- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07569172
Improved Child Nutrition and Development Through Social Transfers (TENDER)
Taabo Enhanced Nutrition and Development Through Economic Rewards
The goal of this clinical trial is to learn if a conditional social transfer works to improve rates of complementary breastfeeding. It will also learn about the impacts of social transfers on maternal and child health and development. The main questions it aims to answer are:
- Does the social transfer increase complementary breastfeeding rates at 24-months postpartum?
- Does the social transfer increase complementary breastfeeding duration?
- Does the social transfer impact child health and development?
- Does the social transfer impact maternal physical and mental health?
Researchers will compare a conditional social transfer to a control group that only receives education about breastfeeding recommendations to see if a conditional social transfers works to increase complementary breastfeeding.
Participants will:
Receive a pamphlet explaining the current recommendations of breastfeeding Receive instructions that if they meet the recommendation to breastfeed until 24-months postpartum they receive a social transfer or receive no additional information Complete home visits at 12- and 24-months postpartum Complete detailed questionnaire
Panoramica dello studio
Stato
Condizioni
- Diarrea
- Fatica
- Anemia
- Perdita di peso
- Pressione sanguigna
- Eczema
- Sviluppo del bambino
- Malattie infettive
- Salute mentale
- Allattamento al seno
- Tosse
- Allergie
- Educazione all'allattamento al seno
- Uso di antibiotici
- Durata dell'allattamento al seno
- Crescita del bambino
- Continuazione dell'allattamento al seno
Intervento / Trattamento
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Luoghi di studio
-
-
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Taabo, Côte d'Ivoire
- Taabo Health and Demographic Surveillance
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Contatto:
- Siaka Koné
- Numero di telefono: +225 0749069627
- Email: Siaka.kone@csrs.ci
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Bambino
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Are enrolled in the Taabo multigenerational birth cohort (MGC)
- Completed the postpartum interview of the Taabo MGC
- Have a child who is within two weeks of their 12-month birthday,
- are breastfeeding at time of recruitment,
- live in the Taabo HDSS, Côte d'Ivoire
- have no illnesses that contraindicates breastfeeding,
- had a healthy singleton infant with a birth weight of at least 2500 grams, and
- agree to participate and sign an informed consent; if underage (12-17 years), a legal representative will also have to agree to sign the informed consent
Exclusion Criteria:
- Plans to move permanently outside study area
- Has a medical, intellectual or psychological disability
- Contraindication for breastfeeding
- Children born with < 2500 grams
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Altro
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Sperimentale: Social Transfer
A social transfer is provided at the 24-month visit, conditional on the mother still breastfeeding at the time of the visit.
They also receive education about current breastfeeding recommendations.
|
A social transfer will be given conditioned upon breastfeeding at 24-months postpartum.
|
|
Nessun intervento: Control
No intervention is provided besides education on current breastfeeding recommendations.
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Prevalence of Complementary Breastfeeding
Lasso di tempo: from 12 to 24 months postpartum
|
Prevalence of complementary breastfeeding at 24 months postpartum.
|
from 12 to 24 months postpartum
|
|
Complementary Breastfeeding Duration
Lasso di tempo: from 12 to 24 months postpartum
|
Duration of complementary breastfeeding in weeks.
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from 12 to 24 months postpartum
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Weight-for-Age z-score
Lasso di tempo: 12 months; 24 months
|
Infants will be weighed in kilograms by a mobile weighing scale.
Measurements will be analyzed as age standardized z-scores.
|
12 months; 24 months
|
|
Child Health Outcomes
Lasso di tempo: 12 months; 24 months
|
We will assess the child's health outcomes by using a questionnaire administered to the caregiver.
The questionnaire will ask a range of yes or no questions about child diarrhea, respiratory illness, fever, and child antibiotic use.
|
12 months; 24 months
|
|
Percent weight loss
Lasso di tempo: 12 months; 24 months;
|
Percent weight loss will use body weight (kg) and pregnancy weight of the mother controlling for time of measurement.
Percent weight loss will be calculated as ((current weight - pregnancy weight) / pregnancy weight) × 100.
|
12 months; 24 months;
|
|
Mother and Child Hemoglobin Levels
Lasso di tempo: 12 months; 24 months
|
We will assess the mother and child anemia levels.
The HemoCue Hb 301 will be used to give an instant measurement of the Haemoglobin (Hb) level of the patient.
Capillary blood will be collected through a finger prick.
Blood samples drawn for the haemoglobin assessment will be discarded after the test.
Iron levels will be analyzed as a continuous outcome.
|
12 months; 24 months
|
|
Maternal Depression
Lasso di tempo: 12 months; 24 months
|
Maternal postpartum depression will be assessed using the Patient Health Questionnaire-9 (PHQ-9); categorized as a binary: no depression (score <10) or depression present (score ≥10).
|
12 months; 24 months
|
|
Height-for-age z-score
Lasso di tempo: 12 months; 24 months
|
Height will be measured in centimeters by using a Height Measuring Device, stadiometer, 20-205cm.
