The One Nutrition in Complex Environments (ONCE) study protocol: a cluster-randomized multi-level multi-sectoral intervention to improve nutrition in Uganda
Objective: To implement and measure the effects of a multi-level multi-sectoral social behavior change (SBC) intervention in Agago District of Northern Uganda and to determine the potential for scale-up. Intervention: Compare the Nutrition Impact and Positive Practice (NIPP) approach to a NIPP+ appr...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Journal Article |
| Language: | Inglés |
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Springer
2022
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| Online Access: | https://hdl.handle.net/10568/128237 |
| _version_ | 1855543142890078208 |
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| author | Griswold, Stacy P. Marshak, Anastasia Fitzpatrick, Merry Lantagne, Daniele Shoenmakers, Kate Hebie, Marlene Radday, Anne Groote, Hugo de Mehta, Saurabh Gottlieb, Greg Webb, Patrick Ghosh, Shibani |
| author_browse | Fitzpatrick, Merry Ghosh, Shibani Gottlieb, Greg Griswold, Stacy P. Groote, Hugo de Hebie, Marlene Lantagne, Daniele Marshak, Anastasia Mehta, Saurabh Radday, Anne Shoenmakers, Kate Webb, Patrick |
| author_facet | Griswold, Stacy P. Marshak, Anastasia Fitzpatrick, Merry Lantagne, Daniele Shoenmakers, Kate Hebie, Marlene Radday, Anne Groote, Hugo de Mehta, Saurabh Gottlieb, Greg Webb, Patrick Ghosh, Shibani |
| author_sort | Griswold, Stacy P. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Objective: To implement and measure the effects of a multi-level multi-sectoral social behavior change (SBC) intervention in Agago District of Northern Uganda and to determine the potential for scale-up. Intervention: Compare the Nutrition Impact and Positive Practice (NIPP) approach to a NIPP+ approach. The NIPP approach involves nutrition education and SBC, whereas the NIPP+ adds agricultural inputs, training, and tools to support improved farm and water quality practices. The intervention effect will be measured through lower levels of aflatoxin in grain, lower water contamination, and improved knowledge on nutrition and health. Design: This is a three-arm cluster-randomized controlled superiority trial (cRCT). The study arms include the following: group 1: NIPP; group 2: NIPP+, and group 3: control. Groups 1 and 2 will receive a 12-week intervention (NIPP or NIPP+) with active monitoring and longitudinal follow-up at 2, 6, and 12 months post-intervention. Additionally, an in-depth process and performance evaluation of each intervention arm will be undertaken using quantitative and qualitative methods. A total of 60 clusters from 5 subcounties of the Agago district will be randomly selected, and 15 households per cluster will be recruited using specific inclusion/exclusion criteria for a total of 900 households (300/arm). Respondents for the qualitative portion will be purposely selected. Analysis: We will collect data from all participants at 3 time points: baseline, endline, and 12 months post-intervention. The analysis will utilize intent-to-treat (ITT) using the initial randomization of the treatment arms to determine the overall impact of having the NIPP vs. NIPP+ vs. control. Mixed effects models will be used to determine the role of time-variant and invariant individual household, and community characteristics, as well as measures of exposure and integration on key outcome indicators. A difference-in-difference analysis (baseline/endline, baseline/12 months post-intervention, endline/12 months post-intervention) will also be used to triangulate findings. |
| format | Journal Article |
| id | CGSpace128237 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Springer |
| publisherStr | Springer |
| record_format | dspace |
