Home-based Growth Charts in Indonesia

NCT04222998 | Completed

• 2 other identifiers: H-3961373494
• Study Type: interventional
• Target: 1,487
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators developed a home-based growth chart that offers a simple and inexpensive way for caregivers to have access to simple health and nutrition information guided by behavioural economics analysis as well as to track their child's linear growth, empowering them to act to improve their child's nutrition. Results from a pilot study conducted in rural Zambia suggest that growth charts installed in homes can increase awareness and reduce early-life growth deficits, particularly among children experiencing growth faltering. The main objective of this study is to assess the impact and cost-effectiveness of growth charts through a cluster-randomized trial in Indonesia. The primary outcome is child height-for-age z-score.

Conditions

Child Growth

Keywords

Home-based growth charts; Child nutrition; Growth faltering; Stunting; Indonesia

Outcome Measures

Primary Outcomes (2)

• Child height for age z-score (HAZ)

  Height/length data will be converted to height for age z-score (HAZ) using WHO (World Health Organization) growth standards.

  12 months

• Child stunting

  Child stunting is defined as height for age z-score (HAZ) \< -2

  12 months

Secondary Outcomes (2)

• Child weight for age z-score (WAZ)

  12 months

• Early child development (ECD)

  12 months

Study Arms (2)

Intervention group

EXPERIMENTAL

Household receives the home-based growth chart

Other: Home-based growth charts; Other: Home visits for baseline surveys; Other: Home visits for end line surveys; Other: Measurement of child's height-for-age and weight-for-age

Control group

ACTIVE COMPARATOR

Household does not receive the home-based growth chart

Other: Home visits for baseline surveys; Other: Home visits for end line surveys; Other: Measurement of child's height-for-age and weight-for-age

Interventions

Home-based growth charts OTHER

The growth chart contains simple information of nutritious food, health, and sanitation information at the top and height chart is located at the bottom where caregivers can measure their child's linear growth. Growth charts will be installed in intervention group homes just after the baseline survey.

Intervention group

Home visits for baseline surveys OTHER

Households will be visited for baseline surveys.

Control group; Intervention group

Home visits for end line surveys OTHER

Households will be revisited after 1 year of grace-period for baseline end line surveys.

Control group; Intervention group

Measurement of child's height-for-age and weight-for-age OTHER

The child's height-for-age and weight-for-age will be measured for participating dyads at the time of the baseline and end line surveys.

Control group; Intervention group

Eligibility Criteria

• Age: 9 Months - 14 Months
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Caregivers must be 19 - 55 years old
• One child of either gender, 9-14 months old
• Caregiver can have other children
• Caregiver of any occupation and income level
• Live in Manggarai Timur and Trenggalek during inception

You may not qualify if:

• Caregivers with a cognitive disability

Sponsors & Collaborators

• Boston University: lead
• The Abdul Latif Jameel Poverty Action Lab Southeast Asia: collaborator
• Department of Foregin Affairs and Trade, Australia: collaborator

Study Sites (1)

The Abdul Latif Jameel Poverty Action Lab Southeast Asia

Jakarta, Indonesia

Location

MeSH Terms

Conditions

Growth Disorders

Interventions

House Calls; Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Professional Practice; Organization and Administration; Health Services Administration; Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Peter C Rockers, ScD, MPH

  BU School of Public Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Sub-villages ("dusun") will be randomly assigned to control and treatment group with around 740 caregiver-child (9-14 months) dyads in each group.

Study Record Dates

• First Submitted: January 7, 2020
• First Posted: January 10, 2020
• Study Start: March 14, 2022
• Primary Completion: August 20, 2024
• Study Completion: August 20, 2024
• Last Updated: August 29, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

ID (1)