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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Article

Behavior Change, Egg Consumption, and Child Nutrition: A Cluster Randomized Controlled Trial

Sarah L. McKune, Heather Stark, Amanda C. Sapp, Yang Yang, Crystal M. Slanzi, Emily V. Moore, Anteneh Omer and Aissata Wereme N’Diaye
Pediatrics December 2020, 146 (6) e2020007930; DOI: https://doi.org/10.1542/peds.2020-007930
Sarah L. McKune
aDepartments of Environmental and Global Health,
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Heather Stark
aDepartments of Environmental and Global Health,
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Amanda C. Sapp
aDepartments of Environmental and Global Health,
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Yang Yang
bBiostatics, and
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Crystal M. Slanzi
cPsychology, University of Florida, Gainesville, Florida;
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Emily V. Moore
aDepartments of Environmental and Global Health,
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Anteneh Omer
dSchool of Nutrition, Food Science and Technology, Hawassa University, Hawassa, Ethiopia; and
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Aissata Wereme N’Diaye
eInstitut de l’Environnement et de Recherches Agricoles, Ouagadougou, Burkina Faso;
fKamboinsé Agricultural Environmental and Training Research Center, Kamboinsé, Burkina Faso; and
gDepartment Earth and Life Science, Ouagadougou University, Ouagadougou, Burkina Faso
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Abstract

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BACKGROUND AND OBJECTIVES: Malnutrition is a significant contributor to child morbidity and mortality globally. Egg consumption has been associated with improved child nutrition yet is rare in rural, resource-poor settings. We test the effects of a culturally tailored behavior change intervention to increase child egg consumption.

METHODS: A 3-arm cluster randomized controlled trial was conducted in rural Burkina Faso with 260 mother-child dyads. Children aged 4 to 17 months from 18 villages were included; those with reported history of malnutrition or egg allergy were excluded. Each child in the full intervention arm received 4 chickens, and mothers received the 10-month behavior change package. Participants in the partial intervention arm received only the behavior change package.

RESULTS: In this analysis of 250 children, the full (β = 4.3; P = 6.6 × 10−12) and the partial (β = 1.0; P = .02) interventions significantly increased egg consumption. The full intervention also significantly increased poultry production (β = 11.6; 95% confidence interval 8.3–15; P = 1.1 × 10−5) and women’s decision-making about eggs (β = .66; P = .02), and significantly decreased wasting (β = .58; P = .03) and underweight (β = .47; P = .02).

CONCLUSIONS: The culturally tailored behavior change package significantly increased child egg consumption. When coupled with the gift of chickens, the behavior change intervention yielded a greater increase in egg consumption and significantly reduced wasting and underweight. Behavior change strategies to increase egg consumption should be considered among nutrition and health programs in resource-poor settings where poultry is available.

  • Accepted September 14, 2020.
  • Copyright © 2020 by the American Academy of Pediatrics

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Pediatrics
Vol. 146, Issue 6
1 Dec 2020
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Behavior Change, Egg Consumption, and Child Nutrition: A Cluster Randomized Controlled Trial
Sarah L. McKune, Heather Stark, Amanda C. Sapp, Yang Yang, Crystal M. Slanzi, Emily V. Moore, Anteneh Omer, Aissata Wereme N’Diaye
Pediatrics Dec 2020, 146 (6) e2020007930; DOI: 10.1542/peds.2020-007930

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Behavior Change, Egg Consumption, and Child Nutrition: A Cluster Randomized Controlled Trial
Sarah L. McKune, Heather Stark, Amanda C. Sapp, Yang Yang, Crystal M. Slanzi, Emily V. Moore, Anteneh Omer, Aissata Wereme N’Diaye
Pediatrics Dec 2020, 146 (6) e2020007930; DOI: 10.1542/peds.2020-007930
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