| spelling | CGSpace1282372025-11-06T13:10:27Z The One Nutrition in Complex Environments (ONCE) study protocol: a cluster-randomized multi-level multi-sectoral intervention to improve nutrition in Uganda Griswold, Stacy P. Marshak, Anastasia Fitzpatrick, Merry Lantagne, Daniele Shoenmakers, Kate Hebie, Marlene Radday, Anne Groote, Hugo de Mehta, Saurabh Gottlieb, Greg Webb, Patrick Ghosh, Shibani nutrition protocols Objective: To implement and measure the effects of a multi-level multi-sectoral social behavior change (SBC) intervention in Agago District of Northern Uganda and to determine the potential for scale-up. Intervention: Compare the Nutrition Impact and Positive Practice (NIPP) approach to a NIPP+ approach. The NIPP approach involves nutrition education and SBC, whereas the NIPP+ adds agricultural inputs, training, and tools to support improved farm and water quality practices. The intervention effect will be measured through lower levels of aflatoxin in grain, lower water contamination, and improved knowledge on nutrition and health. Design: This is a three-arm cluster-randomized controlled superiority trial (cRCT). The study arms include the following: group 1: NIPP; group 2: NIPP+, and group 3: control. Groups 1 and 2 will receive a 12-week intervention (NIPP or NIPP+) with active monitoring and longitudinal follow-up at 2, 6, and 12 months post-intervention. Additionally, an in-depth process and performance evaluation of each intervention arm will be undertaken using quantitative and qualitative methods. A total of 60 clusters from 5 subcounties of the Agago district will be randomly selected, and 15 households per cluster will be recruited using specific inclusion/exclusion criteria for a total of 900 households (300/arm). Respondents for the qualitative portion will be purposely selected. Analysis: We will collect data from all participants at 3 time points: baseline, endline, and 12 months post-intervention. The analysis will utilize intent-to-treat (ITT) using the initial randomization of the treatment arms to determine the overall impact of having the NIPP vs. NIPP+ vs. control. Mixed effects models will be used to determine the role of time-variant and invariant individual household, and community characteristics, as well as measures of exposure and integration on key outcome indicators. A difference-in-difference analysis (baseline/endline, baseline/12 months post-intervention, endline/12 months post-intervention) will also be used to triangulate findings. 2022-12 2023-01-25T19:56:13Z 2023-01-25T19:56:13Z Journal Article https://hdl.handle.net/10568/128237 en Open Access application/pdf Springer Griswold, S. P., Marshak, A., Fitzpatrick, M., Lantagne, D., Shoenmakers, K., Hebie, M., Radday, A., De Groote, H., Mehta, S., Gottlieb, G., Webb, P., & Ghosh, S. (2022). The One Nutrition in Complex Environments (ONCE) study protocol: a cluster-randomized multi-level multi-sectoral intervention to improve nutrition in Uganda. Trials, 23(1). https://doi.org/10.1186/s13063-022-06170-7 |
| spellingShingle | nutrition protocols Griswold, Stacy P. Marshak, Anastasia Fitzpatrick, Merry Lantagne, Daniele Shoenmakers, Kate Hebie, Marlene Radday, Anne Groote, Hugo de Mehta, Saurabh Gottlieb, Greg Webb, Patrick Ghosh, Shibani The One Nutrition in Complex Environments (ONCE) study protocol: a cluster-randomized multi-level multi-sectoral intervention to improve nutrition in Uganda |
| title | The One Nutrition in Complex Environments (ONCE) study protocol: a cluster-randomized multi-level multi-sectoral intervention to improve nutrition in Uganda |
| title_full | The One Nutrition in Complex Environments (ONCE) study protocol: a cluster-randomized multi-level multi-sectoral intervention to improve nutrition in Uganda |
| title_fullStr | The One Nutrition in Complex Environments (ONCE) study protocol: a cluster-randomized multi-level multi-sectoral intervention to improve nutrition in Uganda |
| title_full_unstemmed | The One Nutrition in Complex Environments (ONCE) study protocol: a cluster-randomized multi-level multi-sectoral intervention to improve nutrition in Uganda |
| title_short | The One Nutrition in Complex Environments (ONCE) study protocol: a cluster-randomized multi-level multi-sectoral intervention to improve nutrition in Uganda |
| title_sort | one nutrition in complex environments once study protocol a cluster randomized multi level multi sectoral intervention to improve nutrition in uganda |
| topic | nutrition protocols |
| url | https://hdl.handle.net/10568/128237 |
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