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Journal : Paediatrica Indonesiana

Development of an evidence-based complementary feeding practice module for mothers using the combined Delphi Method Rini Andriani; Damayanti Rusli Sjarif; Bambang Supriyatno; Aria Kekalih; Hartono Gunardi; Ika Karlina Idris
Paediatrica Indonesiana Vol 62 No 3 (2022): May 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.3.2022.198-207

Abstract

Background Malnutrition in infants remains a challenge in Indonesia. Malnutrition often arises as a result of errors in complementary feeding practices. An education module for Indonesian mothers may help them correctly implement complementary feeding practices. Objective To develop a module on correct complementary feeding practices for infants aged 6-9 months that can be read and understood by Indonesian mothers. Methods We performed qualitative research using the two-round Delphi method combined with group discussions. The first round listed the most important sub-themes of the module, while the second round sought approval for the module from experts. The Delphi team members were included using purposive and snowball sampling methods. Expert opinions were summarized and rearranged using the Steps for Coding and Theorization (SCAT) method. Results Ten experts were included in the Delphi team, with a mean duration of work experience of 28.5 (SD 12.37) years. The correct practices for giving complementary foods according to scientific evidence was named the ABC-Makanan PendampingASI/MPASI-Press (“Printed ABC of Complementary Feeding”) module and was summarized into four main topics: timely, adequate, safe, and responsive feeding. This module was made using language, photos, and images that were easily understood by mothers and included the suitable nutritional compositions to meet the needs of infants aged 6-9 months. Conclusion We developed the ABC-MPASI-Press module based on scientific evidence and experts’ reviews using the combined Delphi method. This educational guide is expected to inform mothers about correct complementary feeding practices for infants aged 6-9 months in order to prevent malnutrition.
Development, validity, and reliability of a questionnaire on mothers’ knowledge in complementary feeding practices (PI-MPASI) in Indonesia Andriani, Rini; Supriyatno, Bambang; Kekalih, Aria; Sjarif, Damayanti Rusli
Paediatrica Indonesiana Vol. 63 No. 5 (2023): September 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.5.2023.335-45

Abstract

Background A number of complementary educational feeding modules have been circulating in the community, but mothers have yet to use them optimally. There is an urgent need for an effective educational method on appropriate complementary feeding and an instrument to measure maternal knowledge in proper complementary feeding practices. Objective To develop and assess the validity and reliability of a questionnaire on complementary feeding practices. Methods We conducted a qualitative study to develop a questionnaire followed by a cross-sectional study to test the validity and the reliability of the PI-MPASI questionnaire. The research team designed the PI-MPASI questionnaire through a literature review with a team of experts, based on the evidence-based feeding practice recommendations for infants and toddlers in Indonesia as compiled by the Indonesian Pediatric Society (IPS) in 2015. Content validation was carried out through expert review, whilst the construct validity and the reliability were tested on 110 mothers who met the inclusion criteria. Results In the content validity assessment, an average congruent percentage of 90% was obtained for the sub-themes of time, nutritional adequacy, safety, and feeding responsiveness as the four essential points that mothers should know regarding proper complementary feeding practices. Most of the item scores showed moderate to high correlations with the total score, with reliability test showcasing a good internal consistency (Cronbach's alpha = 0.715). Conclusion This study showed that our questionnaire on mothers’ knowledge in complementary feeding practices (PI-MPASI) is a valid and reliable instrument to assess maternal knowledge on correct complementary feeding practices in Indonesia.
Educational intervention using the Complementary Feeding Practice Module on maternal knowledge and behavior Andriani, Rini; Supriyatno, Bambang; Kekalih, Aria; Gunardi, Hartono; Timan, Ina Susianti; Syafiq, Ahmad; Sidiartha, I Gusti Lanang; Sjarif, Damayanti Rusli
Paediatrica Indonesiana Vol. 65 No. 1 (2025): January 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.1.2025.71-7

