Social Network Interventions in Rural Honduras

Malnutrition Clinical Trial

Official title:

Diffusion of Health Interventions Across Social Networks in Honduran Villages

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01672580
• Other study ID #: Lempira_Phase2
• Status: Completed
• Phase: N/A
• First received: August 20, 2012
• Last updated: March 18, 2015
• Start date: August 2012
• Est. completion date: October 2014

Study information

• Verified date: March 2015
• Source: Harvard University
• Contact: n/a
• Is FDA regulated: No
• Health authority: Honduras: Ministry of Health
• Study type: Interventional

Clinical Trial Summary

This project will examine the spread of health interventions with a randomized control trial design by introducing public health interventions in 32 villages in the Honduran Department of Lempira. Based on identified public health needs in the region, namely improved drinking water and diet, this study will provide training on the use of chlorine (sodium hypochlorite) for water purification and multivitamins for nutritional supplementation. In some villages, individuals selected for their social connectedness will be trained and given coupons that can be redeemed for either chlorine bleach or multivitamins, and these persons will be asked to spread this information and distribute coupons to four people of their choosing. In other villages, individuals selected at random will receive the same training, materials, and instructions. A second wave of coupon distribution will provide coupons to those who received a coupon from the original "seed" groups so that they may disperse these coupons further out in the social networks. Over the following months, study investigators will look at how knowledge of these health practices, and uptake or and adherence to the practices, spreads throughout the villages.

More specifically, the investigators will examine the speed and extent of spreading of these new health practices after introducing them to three different initial "seed" groups: (1) people chosen on the basis of being named as a friend by many people in their village, (2) people chosen based on being named as a friend by a randomly chosen individual, and (3) a group of randomly chosen individuals. It is hypothesized that spread will occur faster and/or to a greater extent when the intervention is started in groups 1 and 2 versus group 3 (control group).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 5773
• Est. completion date: October 2014
• Est. primary completion date: October 2013
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 15 Years and older

Eligibility

Inclusion Criteria:

• Residents of Targeted Communities, ages 15 and up

Exclusion Criteria:

• Children younger than age 15

Study Design

Allocation: Randomized, Intervention Model: Factorial Assignment, Masking: Single Blind (Subject), Primary Purpose: Basic Science

Related Conditions & MeSH terms

• Dysentery
• Malnutrition
• Social Transmission of Health Behaviors

Intervention

Behavioral:
• exposure to vitamin use
"Seed" individuals in village are given daily adult multivitamin, with training on use and general nutrition information, along with coupons to distribute to others in village
• exposure to water chlorination
"Seed" individuals in village are given Clorox bleach for water purification, with training on use and general information on water hygiene, along with coupons to distribute to others in village
• high in-degree
"Seed" individuals for starting intervention are chosen on the basis of high (social network) in-degree
• nominated by random
"Seed" individuals for starting intervention are chosen on the basis of being named as a friend/alter of a randomly selected individual

Locations

Country	Name	City	State
United States	Yale University	New Haven	Connecticut

Sponsors (2)

Lead Sponsor	Collaborator
Harvard University	Yale University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Intervention Spread	Use of health product among community members will be tracked.	October 2012	No