mHealth for Pneumonia Prevention

NCT04493047 | Completed DMC

• 1 other identifier: 16/136/109
• Study Type: interventional
• Target: 520
• Locations: 1 country
• Sites: 1

Brief Summary

In Pakistan, pneumonia and recurrent wheeze in children under five pose significant threats to children's health. Despite being preventable, more than 90,000 children die each year due to pneumonia in Pakistan, making it one of the top five countries in the world, with the highest pneumonia related childhood mortality. The predisposing factors which lead to these illnesses include lack of hygiene, lack of immunization, overcrowding, household air pollution, smoking, and poverty. Prompt recognition and timely initiation of treatment is imperative in children under five with pneumonia and recurrent wheeze and failure to do so can lead to complications and death. In children under five, among the causes of death due to these diseases, one is delayed care seeking. It has been identified that around 38% of deaths due to respiratory illnesses occur in households due to this delayed care seeking which is defined as delay in care sought for an illness outside home.

Conditions

Pneumonia; Childhood Pneumonia; Infectious Disease; Acute Respiratory Infection

Keywords

childhood Pneumonia; Acute respiratory illness; Pakistan

Outcome Measures

Primary Outcomes (1)

• Number of caregivers with improved knowledge on under five pneumonia

  A structured questionnaire will be used to interview the caregivers

  6 months

Study Arms (1)

Counselling on pneumonia prevention

EXPERIMENTAL

Recruited caregivers will be counselled by Lady health workers on pneumonia and its prevention via an audiovisual user friendly android based mobile application. Additionally, one text and one voice message will also be sent to the caregivers cell phones on the same subject.

Behavioral: Mobile health (mHealth) for pneumonia

Interventions

Mobile health (mHealth) for pneumonia BEHAVIORAL

Audiovisual mobile based application will be used to counsel caregivers of children under five on pneumonia and its prevention. This will be coupled with text and voice message dissemination to the cell phones of caregivers.

Counselling on pneumonia prevention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• LHWs that have been nominated by the district health officer (DHO).
• Caregivers of all children under five years.
• Caregivers residing in the study site.
• Caregivers who can understand Urdu.
• Caregivers who will consent to participate.
• Those caregivers who have mobile phones in their household.

You may not qualify if:

• LHWs not assigned the catchment area households for visits.
• Any household with a child under five having a chronic debilitating illness.

Sponsors & Collaborators

• University of Edinburgh: lead
• Maternal, Neonatal and Child Health Research Network: collaborator

Study Sites (1)

MNCHRN

Islamabad, Federal, 44000, Pakistan

Location

MeSH Terms

Conditions

Pneumonia; Communicable Diseases

Interventions

Telemedicine

Condition Hierarchy (Ancestors)

Respiratory Tract Infections; Infections; Lung Diseases; Respiratory Tract Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• Dr Tabish Hazir, MBBS, FRCPCH

  Maternal, Neonatal and Child Health Research Network

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: The design of model will be based on the Replicating Effective Program (REP) framework of implementation. The first phase of REP is comprised of a systematic review (SR) on best mobile health based approaches for LHWs on management of childhood illness followed by formative research (FR). The study consists of the following three stages: * Pre-intervention phase * Intervention phase * Post-intervention phase

Study Record Dates

• First Submitted: April 17, 2020
• First Posted: July 30, 2020
• Study Start: April 1, 2018
• Primary Completion: December 1, 2020
• Study Completion: March 30, 2021
• Last Updated: June 10, 2024

Record last verified: 2020-07

Locations

PA (1)