A Novel Low-Cost Tool for a More Efficient & Reliable

Status Not yet recruiting

Clinical Trial Summary

Weight-for-height/length z-score is one of the indicators used to diagnose acute malnutrition. In the existing method, the assessment involves three steps and takes significant time with a wider room for errors. A new tool is developed to address these drawbacks. A preliminary testing done show encouraging results, but a more robust study is needed. This research will b done with the objective of comparing diagnostic efficiency and reliability of the 'new' method against the 'existing' one using a diagnostic randomized clinical trial method.

Clinical Trial Description

Acute malnutrition is a major underlying and direct cause of child death. Weight-for-height/length z score (WHZ) is one of the indicators used to assess nutritional status of children. In the existing method, the assessment involves three steps; measuring height, measuring weight and deciding WHZ using a reference graphs or tables. The assessment takes significant time and has wider room for errors. Due to these drawbacks, it is not used at community level where regular active finding takes place.

A new tool is developed to address these drawbacks. It reduces the steps to two aiming at reducing errors and saving time and energy. This study will compare efficiency and reliability of WHZ assessments done with the new tool against the existing method using a diagnostic randomized clinical trial.

Trained health workers will do WHZ assessments in under five children mobilized for nutrition screening program. The 'average time' needed and proportions of 'classification errors' will be compared between the new and the existing methods. Assessments done by two anthropometry experts will be used as gold standard.

The study will determine the gains of the new tool and can potentially change the global practice and help early detection of huge number of wasted children that are being missed. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03780348
Study type	Interventional
Source	JSI Research & Training Institute, Inc.
Contact	Yared A Fantaye, MD, MPH
Phone	+251 911944651
Email	yared_abebe@et.jsi.org
Status	Not yet recruiting
Phase	N/A
Start date	December 2018
Completion date	February 28, 2019

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT03360877` - Prevention of Nosocomial Infections (CleanKids)	N/A
Completed	`NCT04715204` - Gastrointestinal Tolerance of Under-five Children With Severe Acute Malnutrition to ONS Compared to F-75/F-100	N/A
Not yet recruiting	`NCT06038071` - Family Mid-Upper Arm Circumference (MUAC) Follow-up After Recovery From Acute Malnutrition (MODAM-fMUAC)	N/A
Not yet recruiting	`NCT06061484` - Modified Dosage for Severe Acute Malnutrition	N/A
Completed	`NCT03666572` - Pilot of a Prebiotic and Probiotic Trial in Young Infants With Severe Acute Malnutrition	Phase 2
Completed	`NCT05015257` - Effectiveness of Four Transition Dietary Regimens in the Hospital Management of Children With Kwashiorkor.	N/A
Completed	`NCT05020847` - Effectiveness of Alternative Diets During the Stabilization Phase on Children With Complicated SAM	N/A
Recruiting	`NCT06123390` - Evaluating RISQ System Implementation in Acutely Malnourished Children in Chad (CRIMSON)	N/A
Completed	`NCT03370003` - Non-routine Use of Antibiotics (Amoxi-light)
Completed	`NCT03303131` - SAM: Discharge Based on the Use of a MUAC-based Criterion to	N/A
Recruiting	`NCT06002438` - Eggs for Gut Health	N/A
Terminated	`NCT05473234` - Azithromycin for Severe Acute Malnutrition in CMAM, Nigeria	Phase 3
Completed	`NCT01613547` - The Effect of Routine Antibiotic Use in the Outpatient Treatment of Severely Malnourished Children Without Complications	N/A
Completed	`NCT01331044` - Ready to Use Therapeutic Food (RUTF) in Severe Malnourished Children	N/A
Completed	`NCT03094247` - Feeding Malnourished Children Different Types of Fatty Acids to Promote Neurocognitive Development	N/A
Recruiting	`NCT04240990` - Development of a Diagnostic Prediction Score for Tuberculosis in Hospitalized Children With Severe Acute Malnutrition	N/A
Completed	`NCT01958905` - Efficacy and Bio-availability of Artemether-Lumefantrine in Severely Malnourished Children	N/A
Completed	`NCT05737472` - High-protein Quantity and Quality RUTF in Improving Linear Growth Among Children With Severe Wasting	N/A
Completed	`NCT03716115` - Therapeutic Approaches to Malnutrition Enteropathy	Phase 2
Completed	`NCT01593969` - A Trial of n-3 PUFA-Enriched Ready to Use Therapeutic Food for Childhood Severe Malnutrition	Phase 2

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

A Novel Low-Cost Tool for a More Efficient and Reliable Weight-for-Height/Length Assessment — Yared's-tool

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms