Healthy Clinical Trial
— stuntingOfficial title:
Development and Effectiveness of A Mobile Health-Based Education Intervention on Maternal, Infant and Young Child Nutrition to Prevent Stunting in Kelantan
This research aimed to develop health module related to nutrition through mobile phone and to access it effectiveness among mother, infant and children (0-2 years old) to prevent stunting in Kelantan, Malaysia. Besides, to evaluate the effectiveness of intervention in reducing stress among pregnant and lactating women. The mobile health (mHealth) messaging interventions will be delivered via a mobile app known as WhatsApp and by a phone call. There will be a total of 50 messages for 6 months of intervention in which 2 messages will be delivered per week (every Tuesday & Thursday). The understanding of information will be evaluated 2 times per month by a phone call. The type of messages that will be used are text messages, voice messages, video/graphic messages, and voice calls. The assessment using a brief questionnaire and anthropometry measurement will be conducted during first and at the end of the intervention. The effectiveness and perceptions as well as experiences of mobile health intervention will also be assessed.
Status | Recruiting |
Enrollment | 516 |
Est. completion date | September 30, 2022 |
Est. primary completion date | February 28, 2022 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 35 Years |
Eligibility | Inclusion Criteria: Pregnant women + husband 1. Malaysian 2. Pregnant women age 18-35 years during the study 3. Height (<155 cm) 4. or B40 (household income below Ringgit Malaysia (RM) 2194 in Kelantan) 5. or history of stunted child 6. or History Gestional Diabetes Mellitus (GDM), anemia, pre-eclampsia 7. In second trimester of pregnancy (13-16 weeks) 8. Attend the same selected health clinics for the regular medical check-up 9. Own a smart phone Lactation mother + infant + husband 1. Malaysian 2. Lactation mother age 18-35 years during the study 3. Mother height (<155 cm) 4. or B40 (household income below RM 2194 in Kelantan) 5. or history of stunted child 6. New postnatal cases reported to the clinic after delivery 7. Attend the selected health clinics for the regular medical check-up 8. Own a smart phone Children + mother + father 1. Malaysian 2. Children age 6-18 months 3. B40 (household income below RM2194 in Kelantan) 4. or stunted siblings 5. Full terms' babies (deliver after 37 weeks gestation) 6. Attend the selected health clinics for the regular medical check-up 7. Own a smart phone Exclusion Criteria: Pregnant women + husband 1) Multiple pregnancies Lactation mother + infant + husband 1. Babies who have congenital problems/ birth defects 2. Stillbirth or foetal death after deliver Children + mother + father 1. Children who have congenital problems/ birth defects 2. Single parent |
Country | Name | City | State |
---|---|---|---|
Malaysia | Universiti Sains Malaysia | Kubang Kerian | Kelantan |
Lead Sponsor | Collaborator |
---|---|
Universiti Sains Malaysia | Ministry of Health, Malaysia |
Malaysia,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Perceptions on mobile health intervention among lactating mothers and their husband | Perceptions on mobile health (qualitative-based) | after 6 months | |
Other | |Experiences on mobile health intervention among lactating mothers and their husband | Experiences on mobile health (qualitative-based) | after 6 months | |
Primary | Changes in body weight after 6 months of intervention among mother, infant and children | Body weight in kg | 6 months | |
Primary | Changes in body mass index after 6 months of intervention among mother, infant and children | Body mass index in kg/m^2 | 6 months | |
Primary | Changes in body composition after 6 months of intervention among mother, infant and children | Body composition in % | 6 months | |
Primary | Changes in dietary intake after 6 months of intervention among mother, infant and children | 24-hour diet recall (3-days) in kcal | 6 months | |
Primary | Assessment of food security level after 6 months of intervention among mother, infant and children | Food security in score (All items are negative answer = secure; If one or more item have positive answer = insecure) | 6 months | |
Primary | Assessment of mental stress after 6 months of intervention among mother, infant and children | Mental stress in score (Depression if score >9; anxiety if score > 7; stress if score > 14) | 6 months | |
Primary | Assessment of socioeconomic status (SES) after 6 months of intervention among mother, infant and children | Socioeconomic status (SES) in Ringgit Malaysia unit | 6 months | |
Secondary | Changes in knowledge, attitude and practice of breastfeeding after 6 months of intervention among lactating mothers | Total score of knowledge in percentage (A higher percentage means good knowledge), Higher score of attitude means positive attitude | 6 months |
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