The Anemia Control Program: Early Intervention

NCT ID: NCT00998998

Last Updated: 2010-07-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

277 participants

Study Classification

INTERVENTIONAL

Study Start Date

1992-04-30

Study Completion Date

1996-07-31

Brief Summary

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The purpose of this study was to determine if a home-based intervention to foster child development improved behavior and development in infants with IDA.

Detailed Description

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Iron-deficiency anemia (IDA) is associated with alterations in infant behavior and development that may not correct with iron therapy. The purpose of this study was to determine if a home-based intervention to foster child development improved behavior and development in infants with IDA. IDA and non-anemic infants were randomly assigned to a year of intervention or surveillance only. Infants were enrolled and began study participation at 6 or 12 months. All infants were treated with oral iron and visited weekly to record iron intake, feeding, and health (surveillance). For infants randomized to intervention, the weekly home visit included an hour-long program fostering child development by supporting the mother-infant relationship. Psychologists, unaware of iron status or intervention assignment, assessed cognitive, motor, and social-emotional development (Bayley Scales) at the beginning, midpoint, and end of the year.

Conditions

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Iron Deficiency Anemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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1

6 or 12 month old infants with iron deficiency anemia assigned to receive home stimulation program via weekly home visits over 1 year

Group Type EXPERIMENTAL

Home stimulation

Intervention Type BEHAVIORAL

Weekly visit of one hour to the home over the course of one year to foster the mother-child relationship.

Iron

Intervention Type DIETARY_SUPPLEMENT

Six-month-old infants treated orally for 1 y with 15 mg elemental Fe/d as ferrous sulfate. Twelve-month old infants treated orally for a minimum of 6 months with 30 mg elemental Fe/d.

2

6 or 12 month old infants with iron deficiency anemia assigned to surveillance (weekly visits to monitor health and iron supplement) over 1 year

Group Type ACTIVE_COMPARATOR

Surveillance

Intervention Type BEHAVIORAL

Weekly visits to the home over the course of one year to record iron intake, feeding, and health information.

Iron

Intervention Type DIETARY_SUPPLEMENT

Six-month-old infants treated orally for 1 y with 15 mg elemental Fe/d as ferrous sulfate. Twelve-month old infants treated orally for a minimum of 6 months with 30 mg elemental Fe/d.

3

Nonanemic infants identified at 6 or 12 months assigned to receive home stimulation program via weekly home visits over 1 year

Group Type EXPERIMENTAL

Home stimulation

Intervention Type BEHAVIORAL

Weekly visit of one hour to the home over the course of one year to foster the mother-child relationship.

Iron

Intervention Type DIETARY_SUPPLEMENT

Six-month-old infants treated orally for 1 y with 15 mg elemental Fe/d as ferrous sulfate. Twelve-month old infants treated orally for a minimum of 6 months with 30 mg elemental Fe/d.

4

Nonanemic infants identified at 6 and 12 months assigned to surveillance (weekly visits to monitor health) over 1 year

Group Type ACTIVE_COMPARATOR

Surveillance

Intervention Type BEHAVIORAL

Weekly visits to the home over the course of one year to record iron intake, feeding, and health information.

Iron

Intervention Type DIETARY_SUPPLEMENT

Six-month-old infants treated orally for 1 y with 15 mg elemental Fe/d as ferrous sulfate. Twelve-month old infants treated orally for a minimum of 6 months with 30 mg elemental Fe/d.

Interventions

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Home stimulation

Weekly visit of one hour to the home over the course of one year to foster the mother-child relationship.

Intervention Type BEHAVIORAL

Surveillance

Weekly visits to the home over the course of one year to record iron intake, feeding, and health information.

Intervention Type BEHAVIORAL

Iron

Six-month-old infants treated orally for 1 y with 15 mg elemental Fe/d as ferrous sulfate. Twelve-month old infants treated orally for a minimum of 6 months with 30 mg elemental Fe/d.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* birth weight \>= 3.0kg
* singleton full-term birth
* routine vaginal delivery
* no major congenital anomalies
* no major perinatal complications
* no photo therapy
* no hospitalization for longer than 5 days
* no chronic illness
* no iron therapy
* from 1991-94, infants on \>= 250 ml/day cow milk or formula
* from 1994-96, infants could be on \< 250 ml/day cow milk or formula
* infants identified as anemic at 6 or 12 months and randomly selected nonanemic infants at 6 and 12 months

Exclusion Criteria

* residence outside 4 contiguous working-class communities on outskirts of Santiago, Chile
* another infant \<12 months in household
* infant in child care
* illiterate or psychotic caregiver or no stable caregiver available to accompany the child for appointments.
* until mid-1994, "exclusive" breastfeeding, defined as \>250 mL/d cow milk or formula
Minimum Eligible Age

6 Months

Maximum Eligible Age

12 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role lead

Responsible Party

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University of Michigan

Principal Investigators

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Betsy Lozoff, MD

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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Instituto de Nutrición y Tecnología de los Alimentos (INTA)

Santiago, , Chile

Site Status

Countries

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Chile

References

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Lozoff B, Smith JB, Clark KM, Perales CG, Rivera F, Castillo M. Home intervention improves cognitive and social-emotional scores in iron-deficient anemic infants. Pediatrics. 2010 Oct;126(4):e884-94. doi: 10.1542/peds.2009-3535. Epub 2010 Sep 20.

Reference Type DERIVED
PMID: 20855384 (View on PubMed)

Other Identifiers

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R01HD014122

Identifier Type: NIH

Identifier Source: org_study_id

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