Positive impact of child feeding training program for primary care health professionals: a cluster randomized field trial

Vítolo, Márcia Regina; Louzada, Maria Laura da Costa; Rauber, Fernanda

doi:10.1590/1809-4503201400040007

Cited by 30 publications

(17 citation statements)

References 26 publications

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“…The goal of the trial was to investigate the effect on child health outcomes of a health professional training programme that provided evidence‐based healthy feeding recommendations to new mothers (randomisation at health centre level). As reported earlier, the intervention was associated with infant feeding habits closer to guideline recommendations but there was no statistically significant reduction in tooth decay among children of mothers recruited from intervention health centres.…”

Section: Methodssupporting

confidence: 54%

Feeding frequency in infancy and dental caries in childhood: a prospective cohort study

Feldens

Rodrigues

Anastácio

et al. 2018

International Dental Journal

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Section: Methodssupporting

confidence: 54%

Feeding frequency in infancy and dental caries in childhood: a prospective cohort study

Feldens

Rodrigues

Anastácio

et al. 2018

International Dental Journal

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“…This study is a cross‐sectional analysis of oral health data collected at the 38‐month postbaseline visit of a cluster‐randomized controlled trial in Porto Alegre, Brazil, a city of 1.4 million residents with a fluoridated community water supply (0.7 ppm). The original trial recruited pregnant women in 2008 from 20 municipal health centres (basic health units), with the objective of evaluating the impact of healthcare worker training in maternal nutritional counselling on infant‐feeding practices and other child health outcomes, including dental caries . To be eligible for the trial, health centres were required to have >100 annual infant visits, not be involved in other nutrition programmes, and recruited pregnant mothers needed to be HIV negative (to avoid possible conflicts in breastfeeding recommendations) .…”

Section: Methodsmentioning

confidence: 99%

Oral health‐related quality‐of‐life scores differ by socioeconomic status and caries experience

Chaffee

Rodrigues

Kramer

et al. 2017

Comm Dent Oral Epid

170

114

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Objectives 1) Quantify the relative association between child dental caries experience and maternal-reported child oral health-related quality of life (OHRQoL); 2) Examine whether that association differed according to family socioeconomic status (SES); and 3) Explore whether absolute OHRQoL varied by family SES at similar levels of child caries experience. Methods Among children in Southern Brazil (N=456, mean age: 38 months), OHRQoL impact was quantified as mean score on the Brazilian Early Childhood Oral Health Impact Scale (ECOHIS) and compared over categories of caries experience (dmft: 0, dmft: 1–4, dmft: ≥5). Adjusted ECOHIS ratios between caries categories were calculated using regression modeling, overall and within socioeconomic strata defined by maternal education, social class, and household income. Results Caries prevalence (dmft >0) was 39.7%, mean ECOHIS score was 2.0 (SD: 3.5), and 44.3% of mothers reported OHRQoL impact (ECOHIS score >0). Increasing child caries experience was associated with worsening child and family quality of life: ECOHIS scores were 3.0 times greater (95% CI: 2.0, 4.4) for children with dmft ≥5 versus dmft=0, a pattern that persisted regardless of family socioeconomic status (P-for-interaction: all >0.3). However, adjusted for dental status and socio-demographics, mean ECOHIS scores were lower when reported by mothers of less educational attainment (ratio: 0.7 ; 95% CI: 0.5, 1.0), lower social class (ratio: 0.7; 95% CI: 0.5, 1.0), or in lower income households (ratio: 0.8; 95% CI: 0.4, 1.2). Conclusion Dental caries was associated with negative child and family experiences, contributing to diminished OHRQoL across all social groups; yet, families facing greater disadvantage may report lesser quality of life impact at the same level of disease experience. Thus, subjective quality of life measures may differ under varying social contexts, with possible implications for service utilization, evaluating oral health interventions, or quantifying disease morbidity in low SES groups.

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“…It is a cross-sectional analysis of data collected in a followup study (Vitolo, Louzada, & Rauber, 2014). This major study aimed to assess the impact of an educational intervention conducted with public health center (PHC) professionals on health outcomes of children whose mothers were treated by these professionals during pregnancy .…”

Section: Designmentioning

confidence: 99%

Mothers’ perceptions of their own diets and the diets of their children at 2–3 years of age

Broilo

Vítolo

Stenzel

2017

Psicol. Refl. Crít.

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This is a cross-sectional analysis of a follow-up study to examine the perceptions of mothers treated at public health centers, regarding their own diets and the diets of their children aged 2-3. Among the 464 participants, 57% (n = 267) reported perceiving their own diets as unhealthy while 72% (n = 334) perceiving their children's diets as healthy. The mothers' perceptions of their own diets as healthy were associated with less maternal schooling and having received health care from professionals who had received special training (p < 0.05). The mothers' perceptions of their children's diets as healthy were associated with more maternal schooling (p < 0.05). This difference between the mothers' perceptions of their own diets and those of their children reinforce the importance of considering maternal beliefs and attitudes in infant nutritional intervention programs.

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Positive impact of child feeding training program for primary care health professionals: a cluster randomized field trial

Abstract: The training of health professionals had a positive impact on infant feeding practices, contributing to the promotion of child health.

Cited by 30 publications

References 26 publications

Feeding frequency in infancy and dental caries in childhood: a prospective cohort study

Feeding frequency in infancy and dental caries in childhood: a prospective cohort study

Oral health‐related quality‐of‐life scores differ by socioeconomic status and caries experience

Mothers’ perceptions of their own diets and the diets of their children at 2–3 years of age

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