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Mobile Messaging for Improved Nutrition

NCT ID: NCT05374837

Last Updated: 2024-12-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

488 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-10

Study Completion Date

2022-12-15

Brief Summary

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This project will examine the impact of an infant and young child feeding (IYCF) voice messaging intervention delivered to mothers and fathers in Senegal on the consumption of a minimum acceptable diet and anemia prevalence in their children.

Detailed Description

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This is a cluster-randomized control trial (cRCT) conducted with 488 mother, father, and child triads in 104 villages in three regions in Senegal: Thies, Diourbel and Fatick. Mothers and fathers in the experimental group will receive 16 voice and text messages over the course of 16 weeks. One voice and 1 text message with the same content will be sent per week over the 16 week period. We will include eight scripted messages which have previously been piloted. We will also include eight unscripted messages from positive deviants from communities similar to our study population that were included in our pilot study. A text message with the same content as the voice message will be sent to each triad mother and father to increase the reach of the intervention. We will conduct baseline and endline assessments of infant and young child feeding practices in both the experimental and control groups. Primary outcomes will include the prevalence of anemia and minimum acceptable diet in children. Minimum acceptable diet is an indicator of dietary diversity and a proxy for nutrient adequacy. Secondary outcomes include the frequency of consuming key foods targeted in the intervention over the previous 7 days and infant and young child feeding indicators of complementary feeding of the child. In addition, infant and young child feeding knowledge, beliefs, and norms (of mothers and fathers in triads) and intentions (of mothers in triads) will be included as secondary outcomes.

Conditions

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Diet, Healthy Anemia

Keywords

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Senegal Infant and young child feeding

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Cluster-randomized control trial. Please note that enrollment number reflects the number of triads included in the study.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Given the nature of the intervention, it will not be possible to mask the treatment group at endline data collection.

Study Groups

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Control group

The control group will not receive any intervention. After the endline data collection is completed, the intervention will be delivered to the control group.

Group Type NO_INTERVENTION

No interventions assigned to this group

Infant and young child feeding (IYCF) voice messaging intervention

The voice messaging intervention group will receive voice/text messages for a period of 16 weeks.

Group Type EXPERIMENTAL

Infant and young child feeding voice messaging intervention

Intervention Type BEHAVIORAL

A mobile voice and text messaging intervention aimed at improving IYCF practices will be delivered to mothers and fathers with young children (6-23 months). A total of 16 voice and text message, with the same content, will be sent over a 16-week period (1 voice + 1 text messages (with same content) per week x 16 weeks). Two types of messages will be included: 1) eight scripted and 2) eight unscripted messages from positive deviants. The content of the messages include: breastfeeding until two years of age, consuming a variety of foods within a given meal, the consistency of porridge (thick rather than thin), limiting sweets and fried foods, the importance of animal source foods, consuming vitamin A rich fruits and vegetables, consuming leafy greens, handwashing and feeding infants and young children fruits and vegetables produced by the household.

Interventions

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Infant and young child feeding voice messaging intervention

A mobile voice and text messaging intervention aimed at improving IYCF practices will be delivered to mothers and fathers with young children (6-23 months). A total of 16 voice and text message, with the same content, will be sent over a 16-week period (1 voice + 1 text messages (with same content) per week x 16 weeks). Two types of messages will be included: 1) eight scripted and 2) eight unscripted messages from positive deviants. The content of the messages include: breastfeeding until two years of age, consuming a variety of foods within a given meal, the consistency of porridge (thick rather than thin), limiting sweets and fried foods, the importance of animal source foods, consuming vitamin A rich fruits and vegetables, consuming leafy greens, handwashing and feeding infants and young children fruits and vegetables produced by the household.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Residing in Thies, Diourbel or Fatick regions of Senegal
* Household is member of village farming group
* Mothers and fathers (or caregivers) that have a child 6-19 months at baseline
* Mothers and fathers (or caregivers) that are 18 years or older
* Mothers and fathers (or caregivers) have the ability and mental capacity to consent to their participation
* Mother/father (or male/female caregivers) have access to mobile phone
* Child between 6-19 months at baseline
Minimum Eligible Age

6 Months

Maximum Eligible Age

23 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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

NIH

Sponsor Role collaborator

Rutgers, The State University of New Jersey

OTHER

Sponsor Role lead

Responsible Party

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Shauna Downs, PhD MS

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Shauna Downs

Role: PRINCIPAL_INVESTIGATOR

Rutgers School of Public Health

Locations

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Institut de Recherche en Santé de Surveillance Epidemiologique et de Formation

Dakar, , Senegal

Site Status

Countries

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Senegal

References

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Downs SM, Gueye D, Sall M, Ndoye B, Sarr NN, Sarr M, Mboup S, Alam NA, Diouf A, Merchant EV, Sackey J. The impact and implementation of an mHealth intervention to improve infant and young child feeding in Senegal: IIMAANJE protocol for a cluster randomized control trial. Front Public Health. 2023 Sep 25;11:1258963. doi: 10.3389/fpubh.2023.1258963. eCollection 2023.

Reference Type DERIVED
PMID: 37818304 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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1R21HD105067-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

Pro2021000819

Identifier Type: -

Identifier Source: org_study_id