A Novel Low-Cost Tool for a More Efficient and Reliable Weight-for-Height/Length Assessment
NCT ID: NCT03780348
Last Updated: 2018-12-19
Study Results
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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UNKNOWN
NA
510 participants
INTERVENTIONAL
2018-12-31
2019-02-28
Brief Summary
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Detailed Description
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A new tool is developed to address these drawbacks. It reduces the steps to two aiming at reducing errors and saving time and energy. This study will compare efficiency and reliability of WHZ assessments done with the new tool against the existing method using a diagnostic randomized clinical trial.
Trained health workers will do WHZ assessments in under five children mobilized for nutrition screening program. The 'average time' needed and proportions of 'classification errors' will be compared between the new and the existing methods. Assessments done by two anthropometry experts will be used as gold standard.
The study will determine the gains of the new tool and can potentially change the global practice and help early detection of huge number of wasted children that are being missed.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
DIAGNOSTIC
TRIPLE
Study Groups
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New Method
'New' weight-for-height method will be used to assess children assigned to this arm
New Method
A 'new' WHZ tool will be used to assess children.
Existing Method
'Existing' weight-for-height method will be used to assess children assigned to this arm
Existing Method
'Existing' WHZ tools will be used to assess children
Health Extension Workers
Health Extension workers will do weight-for-height assessment using the new method
New Method
A 'new' WHZ tool will be used to assess children.
Interventions
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New Method
A 'new' WHZ tool will be used to assess children.
Existing Method
'Existing' WHZ tools will be used to assess children
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
5 Years
ALL
No
Sponsors
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JSI Research & Training Institute, Inc.
OTHER
Responsible Party
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Principal Investigators
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Yared A Fantaye, MD, MPH
Role: PRINCIPAL_INVESTIGATOR
JSI Training and Research Institute, Inc.
Central Contacts
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References
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Grellety E, Golden MH. Severely malnourished children with a low weight-for-height have a higher mortality than those with a low mid-upper-arm-circumference: I. Empirical data demonstrates Simpson's paradox. Nutr J. 2018 Sep 15;17(1):79. doi: 10.1186/s12937-018-0384-4.
Grellety E, Golden MH. Severely malnourished children with a low weight-for-height have a higher mortality than those with a low mid-upper-arm-circumference: III. Effect of case-load on malnutrition related mortality- policy implications. Nutr J. 2018 Sep 15;17(1):81. doi: 10.1186/s12937-018-0382-6.
Laillou A, Prak S, de Groot R, Whitney S, Conkle J, Horton L, Un SO, Dijkhuizen MA, Wieringa FT. Optimal screening of children with acute malnutrition requires a change in current WHO guidelines as MUAC and WHZ identify different patient groups. PLoS One. 2014 Jul 1;9(7):e101159. doi: 10.1371/journal.pone.0101159. eCollection 2014.
Pelletier D, Haider R, Hajeebhoy N, Mangasaryan N, Mwadime R, Sarkar S. The principles and practices of nutrition advocacy: evidence, experience and the way forward for stunting reduction. Matern Child Nutr. 2013 Sep;9 Suppl 2(Suppl 2):83-100. doi: 10.1111/mcn.12081.
Other Identifiers
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JSI R&T #18-46
Identifier Type: -
Identifier Source: org_study_id