{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T15:57:33Z","timestamp":1792684653445,"version":"4.5.0"},"reference-count":48,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"unspecified","delay-in-days":48,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1368980026102080_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study used the trials of improved practices (TIPs) approach to explore complementary feeding practices among caregivers of children under two and assess the acceptance of new nutritional supplements by providing microbiota-directed supplementary food (MDSF), ready-to-use supplementary food (RUSF) and locally available food (LAF) among moderately malnourished children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102080_as2\">\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>The study was conducted between May and October 2022 in preparation for a larger trial. The first phase focused on complementary feeding, hygiene, breast-feeding and responsive feeding practices using in-depth interviews and observations. The second phase involved counselling sessions and providing food supplements for forty-five participants. Follow-up visits evaluated acceptability and challenges faced during this period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102080_as3\">\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Bauniabadh slum, Mirpur, Dhaka.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102080_as5\">\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Sixty-five children aged 6\u201324 months with moderate wasting and their caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102080_as6\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Findings from IDI and observations revealed poor handwashing practices, with most caregivers washing only with water, and inconsistent use of soap. Only a minority boiled drinking water or cleaned utensils with soap. Responsive feeding practices were also limited, with frequent mobile phone use during feeding and lack of attention to the child. Among the three food interventions, LAF received the highest hedonic ratings across all sensory attributes, with a mean taste score of 5\u00b77\u00b11\u00b74, compared with MDSF (4\u00b78\u00b11\u00b79) and RUSF (4\u00b77\u00b11\u00b76), although median consumption was similar across all supplements (75%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102080_as7\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The TIPs approach identified context-specific caregiver behaviours and feeding preferences. These findings will guide the upcoming trial and assist policymakers and program planners in developing culturally tailored interventions to address childhood malnutrition in urban slums.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1368980026102080","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T09:51:56Z","timestamp":1771408316000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Trials of improved practices to explore caregivers\u2019 practices for childhood nutrition and acceptance of novel interventions for moderately wasted children in a Dhaka slum"],"prefix":"10.1017","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0005-2516","authenticated-orcid":false,"given":"Md Hasan Hafizur","family":"Rahman","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04vsvr128","id-type":"ROR","asserted-by":"publisher"}],"name":"Nutrition Research Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4297-8245","authenticated-orcid":false,"given":"Ishita","family":"Mostafa","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04vsvr128","id-type":"ROR","asserted-by":"publisher"}],"name":"Nutrition Research Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)"},{"id":[{"id":"https:\/\/ror.org\/02hvt5f17","id-type":"ROR","asserted-by":"publisher"}],"name":"Tampere University and Tampere University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jafrin","family":"Ferdous","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04vsvr128","id-type":"ROR","asserted-by":"publisher"}],"name":"Nutrition Research Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3675-8684","authenticated-orcid":false,"given":"Kazi Nazmus","family":"Saqeeb","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04vsvr128","id-type":"ROR","asserted-by":"publisher"}],"name":"Nutrition Research Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonmoy","family":"Sarkar","sequence":"additional","affiliation":[{"name":"Emerging Infections, Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md Musfikur","family":"Rahman","sequence":"additional","affiliation":[{"name":"Light House"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahmeed","family":"Ahmed","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04vsvr128","id-type":"ROR","asserted-by":"publisher"}],"name":"Nutrition Research Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)"},{"name":"International Centre for Diarrhoeal Disease Research"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"key":"S1368980026102080_ref37","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12339"},{"key":"S1368980026102080_ref9","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4505-10-19"},{"key":"S1368980026102080_ref44","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-025-01045-x"},{"key":"S1368980026102080_ref16","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/134.9.2342"},{"key":"S1368980026102080_ref42","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzz072"},{"key":"S1368980026102080_ref32","doi-asserted-by":"publisher","DOI":"10.1177\/156482650302400104"},{"key":"S1368980026102080_ref40","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2021.105751"},{"key":"S1368980026102080_ref39","first-page":"89","article-title":"Complementary feeding practices among mothers in selected slums of Dhaka city: a descriptive study","volume":"32","author":"Saleh","year":"2014","journal-title":"J Health Popul Nutr"},{"key":"S1368980026102080_ref47","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2020.19"},{"key":"S1368980026102080_ref34","doi-asserted-by":"publisher","DOI":"10.1080\/02508060.2020.1786878"},{"key":"S1368980026102080_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980019001551"},{"key":"S1368980026102080_ref19","doi-asserted-by":"publisher","DOI":"10.1002\/fsn3.964"},{"key":"S1368980026102080_ref22","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.12290"},{"key":"S1368980026102080_ref45","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e22478"},{"key":"S1368980026102080_ref23","doi-asserted-by":"publisher","DOI":"10.1186\/s12199-017-0610-2"},{"key":"S1368980026102080_ref5","unstructured":"5. 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