Impact of a two-way short message service (SMS) to support maternally administered childhood mid-upper arm circumference monitoring and expand malnutrition screening in Kenya: the Mama Aweza trial protocol.
Impact of a two-way short message service (SMS) to support maternally administered childhood mid-upper arm circumference monitoring and expand malnutrition screening in Kenya: the Mama Aweza trial protocol.
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双向短信服务（SMS）的影响，以支持母亲管理的童年时期中部臂围监测和扩展肯尼亚的营养不良筛查：妈妈Aweza试验方案。
DOI：
10.1136/bmjopen-2019-036660
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发表时间：
2020-09-22
期刊：
影响因子：
2.9
通讯作者：
McGrath CJ
中科院分区：
文献类型：
--
作者：
Tickell KD;Diakhate MM;Goodman JL;Unger JA;Richardson BA;Rubin Means A;Ronen K;Levin C;Choo EM;Achieng C;Masheti M;Singa BO;McGrath CJ
每年有超过5200万5岁以下儿童消瘦，但其中只有17%的儿童接受治疗。要实现可持续发展目标的儿童健康具体目标，就必须采用新的方法来确定营养不良儿童并为其提供治疗。移动的保健方案可以提供一个机会，迅速查明社区中营养不良的儿童，并将他们与护理联系起来。这项随机对照试验将在肯尼亚Migori和荷马湾县的常规疫苗预约中招募1200名6-12个月的儿童。看护者-婴儿配对将被随机分配至母亲管理的营养不良监测系统（MAMMS）或标准护理（SOC）。研究工作人员将培训所有护理人员测量他们孩子的中上臂围（MUAC）。MAMMS手臂中的护理人员将获得两个彩色编码和分级插入MUAC磁带，并在移动健康系统中注册，该系统每周发送短信服务（SMS）消息，提示护理人员通过SMS测量和报告其孩子的MUAC。SOC组的护理人员将接受社区卫生志愿者的常规监测，以及研究工作人员的季度访视，以确保足够的筛查覆盖率。主要结果是确定儿童营养不良，定义为MUAC <12.5 cm，在MAMMS组与SOC组相比。次要结果将评估母亲与卫生工作者MUAC测量的准确性和6-18个月儿童急性营养不良的决定因素。最后，我们将探讨在现有的营养方案中实施MAMMS的可接受性、忠实性和可行性。这项研究得到了华盛顿大学和肯尼亚医学研究所审查委员会的批准。已经召集了一个数据和安全监测委员会，试验结果将发表在同行评审的科学期刊上，并在适当的会议上提交给关键利益攸关方。NCT 03967015;预结果。
Over 52 million children under 5 years of age become wasted each year, but only 17% of these children receive treatment. Novel methods to identify and deliver treatment to malnourished children are necessary to achieve the sustainable development goals target for child health. Mobile health (mHealth) programmes may provide an opportunity to rapidly identify malnourished children in the community and link them to care. This randomised controlled trial will recruit 1200 children aged 6–12 months at routine vaccine appointments in Migori and Homa Bay Counties, Kenya. Caregiver–infant dyads will be randomised to either a maternally administered malnutrition monitoring system (MAMMS) or standard of care (SOC). Study staff will train all caregivers to measure their child’s mid-upper arm circumference (MUAC). Caregivers in the MAMMS arm will be given two colour coded and graduated insertion MUAC tapes and be enrolled in a mHealth system that sends weekly short message service (SMS) messages prompting caregivers to measure and report their child’s MUAC by SMS. Caregivers in the SOC arm will receive routine monitoring by community health volunteers coupled with a quarterly visit from study staff to ensure adequate screening coverage. The primary outcome is identification of childhood malnutrition, defined as MUAC <12.5 cm, in the MAMMS arm compared with the SOC arm. Secondary outcomes will assess the accuracy of maternal versus health worker MUAC measurements and determinants of acute malnutrition among children 6–18 months of age. Finally, we will explore the acceptability, fidelity and feasibility of implementing the MAMMS within existing nutrition programmes. The study was approved by review boards at the University of Washington and the Kenya Medical Research Institute. A data and safety monitoring board has been convened, and the results of the trial will be published in peer-reviewed scientific journals, presented at appropriate conferences and to key stakeholders. NCT03967015; Pre-results.
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影响因子：
5
作者：
Unger JA;Kinuthia J;John-Stewart G
通讯作者：
John-Stewart G
影响因子：
7.1
作者：
Ciliberto, MA;Sandige, H;Manary, MJ
通讯作者：
Manary, MJ
影响因子：
168.9
作者：
Black, Robert E.;Victora, Cesar G.;Uauy, Ricardo
通讯作者：
Uauy, Ricardo
DOI：
10.1080/09540121.2017.1417971
发表时间：
2018-01-01
影响因子：
1.7
作者：
Ronen, Keshet;Unger, Jennifer A.;John-Stewart, Grace
通讯作者：
John-Stewart, Grace
影响因子：
3.7
作者：
Rogers, Eleanor;Myatt, Mark;Alvarez, Jose Luis
通讯作者：
Alvarez, Jose Luis