Impact of eHealth Education to Reduce Anemia Among School-going Adolescent Girls in Rural Bangladesh

NCT05185661 | Completed

• 1 other identifier: 2021/OR-NSU/IRB/1102
• Study Type: interventional
• Target: 138
• Locations: 1 country
• Sites: 1

Brief Summary

Adolescent girls are the highly vulnerable group to develop anemia due to reproductive immaturities, poor personal hygiene, lack of nutritional intake, and lack of health education in the rural area of Bangladesh. Rapid advantage of technology, eHealth is the promising tool to overcome the barriers and provide appropriate health guidelines in distant rural communities by developing knowledge, attitude, and practice to reduce anemia and mitigate risk among the school-going adolescent girls. This research aims (1) To evaluate eHealth education's impact on reducing anemia among adolescent girls in rural Bangladesh. (2) To assess the effect of eHealth education to change the knowledge, attitude, and practice among adolescent girls regarding anemia. A Randomized Control Trial study will be conducted from May 22, 2022, to January 21, 2023, in the two schools at the Chandpur district, Bangladesh. During the 8th months' intervention, will be provided eHealth education by the trained community health worker. The participant will be allocated who will be diagnosed as anemic through the blood hemoglobin screening. The sample size was calculated, and the total sample is 138. In this study, one school will be considered an intervention group and another school control group through the simple coin toss randomization technique. Then random sampling technique will be used to select study participants.

Conditions

Anemia

Keywords

eHealth education; Anemia; Adolescents girl; Bangladesh

Outcome Measures

Primary Outcomes (1)

• Impact of eHealth education to change the anemia level among school-going adolescent girls in rural areas of Bangladesh

  Individuals school-going adolescent girls will be measured anemia level (No anemic, mild, moderate, and severe anemia) through the blood hemoglobin screening by the auto-hematology analyzer. According to WHO, 10-11 years adolescent girls Hb \<11.5g/dl will be considered anemic, and \<10-11.4, 7.0-9.9 g/dl, \<7.0 g/dl will be considered mild, moderate, and severe anemia, respectively. Non-pregnant adolescent girls (12-19 years) Hb level \< 12 g/dl will be considered suffering any form of anemia, and 10.0-11.9 g/dl, 7.0-9.9 g/dl, and \<7.0 g/dl will be considered mild, moderate, and severe anemia, respectively. After eHealth education intervention, changes will be assessed (e.g., anemic to non-anemic, severe to mild/ moderate/non-anemic, moderate to mild/non-anemic, mild to non-anemic) from the baseline of anemia level among the school-going adolescent girls.

  8 months after intervention

Secondary Outcomes (1)

• Changes of knowledge, attitude, and practice regarding anemia among the school-going adolescent girls in rural areas of Bangladesh

  8 months after intervention

Study Arms (2)

Intervention Group

EXPERIMENTAL

1. Two surveys: Demographic, lifestyle, hygiene-related (1) \& knowledge, attitude, and practice (2) regarding anemia at baseline and end line of study. 2. Investigations and physical examination will perform for CBC blood test except ESR, urine R/E, stool R/E, Height, weight for BMI, waist circumference, hip circumference, hip - waist ratio, and mid-upper arm circumference (MUAC) at baseline, mid-line, and end-line of study.

Behavioral: eHealth education

Control Group

NO INTERVENTION

1. Two surveys: Demographic, lifestyle, hygiene-related (1) \& knowledge, attitude, and practice (2) regarding anemia at baseline and end line of study. 2. Investigations and physical examination will perform for CBC blood test except ESR, urine R/E, stool R/E, Height, weight for BMI, waist circumference, hip circumference, hip - waist ratio, and mid-upper arm circumference (MUAC) at baseline, mid-line, and end-line of study.

Interventions

eHealth education BEHAVIORAL

eHealth education intervention regarding the dietary plan, healthy-lifestyle, and hygiene: 1. Group-wise eHealth education through online PowerPoint presentation session among study participants with their guardian: Two times (Before starting the intervention and mid-line; end of 4th-month intervention) 2. eHealth education through phone calls \& SMS * 1st to 4th month: 4 times in a month * 5th to 6th month: 3 times in a month * 6th to 8th month: 2 times in a month 3. Control group will not get care and education

Intervention Group

Eligibility Criteria

• Age: 10 Years - 19 Years
• Gender Eligibility Details: The adolescent girl whose age is 10-19 years.
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Who is diagnosed with mild and moderate anemia in the baseline screening of the study.
• Who gives written consent to participate in the study through the legal guardian/participants.
• Who is living and studying Chandpur district with assigned school for the study.

You may not qualify if:

• Participants whose guardians/participants do not have a mobile phone will be excluded from the study.
• Who is pregnant will be excluded from our study.
• Who are physically and mentally sick will be excluded from our study.
• \. Disagree to participate in this study

Sponsors & Collaborators

• Hiroshima University: lead
• North South University, Bangladesh: collaborator

Study Sites (1)

Baburhat high school and Zubaida girl school

Chāndpur, 3603, Bangladesh

Location

Related Publications (3)

• Jalambo M, Karim N, Naser I, Sharif R. Effects of iron supplementation and nutrition education on haemoglobin, ferritin and oxidative stress in iron-deficient female adolescents in Palestine: randomized control trial. East Mediterr Health J. 2018 Jul 29;24(6):560-568. doi: 10.26719/2018.24.6.560.

  PMID: 30079951 BACKGROUND

• Sunuwar DR, Sangroula RK, Shakya NS, Yadav R, Chaudhary NK, Pradhan PMS. Effect of nutrition education on hemoglobin level in pregnant women: A quasi-experimental study. PLoS One. 2019 Mar 21;14(3):e0213982. doi: 10.1371/journal.pone.0213982. eCollection 2019.

  PMID: 30897129 BACKGROUND

• Rahman MJ, Rahman MM, Sarker MHR, Matsuyama R, Kakehashi M, Tsunematsu M, Ali M, Ahmed A, Hawlader MDH, Kawasaki H, Shimpuku Y. Impact of mobile health-based nutritional education on hemoglobin levels in anemic adolescent girls in rural Bangladesh: a randomized controlled trial. BMC Public Health. 2025 Jul 28;25(1):2567. doi: 10.1186/s12889-025-23687-z.

  PMID: 40722070 DERIVED

Related Links

• Regional strategy for strengthening ehealth in the South-East Asia Region, WHO (2014-2020)

MeSH Terms

Conditions

Anemia

Condition Hierarchy (Ancestors)

Hematologic Diseases; Hemic and Lymphatic Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: One school will be considered as an intervention group and another school control group to reduce the health education information bias between the intervention and control group participants through the coin toss simple randomization technique. Then computer-generated simple random sampling technique will be used to select anemic study participants for both the intervention and control group from the schools
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Researcher, Graduate School of Biomedical and Health Sciences

Model Details: Randomized control trial (RCT) study.

Study Record Dates

• First Submitted: December 4, 2021
• First Posted: January 11, 2022
• Study Start: May 22, 2022
• Primary Completion: February 1, 2023
• Study Completion: January 30, 2024
• Last Updated: February 28, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

BA (1)