Clinical trial NCT05374837: Mobile Messaging for Improved Nutrition
Official title: The Impact and Implementation of a Mobile Messaging Intervention to Improve Infant and Young Child Nutrition in Senegal
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Diet, Healthy
Anemia
Keywords: Senegal
Infant and young child feeding
Lead sponsor: Rutgers, The State University of New Jersey
Sponsor class: OTHER
Collaborators: name: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
First posted: 2022-05-16
Enrollment: 488
Sex: ALL
Minimum age (years): 6
Maximum age (years): 23
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Cluster-randomized control trial. Please note that enrollment number reflects the number of triads included in the study.
Primary purpose: PREVENTION

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.

Detailed description: This is a cluster-randomized control trial (cRCT) conducted with 488 mother, father, and child triads in 104 villages in three regions in Senegal: Thies, Diourbel and Fatick. Mothers and fathers in the experimental group will receive 16 voice and text messages over the course of 16 weeks. One voice and 1 text message with the same content will be sent per week over the 16 week period. We will include eight scripted messages which have previously been piloted. We will also include eight unscripted messages from positive deviants from communities similar to our study population that were included in our pilot study. A text message with the same content as the voice message will be sent to each triad mother and father to increase the reach of the intervention. We will conduct baseline and endline assessments of infant and young child feeding practices in both the experimental and control groups. Primary outcomes will include the prevalence of anemia and minimum acceptable diet in children. Minimum acceptable diet is an indicator of dietary diversity and a proxy for nutrient adequacy. Secondary outcomes include the frequency of consuming key foods targeted in the intervention over the previous 7 days and infant and young child feeding indicators of complementary feeding of the child. In addition, infant and young child feeding knowledge, beliefs, and norms (of mothers and fathers in triads) and intentions (of mothers in triads) will be included as secondary outcomes.

Eligibility criteria: Inclusion Criteria:

* 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

Exclusion Criteria:

-Does not meet study inclusion criteria

Primary outcomes:
measure: Number of Children Who Consume a Minimum Acceptable Diet
timeFrame: At study completion, an average of 4 months after baseline
measure: Anemia Prevalence of Children
timeFrame: At study completion, an average of 4 months after baseline
measure: Change in Percentage of Children Consuming a Minimum Acceptable Diet Between Baseline and Endline
timeFrame: Between baseline and study completion, an average of 4 months after baseline
measure: Change in Percentage of Children With Anemia Between Baseline and Endline
timeFrame: Between baseline and study completion, an average of 4 months after baseline
Secondary outcomes:
measure: Frequency of Child Consuming Key Foods in the Past 7 Days
timeFrame: At study completion, an average of 4 months after baseline
measure: Infant and Young Child Feeding (IYCF) Practices Indicators
timeFrame: At study completion, an average of 4 months after baseline
measure: Mothers and Fathers Infant and Young Child Feeding (IYCF) Knowledge, Attitudes, Norms and Intentions
timeFrame: At study completion, an average of 4 months after baseline
measure: Number of Children Consuming Minimum Meal Frequency
timeFrame: At study completion, an average of 4 months after baseline
measure: Number of Children Consuming Minimum Dietary Diversity
timeFrame: At study completion, an average of 4 months after baseline
measure: Percent Change in Frequency of Consuming Key Foods in the Past 7 Days
timeFrame: Between baseline and study completion, an average of 4 months after baseline
measure: Change in Percentage of Children Meeting Recommended Infant and Young Child Feeding (IYCF) Practices Indicators
timeFrame: Between baseline and study completion, an average of 4 months after baseline
measure: Change in Percentage of Children Meeting Minimum Meal Frequency Indicator
timeFrame: Between baseline and study completion, an average of 4 months after baseline
measure: Change in Percentage of Children Meeting Minimum Dietary Diversity
timeFrame: Between baseline and study completion, an average of 4 months after baseline
measure: Change in Percentage of Mothers and Fathers Infant and Young Child Feeding (IYCF) Knowledge, Attitudes, Norms and Intentions
timeFrame: Between baseline and study completion, an average of 4 months after baseline
Other outcomes:
Locations:
city: Dakar
country: Senegal
facility: Institut de Recherche en Santé de Surveillance Epidemiologique et de Formation
Study officials:
affiliation: Rutgers School of Public Health
name: Shauna Downs
role: PRINCIPAL_INVESTIGATOR
References: