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Exclusive BreastfeedingNCT03752762

SPOON: Sustained Program for Improving Nutrition - Mexico

A study testing SQ-LNS and SPOON behavioral change strategy in people with Exclusive Breastfeeding and Feeding Patterns, run by Inter-American Development Bank at 1 site in Mexico.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The primary goal of this study is to assess the impact of an innovative strategy to prevent undernutrition and obesity in early childhood in children 0-24 months in Mexico. This study is designed to evaluate the impact of promoting adequate infant an young child feeding practices and the use of SQ-LNS (Small Quantity… Read more about this study

Who is it for?
Ages Up to 6 monthsHealthy volunteers can take part
What is being tested?
SQ-LNS and SPOON behavioral change strategy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteMexico
Study dates
1 Dec 2018to Dec 2020
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 Up to 6 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Pregnant women in the third trimester and children up to 6 months of age at the moment of recruitment (or children with a maximum age of 6 months at the beginning of the first visit of the program)
  • Children with no chronic diseases or congenital malformations
  • Resident population from Tepic and the adjacent areas of Xalisco, Lomas Verdes, and Cerro Blanco
  • The residents have no plans to move away from Tepic in the following 24 months

Who cannot join

  • Population belonging to the PROSPERA program
  • Children with chronic diseases or congenital malformations
  • Children with severe acute malnutrition
  • Planning on moving far from the intervention area in the next 24 months

Trial locations and contacts

1 site in 1 country.

Mexico1 site
  • SPOON Mexico

    Tepic, Nayarit

Other trials in Mexico

About this study

Official title: Effect of an Innovative Behavioral Change Strategy and SQ-LNS on Stunting and Obesity in Children Living in Tepic, Mexico

The primary goal of this study is to assess the impact of an innovative strategy to prevent undernutrition and obesity in early childhood in children 0-24 months in Mexico. This study is designed to evaluate the impact of promoting adequate infant an young child feeding practices and the use of SQ-LNS (Small Quantity Lipid-Based Nutrient Supplements) on the nutritional status of infants and young children. The study will be conducted in peri-urban areas of Tepic, Nayarit in Mexico in conjunction with the Hospital Infantil de México Federico Gómez and the Nayarit Secretariat of Health.

Read the detailed description

SPOON Mexico is an innovative strategy to prevent undernutrition and obesity in children aged 0-24 months living in marginalized areas of Tepic City, Nayarit. The SPOON program aims to improve infant and young children feeding practices, including exclusive breastfeeding, and promote the use of home-fortification with peanut-based SQ-LNS (small quantity lipid-based nutrient supplements) through a novel behavior change strategy.

The study will recruit children between 0 and 6 months of age as well as pregnant women in the third trimester. Mothers or caregivers of eligible children will be invited to participate and a consent form obtain. Participation will start at 0-6 months and the intervention will last until children are up to 24 months. Participants will be randomly assigned at the household level to one of two groups: a control group and a treatment group. Participants in the control group will receive the standard services provided by their local health clinics according to the national protocol. Participants in Treatment Group 1 will receive SQ-LNS supplement from 6-24 months and an innovative behavioral change strategy designed using ethnographic and marketing methods to promote adequate infant and young child feeding practices and the use of SQ-LNS. The strategy will be delivered to mothers or caregivers through individual home-visits and group sessions.

A sample size of 600 children per group has been calculated to detect a minimum effect size of 0.18 with 95% level of significance and a 80% power. Additionally, a 20% attrition has been included in the sample size calculation.

Main outcomes include infant and young child feeding practices, height, weight, hemoglobin, prevalence of anemia, prevalence of stunting, prevalence of obesity, and weight gain rate. A baseline and final survey will be conducted to collect data for these variables, as well as sociodemographic information. Impact estimation will be done comparing the average results and the distribution of indicators between the treatment and control group. Differences of simple means and regression models including co-variables of the child's age and sex, and characteristics of the primary caregiver and household will be estimated. In addition to potential changes in indicator averages, changes in the distribution of variables will be explored under the hypothesis that the intervention might not only improve average value for a given indicator, but compress the distribution over a range of values closer to an optimal range. Changes to distributions will be checked by applying the Kolmogorov-Smirnov test.

Being tested
SQ-LNS, SPOON behavioral change strategy
Keywords
Stunting, Obesity, Lipid-based Nutrient Supplements (LNS), Latin America, Child nutrition, Feeding practices
Medical subject headings
Breast Feeding, Feeding Behavior, Growth Disorders, Pediatric Obesity, Obesity

What participants receive

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

  • SQ-LNSDietary supplement

    Also called Small Quantity Lipid Nutrient Supplements

    SQ-LNS is a peanut-based ready to use home fortification product to improve diet quality in children 6-24 months of age. It includes peanuts and other ingredients such as vegetable fat, powdered milk and several micronutrients. The formulation designed for this study will not include sugar.

  • SPOON behavioral change strategyBehavioural

    An innovative behavioral change strategy designed using ethnographic and marketing methods to promote adequate infant and young child feeding practices and the use of SQ-LNS. The strategy will be delivered to mothers or caregivers through individual home-visits and group sessions.

Study groups in NCT03752762
Study groupRoleWhat they receive
Standard CareNo interventionParticipants will receive standard health care services provided by the Health Secretary
SPOON behavioral change strategy+SQ-LNSExperimentalParticipants will receive SQ-LNS supplement from 6-24 months and a behavioral change to promote adequate infant and young child feeding practices and the use of SQ-LNS will be delivered to mothers or caregivers. The behavioral change strategy includes individual home-visits and group sessions. SQ-LNS consists of a 20g nutrient supplement package to be consumed daily from 6-24 of age. SQ-LNS formulation does not include sugar.
Receives: Dietary Supplement: SQ-LNS; Behavioral: SPOON behavioral change strategy

What is being measured

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

  1. Infant and young child feeding practices at 6 months

    Set of indicators of infant and young child feeding practices obtained by interview to participant mothers or caregivers

    Measured: Measured at 6 months of age

  2. Infant and young child feeding practices at 9 months

    Set of indicators of infant and young child feeding practices obtained by interview to participant mothers or caregivers

    Measured: Measured at 9 months of age

  3. Infant and young child feeding practices at 12 months

    Set of indicators of infant and young child feeding practices obtained by interview to participant mothers or caregivers

    Measured: Measured at 12 months of age

  4. Infant and young child feeding practices 15 months

    Set of indicators of infant and young child feeding practices obtained by interview to participant mothers or caregivers

    Measured: Measured 15 months of age

  5. Infant and young child feeding practices at 18 months

    Set of indicators of infant and young child feeding practices obtained by interview to participant mothers or caregivers

    Measured: Measured at 18 months of age

  6. Infant and young child feeding practices at 21 months

    Set of indicators of infant and young child feeding practices obtained by interview to participant mothers or caregivers

    Measured: Measured at 21 months of age

  7. Infant and young child feeding practices at 24 months

    Set of indicators of infant and young child feeding practices obtained by interview to participant mothers or caregivers

    Measured: Measured at 24 months of age

  8. Height at 6 months

    Height-for-age z score obtained by measuring the height of participant children using a fixed infantometer

    Measured: Measured at 6 months of age

  9. Height at 9 months

    Height-for-age z score obtained by measuring the height of participant children using a fixed infantometer

    Measured: Measured at 9 months of age

  10. Height at 12 months

    Height-for-age z score obtained by measuring the height of participant children using a fixed infantometer

    Measured: Measured at 12 months of age

  11. Height at 15 months

    Height-for-age z score obtained by measuring the height of participant children using a fixed infantometer

    Measured: Measured at 15 months of age

  12. Height at 18 months

    Height-for-age z score obtained by measuring the height of participant children using a fixed infantometer

    Measured: Measured at 18 months of age

  13. Height at 21 months

    Height-for-age z score obtained by measuring the height of participant children using a fixed infantometer

    Measured: Measured at 21 months of age

  14. Height at 24 months

    Height-for-age z score obtained by measuring the height of participant children using a fixed infantometer

    Measured: Measured at 24 months of age

  15. Weight gain rate at 6 months

    Rate of weight gain from 0-24 months of age obtained by measuring the weight of participant children using a fixed electronic scale

    Measured: Constructed from weight measurements at 6 months of age

  16. Weight gain rate at 9 months

    Rate of weight gain from 0-24 months of age obtained by measuring the weight of participant children using a fixed electronic scale

    Measured: Constructed from weight measurements at 9 months of age

  17. Weight gain rate at 12 months

    Rate of weight gain from 0-24 months of age obtained by measuring the weight of participant children using a fixed electronic scale

    Measured: Constructed from weight measurements at 12 months of age

  18. Weight gain rate at 15 months

    Rate of weight gain from 0-24 months of age obtained by measuring the weight of participant children using a fixed electronic scale

    Measured: Constructed from weight measurements at 15 months of age

  19. Weight gain rate at 18 months

    Rate of weight gain from 0-24 months of age obtained by measuring the weight of participant children using a fixed electronic scale

    Measured: Constructed from weight measurements at 18 months of age

  20. Weight gain rate at 21 months

    Rate of weight gain from 0-24 months of age obtained by measuring the weight of participant children using a fixed electronic scale

    Measured: Constructed from weight measurements at 21 months of age

  21. Weight gain rate at 24 months

    Rate of weight gain from 0-24 months of age obtained by measuring the weight of participant children using a fixed electronic scale

