NCT04101487

Brief Summary

The investigators aim to evaluate the efficacy of a cash transfer and nutrition education program delivered by community health assistants to increase dietary diversity among children 6 to 23 months of age in Grand Gedeh County, Liberia.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
599

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2019

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 27, 2019

Completed
3 months until next milestone

First Posted

Study publicly available on registry

September 24, 2019

Completed
21 days until next milestone

Study Start

First participant enrolled

October 15, 2019

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2021

Completed
1.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2022

Completed
Last Updated

January 10, 2025

Status Verified

March 1, 2023

Enrollment Period

1.8 years

First QC Date

June 27, 2019

Last Update Submit

January 8, 2025

Conditions

Malnutrition, Child

Keywords

Cash TransfersLiberiaStuntingDietary diversity

Outcome Measures

Primary Outcomes (1)

  • Change in proportion of children 6 to 23 months of age who meet minimum dietary diversity scores (DDS) over the study period as reported by caregivers

    The DDS has been widely used to measure the sum of diverse food groups consumed in a 24-hour period

    6 months

Secondary Outcomes (9)

  • Meal frequency

    6 months

  • Increase in child weight in kilograms

    6 months

  • Increase in mid upper arm circumference in centimeters

    6 months

  • Increase in child length/height in centimeters

    6 months

  • Health care utilization (clinic)

    6 months

  • +4 more secondary outcomes

Study Arms (3)

Control

NO INTERVENTION

Participants in this arm will receive routine monthly visits along with survey administration and the regular package of health services provided at the facility level and at home by community health assistants

Cash Transfers

EXPERIMENTAL

Participants in this arm will receive routine monthly visits along with the regular package of health services provided at the facility level and at home by community health assistants and unconditional cash transfers every month

Other: Cash Transfer

Cash Transfers and Nutrition Education

EXPERIMENTAL

Participants in this arm will receive routine monthly visits along with the regular package of health services provided at the facility level and at home by community health assistants, unconditional cash transfers every month, and structured nutrition education provided at household level by community health assistants based on a structured nutrition education handbook.

Other: Cash Transfers and Nutrition Education

Interventions

Cash TransferOTHER

Monthly cash transfers

Cash Transfers
Cash Transfers and Nutrition EducationOTHER

Cash transfers every month and structured nutrition education provided at household level by community health assistants based on a nutrition education handbook

Cash Transfers and Nutrition Education

Eligibility Criteria

Age6 Months - 23 Months
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Participants 6 to 23 months of age
  • Participants with consenting caregivers to have monthly visits and to participate in the program
  • Caregivers of all ages will be included

You may not qualify if:

  • Participants who are younger than 6 months of age (children \< 6 months of age are encouraged to exclusively breastfeed, making dietary diversity irrelevant in this age group)
  • Participants older than 23 months of age
  • Participants with non-consenting caregivers

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Grand Geddeh County Health Office

Zwedru, Liberia

Location

Related Publications (1)

  • Rees CA, Cleon D, Davis AB, Sammy AM, Britto CD, Massaquoi W, Forkpa OW, Johnson AJ, Hook VF, MaCauley JA, Pewu GF, Gorpue M, Gborie A, Brown TT, Fannieh A, Dweh T, Marley RB, Baysah MK, Nowine NN, Niescierenko M, Zaizay L. Cash transfers and nutrition education to improve dietary diversity among children aged 6-23 months in Grand Gedeh County, Liberia: a cluster-randomized trial. J Trop Pediatr. 2022 Oct 6;68(6):fmac096. doi: 10.1093/tropej/fmac096.

    PMID: 36350714BACKGROUND

MeSH Terms

Conditions

Child Nutrition DisordersGrowth Disorders

Interventions

Nutrition Assessment

Condition Hierarchy (Ancestors)

Nutrition DisordersNutritional and Metabolic DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Data CollectionEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationEpidemiologic MeasurementsPublic HealthEnvironment and Public Health

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Pediatrics and Emergency Medicine

Study Record Dates

First Submitted

June 27, 2019

First Posted

September 24, 2019

Study Start

October 15, 2019

Primary Completion

July 31, 2021

Study Completion

November 1, 2022

Last Updated

January 10, 2025

Record last verified: 2023-03

Data Sharing

IPD Sharing
Will not share

Locations

LI(1)