{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:10:14Z","timestamp":1777641014397,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,7,15]],"date-time":"2019-07-15T00:00:00Z","timestamp":1563148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Food Nutr Bull"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To test the hypothesis that a continuing educational strategy (ie, \u201cthe manual\u201d) in primary health-care improves infant feeding practices among infants under 1 year of age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A before and after study was conducted at primary health-care units in Embu das Artes, Brazil. The intervention was the use of a manual created to support continuing educational activities on breastfeeding and complementary feeding to be performed by tutors of Estrat\u00e9gia Amamenta e Alimenta Brasil with health-care teams, in a period of 8 months. Five hundred sixty-one mothers before and 598 mothers after intervention were interviewed about breastfeeding and complementary feeding practices. Multivariate analysis was performed using Poisson multilevel regression to test the hypothesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Lack of minimum food diversity (before 62.9%; after 50.3%) and lack of food adequacy (before 77.5%; after 63.3%) decreased significantly. Regression analysis confirmed that infants after the intervention had lower prevalence of inadequacy of complementary feeding. While the intervention did not show significant association with exclusive breastfeeding, it showed association with the improvement of complementary feeding practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The manual is a continuing educational strategy that improved complementary feeding practices in primary health care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0379572119855308","type":"journal-article","created":{"date-parts":[[2019,7,15]],"date-time":"2019-07-15T23:22:08Z","timestamp":1563232928000},"page":"544-561","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Effectiveness of an Educational Manual to Promote Infant Feeding Practices in Primary Health Care"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0052-9292","authenticated-orcid":false,"given":"Gl\u00e1ubia Rocha Barbosa","family":"Relvas","sequence":"first","affiliation":[{"name":"Regional Office of Health of Barra do Gar\u00e7as, State Health Department of Mato Grosso, Cuiab\u00e1, MT, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela","family":"Buccini","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Science, Yale University, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Potvin","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Montreal, Montreal, Quebec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Venancio","sequence":"additional","affiliation":[{"name":"Institute of Health, State Health Department of Sao Paulo, Institute of Health, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,7,15]]},"reference":[{"key":"bibr1-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12212"},{"key":"bibr2-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01044-2"},{"key":"bibr3-0379572119855308","volume-title":"Infant And Young Child Nutrition","author":"World Health Organization [WHO]","year":"2001"},{"key":"bibr4-0379572119855308","volume-title":"Evidence On The Long-Term Effects Of Breastfeeding: Systematic Reviews And Meta-Analyses","author":"Horta BL","year":"2007"},{"key":"bibr5-0379572119855308","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph13090838"},{"key":"bibr6-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1007\/s13679-013-0055-x"},{"key":"bibr7-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2013.99"},{"key":"bibr8-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2012000900014"},{"key":"bibr9-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980014000834"},{"issue":"1","key":"bibr10-0379572119855308","first-page":"1","author":"Kavle JA","year":"2017","journal-title":"Public Health Nutr"},{"key":"bibr11-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"bibr12-0379572119855308","volume-title":"Estrat\u00e9gia Nacional Para Promo\u00e7\u00e3o Do Aleitamento Materno E Alimenta\u00e7\u00e3o Complementar Saud\u00e1vel No Sistema \u00danico De Sa\u00fade: Manual De Implementa\u00e7\u00e3o","author":"Brasil","year":"2015"},{"key":"bibr13-0379572119855308","unstructured":"Rogers PJ. Program theory: Not whether programs work but how they work. In E. Models (Edd.), S.D. I., M.F.G. & K. T. Boston, MA: Kluwer Academic; 2000."},{"key":"bibr14-0379572119855308","volume-title":"Promo\u00e7\u00e3o, Prote\u00e7\u00e3o E Apoio Ao Aleitamento Materno Na \u00daltima D\u00e9cada (2002-2012) No Munic\u00edpio De Embu Das Artes, SP: Um Estudo De Caso [Dissertation]","author":"Brockveld L de SM","year":"2013"},{"key":"bibr15-0379572119855308","volume-title":"Epidemiology: Study Design And Data Analysis","author":"Woodward M (Mark)","year":"2005"},{"key":"bibr16-0379572119855308","volume-title":"Orienta\u00e7\u00f5es Para Avalia\u00e7\u00e3o De Marcadores De Consumo Alimentar Na Aten\u00e7\u00e3o B\u00e1sica","author":"Brasil","year":"2015"},{"key":"bibr17-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-3-21"},{"key":"bibr18-0379572119855308","volume-title":"Multilevel Analysis: An Introduction To Basic And Advanced Multilevel Modeling","author":"Snijders T","year":"2012","edition":"2"},{"key":"bibr19-0379572119855308","doi-asserted-by":"publisher","DOI":"10.11606\/S1518-8787.2017051000029"},{"issue":"3","key":"bibr20-0379572119855308","first-page":"1","volume":"13","author":"Buccini G dos S","year":"2017","journal-title":"Matern Child Nutr"},{"key":"bibr21-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311X00101315"},{"key":"bibr22-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2891-12-66"},{"key":"bibr23-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60250-0"},{"key":"bibr24-0379572119855308","volume-title":"Indicators For Assessing Infant And Young Child Feeding Practices: Conclusions Of A Consensus Meeting Held 6","author":"World Health Organization","year":"2008"},{"key":"bibr25-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12273"},{"key":"bibr26-0379572119855308","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.3.400"},{"key":"bibr27-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/28.1.10"},{"key":"bibr28-0379572119855308","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.88.2.216"},{"key":"bibr29-0379572119855308","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/26.1.224"}],"container-title":["Food and Nutrition Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0379572119855308","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0379572119855308","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0379572119855308","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T06:18:58Z","timestamp":1777443538000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0379572119855308"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,15]]},"references-count":29,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1177\/0379572119855308"],"URL":"https:\/\/doi.org\/10.1177\/0379572119855308","relation":{},"ISSN":["0379-5721","1564-8265"],"issn-type":[{"value":"0379-5721","type":"print"},{"value":"1564-8265","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,15]]}}}