Mobile Messaging for Improved Nutrition

NCT05374837 | Completed Results

• 2 other identifiers: Pro20210008191R21HD105067-01
• Study Type: interventional
• Target: 488
• Locations: 1 country
• Sites: 1

Brief Summary

This project will examine the impact of an infant and young child feeding (IYCF) voice messaging intervention delivered to mothers and fathers in Senegal on the consumption of a minimum acceptable diet and anemia prevalence in their children.

Conditions

Diet, Healthy; Anemia

Keywords

Senegal; Infant and young child feeding

Outcome Measures

Primary Outcomes (4)

• Number of Children Who Consume a Minimum Acceptable Diet

  The minimum acceptable diet indicator will be used to assess diet quality in children. A list-based recall will be used to assess dietary intake over the previous day. The 24-hour recall will be used to calculate minimum dietary diversity (MDD) (consuming 5 or more of 8 food groups (breast milk; grains, roots, tubers and plantains; pulses (beans, peas, lentils), nuts and seeds; dairy products (milk, infant formula, yogurt, cheese); flesh foods (meat, fish, poultry, organ meats); eggs; vitamin A rich fruits and vegetables; other fruit and vegetables) and minimum meal frequency (MMF) (2x/day for breastfed infants 6-8 months; 3x/day for breastfed children 9-23 months; 4x/day for non-breastfed children 6-23 months). Children who meet the thresholds for both MDD and MMF are defined as consuming a MAD, based on the WHO/UNICEF IYCF indicator.

  At study completion, an average of 4 months after baseline

• Anemia Prevalence of Children

  Hemocue Hb301 machines to measure hemoglobin levels in children in order to determine anemia prevalence using the WHO cut-offs: mild 10 ≤ hb \< 11 g/dl; moderate 7 ≤ hb \< 10 d/dl and severe hb \< 7 g/dl. A finger prick will be used to obtain a drop of capillary blood that is placed on a cuvette and inserted in the Hemocue machine to obtain an on-the-spot assessment of hemoglobin levels.

  At study completion, an average of 4 months after baseline

• Change in Percentage of Children Consuming a Minimum Acceptable Diet Between Baseline and Endline

  The change in percentage of children meeting the minimum acceptable diet indicator between baseline and endline will be used to assess diet quality in children. A list-based recall will be used to assess dietary intake over the previous day. The 24-hour recall will be used to calculate minimum dietary diversity (MDD) (consuming 5 or more of 8 food groups (breast milk; grains, roots, tubers and plantains; pulses (beans, peas, lentils), nuts and seeds; dairy products (milk, infant formula, yogurt, cheese); flesh foods (meat, fish, poultry, organ meats); eggs; vitamin A rich fruits and vegetables; other fruit and vegetables) and minimum meal frequency (MMF) (2x/day for breastfed infants 6-8 months; 3x/day for breastfed children 9-23 months; 4x/day for non-breastfed children 6-23 months). Children who meet the thresholds for both MDD and MMF are defined as consuming a MAD, based on the WHO/UNICEF IYCF indicator.

  Between baseline and study completion, an average of 4 months after baseline

• Change in Percentage of Children With Anemia Between Baseline and Endline

  We will use Hemocue Hb301 machines to measure hemoglobin levels in children in order to determine anemia prevalence using the WHO cut-offs: mild 10 ≤ hb \< 11 g/dl; moderate 7 ≤ hb \< 10 d/dl and severe hb \< 7 g/dl. A finger prick will be used to obtain a drop of capillary blood that is placed on a cuvette and inserted in the Hemocue machine to obtain an on-the-spot assessment of hemoglobin levels. The change in child anemia prevalence between baseline and endline will be examined (calculated as endline-baseline/baseline\*100).

  Between baseline and study completion, an average of 4 months after baseline

Secondary Outcomes (10)

• Frequency of Child Consuming Key Foods in the Past 7 Days

  At study completion, an average of 4 months after baseline

• Infant and Young Child Feeding (IYCF) Practices Indicators

  At study completion, an average of 4 months after baseline

• Mothers and Fathers Infant and Young Child Feeding (IYCF) Knowledge, Attitudes, Norms and Intentions

  At study completion, an average of 4 months after baseline

• Number of Children Consuming Minimum Meal Frequency

  At study completion, an average of 4 months after baseline

• Number of Children Consuming Minimum Dietary Diversity

  At study completion, an average of 4 months after baseline

Study Arms (2)

Control group

NO INTERVENTION

The control group will not receive any intervention. After the endline data collection is completed, the intervention will be delivered to the control group.

Infant and young child feeding (IYCF) voice messaging intervention

EXPERIMENTAL

The voice messaging intervention group will receive voice/text messages for a period of 16 weeks.

Behavioral: Infant and young child feeding voice messaging intervention

Interventions

Infant and young child feeding voice messaging intervention BEHAVIORAL

A mobile voice and text messaging intervention aimed at improving IYCF practices will be delivered to mothers and fathers with young children (6-23 months). A total of 16 voice and text message, with the same content, will be sent over a 16-week period (1 voice + 1 text messages (with same content) per week x 16 weeks). Two types of messages will be included: 1) eight scripted and 2) eight unscripted messages from positive deviants. The content of the messages include: breastfeeding until two years of age, consuming a variety of foods within a given meal, the consistency of porridge (thick rather than thin), limiting sweets and fried foods, the importance of animal source foods, consuming vitamin A rich fruits and vegetables, consuming leafy greens, handwashing and feeding infants and young children fruits and vegetables produced by the household.

Infant and young child feeding (IYCF) voice messaging intervention

Eligibility Criteria

• Age: 6 Months - 23 Months
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Residing in Thies, Diourbel or Fatick regions of Senegal
• Household is member of village farming group
• Mothers and fathers (or caregivers) that have a child 6-19 months at baseline
• Mothers and fathers (or caregivers) that are 18 years or older
• Mothers and fathers (or caregivers) have the ability and mental capacity to consent to their participation
• Mother/father (or male/female caregivers) have access to mobile phone
• Child between 6-19 months at baseline

Sponsors & Collaborators

• Rutgers, The State University of New Jersey: lead
• Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD): collaborator

Study Sites (1)

Institut de Recherche en Santé de Surveillance Epidemiologique et de Formation

Dakar, Senegal

Location

Related Publications (1)

• Downs SM, Gueye D, Sall M, Ndoye B, Sarr NN, Sarr M, Mboup S, Alam NA, Diouf A, Merchant EV, Sackey J. The impact and implementation of an mHealth intervention to improve infant and young child feeding in Senegal: IIMAANJE protocol for a cluster randomized control trial. Front Public Health. 2023 Sep 25;11:1258963. doi: 10.3389/fpubh.2023.1258963. eCollection 2023.

  PMID: 37818304 DERIVED

MeSH Terms

Conditions

Anemia

Condition Hierarchy (Ancestors)

Hematologic Diseases; Hemic and Lymphatic Diseases

Results Point of Contact

• Title: Shauna Downs
• Organization: Rutgers School of Public Health

sd1081@sph.rutgers.edu

973-972-7212

Study Officials

• Shauna Downs

  Rutgers School of Public Health

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Given the nature of the intervention, it will not be possible to mask the treatment group at endline data collection.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Cluster-randomized control trial. Please note that enrollment number reflects the number of triads included in the study.

Study Record Dates

• First Submitted: April 27, 2022
• First Posted: May 16, 2022
• Study Start: June 10, 2022
• Primary Completion: December 15, 2022
• Study Completion: December 15, 2022
• Last Updated: December 30, 2024
• Results First Posted: December 30, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)