Abstract

Background Correct complementary feeding practice can be a challenge for mothers. Our complementary feeding practice module provides practical information regarding evidence-based complementary feeding practices. Objective To assess the effect of educational intervention using the complementary feeding practice module on maternal knowledge and behavior and to compare the effect of video vs. printed delivery of the module. Methods This open label randomized controlled trial included mothers with babies aged 4 to 8 months in Pontianak, West Kalimantan, Indonesia, who engaged in complementary feeding. Subjects were randomized into an intervention group that received a printed booklet of the module, an intervention group that received a video of the module, or a control group that received the standard Indonesian mother and child health (MCH) handbook. Maternal knowledge and behavior regarding complementary feeding practice were assessed before and after the educational intervention using the PI-MPASI questionnaire. Results Of 360 mothers screened, 241 subjects were randomized into the video education group (n=76), the printed education group (n=84), and the control group (n=81). A total of 212 subjects completed the study by submitting both the pre- and post-test: 66 in the video group, 74 in the printed booklet group, and 72 in the control group. Subjects who received the module (video or printed) had significantly higher knowledge and behavior scores than those in the control group. Video education was associated with a greater increase in behavior score than printed education and control. The outcome of video education was not influenced by maternal educational level. Conclusion  Education using a simple and practical video or printed module improves maternal knowledge and behavior in complementary feeding practices. Video education is associated with a greater improvement in maternal complementary feeding behavior than printed education.
Co-Authors Achmad Fauzi Kamal Addin Trirahmanto Adiningsih Sri Lestari Afrionaldi Suparman Agi Satria Putranto Agiananda, Feranindhya Agus D. Susanto Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Ahmad Aulia Ahmad Fuadi Ahmad Syafiq Aldri Frinaldi Aleddin, Rommel Alexander AW Peters Alida Roswita Harahap Alma Thahir Pulungan Ambari, Ade Meidian Amendi Nasution Amilya Agustina Amir Shidik Amir Shidik Amitya Kumara Amitya Kumara Andrijono Angela BM Tulaar Aninditha, Tiara Anis Karuniawati Anita Ratnawati Anitasari Kusumawati Antonius H. Pudjiadi Anwar Jusuf Anwar Santoso Aprilya, Dina Arthur Garson Aryono Hendarto Asmarinah Astri, Setia Wati Astrid Sulistomo Aziza G. Icksan Badriul Hegar Badriul Hegar Bambang Budi Siswanto Bambang Pontjo Priosoeryanto Bambang Supriyatno Basrowi, Ray Wagiu Basuni Radi Batubara, Jose Benjamin Ngatio, Benjamin Betharia Sonata Butarbutar Bethy Suryawathy Hernowo Bondan Harmani Bondan Harmani Boy Hidayat Budhi Antariksa Budi Sampurna Budi Wiweko Budiman Bintang Prakoso Canintika, Anissa Feby Cepi Teguh Pramayadi Chaidir Arif Mochtar Cut Putri Samira Damayanti Rusli Sjarif Danny Rasjiid Garna Darmawan, Irene Darwis, Patrianef Deni Noviana Denta Aditya Episana Desandri, Dwita Rian Dewi Friska Dewi Friska Dewi Sumaryani Soemarko Dewi Yunia Fitriani Dialika Dialika Dilawar, Ismail Dwiputra, Bambang Effendi, Haikal Elisna Syahruddin Elisna Syahruddin Elvioza Elvioza Elvioza Elvioza Endang Parahyanti Erlina Burhan Etty Rekawati Fachruddin, Ismi Irfiyanti Faisal Yunus Faisha Rahma, Melly Faraby Martha Feni Fitriani Ferdy Nurhadi Ferius Soewito Ferry Sandra Firdaus, Najmarani Devi Fitri Octaviana Fitriyadi Kusuma Gatot Purwoto Gede Wirya Kusuma Duarsa Ginting, Tribowo T. Halim, Kelvin Hanny Nilasari Hansen Angkasa Harahap, Alida R. Harahap, Alida Rosita Hardjono, Indra Hariyono Winarto Harsono, Hasto Hartanto, David Dwiadiputra Hartono Gunardi Hartono Gunardi Haswinzky, Rose Amalia Hatibie, Mendy Juniaty Helda Khusun Helda Khusun Helena Turnip Hendriko Heri Suroto Heri Wibowo Herman Mulijadi Herqutanto - Herwanto Herwanto Hesti Lestari Hidayat, Boy I Gusti Lanang Sidiartha I Nyoman Murdana Ibrahim Basir Ida Parwati Idqan Fahmi Ika Citra Susanti Ika Karlina Idris Imam Subekti Ina Susianti Timan Indah S. Widyahening Indiarto Wityawan Inne Yuliawati, Inne Iqbal, Mochamad Irfan Wahyudi Iris Rengganis IRWANTO Isbaniah, Fathiyah Isep Supriyana Ismail Hadisoebroto Dilogo Ismet, Mohamad F. Iwan Dwiprahasto Iwan Dwiprahasto Jeo, Wifanto S. Jeo, Wifanto Saditya Johan, Anita Judith N. Anastasia Junaiti Sahar Junita Indarti Kamil, Radhita F. Kanadi Sumapradja Karnasih, Artasya Kartika, Emiliana Katsukawa, Hajime Kayika, I Putu Gede Kemal N. 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