Community Resilience to Acute Malnutrition (CRAM)
調査の概要
詳細な説明
Concern Worldwide has developed a model of intervention called Community Resilience to Acute Malnutrition (CRAM). This model is based on the need for (a) the introduction of longer-term programming to build community resilience to shocks, while recognising that there may be a need for humanitarian intervention, and (b) a multi-sectoral package of activities given experience in programming from other settings. The goal of the study is to rigorously test the impact of the model and associated activities on community resilience to shocks in the Goz Beida area of Chad. Where community resilience is proxied by the primary outcome variable: acute malnutrition.
In order to answer this question, 69 villages had been randomized to either receive the full multi-sectoral program or not. In each village, approximately 20 households were surveyed (randomly selected from a household list from a previous emergency distribution) for a total of 1420 households. Those households were then surveyed in November/December 2012 (prior to the intervention), and again a the same time period in 2014, 2015, and 2017.
Data was collected on household demographics, livelihoods, child health, and nutrition, including child (6-59 months) anthropometry.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Sila Region
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Goz Beida、Sila Region、チャド
- Concern Worldwide Office
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- child is from household with B, C, or D wealth ranking (wealth ranking is from A-D with A being the highest wealth and D being the lowest wealth)
- child is between the ages of 6-59 months
- child is present in the selected household at the time of the survey
Exclusion Criteria:
- child has a skin disorder
- too ill to be measured on height board or weight scale
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的：multi-sectoral package of activities
Villages in the experimental arm received the full multi-sectoral package of village level activities, including having a well dug, a shared latrine installed, training on handwashing and hygiene across the water chain, training on conservation agriculture techniques, care groups for pregnant and breastfeeding mothers, and training on market gardens.
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A multi-sectoral package of village level activities, including having a well dug, a shared latrine installed, training on handwashing and hygiene across the water chain, training on conservation agriculture techniques, care groups for pregnant and breastfeeding mothers, and training on market gardens.
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介入なし：Control
Villages in the control arm did not receive teh multi-sectoral package of village level activities.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Acute Malnutrition
時間枠：5 years
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prevalence of wasting (weight for age z-score<-2)
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5 years
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Chronic Malnutrition
時間枠：5 years
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prevalence of stunting (height for age z-score<-2)
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5 years
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height for age
時間枠：5 years
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height for age z-score
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5 years
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child morbidity
時間枠：5 years
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Child ill in the past two weeks
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5 years
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weight for height
時間枠：5 years
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weight for height z-score
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5 years
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協力者と研究者
スポンサー
捜査官
- 主任研究者：Helen Young, DR、Tufts University
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
栄養失調、子供の臨床試験
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Boehringer Ingelheim利用できない肺疾患、間質性（小児集団） | 小児間質性肺疾患 (chILD)
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AstraZeneca終了しました胃癌 | 進行性固形悪性腫瘍 | 固形腫瘍 | Child-Pugh A ～ B7 進行肝細胞がん | EGFRおよび/またはROS変異NSCLC | 肺転移がん大韓民国