N/A
Completed N=140
Evaluating a Family-based Nutrition and Garden Intervention in Rural Guatemala
Malnutrition · Dietary Modification
Source: ClinicalTrials.gov NCT03689504 ↗
Enrolled (actual)
140
Serious AEs
0.0%
Results posted
Nov 2021
Primary outcomePrimary: Change From Baseline in Mean Number of Food Groups Consumed Per Day at 6 Months - Child — 0.6; 1.29 food groups
Summary
This is a pilot quasi-experimental study to evaluate the impact of adding a family garden intervention to an existing wrap-around nutrition intervention for children with chronic malnutrition and their family. The existing nutrition intervention is provided by community health workers affiliated with Wuqu' Kawoq | Maya Health Alliance. A single community in rural Guatemala will participate in the intervention, with the goal to recruit approximately 70 families in the combined nutrition/garden intervention. A nearby community, also participating in the nutrition intervention, will serve as a nonrandom contemporaneous control.
Aims of the study include:
1. Evaluate the impact of the garden intervention on maternal and child dietary diversity, child growth and household food insecurity.
2. Use the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework to conduct a preliminary implementation analysis, to guide a future, well-controlled study.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in Mean Number of Food Groups Consumed Per Day at 6 Months - Child |
0.6; 1.29 | — |
| PRIMARY Change From Baseline in Mean Number of Solid Meals Consumed Per Day at 6 Months - Child |
0.81; 1.11 | — |
| PRIMARY Change From Baseline in Raw Household Food Insecurity Score at 6 Months |
-0.55; -0.84 | — |
| PRIMARY Change From Baseline in Mean Number of Food Groups Consumed Per Day at 6 Months - Female Head of Household |
-0.01; 0.42 | — |
| SECONDARY Change in Height/Length for Age Z Score From Baseline to 6 Months |
-0.21; -0.07 | — |
| SECONDARY Change in Weight for Age Z Score From Baseline to 6 Months |
-0.22; -0.12 | — |
| SECONDARY Change in Weight for Height/Length Z Score From Baseline to 6 Months |
-0.38; -0.24 | — |
| SECONDARY Mean Change in Household Crop Species From Baseline to 6 Months Diversity Score |
-1.1; 4.62 | — |
Eligibility Criteria
Inclusion Criteria
- Children who are already scheduled to be enrolled in Maya Health Alliance's intensive home-based nutrition program (non-investigational, standard of care) who are 6-24 months of age at the time of enrollment with a height-for-age Z scores of <= -2.5
- At least one caregiver willing to provide written informed consent
- Caregiver of a child enrolled in the study (for caregiver/head of household outcomes), including women who may be pregnant
- Planned residence in the study area for the next 18 months
Exclusion Criteria
- Children with acute malnutrition (weight for length Z scores of <= -2.0)
- Children with a severe medical illness that affects growth (e.g., heart disease, kidney disease, genetic condition) as determined by a Maya Health Alliance staff physician.
- Caregivers with cognitive impairments that prevent them from being able to provide informed consent
Data sourced from ClinicalTrials.gov (NCT03689504). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.