Sharing Histories: Test of a Teaching Method for Community Health Workers

NCT02903602 | Completed

• 2 other identifiers: FGGS-01N° AID-OAA-A-10-00048
• Study Type: interventional
• Target: 600
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study is to determine the effectiveness of an innovative methodology for training Community Health Workers that will improve their effectiveness in educating mothers to adopt best practice health behaviors in the home.

Conditions

Infant Nutrition Disorders; Health Behavior

Keywords

sharing histories; autobiographical memory; health behavior; narrative communication; community health workers; global health; maternal and child health; stunting

Outcome Measures

Primary Outcomes (1)

• Change in rate of stunting in children under two years of age (birth to 23.9 months of age)

  Stunting is defined as low height-for-age less than -2 z-scores from the median on the World Health Organization growth standard, 2006.

  Chidren born up to 24 months prior to the baseline survey in 2010. Children born up to 24 months prior to the final survey in 2014

Study Arms (2)

CHW training method-Sharing Histories

EXPERIMENTAL

Experimental clusters of primary health care facilities provided training to Community Health Workers (CHW) from their communities utilizing the experimental teaching methodology, "Sharing Histories". CHW in both study groups made home visits to pregnant women and mothers of children under two years of age to teach mothers, monitor behaviors and danger signs in pregnant women, newborns, and children, and refer cases when needed for preventive and curative care.

Behavioral: Sharing Histories training method for CHW

CHW training method-Standard

ACTIVE COMPARATOR

Control clusters of primary health care facilities provided training to Community Health Workers (CHW) from their communities utilizing a standard CHW teaching methodology. CHW in both study groups made home visits to pregnant women and mothers of children under two years of age to teach mothers, monitor behaviors and danger signs in pregnant women, newborns, and children, and refer cases when needed for preventive and curative care.

Behavioral: Standard training method for CHW

Interventions

Sharing Histories training method for CHW BEHAVIORAL

Female Community Health Worker training participants were led through a guided process of recalling and sharing their autobiographical memories of their personal experiences in the first 1000 days of each of their children (pregnancy, childbirth, postpartum, newborn, breastfeeding, complementary feeding, infant diarrhea and hygiene, pneumonia). On the basis of memories, cultural beliefs and practices are identified and training content is built.

CHW training method-Sharing Histories

Standard training method for CHW BEHAVIORAL

Female Community Health Workers were trained with standard participatory teaching method with three phases: identify knowledge, provide new knowledge, evaluate learning.

CHW training method-Standard

Eligibility Criteria

• Age: Up to 23 Months
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Adult interviewed must be mother or guardian of a child under two years of age.
• Child from birth (0.1 months-old) to under two years of age (23.9 months-old).

You may not qualify if:

• If a mother selected for interview had more than one child under age two years, only the younger child was considered for the interview and anthropometry measurements.

Sponsors & Collaborators

• Future Generations Graduate School: lead
• United States Agency for International Development (USAID): collaborator
• Instituto de Investigacion Nutricional, Peru: collaborator

MeSH Terms

Conditions

Infant Nutrition Disorders; Health Behavior; Growth Disorders

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases; Behavior; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Laura C. Altobelli, DrPH

  Future Generations Graduate School

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor - Principal Investigator

Study Record Dates

• First Submitted: August 31, 2016
• First Posted: September 16, 2016
• Study Start: October 1, 2010
• Primary Completion: September 1, 2014
• Study Completion: September 1, 2014
• Last Updated: September 16, 2016

Record last verified: 2016-09

Data Sharing

• IPD Sharing: Will share