    Measured: Constructed from weight measurements at 24 months of age

  22. Hemoglobin at 6 months

    Measurement of hemoglobin concentration in blood using blood biometry

    Measured: Measured at 6 months of age

  23. Hemoglobin at 12 months

    Measurement of hemoglobin concentration in blood using blood biometry

    Measured: Measured at 12 months of age

  24. Hemoglobin at 18 months

    Measurement of hemoglobin concentration in blood using blood biometry

    Measured: Measured at 18 months of age

  25. Hemoglobin at 24 months

    Measurement of hemoglobin concentration in blood using blood biometry

    Measured: Measured at 24 months of age

  26. Prevalence of obesity in children at 6 months

    Population estimation of obesity using Body Mass Index (BMI)

    Measured: Measured at 6 months of age

  27. Prevalence of obesity in children at 9 months

    Population estimation of obesity using Body Mass Index (BMI)

    Measured: Measured at 9 months of age

  28. Prevalence of obesity in children at 12 months

    Population estimation of obesity using Body Mass Index (BMI)

    Measured: Measured at 12 months of age

  29. Prevalence of obesity in children at 15 months

    Population estimation of obesity using Body Mass Index (BMI)

    Measured: Measured at 15 months of age

  30. Prevalence of obesity in children at 18 months

    Population estimation of obesity using Body Mass Index (BMI)

    Measured: Measured at 18 months of age

  31. Prevalence of obesity in children at 21 months

    Population estimation of obesity using Body Mass Index (BMI)

    Measured: Measured at 21 months of age

  32. Prevalence of obesity in children at 24 months

    Population estimation of obesity using Body Mass Index (BMI)

    Measured: Measured at 24 months of age

  33. Prevalence of stunting at 6 months

    Population estimation of stunting using height-for age <-2 SD

    Measured: Measured at 6 months of age

  34. Prevalence of stunting at 9 months

    Population estimation of stunting using height-for age <-2 SD

    Measured: Measured at 9 months of age

  35. Prevalence of stunting at 12 months

    Population estimation of stunting using height-for age <-2 SD

    Measured: Measured at 12 months of age

  36. Prevalence of stunting at 15 months

    Population estimation of stunting using height-for age <-2 SD

    Measured: Measured at 15 months of age

  37. Prevalence of stunting at 18 months

    Population estimation of stunting using height-for age <-2 SD

    Measured: Measured at 18 months of age

  38. Prevalence of stunting at 21 months

    Population estimation of stunting using height-for age <-2 SD

    Measured: Measured at 21 months of age

  39. Prevalence of stunting at 24 months

    Population estimation of stunting using height-for age <-2 SD

    Measured: Measured at 24 months of age

  40. Prevalence of anemia at 6 months

    Population estimation of anemia using hemoglobin concentration in blood

    Measured: Measured at 6 months of age

  41. Prevalence of anemia at 12 months

    Population estimation of anemia using hemoglobin concentration in blood

    Measured: Measured at 12 months of age

  42. Prevalence of anemia at 18 months

    Population estimation of anemia using hemoglobin concentration in blood

    Measured: Measured at 18 months of age

  43. Prevalence of anemia at 24 months

    Population estimation of anemia using hemoglobin concentration in blood

    Measured: Measured at 24 months of age

Secondary outcomes (2)
  1. Adherence to Nutritional Supplement Regime

    Consumption of the nutritional supplement measured as the number of packets consumed in one month

    Measured: Measured every month from 6 months of age until 24 months of age

  2. Exclusive Breastfeeding

    Measured as an indicator of exclusive breastfeeding, self-reported by the mother of a child

    Measured: Measured 24 months after the start of the intervention

Timeline

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

  1. First posted26 Nov 2018
  2. Study start1 Dec 2018 (estimated)
  3. Primary completionDec 2020 (estimated)
  4. Study completionDec 2020 (estimated)

Why it stopped: Funding cancelled

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03752762
Sponsor's protocol ID
Inter-AmericanDB Mexico
Status last verified
Feb 2022
First submitted
8 Jan 2018
Last updated
9 Mar 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Unidentified individual data will be shared among participating research institutions and made public 2 years after finalizing the study

Questions about this trial

What is this clinical trial studying?

A study testing SQ-LNS and SPOON behavioral change strategy in people with Exclusive Breastfeeding and Feeding Patterns, run by Inter-American Development Bank at 1 site in Mexico.

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 4 inclusion and 4 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: withdrawn, as of the sponsor's last update on 9 Mar 2022. 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 Mexico. 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?

The study was withdrawn before enrolling participants, so there are no results.

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?

Infant and young child feeding practices at 6 months (time frame: Measured at 6 months of age). The study lists 43 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 9 Mar 2022; AzTrials last refreshed its copy on 27 Oct 2026.

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