Health Behavior Clinical Trial
Official title:
Health in the Hands of Women: Test of a Community Health Worker Teaching Method "Sharing Histories"
The purpose of this study is to determine the effectiveness of an innovative methodology for training Community Health Workers that will improve their effectiveness in educating mothers to adopt best practice health behaviors in the home.
Objective: Training of community health workers (CHW) is a growing priority to close the gap
between health services and mothers/families in resource poor communities. To address
research needs on how to improve effectiveness of CHW training, the investigators tested an
innovative CHW teaching methodology called "Sharing Histories" hypothesizing that this would
empower and enable CHW to better teach mothers to improve health knowledge and behaviors
that contribute to improved child growth.
Method: The study was a cluster-randomized controlled trial: 22 health facility
jurisdictions were matched and randomly assigned as experimental or control. Health
personnel Tutors and female CHW were trained using either the "Sharing Histories"
methodology (experimental) or a standard but still participatory teaching method (control).
Training content, materials, and other interventions were held constant between study
groups. Impact on maternal knowledge and practices, and child growth and morbidity were
measured in representative household surveys at baseline, midterm, and final evaluation,
with 600 mothers interviewed - 300 in each study group - at each point in time.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Outcomes Assessor), Primary Purpose: Prevention
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