Related Experiment Video
Updated: Jan 24, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Child development, growth and microbiota: follow-up of a randomized education trial in Uganda
Prudence Atukunda1, Grace K M Muhoozi1,2, Tim J van den Broek3
1Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.
Insights
Maternal education in rural Uganda improved child development and growth by age three. The intervention positively impacted cognitive, language, and motor skills, alongside physical growth, but did not affect gut microbiota composition.
Area of Science:
- Global Health
- Child Development
- Nutritional Science
Background:
- Undernutrition significantly hinders child development and growth.
- A cluster-randomized trial investigated the impact of a maternal education package in rural Uganda.
- This follow-up study assessed long-term effects on child development, growth, and gut microbiota at 36 months.
Purpose of the Study:
- To evaluate the effects of a maternal education intervention on children's cognitive, language, and motor development.
- To assess the intervention's impact on child growth, specifically height-for-age.
- To examine changes in gut microbiota composition following the maternal education program.
Main Methods:
- Follow-up of 155 mother-child pairs from an initial trial (511 pairs).
- Intervention group received nutrition, stimulation, and hygiene education; control group received routine care.
- Developmental outcomes assessed using Bayley Scales of Infant and Toddler Development (BSID-III), Ages and Stages Questionnaire (ASQ), and Mullen Scales of Early Learning (MSEL). Growth and gut microbiota were also analyzed.
Main Results:
- The intervention group showed significantly higher BSID-III composite scores for cognitive, language, and motor development compared to the control group (P < 0.05).
- Improvements were observed in ASQ and MSEL scores for the intervention group.
- A significant increase in height-for-age z-score was noted in the intervention group (P = 0.0001), but gut microbiota composition remained similar between groups.
Conclusions:
- Maternal education intervention positively influenced child development and growth at three years of age.
- The intervention did not significantly alter gut microbiota composition.
- The findings suggest the potential applicability of this maternal education approach in other low-resource settings.
Background:
Undernutrition impairs child development outcomes and growth. In this follow-up study of an open cluster-randomized intervention trial we examined the effects of an education package delivered to mothers in rural Uganda on their children's development, growth and gut microbiota at 36 months of age.
Methods:
The parental trial included 511 mother-child pairs recruited when the children were 6-8 months. In that trial, a nutrition, stimulation and hygiene education was delivered to mothers in the intervention group while the control group received routine health care. A follow-up sample of 155 pairs (intervention n = 77, control n = 78) were re-enrolled when the children were 24 months. Developmental outcomes were assessed with the Bayley Scales of Infant and Toddler Development (BSID-III) composite scores for cognitive (primary endpoint), language and motor development. Development outcomes were also evaluated using the Ages and Stages Questionnaire (ASQ) and the Mullen Scales of Early Learning (MSEL). Other outcomes included growth and gut microbiota composition.
Results:
The demographic characteristics were not different (P > 0.05) between the intervention and control groups and similar to those of the parental study. The intervention group had higher BSID-III scores than controls, with mean difference 10.13 (95% confidence interval (CI): 3.31-17.05, P = 0.002); 7.59 (1.62-13.66, P = 0.01); 9.00 (2.92-15.40, P = 0.005), for cognitive, language and motor composite scores, respectively. An improvement in the intervention compared to the control group was obtained for both the ASQ and the MSEL scores. The mean difference in height-for-age z-score was higher in the intervention compared to the control group: 0.50 (0.25-0.75, P = 0.0001). Gut microbiota composition did not differ significantly between the two study groups.
Conclusions:
The maternal education intervention had positive effects on child development and growth at three years, but did not alter gut microbiota composition. This intervention may be applicable in other low-resource settings.
Trial Registration:
ClinicalTrials.gov registration number NCT02098031.
Related Concept Videos
Clinical Trials
There are four phases in a clinical trial. A phase one...
Clinical Trials: Overview
Trial and Error and Algorithm
Random Error
Random Variables
Uppercase letters such as X or Y denote a random variable. Lowercase letters like x or y denote the value of a random variable. If X is a random variable, then X is written in words, and x is given as a number.
For example, let X = the...
Randomized Experiments
Simple randomization
Simple...

