Leveraging Community Health Workers to Combat Health Misinformation in Haiti, Malawi, and Rwanda
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 5,109
- 试验地点
- 4
- 主要终点
- Number of Mental Health Visits/ Consultations Completed Monthly at Health Facilities
研究概览
简要总结
Partners In Health (PIH), in collaboration with Harvard Medical School, aims to develop and evaluate an SMS-based intervention for Community Health Workers (CHWs) to combat COVID-19 and mental health-related misinformation in Haiti, Rwanda, and Malawi. The study involves three aims: identifying locally relevant misinformation through a card-sorting exercise with CHWs, developing targeted messages through cognitive interviewing, and evaluating the effectiveness of SMS-based educational message dissemination via a randomized controlled trial. The evaluation will assess the impact on public health practices, knowledge and attitudes among CHWs, and knowledge and attitudes among community members.
详细描述
The intervention will involve sending SMS messages to randomized CHWs, addressing either COVID-19 or mental health misinformation. CHWs will have access to a helpline for further support and can provide feedback to refine the messaging. The evaluation will use a time series analysis to measure changes in COVID-19 vaccine administration, mental health service utilization, CHWs' knowledge and attitudes, and community members' knowledge and attitudes. The study aims to empower CHWs with accurate information, improve public health practices, and ultimately contribute to better health outcomes in the communities served by PIH. Rwanda and Haiti CHWs will receive the messages for 12 months, but Malawi CHWs will receive the messages for 6 months due to a CHW transition in country.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The intervention will be assigned at the unit of the CHWs. These individuals will also be eligible for the CHW longitudinal cohort.
- •Inclusion Criteria:
- •CHWs affiliated with PIH Rwanda, Malawi, or Haiti
- •18+ years of age.
排除标准
- •- Less than 18 years old.
结局指标
主要结局
Number of Mental Health Visits/ Consultations Completed Monthly at Health Facilities
时间窗: 24 months
Mental health service utilization will be measured using routinely collected data measured monthly at the health facility level
Number of COVID-19 Vaccine Doses Administered Monthly at Health Facilities (if available)
时间窗: 24 months
COVID-19 Vaccine administration will be measured using routinely collected data measured monthly at the health facility level
Number of Patients who Sought Care from Mental Health Services Monthly at Health Facilities
时间窗: 24 months
Mental health service utilization will be measured using routinely collected data measured monthly at the health facility level
次要结局
- Qualitative Interviews(Before, after 6 months of the intervention, and after 12 months of the intervention (only in Rwanda & Haiti))
- Cross-Sectional Survey(Before the intervention and after 12 months of the intervention (only in Rwanda & Haiti))
- Longitudinal Cohort Surveys(Before, after 6 months of the intervention, and after 12 months of the intervention (only in Rwanda & Haiti))
研究者
Bethany Hedt-Gauthier
Principal Investigator
Harvard Medical School (HMS and HSDM)