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This study adapted a cognitive assessment tool to be used in evaluating nutrition interventions in developing countries, and assessed its reliability and validity in Ghana. The tool was used to evaluate the long-term effect of the Enhancing Child Nutrition through Animal Source Food Management (ENAM) project. The former ENAM participants' children were contacted (now 13 to 15 y old). The items in the Wechsler Abbreviated Scale of Intelligence (WASI-II) were adapted, pretested, refined and pretested again. Cross-sectional data collection was conducted with former ENAM participants (60 intervention and 51 comparison families) in one of ENAM's 3 sites (the Guinea Savanna zone). Data on participants' socioeconomic status and food insecurity were collected, along with their children's intellectual functioning, dietary intake, school attainment, anthropometry, and symptoms of depression. Alpha coefficient of the verbal subscale improved between the first and second pretest (from 0.34 to 0.80). After controlling for age, the intelligence scores of the children were associated with their grade (r=0.35, p=0.001) and academic performance (r=0.26 to 0.33, p<0.05). The verbal scale was associated with their anthropometry (r=0.24 to 0.27, p<0.05). The intervention children still recorded a better dietary diversity score than controls (6.8 vs 5.8, p=0.0001) however significance was lost after adjusting for confounders. There were no significant group differences in growth or intellectual functioning. The adapted WASI-II tool performed well in evaluating adolescent intellectual functioning in rural Ghana and there were no long term effect of ENAM intervention on child growth and development.
This article was published in the following journal.
Name: Maternal & child nutrition
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