mHealth for Prevention of Childhood Obesity in Mexico

NCT ID: NCT04250896

Last Updated: 2021-09-14

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

1000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-01

Study Completion Date

2021-09-06

Brief Summary

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Background: The sending of text messages (short messaging service, SMS) has been proven as an effective strategy in behavior change. In Mexico, the Strategy of Comprehensive Care for the Nutrition (EsIAN for its acronym in Spanish ) focuses on improving access to information for the main caregivers of child beneficiaries on the practice of infant feeding and healthy physical activity.

Objective: To assess whether the mHealth (or mobile health) strategy or the sending of SMS has an effect on knowledge, attitudes, intentionality, perceived control and practices to prevent childhood malnutrition in a population living in poverty.

Design: Randomized effectiveness trial by conglomerates. Participants: 400 primary caregivers of children \<59 months and health personnel working in the health units included in the study.

Control group: Healthy child care in standard health units plus exposure to EsIAN.

Intervention group: In addition to the control group, the SMS are sent through a cell pone through the RapidPro platform on practices related to prevention of child malnutrition (in primary caregivers) and the reinforcement of counseling for the prevention of infant malnutrition (with health personnel).

Randomization: The first level health units were stratified by state (Morelos or Yucatan); rural and urban area and affiliation institution (Secretary of Health or Mexican Institute of Social Security); and randomized to be assigned to the control or intervention group; 400 primary caregivers of children \<59 months in total will be included for the study.

Main measures of interest: State of nutrition and knowledge, attitudes or practices on breastfeeding, physical activity, adoption and preparation of healthy foods and beverages in primary caregivers of children\<5 years old; and advice on the key messages of EsIAN by health providers.

Detailed Description

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RapidPro is a tecnological platform of programming of short messaging service (SMS) for cell phone.

Morelos is the name of one of the central states of Mexico Yucatan is the name of one of the south states of Mexico

Conditions

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Overweight and Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Control group will receive standard child care in health units plus exposure to EsIAN (Strategy of Integral Attention to Nutrition of Mexico). At the same time as the intervention group, in addition to the control group, will receive SMS through a cell pone on practices related to the prevention of infant malnutrition (in primary caregivers) and the strengthening of counseling for the prevention of infant malnutrition with health providers.
Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors
The randomized unit is the health center

Study Groups

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Control

Control group will receive standard child care in health units plus exposure to EsIAN (Strategy of Integral Attention to Nutrition)

Group Type OTHER

Control group

Intervention Type OTHER

Standard child care in health unit plus exposure to EsIAN

Intervention

Intervention group will receive SMS messages sent through a cell pone in addition to the control group receive (standard child care in health units plus exposure to EsIAN)

Group Type EXPERIMENTAL

SMS´s sending by cell phone for behavior change

Intervention Type BEHAVIORAL

SMS messages sent through a cell pone through the RapidPro platform on practices related to the prevention of infant malnutrition to primary caregivers and the strengthening of counseling for the prevention of infant malnutrition with health providers.

Interventions

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Control group

Standard child care in health unit plus exposure to EsIAN

Intervention Type OTHER

SMS´s sending by cell phone for behavior change

SMS messages sent through a cell pone through the RapidPro platform on practices related to the prevention of infant malnutrition to primary caregivers and the strengthening of counseling for the prevention of infant malnutrition with health providers.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Primary caregivers whose beneficiaries children are cared in the health units selected for the study and who have a cell pone in home
* Health personnel who provides services to Prospera population in the health units selected for the study and that have a cell pone
* Primary caregiver, must care for at least one child under 60 months users of the health units selected for the study

Exclusion Criteria

* Primary caregivers and health personnel who do not have a cell pone or who do not have connectivity in their communities
* Health personnel, who have been in office for a least 3 months
Maximum Eligible Age

59 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UNICEF

OTHER

Sponsor Role collaborator

Mexican National Institute of Public Health

OTHER_GOV

Sponsor Role lead

Responsible Party

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Anabelle Bonvecchio Arenas

Director of Research in Nutrition Policies and Programs

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Anabelle Bonvecchio, PhD

Role: PRINCIPAL_INVESTIGATOR

Mexican National Institute of Public Health

Locations

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Ministry of Health of Morelos State

Cuernavaca, , Mexico

Site Status

Countries

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Mexico

References

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Lozada-Tequeanes AL, Theodore FL, Kim-Herrera E, Garcia-Guerra A, Quezada-Sanchez AD, Alvarado-Casas R, Bonvecchio A. Effectiveness and Implementation of a Text Messaging mHealth Intervention to Prevent Childhood Obesity in Mexico in the COVID-19 Context: Mixed Methods Study. JMIR Mhealth Uhealth. 2024 Apr 9;12:e55509. doi: 10.2196/55509.

Reference Type DERIVED
PMID: 38592753 (View on PubMed)

Other Identifiers

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CI1547

Identifier Type: -

Identifier Source: org_study_id

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