Interventions to Improve Neonatal Health and Later Survival: An Overview of Systematic Reviews.
Zohra S Lassi, Philippa F Middleton, Caroline Crowther...
https://pubmed.ncbi.nlm.nih.gov/26425706Actively Recruiting
Phase Not Applicable
Age: 18Years +
FEMALE
ID06431581
Effect of a Mobile Health Intervention on Birth Outcome and Infant Health in a Tertiary Healthcare Facility in Nepal
Led by Kathmandu University School of Medical Sciences · Updated on 2024-10-15
494
Participants Needed
1
Research Sites
78 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to evaluate the impact of a mobile health (mHealth) intervention on birth outcomes and infant health in Nepal, focusing on pregnant women attending antenatal care. The study addresses ongoing challenges such as neonatal and infant mortality, low birth weight, preterm birth, and growth and developmental issues in infants, especially in low and middle-income countries. It recognizes barriers like poor maternal health, nutrition, smoking, and limited social support, exploring how mHealth technology can support better maternal and infant health outcomes. The study includes a two-phase approach: first, a qualitative phase to explore pregnant women's needs and preferences through focus group discussions to develop user-centered educational videos. Then, a randomized controlled trial where pregnant women between 14 and 22 weeks gestation are assigned to either an intervention group receiving standard care plus mHealth support (educational videos, SMS messages, and reminder phone calls) or a control group receiving standard care with a control video and reminder calls. The intervention involves repeated video viewing encouraged by reminders until delivery and the child reaching one year. Participants will be followed from enrollment until their child is one year old. Assessments include measuring birth outcomes such as birth weight and gestational age at delivery, along with infant growth and developmental progress at scheduled immunization visits. Data will be collected through questionnaires and analyzed to understand the effects of the mHealth intervention on maternal knowledge, birth results, and infant health.
CONDITIONS
Brief Title
Effect of a Mobile Health Intervention on Birth Outcome and Infant Health
Who Can Participate
Age: 18Years +
FEMALE
Eligibility Criteria
You may qualify if you...
- Pregnant women aged 18 years and above
- Pregnant with 14 to 22 weeks of gestation
- Plan to deliver a child and attend infant vaccination at Dhulikhel Hospital
- Use a smartphone
- Plan to stay in Dhulikhel throughout the study period
- Can read and understand Nepali language
You will not qualify if you...
- Vision impairment
- Diagnosed learning difficulties
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Baseline Data Collection and Randomization
Duration - 1 day
Participants provide baseline information and are randomized to either intervention or control groups.
1 baseline visit (in-person)
Intervention
Duration - From enrollment until delivery and until the child reaches 1 year of age
Participants in the intervention group watch educational videos on perinatal care, receive SMS messages, and reminder phone calls to encourage video viewing during pregnancy. Control group participants receive standard care with a control video and reminder calls.
Monthly phone calls plus video viewing on smartphone during pregnancy
Post-intervention Knowledge Assessment
Duration - 1 day
Participants undergo assessment of knowledge on perinatal care approximately one month after initial video viewing.
1 follow-up visit (in-person or phone)
Birth Outcome Assessment
Duration - 1 day
Participants are assessed within 24 hours after delivery for birth outcomes.
1 visit within 24 hours of delivery (in-person)
Infant Health Follow-up
Duration - 12 months
Growth and developmental assessments of infants are conducted at scheduled immunization visits up to 12 months of age.
4 visits at 6 weeks, 14 weeks, 9 months, and 12 months (in-person at clinic, health post, or home visits)
Trial Site Locations
Total: 1 location
1
Bhawana Shrestha
Dhulikhel, Bagmati, Nepal, 45210
Actively Recruiting
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Research Team
B
Bhawana Shrestha, M.Sc. Nursing
K
Kunta Devi Pun, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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Published Research Related To This Trial
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Ali Khani Jeihooni, Fatemeh Mohammadkhah, Fatemeh Razmjouie...
https://pubmed.ncbi.nlm.nih.gov/36151526Essential pre-pregnancy and pregnancy interventions for improved maternal, newborn and child health.
Zohra S Lassi, Tarab Mansoor, Rehana A Salam...
https://pubmed.ncbi.nlm.nih.gov/25178042Impact of an integrated nutrition, health, water sanitation and hygiene, psychosocial care and support intervention package delivered during the pre- and peri-conception period and/or during pregnancy and early childhood on linear growth of infants in the first two years of life, birth outcomes and nutritional status of mothers: study protocol of a factorial, individually randomized controlled trial in India.
Sunita Taneja, Ranadip Chowdhury, Neeta Dhabhai...
https://pubmed.ncbi.nlm.nih.gov/32005294A systematic review and narrative synthesis of antenatal interventions to improve maternal and neonatal health in Nepal.
Miriam Toolan, Katie Barnard, Mary Lynch...
https://pubmed.ncbi.nlm.nih.gov/35252905Interventions to improve birth outcomes of pregnant women living in low- and middle-income countries: a systematic review and network meta-analysis.
Jay J H Park, Ofir Harari, Ellie Siden...
https://pubmed.ncbi.nlm.nih.gov/33134854