Randomized controlled trial on drowning prevention for parents with children aged below five years in Bangladesh: a study protocol

Mosharaf Hossain, Kulanthayan K C Mani, Sherina Mohd Sidik, K S Hayati, A K M Fazlur Rahman, Mosharaf Hossain, Kulanthayan K C Mani, Sherina Mohd Sidik, K S Hayati, A K M Fazlur Rahman

Abstract

Background: Drowning is the third leading cause of death for children aged 0-4 years in many Asian countries, and is a serious but neglected health problem in low and middle-income countries like Bangladesh. The aim of the study is to outline the study protocol of a trial to test the efficacy of a mobile coach based intervention for the prevention of childhood drowning.

Method/design: A two-arm cluster randomized community trial will be conducted to test the efficacy of the mobile coach intervention for childhood drowning on parents with children below five years of age and compared to an assessment only control group. A total of 1680 parents in the villages with children aged below five years of age will participate. The village will be used as a randomized unit, randomly assigned to an intervention group (N = 840) receiving the mobile coach based intervention or an assessment only control group (N = 840). An individualized mobile coach intervention based on the demographic data and the individual will be developed, and SMSs, audio messages, videos and images about childhood drowning will be sent to the participants of the intervention group over a period of six months. The participants will receive per week one text message (SMS) and image and one video and audio text per month. The primary outcome measure will be increased knowledge and safety awareness, and behaviour practice about childhood drowning assessed at the six-month follow-up, and the secondary outcome measure will be the reduced incidence of childhood drowning in Bangladesh. The study assistants conducting the baseline and the follow-up assessments will be blinded regarding the group assignment.

Discussion: This is the first study testing a fully mobile coach intervention for childhood drowning prevention in Bangladesh. It is hoped that the programme will offer an effective and inexpensive way to prevent childhood drowning among children aged below five years and also increase the awareness of parents concerning the risks to their children from drowning.

Trial registration: ISRCTN13774693, 08/03/2015.

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Study design

References

    1. Van Beeck EF, Branche CM, Szpilman D, Modell JH, Bierens JJLM. A new definition of drowning: towards documentation and prevention of a global public health problem. Bull World Health Organ. 2005;83:853–6.
    1. WHO. Burden of disease: Deaths estimates for 2008 by cause for WHO member states, health statistics and health information systems- Disease and injury country estimates, 2012. Retrieved from . index.html
    1. IDRC. International Drowning Research Centre, 2013. Dhaka, Bangladesh. .
    1. Peden M, Oyegbite K, Ozanne-Smith J, Hyder AA, Branche C, Rahman F, et al. World report on child Injury prevention, summary. Geneva, Switzerland: World Health Organization; 2008.
    1. Rahman A, Mashreky SR, Chowdhury SM, Giashuddin MS, Uhaa IJ, Shafina S, et al. Analysis of the childhood fatal drowning situation in Bangladesh: exploring prevention measures for low-income countries. Inj Prev. 2009;15(2):75–9. doi: 10.1136/ip.2008.020123.
    1. Blum LS, Khan R, Hyder AA, Shahanaj S, Arifeen S, Baqui A. Childhood drowning in Matlab, Bangladesh: an in-depth exploration of community perceptions and practices. Soc Sci Med. 2009;68(9):1720–7. doi: 10.1016/j.socscimed.2009.01.020.
    1. Brenner RA, Taneja GS, Haynie DL, Trumble AC, Qian C, Klinger RM, et al. Association between swimming lessons and drowning in childhood: a case–control study. Arch Pediatr Adolesc Med. 2009;163(3):203–10. doi: 10.1001/archpediatrics.2008.563.
    1. Hyder AA, Lunnen J. Reduction of childhood mortality through millennium development goal 4. BMJ. 2011;342:357. doi: 10.1136/bmj.d357.
    1. Bhutta ZA, Darmstadt GL, Hasan BS, Haws RA. Community-based interventions for improving perinatal and neonatal health outcomes in developing countries: a review of the evidence. BMC Paediatrics. 2005;115(2):519–617.
    1. Rahman A, A Community Based Child Drowning Prevention Programme in Bangladesh: a model for low income countries . Thesis for doctoral degree (Ph.D) Stockholm, Sweden: Department of Public Health Sciences, Division of Social Medicine Karolinska Institutet; 2010.
    1. Rahman A, Giashuddin SM, Svanström L, Rahman F. Drowning – a major but neglected child health problem in rural Bangladesh: implications for low income countries. Int J Inj Contr Saf Promot. 2006;13(2):101–5. doi: 10.1080/17457300500172941.
    1. Becker S, Weng S. Seasonal patterns of deaths in Matlab, Bangladesh. Int J Epidemiol. 2005;27:814–23. doi: 10.1093/ije/27.5.814.
    1. Siddique AK, Baqui AH, Eusof A, Zaman K. Floods in Bangladesh: pattern of illness and causes of death. J Diarrhoeal Dis Res. 2007;9:310–4.
    1. WHO. Global report on drowning: preventing a leading killer. World Health Organization 2014.
    1. MHFW. Ministry of Health and Family Welfare, 2013. Government of the People’s Republic of Bangladesh.
    1. Lemeshow S, Hosmer DW, Klar J, Lwanga SK. Adequacy of sample size in health studies. World Health Organization 1990; 239
    1. Borse NN, Hyder AH, Streatfield PK, Arifeen SE, Bishai D. Childhood drowning and traditional rescue measures: case study from Matlab, Bangladesh. Arch Dis Child. 2011;87:134–44.
    1. Gold J, Lim MS, Hellard ME, Hocking JS, Keogh L. Whats in a message? Delivering sexual health promotion to young people via text message. BMC Public Health. 2010;10:792. doi: 10.1186/1471-2458-10-792.
    1. Haug S, Meyer C, Schorr C, Bauer S, John U. Continuous individual support of smoking cessation using text messaging: a pilot experimental study. Nicotine Tob Res. 2009;11(8):915–23. doi: 10.1093/ntr/ntp084.

Source: PubMed

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