"Nuestras Historias": Evaluating the Impact of Community-Created Digital Stories on Pre- and Perinatal Health Motivation in the Peruvian Amazon

NCT06013787 | Completed

• 1 other identifier: 0000065203
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

"Nuestras Historias" curriculum is a tablet-based digital story curriculum that was created through community-based participatory methods. It uses narrative videos to teach about local prenatal health issues in the Parinari District of Peru. This study aims to assess the impact of "Nuestras Historias" on pregnant women and their partners by measuring participants' changes in prenatal health knowledge, attitudes and behavioral intentions for pregnancy and birth after exposure to the curriculum. The study uses a cluster-randomized design, in which communities were match-paired and then randomized for pregnant women/partners to receive the "Nuestras Historias" curriculum vs. standard prenatal health teaching, delivered by local community health workers.

Conditions

Health Knowledge, Attitudes, Practice; Maternal Behavior

Keywords

Community-based participatory research; Digital storytelling; Maternal child health; Community health workers; Behavior change communication; Low-resource settings

Outcome Measures

Primary Outcomes (3)

• Prenatal Health Knowledge Change

  Change in understanding of basic prenatal health information covered in curriculum, measured using our study's survey tool, which included knowledge questions from several validated studies and from the Peruvian government's manual for community health agents, total possible score of 45

  Pre and post one month intervention

• Prenatal Health Attitude Change

  Change in attitudes towards local issues associated with pregnancy, measured via our study's survey tool with tailored questions to topics that are covered in the curriculum (adolescent pregnancy, domestic violence), and a previously validated measure on locus of control, total possible score of 8

  Pre and post one month intervention

• Change in Behavioral Intentions

  Change in reported behavioral intentions for practices during pregnancy and at time of birth, measure via our study's survey tool, with a series of questions about the expected birth plan based on the Peruvian government's community agent guide and some video-specific questions, total possible score of 6

  Pre and post one month intervention

Study Arms (2)

Intervention Group

EXPERIMENTAL

In the communities randomized into the intervention arm, the pregnant women who enrolled in the study received a month long prenatal health education intervention called "Nuestras Historias", a digital story curriculum. This video-based curriculum was delivered by by community health workers during their normal home visits and group visits.

Behavioral: "Nuestras Historias"

Control Group

NO INTERVENTION

In the communities randomized to the control arm, the pregnant women who enrolled in study had normal visits and group visits with community health workers and received standard prenatal health education, but with no video intervention.

Interventions

"Nuestras Historias" BEHAVIORAL

"Nuestras Historias" is a digital story curriculum that is displayed on a small solar-powered tablet. The curriculum is a collection of 7 digital stories used to discuss health issues during pregnancy that the community identified as important. The digital stories are short videos that combine local photos and local voices sharing real-life narratives about experiences during pregnancy. The videos were made in collaboration with community health workers and local mothers.

Also known as: A Digital Story Curriculum on Prenatal Health

Intervention Group

Eligibility Criteria

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

You may qualify if:

• All female participants had to be confirmed pregnancies, living permanently within the selected communities of the Parinari District, and age 18 or older
• All male participants had to be partners of women who were confirmed to be pregnant, living permanently within the selected communities of the Parinari District, and age 18 or older

You may not qualify if:

• Participants were excluded if not pregnant, if not living in the correct communities or likely to travel away within the study time frame, or if did not consent to the study.

Sponsors & Collaborators

• Universidad Peruana Cayetano Heredia: lead
• University of Washington: collaborator

Study Sites (1)

Universidad Peruana Cayetano Heredia

Lima, Peru

Location

MeSH Terms

Conditions

Behavior

Study Officials

• Neha Limaye, MD

  Fellow at UPCH and UW

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Participants were made aware through the informed consent that 1/2 of the communities would be receiving a video intervention. Care providers (community health workers who delivered the video intervention) were trained in it so were not blinded. Outcomes assessor was investigator
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Cluster-matched randomized trial, by community, with 5 intervention communities and 5 control communities

Study Record Dates

• First Submitted: October 17, 2018
• First Posted: August 28, 2023
• Study Start: April 10, 2016
• Primary Completion: May 21, 2016
• Study Completion: April 3, 2018
• Last Updated: August 28, 2023

Record last verified: 2018-08

Locations

PE (1)