Trial reportNutrition journal2024
Effect of nutrition education integrating the health belief model and theory of planned behavior on dietary diversity of pregnant women in Southeast Ethiopia: a cluster randomized controlled trial.
Trial report in Nutrition journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Effectiveness of Context-Specific Social and Behaviour Change (SBC) Interventions in Improving Child Diet in Ethiopia: A Systematic Review and Meta-Analysis.Maternal & child nutrition · 2026Pooled it
- Effect of nutrition education and counseling intervention on the dietary diversity practice of pregnant women in Ethiopia: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2026Pooled it
- Healthy behavior of pregnant women: review and integrated model conceptualization.BMC pregnancy and childbirth · 2026Pooled it
- Food taboo practices and associated factors among pregnant women in Sub-Sahara Africa: a systematic review and meta-analysis.Journal of health, population, and nutrition · 2025Pooled it
- Effect of Dala-Led Behavior Change Communication on Complementary Feeding Practices in Infants and Young Children: A Cluster-Randomized Controlled Trial in Agro-Pastoral Settings of Afar Region, Ethiopia.Maternal & child nutrition · 2026Trial
- Effect of Edible Cricket Enriched Complementary Porridge and Nutrition Education on Linear Growth of Children 6-14 Months in Siaya County, Kenya: A Randomized 2 × 2 Factorial Trial.Maternal & child nutrition · 2026Trial
- Effect of nutrition education integrating the health belief model and theory of planned behavior during pregnancy on gestational weight gain and birth weight in Southeast Ethiopia using complex analyses.BMC pregnancy and childbirth · 2025Trial
- Effect of nutrition education on hemoglobin level of pregnant women in Southeast Ethiopia: a cluster randomized controlled trial.BMC public health · 2025Trial
- Effect of nutrition education on the nutritional status of pregnant women in Robe and Goba Towns, Southeast Ethiopia, using a cluster randomized controlled trial.Scientific reports · 2024Trial
- Effect of Nutrition Interventions on the Dietary Diversity Status Among Pregnant Women in Ethiopia: Systematic Review and Meta-Analysis.Food science & nutrition · 2025Review
- Article
- Can Dietary Supplements Be Linked to a Vegan Diet and Health Risk Modulation During Vegan Pregnancy, Infancy, and Early Childhood? The VedieS Study Protocol for an Explorative, Quantitative, Cross-Sectional Study.International journal of environmental research and public health · 2025Article
- Nutritional status and associated factors among school age children in Southeast Ethiopia using a bayesian analysis approach.Scientific reports · 2025Article
- Minimum dietary diversity and its determinants among lactating mothers in five Sub-Saharan African countries: A multilevel analysis.PloS one · 2025Article
- Effect of nutrition behavior change communication on nutrition knowledge and dietary practices of pregnant adolescents in West Arsi, Central Ethiopia: a cluster randomized controlled trial.Frontiers in nutrition · 2025Article
- Context-Tailored Food-Based Nutrition Education and Counseling for Pregnant Women to Improve Birth Outcomes: A Cluster-Randomized Controlled Trial in Rural Malawi.Current developments in nutrition · 2024Article
- Iron-rich food consumption and predictors among children aged 6-59 months old in Ethiopia using 2005-2016 national representative data.Scientific reports · 2024Article
- Characterizing Healthy Dietary Practices in Japan: Insights from a 2024 Nationwide Survey and Cluster Analysis.Nutrients · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal anemia, miscarriage, low birth weight (LBW), preterm birth (PTB), intrauterine growth restriction (IUGR), prenatal and infant mortality, morbidity, and the risk of chronic disease later in life are all increased by a lack of dietary diversity during pregnancy. However, evidence for the effect of nutrition education on the dietary diversity score (DDS) among pregnant women was sparse in Ethiopia, particularly in the study areas. This study aimed to assess the effect of nutrition education on dietary diversity among pregnant women in urban settings in Southeast Ethiopia.
methodsA community-based two-arm parallel cluster randomized controlled trial was conducted among 447 randomly selected pregnant women attending antenatal care (224 intervention group and 223 control group) at health facilities from February to December 2021. A multistage cluster sampling technique, followed by systematic sampling, was used to select the pregnant women. Pregnant women who participated in the interventions were given nutrition education starting at 16 weeks of gestation and continuing for 6 months. We used a pre-tested, interviewer-administered, structured questionnaire to collect the data. A 24-hour qualitative dietary recall was used to calculate the dietary diversity score (DDS). A multivariable generalized estimating equation (GEE) model was conducted to evaluate the intervention effect.
resultsAfter the intervention, the proportion of adequate dietary diversity was 14.15% higher in the intervention arm compared to the control group (45.09% versus 30.94%, P = 0.002). The overall difference in adequate dietary diversity between the two groups was 8.5%. After adjusting for background characteristics, the multivariable GEE binary logistic model revealed that having received intervention [(AOR = 1.89, 95% CI: 1.27, 2.79)], being literate [(AOR = 3.41, 95% CI: 1.13, 10.23)], and having high wealth [(AOR = 1.60, 95% CI: 1.09, 2.35)] significantly improved adequate dietary diversity.
conclusionThe findings indicated that having received the intervention, being literate, and having a high level of wealth significantly improved maternal dietary diversity. Efforts should be made to increase nutrition education using the health belief model (HBM) and the theory of planned behavior (TPB). Moreover, there is a need to improve literacy and economic empowerment through income-generating activities to enhance adequate dietary diversification during pregnancy.
trial registrationClinicaltrials.gov (PACTR202201731802989, Retrospectively registered on 24 January 2022).
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.