Impact on Nutritional Practices: SMS and Interpersonal Communication

Not Applicable

Completed

• Conditions: Nutritional Deficiency
• Interventions: Behavioral: SMS; Behavioral: Interpersonal Counselling

• Registration Number: NCT03297190
• Lead Sponsor: Helen Keller International

Brief Summary

This cluster randomized controlled study aims to add to the evidence base on mHealth interventions by assessing the main effects of delivering nutrition messages on key maternal, infant, and young child nutrition (MIYCN) behaviors and outcomes through three innovative behavior change strategies. The strategies compared will be: (i) an interpersonal communication strategy using the Tanzanian government's Mkoba wa Siku 1000 maternal, infant and young child nutrition (MIYCN) curriculum (MwS) through clinic- and community-based channels, (ii) the mNutrition SMS text messaging module of the government's Wazazi Nipendeni program, and (iii) the combination of both of these strategies (interpersonal and SMS messaging). They will be compared with the current standard of care in Tanzania. The goal will be to determine which has the greatest impact on key MIYCN and hygiene practices and care-seeking behaviors. It will be paired with a costing analysis so that these effects can be understood in the context of their costs.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-09-26
• Study First Submitted QC: 2017-09-26
• Study First Posted: 2017-09-29
• Study Start: 2018-02-25
• Primary Completion: 2019-09-30
• Study Completion: 2019-09-30
• Status Verified: 2022-06
• Last Update Submitted: 2022-06-15
• Last Update Posted: 2022-06-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2245

Inclusion Criteria

• Mothers of children aged 0-12 mo. or pregnant at time of enrollment
• Consent to participate in the study

Exclusion Criteria

• Unable to consent to participate in the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
SMS + Interpersonal	SMS	Participants will receive SMS messages on nutrition and health related topics as well as interpersonal counselling on nutrition and health related topics
SMS + Interpersonal	Interpersonal Counselling	Participants will receive SMS messages on nutrition and health related topics as well as interpersonal counselling on nutrition and health related topics
SMS	SMS	Participants will receive SMS messages on nutrition and health related topics
Interpersonal	Interpersonal Counselling	Participants will receive interpersonal counselling on nutrition and health related topics

Primary Outcome Measures

Name	Time	Method
Women's dietary diversity	24 h	% who consumed food items from at least five out of ten defined food groups in the previous 24 hours (WDDS)
Children's Dietary Diversity	24 h	% of children 6-29 mo. who consumed the minimum dietary diversity (received foods from ≥4 food groups on the previous day)
Children's Minimum Meal Frequency	24 h	% of children 6-29 mo. who consumed the minimum meal frequency the prior day (2/day for breastfed infants 6-8 mo.; 3/day for breastfed infants 9-29 mo.; 4/day for non-breastfed infants 6-29 mo.)

Trial Locations

Locations (1)

HKI-Tanzania; 🇹🇿 Dar es Salaam, Tanzania