AzTrials
AzTrials

Child MalnutritionNCT06473025

Parental Misperceptions on Child Nutrition in India: Implications for Child Feeding Practices and Growth

A study testing Information on Relative Nutritional Status and Information on Returns to Child Nutrition in people with Child Malnutrition, run by University of Southern California at 1 site in India.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

The goal of this randomized controlled trial is to examine the role of parental misperceptions and information gaps in contributing to poor child dietary practices and high child undernutrition rates in India. The main research questions it seeks to answer are: 1. Read more about this study

Who is it for?
Any age, women only
Conditions the study is for
Child Malnutrition
What is being tested?
Information on Relative Nutritional Status and Information on Returns to Child Nutrition
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,542 participants
Where
1 siteIndia
Study dates
18 Sep 2024to 31 May 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • Women only
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Biological mothers of sampled children aged 7-24 months

Who cannot join

  • Any medical/health condition that precludes individuals from understanding the study procedures or communicating with study personnel (eg. deafness, inability to speak, mental health conditions)

Trial locations and contacts

1 site in 1 country.

India1 site
  • Department of Women Development and Child Welfare

    Hyderabad, Telangana, 500038

Other trials in India

About this study

The goal of this randomized controlled trial is to examine the role of parental misperceptions and information gaps in contributing to poor child dietary practices and high child undernutrition rates in India. The main research questions it seeks to answer are:

  1. Do mothers systematically overestimate the nutritional status (height- and weight-for-age percentiles) of their children, relative to global World Health Organization (WHO) standards and other children in their region?,
  2. Do mothers underestimate the returns to child nutrition on long-term health, education, and labor market outcomes?,
  3. What mechanisms could explain the formation of such misperceptions? Are mothers with higher exposure to undernourished children more likely to overestimate their children's nutritional status?, and
  4. Would updating mothers' beliefs about a) their children's true height-for-age and weight-for-age percentiles, and/or b) the returns to child nutrition, improve child feeding practices, utilization of government nutrition services, and child growth outcomes?
Read more

The study involves an individual-level randomized controlled trial with 1500 mothers of children aged 7-24 months in Telangana, India, with two information treatment arms and one control arm. The first treatment will update mothers' beliefs on the relative height- and weight-for-age percentiles of their children, and the second will provide information on the impacts of child undernutrition on long-term health (risk of chronic and infectious diseases, mortality), education (high school test scores, years of education), and labor market (earnings) outcomes.

The treatment and control groups will be compared to assess if the information treatments improve outcomes related to child feeding practices, consumption of government-supplied therapeutic food, cognition measures, and child growth.

Read the detailed description

The goal of this randomized controlled trial is to examine the role of parental misperceptions and information gaps in contributing to poor child dietary practices and high rates of child undernutrition in India. This study is guided by two core hypotheses:

  1. Parents systematically overestimate the nutritional status of their children: If parents form expectations about how healthy their child is by observing other children around them, then parents in areas with high levels of stunting and wasting may be more likely to believe that their own child is relatively healthy and have a skewed perception of "ideal" height and weight levels.
  2. Parents systematically underestimate the returns to child nutrition on long-term health, education, and labor market outcomes: While there is a large literature documenting the effects of child nutrition on the incidence of infectious and chronic diseases, years of education, test scores, and earnings in adulthood, this information is most likely not common knowledge among parents in India, particularly in rural areas.

These misperceptions, if proven true, may create a suboptimal equilibrium for child nutrition outcomes, trapping families in a cycle of inadequate nutrition.

The main research questions are:

  1. Do mothers systematically overestimate the nutritional status (height- and weight-for-age percentiles) of their children, relative to global WHO standards and other children in their region?,
  2. Do mothers underestimate the returns to child nutrition on long-term health, education, and labor market outcomes?,
  3. What mechanisms could explain the formation of such misperceptions? Are mothers with higher exposure to undernourished children more likely to overestimate their children's nutritional status?, and
  4. Would updating mothers' beliefs about a) their children's true height-for-age and weight-for-age percentiles, and/or b) the returns to child nutrition, improve child feeding practices, utilization of government nutrition services, and child growth outcomes?

The research design involves an individual-level field experiment with 1500 mothers of children aged 7 to 24 months, with two treatment arms and a control arm:

  • Treatment arm 1: Update mothers' beliefs on the height-for-age and weight-for-age percentiles of their child relative to a reference group of healthy children based on WHO standards
  • Treatment arm 2: Treatment 1 + information on the impacts of child undernutrition on long-term health (risk of chronic and infectious diseases, mortality), education (high school test scores, years of education), and labor market (earnings) outcomes, synthesized from existing literature
  • Control arm: Status-quo, no intervention

The main outcomes of interest are - a) willingness-to-pay (WTP) for a protein supplement/food bundle for the child, measured at the end of the baseline survey, and b) beliefs on child nutrition, c) child feeding practices (frequency of meals, diet diversity, diet adequacy, protein consumption) measured through a 24-hour diet recall module, d) consumption of government-supplied therapeutic food, e) child height, weight, and anthropometric z-scores, f) child health outcomes: episodes of illness, g) household food expenditures, and h) child cognition measures, measured during the endline survey.

Being tested
Information on Relative Nutritional Status, Information on Returns to Child Nutrition
Keywords
child malnutrition, stunting, india, child feeding, behavioral, misperceptions
Medical subject headings
Child Nutrition Disorders, Growth Disorders, Behavior

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Information on Relative Nutritional StatusBehavioural

    The intervention involves providing information on the height-for-age and weight-for-age percentiles of children relative to a reference group of healthy children based on WHO standards

  • Information on Returns to Child NutritionBehavioural

    The intervention involves providing information on the effects of child undernutrition on long-term health, education, and labor market outcomes.

Study groups in NCT06473025
Study groupRoleWhat they receive
Treatment Arm 1: Relative Nutritional StatusExperimentalProvide information on the true height-for-age and weight-for-age percentiles of the child relative to a reference group of healthy children based on WHO standards
Receives: Behavioral: Information on Relative Nutritional Status
Treatment Arm 2: Relative Nutritional Status and ReturnsExperimentalProvide information on the true height-for-age and weight-for-age percentiles of the child relative to a reference group of healthy children based on WHO standards AND provide information on the impacts of child undernutrition on health (risk of chronic and infectious diseases, mortality), education (high school test scores, years of education), and labor market (earnings) outcomes, synthesized from existing literature
Receives: Behavioral: Information on Relative Nutritional Status; Behavioral: Information on Returns to Child Nutrition
Control ArmNo interventionStatus-quo, no intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Average willingness-to-pay for protein-rich food bundle

    All mothers who participate in the survey will be entered into a lottery to win a bundle of protein-rich food items for their child or, alternatively, a randomly chosen cash prize (amount may range from Rs. 100 to Rs. 2000). 25 lottery "winners" will be chosen randomly at the end of the baseline survey. Mothers will be asked to state their preferences between the food bundle and several potential cash prize amounts, using a multiple-price-list elicitation method. One cash prize amount will be randomly chosen for each mother, and their choice for that amount will be implemented in case they win the lottery. WTP will be measured by the mid-point of the interval of two cash amounts at which a mother switches from preferring to receive cash to preferring to receive food. Possible values range from 0 to 2000. Average willingness-to-pay will be compared between mothers in the treatment groups and the control group.

    Measured: Baseline

  2. Difference between true and perceived height-for-age percentile relative to WHO standards

    The difference between the child's true height-for-age percentile relative to the WHO reference population and the mother's perceived percentile rank. Values may range from 0 to 100.

