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| ID | Type | Description | Link |
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| INV-023315 | Other Grant/Funding Number | Gates Foundation |
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| Name | Class |
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| Harvard School of Public Health (HSPH) | OTHER |
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The study consisted of two phases. Phase 1 was a recipe development phase, which aimed to identify recipes that meet ≥80% of the recommended nutrient profile for Specially Formulated Foods (SFF) used in the standard management of MAM and made with locally available ingredients. In Phase 2, the recipes developed during Phase 1 were evaluated for acceptability among children 6 to < 24 months of age with MAM during a randomized crossover feeding study with a 30-minute observed test dose and evaluation of at-home use.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Recipe #1 | Experimental |
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| Recipe #2 | Experimental |
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| Recipe #12 | Experimental |
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| Recipe #20 | Experimental |
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| Recipe #22 | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Locally Available Food | Other | Phase 1 of the present study developed supplementary food recipes using locally available, non-perishable ingredients. Market surveys identified 49 foods, reduced to 30 suitable items. Using linear programming in the Cost of the Diet software, 24 recipes meeting ≥80% of the nutrient profile for standard MAM treatment were generated, each including 2 g of micronutrient powder. A 2022 market survey in Maradi assessed prices and year-round availability; only six recipes met this requirement and were selected. A standardized method for at-home preparation of each recipe was developed. |
| Measure | Description | Time Frame |
|---|---|---|
| Observed test dose acceptability | Consumption of ≥ 75% of the 50 g test dose within 30 minutes | During 30 minutes of test dose administration |
| At-home observation acceptability | Consumption of ≥ 75% of the caregiver-prepared recipe within the 12-hour observation period | 12 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Observed test dose consumption | Consumption (defined as grams of food provided at the start of the test dose minus grams of food left at the conclusion of the test dose) | During 30 minutes of test dose administration |
| Observed test dose recipe organoleptic ratings |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Community | Madarounfa | Maradi Region | Niger |
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The study had two phases.
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Participants, caregivers, and study staff were not blinded to recipe identity due to the nature of the intervention.
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| Recipe #24 | Experimental |
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Taste, smell, odor, color, and overall as reported by the caregiver on a 5-point Likert scale (1 = "dislike a lot" and 5 = "like a lot"). |
| Following completion of the 30-minute test dose period |
| Observed test dose perceived child liking | Perceived child liking as reported by the caregiver on a 5-point Likert scale (1 = "dislike a lot" and 5 = "like a lot") | Following completion of the 30-minute test dose period |
| At-home observation recipe organoleptic ratings | Taste, smell, odor, color, and overall as reported by the caregiver on a 5-point Likert scale (1 = "dislike a lot" and 5 = "like a lot") | 12 hours (7AM - 7PM on at-home observation day) |
| At-home observation child willingness to eat the food | Voluntarily eaten, encouraged to consume, rejected | 12 hours (7AM - 7PM on at-home observation day) |
| At-home observation caregiver willingness to use the recipe in the future | As reported on a 5-point Likert scale (1 = "not at all willing" and 5 = "extremely willing") | 12 hours (7AM - 7PM on at-home observation day) |
| ID | Term |
|---|---|
| D002100 | Cachexia |
| ID | Term |
|---|---|
| D015431 | Weight Loss |
| D001836 | Body Weight Changes |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013851 | Thinness |
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