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A mixed methods feasibility study of the Kusamala Program at a nutritional rehabilitation unit in Malawi

Overview of attention for article published in Pilot and Feasibility Studies, September 2018
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  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (73rd percentile)
  • Above-average Attention Score compared to outputs of the same age and source (57th percentile)

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9 X users

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Title
A mixed methods feasibility study of the Kusamala Program at a nutritional rehabilitation unit in Malawi
Published in
Pilot and Feasibility Studies, September 2018
DOI 10.1186/s40814-018-0347-8
Pubmed ID
Authors

Allison I Daniel, Meta van den Heuvel, Melissa Gladstone, Mike Bwanali, Wieger Voskuijl, Celine Bourdon, Isabel Potani, Sara Fernandes, Jenala Njirammadzi, Robert H J Bandsma

Abstract

Children admitted to nutritional rehabilitation units (NRUs) for inpatient treatment of severe acute malnutrition (SAM) are at high risk of poor developmental and nutritional outcomes. The Kusamala Program is an interactive hospital-based counseling program for primary caregivers of children with SAM that integrates three modules: nutrition and feeding; water, sanitation, and hygiene (WASH); and psychosocial stimulation. This mixed methods feasibility study aimed to evaluate the implementation of the Kusamala Program in an NRU setting and developmental outcomes in children with SAM 6 months after inpatient treatment. An internal pilot trial including the first 30 children and their primary caregivers enrolled to a cluster-randomized controlled trial of the Kusamala Program was performed. Barriers and enablers were identified in a qualitative study with a focus group discussion (FGD) and in-depth interviews (IDIs) with 12 hospital staff members, including five NRU nurses who deliver the Kusamala Program. Results demonstrated high participant engagement (100%) and adherence (87%) of primary caregivers to the Kusamala Program. Potential barriers to implementation identified through the qualitative study were caregivers' perceived value of the program, prioritization of other ward activities, and shortages of staff. On the other hand, enablers to implementation were engaging other staff members, motivation and work ethic, and refresher training. This mixed methods study demonstrates the feasibility of implementing the Kusamala Program in a real NRU setting. The full cluster-randomized controlled trial will be completed to evaluate the effectiveness of the Kusamala Program. ClinicalTrials.gov, NCT03072433. Registered on 7 March 2017-retrospectively registered.

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The data shown below were collected from the profiles of 9 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 63 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 63 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 9 14%
Student > Doctoral Student 5 8%
Student > Ph. D. Student 4 6%
Student > Postgraduate 4 6%
Student > Master 4 6%
Other 14 22%
Unknown 23 37%
Readers by discipline Count As %
Nursing and Health Professions 13 21%
Medicine and Dentistry 12 19%
Agricultural and Biological Sciences 3 5%
Unspecified 2 3%
Social Sciences 2 3%
Other 4 6%
Unknown 27 43%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 September 2018.
All research outputs
#4,521,627
of 23,103,903 outputs
Outputs from Pilot and Feasibility Studies
#288
of 1,049 outputs
Outputs of similar age
#89,325
of 340,828 outputs
Outputs of similar age from Pilot and Feasibility Studies
#11
of 26 outputs
Altmetric has tracked 23,103,903 research outputs across all sources so far. Compared to these this one has done well and is in the 80th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,049 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.9. This one has gotten more attention than average, scoring higher than 72% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 340,828 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 73% of its contemporaries.
We're also able to compare this research output to 26 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 57% of its contemporaries.