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  3. Difference between true and perceived weight-for-age percentile relative to WHO standards

    The difference between the child's true weight-for-age percentile relative to the WHO reference population and the mother's perceived percentile rank. Values may range from 0 to 100.

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  4. Knowledge score on returns to child nutrition (Binary)

    Binary variable coded "1" if at least half the prompts (3 out of 6) about the returns to child nutrition are answered correctly, and "0" otherwise. This is a binary indicator constructed based on the knowledge score scale that may range from 0 to 6, with higher scores representing better knowledge.

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  5. Minimum frequency of meals

    Binary variable coded "1" if the child consumed the minimum recommended number of meals in the last 24 hours, based on their age, and "0" otherwise

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  6. Minimum dietary diversity

    Binary variable coded "1" if the child consumed food from at least 5 of the 8 specified food groups in the last 24 hours, and "0" otherwise. This is a binary indicator constructed based on the World Health Organization "Minimum Dietary Diversity - Infant and Young Child Feeding" (MDD-IYCF) scale. Scores may range from 0 to 8, with higher scores representing better outcomes.

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  7. Height-for-age z-score

    Height-for-age z-score at the time of the endline survey

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  8. Weight-for-age z-score

    Weight-for-age z-score at the time of the endline survey

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  9. Weight-for-height z-score

    Weight-for-height z-score at the time of the endline survey

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  10. Consumption of Balamrutham

    Binary variable coded "1" if the child consumed Balamrutham (government-provided therapeutic food) in the last 24 hours, and "0" otherwise

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  11. CREDI child cognition scale z-score

    The Caregiver-Reported Early Development Instruments (CREDI) Short Form is a validated set of 20 population-level measures of early childhood development (ECD) for children from birth to age three (0-36 months). The responses on this 20-point scale (based on age) will be converted to a norm-referenced standardized Z-score for overall development. The z-scores may range from -6 to +6, with larger scores representing better outcomes.

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

Secondary outcomes (7)
  1. Change from baseline in height-for-age z-score

    Difference between height-for-age z-score between the endline survey and the baseline survey

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  2. Change from baseline in weight-for-age z-score

    Difference between weight-for-age z-score between the endline survey and the baseline survey

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  3. Change from baseline in weight-for-height z-score

    Difference between weight-for-height z-score between the endline survey and the baseline survey

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  4. Change from baseline in height

    Difference between height between the endline survey and the baseline survey

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  5. Change from baseline in weight

    Difference between weight between the endline survey and the baseline survey

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  6. Episodes of illness in last 14 days (binary)

    Binary variable coded "1" of the child experienced any episodes of illness in the 14 days prior to the survey

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

  7. Household food expenditure in last calendar month

    Total household expenditure on food in the last calendar month

    Measured: During endline survey, an average of 4 months (or 17 weeks) from baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Jun 2024
  2. Study start18 Sep 2024
  3. Primary completion31 May 2025 (estimated)
  4. Study completion31 May 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
* Treatment arm 1: Update mothers' beliefs on the height-for-age and weight-for-age percentiles of their child relative to a reference group of healthy children based on WHO standards * Treatment arm 2: Treatment 1 + information on the impacts of child undernutrition on health (risk of chronic and infectious diseases, mortality), education (high school test scores, years of education), and labor market (earnings) outcomes, synthesized from existing literature * Control arm: Status-quo, no intervention
Masking
None (open label)
Enrolment
1,542 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06473025
Sponsor's protocol ID
APP-24-02211-2
Status last verified
Oct 2024
First submitted
13 Jun 2024
Last updated
17 Oct 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified data will be made publicly available through an open-access repository (eg. ICPSR) after publication of the study findings.

Questions about this trial

What is this clinical trial studying?

A study testing Information on Relative Nutritional Status and Information on Returns to Child Nutrition in people with Child Malnutrition, run by University of Southern California at 1 site in India.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 17 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in India. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Average willingness-to-pay for protein-rich food bundle (time frame: Baseline). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Oct 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in