All measurements will be analyzed as age standardized z-scores
|
12 months; 24 months
|
|
Mid-upper arm circumference (MUAC)
Lasso di tempo: 12 months; 24 months
|
Infants will be measured for mid-upper arm circumference (MUAC) using non-stretchable measuring tape.
All measurements will be analyzed as age standardized z-scores.
|
12 months; 24 months
|
|
Mother and Child Anemia
Lasso di tempo: 12 months; 24 months
|
The HemoCue Hb 301 will be used to give an instant measurement of the Haemoglobin (Hb) level of the patient.
Capillary blood will be collected through a finger prick.
Blood samples drawn for the haemoglobin assessment will be discarded after the test.
Hemoglobin levels (gm/dL) will be used to categorize mothers and children into a binary variable: anemic or not anemic.
|
12 months; 24 months
|
|
Maternal weight change
Lasso di tempo: 12 months; 24 months;
|
Weight weight change will use body weight (kg) and pregnancy weight of the mother controlling for time of measurement. Maternal weight change will be calculated as the difference between postpartum weight and pregnancy weight. Because pregnancy weight varies by gestational age, analyses will control for gestational age at pregnancy weight measurement and time postpartum at outcome measurement. Categorized as: no weight loss (0 kg); moderate weight loss (<0 to >-5 kg); high weight loss (≥-5 kg); moderate weight gain (>0 to <5 kg); high weight gain (≥5 kg). |
12 months; 24 months;
|
|
Change in systolic and diastolic blood pressure (mmHg)
Lasso di tempo: 12 months; 24 months;
|
Change in systolic and diastolic blood pressure (mmHg) from baseline of the mothers will be categorized as low, normal, or high according to standard clinical thresholds.
|
12 months; 24 months;
|
|
Change in systolic and diastolic blood pressure (mmHg)
Lasso di tempo: 12 months; 24 months;
|
Change in systolic and diastolic blood pressure (mmHg) from baseline of the mothers will be analyzed as a continuous measure.
|
12 months; 24 months;
|
|
Caregiver Reported Early Development Instruments (CREDI) cognitive z-score
Lasso di tempo: 12 months; 24 months
|
The CREDI long-form will be administered.
Raw item data will be converted to norm-referenced z-scores using the CREDI scoring procedure.
|
12 months; 24 months
|
|
CREDI language z-score
Lasso di tempo: 12 months; 24 months
|
The CREDI long-form will be administered.
Raw item data will be converted to norm-referenced z-scores using the CREDI scoring procedure.
|
12 months; 24 months
|
|
CREDI motor z-score
Lasso di tempo: 12 months; 24 months
|
The CREDI long-form will be administered.
Raw item data will be converted to norm-referenced z-scores using the CREDI scoring procedure.
|
12 months; 24 months
|
|
CREDI social-emotional z-score
Lasso di tempo: 12 months; 24 months
|
The CREDI long-form will be administered.
Raw item data will be converted to norm-referenced z-scores using the CREDI scoring procedure.
|
12 months; 24 months
|
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Maternal Anxiety
Lasso di tempo: 12 months; 24 months
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Maternal postpartum anziety will be assessed using the the GAD-7 (Generalized Anxiety Disorder-7); a seven-item self-report questionnaire designed to measure the severity of anxiety; categorized as: Minimal Anxiety: score 0-4; Mild Anxiety: score 5-9; Moderate Anxiety: score 10-14; Severe Anxiety: score 15-21
|
12 months; 24 months
|
Collaboratori e investigatori
Studiare le date dei record
Studia le date principali
Inizio studio (Stimato)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Processi patologici
- Attributi della malattia
- Peso corporeo
- Segni e sintomi, Digestivo
- Malattie del sistema immunitario
- Infezioni
- Malattie delle vie respiratorie
- Cambiamenti di peso corporeo
- Disturbi respiratori
- Malattie ematologiche
- Malattie della pelle
- Segni e sintomi, respiratori
- Malattie della pelle, eczematose
- Dermatite
- Condizioni patologiche, segni e sintomi
- Comportamento
- Malattie della pelle e del tessuto connettivo
- Segni e sintomi
- Malattie emiche e linfatiche
- Soddisfazione personale
- Comportamento alimentare
- Perdita di peso
- Ipersensibilità
- Malattie trasmissibili
- Eczema
- Anemia
- Tosse
- Diarrea
- Benessere psicologico
- Allattamento al seno
Altri numeri di identificazione dello studio
- 2025-50
Piano per i dati dei singoli partecipanti (IPD)
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Tipo di informazioni di supporto alla condivisione IPD
- STUDIO_PROTOCOLLO
- LINFA
- ICF
- CODICE_ANALITICO
Informazioni su farmaci e dispositivi, documenti di studio
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Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
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