creation approaches: a systematic review

Assilian,

Dehove,

Charreire

et al. 2024

Int J Behav Nutr Phys Act

View full text Add to dashboard Cite

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Fetal malnutrition among neonates in African countries: a CAN score systematic review and meta-analysis

Mussa,

Debella,

Maruta

et al. 2024

Nutr J

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Background To reduce neonatal mortality, it is necessary to identify neonates with fetal malnutrition at birth using the clinical assessment score (CAN score). Furthermore, comprehensive summary data that shows burden of fetal malnutrition in Africa is scarce. As a result, this systematic review and meta-analysis aimed to assess fetal malnutrition among newborns in Africa. Method The PRISMA guidelines were used for this study. Articles were obtained from databases and websites. The outcome of the study was fetal malnutrition, as determined using the CAN score. The meta-analysis of the primary and secondary outcomes was performed using Stata version 18 statistical software. The pooled prevalence with a 95% CI was estimated using the random effect method with the Der Simonian Liard model. Results This meta-analysis and systematic review included 5356 newborns from 13 studies. The pooled prevalence of fetal malnutrition (FM) among newborns diagnosed using the CAN score in Africa was 19% [95% CI: 17, 22]. Based on subgroup analysis by publication year, the lowest prevalence of fetal malnutrition 17% (95% CI: 9–27) was observed in the studies published in the years 2020–2023. Maternal and fetal factors were significantly associated with fetal malnutrition. Conclusion Nearly one-fifth of neonates delivered in Africa were found to have fetal malnutrition based on the clinical evaluation of nutritional status. It has also been established that maternal malnutrition, a lack of proper treatment during pregnancy, maternal malnutrition, and newborn morbidities were associated with fetal malnutrition. To prevent fetal malnutrition, integrated efforts should be made for early maternal infection screening. Furthermore, maternal nutritional therapy should be explored for malnourished pregnant women.

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The Multiple Dimensions of Participation: Key Determinants of Nutrition Intervention Outcomes

Cited by 2 publications

References 26 publications

Improving student diet and food security in higher education using participatory and co-creation approaches: a systematic review

Improving student diet and food security in higher education using participatory and co-creation approaches: a systematic review

Fetal malnutrition among neonates in African countries: a CAN score systematic review and meta-analysis

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