Fauveau 1992.
Methods | Study date: 1992. Study design: Cluster‐RCT. Allocated by courtyard | |
Participants | SES or context: Low‐ and middle‐income country: Urban slum in Bangladesh. 75% of slum dwellers were 'daily labourers'. Income per day less than USD 2. Among sample, only 22% of mothers employed; all with 'low wages'. Almost all of the sample had parents with wages less than USD 2 a day Nutritional status: Mid‐upper arm circumference between 110 and 129 mm, at risk of malnutrition Age: Average of almost 8 months in both groups Number: 127 entered. Experimental = 48, control = 43 (completed) Sex: Both. 60% ‐ 70% girls |
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Interventions | Intervention: Feeding + rations for family: Weekly ration of 450 g of pre‐mixed rice, wheat and lentil powder, and 90 g of cooking oil. Delivered to home. All local ingredients. Mothers were taught how to prepare the cereal Mothers of children in both groups received health education that focused on frequency of feedings and caloric content of food Duration: 6 months % DRI for energy: 17.6% % DRI for protein: Not enough information Control: Mothers taught how to prepare meals, but no feeding Provider: USDA Supervised: Visited every 2 weeks to assess. 6‐hour family food‐intake observation Compliance: Not mentioned Intervention: Home‐delivered rations to mothers |
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Outcomes | Physical: Weight gain | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Used computerised random number generation |
Allocation concealment (selection bias) | Unclear risk | Nothing mentioned about allocation concealment |
Baseline outcome measurements | Unclear risk | Not given |
Baseline characteristics | Unclear risk | Not applicable |
Incomplete outcome data (attrition bias) All outcomes | Low risk | They lost 36 children out of 127 due to illness or movement out of area. Reasons seem to be unrelated to intervention or outcome |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | None mentioned |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Children and parents knew that they were fed. Personnel delivering the interventions also knew |
Protection from contamination | Unclear risk | Not applicable |
Selective reporting (reporting bias) | Unclear risk | No access to protocol |