The Pathways from a Behavior Change Communication Intervention to Infant and Young Child Feeding in Bangladesh Are Mediated and Potentiated by Maternal Self-Efficacy

The Journal of Nutrition
Amanda A ZongroneRebecca J Stoltzfus

Abstract

Although self-efficacy is a potential determinant of feeding and care behaviors, there is limited empirical analysis of the role of maternal self-efficacy in low- and middle-income countries. In the context of behavior change interventions (BCIs) addressing complementary feeding (CF), it is possible that maternal self-efficacy can mediate or enhance intervention impacts. In the context of a BCI in Bangladesh, we studied the role of maternal self-efficacy for CF (MSE-CF) for 2 CF behaviors with the use of a theoretically grounded empirical model of determinants to illustrate the potential roles of MSE-CF. We developed and tested a locally relevant scale for MSE-CF and included it in a survey (n = 457 mothers of children aged 6-24 mo) conducted as part of a cluster-randomized evaluation. Qualitative research was used to inform the selection of 2 intervention-targeted behaviors: feeding green leafy vegetables in the last 24 h (GLV) and on-time introduction of egg (EGG) between 6 and 8 mo of age. We then examined direct, mediated, and potentiated paths of MSE-CF in relation to the impacts of the BCI on these behaviors with the use of regression and structural equation modeling. GLV and EGG were higher in the intensive group than in...Continue Reading

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Citations

Mar 28, 2019·Advances in Nutrition·Katie M Di SebastianoRachel A Murphy
Nov 8, 2019·The Cochrane Database of Systematic Reviews·Rebecca K HodderLuke Wolfenden
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Jul 29, 2020·Journal of Health, Population, and Nutrition·Priyanka AthavaleKaren Sokal-Gutierrez
May 26, 2020·The Cochrane Database of Systematic Reviews·Rebecca K HodderLuke Wolfenden
Nov 20, 2020·The Journal of Nutrition·Cynthia R MatareUNKNOWN Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team

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