EFECAB: Improving Pig Management to Prevent Epilepsy in Burkina Faso
EFECAB
1 other identifier
interventional
58
1 country
1
Brief Summary
This is a pre-post randomized community-based controlled trial aimed at estimating the effectiveness of an educational package developed using PRECEDE PROCEED to reduce the cumulative incidence of Taenia solium cysticercosis in three Provinces of Burkina Faso. The study design included an 18-months baseline study to measure baseline cumulative incidence of cysticercosis followed by an 18-month post randomization study to measure the effectiveness of the intervention. Sixty villages of three Provinces of Burkina Faso were included. The primary outcome was the change in the baseline to post randomization cumulative incidence in the intervention group compared to the control group.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2011
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 21, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 24, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
January 31, 2015
CompletedFirst Submitted
Initial submission to the registry
March 22, 2017
CompletedFirst Posted
Study publicly available on registry
March 29, 2017
CompletedApril 3, 2018
March 1, 2018
3.8 years
March 22, 2017
March 30, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Human active cysticercosis cumulative incidence
Sero conversion to the AgELISA test to detect antigens of cysticercosis
baseline, 18 months follow-up pre randomization, 18 months follow-up post randomization
Secondary Outcomes (4)
Porcine active cysticercosis prevalence
baseline, 18 months follow-up pre randomization, 18 months follow-up post randomization
Change in knowledge, attitude and practices
baseline, 18 months follow-up pre randomization, 18 months follow-up post randomization
Cumulative incidence of epilepsy and progressively worsening severe chronic headaches
baseline, 18 months follow-up pre randomization, 18 months follow-up post randomization
Stigmatization of epilepsy
18 months follow-up post randomization
Study Arms (2)
Educational package
ACTIVE COMPARATORThe educational package included the offering of the Self-Esteem , Associative strengths, Resourcefulness, Action-planning and Responsibility (SARAR) Participatory Hygiene and Sanitation Transformation (PHAST) approach, a 52 minutes educational movie and accompanying cartoon booklet. The package was developed using the PRECEDE approach.
Control
NO INTERVENTIONThe control group did not receive any intervention
Interventions
The educational package was offered to 30 villages post randomization. The field team completed the SARAR PHAST with community members for 2-3 days in each intervention village. The movie was projected every night for 2-3 days in each intervention village.
Eligibility Criteria
You may qualify if:
- Population of at least 1000 at the 2006 census
- Present on the map of the "Institut Géographique du Burkina 2000"
- Separated from another village by at least 5 kilometers.
You may not qualify if:
- Village located on a National or Provincial road
- Village located within 20 km of Koudougou or Ouagadougou
- Regional or Provincial Capital
- Absence of pigs in the village
- At the individual level, the following eligibility criteria were used:
- Aged 5 years old or more
- Has lived in the village for at least 12 months
- Not planning to move in the next three years
- Presence of confirmed epilepsy or progressively worsening severe chronic headaches at baseline.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Oklahomalead
- AFRICSantécollaborator
- Institute of Tropical Medicine, Belgiumcollaborator
- Institut de Recherche en Sciences de la Sante, Burkina Fasocollaborator
- University of Ouagadougou, Burkina Fasocollaborator
- University Hospital, Limogescollaborator
- Centre Universitaire Souro Sanoucollaborator
- Technical University of Munichcollaborator
- Brown Universitycollaborator
Study Sites (1)
AFRICSanté
Bobo-Dioulasso, Burkina Faso
Related Publications (8)
Carabin H, Traore AA. Taenia solium taeniasis and cysticercosis control and elimination through community-based interventions. Curr Trop Med Rep. 2014 Dec 1;1(4):181-193. doi: 10.1007/s40475-014-0029-4.
PMID: 25544938BACKGROUNDNitiema P, Carabin H, Hounton S, Praet N, Cowan LD, Ganaba R, Kompaore C, Tarnagda Z, Dorny P, Millogo A, Efecab. Prevalence case-control study of epilepsy in three Burkina Faso villages. Acta Neurol Scand. 2012 Oct;126(4):270-8. doi: 10.1111/j.1600-0404.2011.01639.x. Epub 2012 Jan 31.
PMID: 22289127BACKGROUNDJohn CC, Carabin H, Montano SM, Bangirana P, Zunt JR, Peterson PK. Global research priorities for infections that affect the nervous system. Nature. 2015 Nov 19;527(7578):S178-86. doi: 10.1038/nature16033.
PMID: 26580325BACKGROUNDCarabin H, Millogo A, Cisse A, Gabriel S, Sahlu I, Dorny P, Bauer C, Tarnagda Z, Cowan LD, Ganaba R. Prevalence of and Factors Associated with Human Cysticercosis in 60 Villages in Three Provinces of Burkina Faso. PLoS Negl Trop Dis. 2015 Nov 20;9(11):e0004248. doi: 10.1371/journal.pntd.0004248. eCollection 2015 Nov.
PMID: 26588468BACKGROUNDDermauw V, Ganaba R, Cisse A, Ouedraogo B, Millogo A, Tarnagda Z, Van Hul A, Gabriel S, Carabin H, Dorny P. Taenia hydatigena in pigs in Burkina Faso: A cross-sectional abattoir study. Vet Parasitol. 2016 Oct 30;230:9-13. doi: 10.1016/j.vetpar.2016.10.022. Epub 2016 Oct 24.
PMID: 27884445BACKGROUNDCarabin H, Winkler AS, Dorny P. Taenia solium cysticercosis and taeniosis: Achievements from the past 10 years and the way forward. PLoS Negl Trop Dis. 2017 Apr 20;11(4):e0005478. doi: 10.1371/journal.pntd.0005478. eCollection 2017 Apr. No abstract available.
PMID: 28426664BACKGROUNDNgowi H, Ozbolt I, Millogo A, Dermauw V, Some T, Spicer P, Jervis LL, Ganaba R, Gabriel S, Dorny P, Carabin H. Development of a health education intervention strategy using an implementation research method to control taeniasis and cysticercosis in Burkina Faso. Infect Dis Poverty. 2017 Jun 1;6(1):95. doi: 10.1186/s40249-017-0308-0.
PMID: 28569208RESULTSahlu I, Bauer C, Ganaba R, Preux PM, Cowan LD, Dorny P, Millogo A, Carabin H. The impact of imperfect screening tools on measuring the prevalence of epilepsy and headaches in Burkina Faso. PLoS Negl Trop Dis. 2019 Jan 17;13(1):e0007109. doi: 10.1371/journal.pntd.0007109. eCollection 2019 Jan.
PMID: 30653519DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Hélène Carabin, DVM PhD
University of Oklahoma
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 22, 2017
First Posted
March 29, 2017
Study Start
February 21, 2011
Primary Completion
November 24, 2014
Study Completion
January 31, 2015
Last Updated
April 3, 2018
Record last verified: 2018-03
Data Sharing
- IPD Sharing
- Will share
De-identified data will be made available at the time of publication as per NIH requirements