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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
30
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.
Community
Madarounfa, Maradi Region, Niger
Observed test dose acceptability
Consumption of ≥ 75% of the 50 g test dose within 30 minutes
Time frame: 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
Time frame: 12 hours
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)
Time frame: During 30 minutes of test dose administration
Observed test dose 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").
Time frame: 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")
Time frame: 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")
Time frame: 12 hours (7AM - 7PM on at-home observation day)
At-home observation child willingness to eat the food
Voluntarily eaten, encouraged to consume, rejected
Time frame: 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")
Time frame: 12 hours (7AM - 7PM on at-home observation day)
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