We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Impact of Text Message Reminders on Caregivers' Adherence to a Home Fortification Program Against Child Anemia in Rural Western China: A Cluster-Randomized Controlled Trial.
- Authors
Huan Zhou; Shuai Sun; Renfu Luo; Sean Sylvia; Ai Yue; Yaojiang Shi; Linxiu Zhang; Medina, Alexis; Rozelle, Scott
- Abstract
Objectives. To test whether text message reminders sent to caregivers improve the effectiveness of a home micronutrient fortification program in western China. Methods.We carried out a cluster-randomized controlled trial in 351 villages (clusters) in Shaanxi Province in 2013 and 2014, enrolling children aged 6 to 12 months. We randomly assigned each village to 1 of 3 groups: free delivery group, text messaging group, or control group. We collected information on compliance with treatments and hemoglobin concentrations from all children at baseline and 6-month follow-up. We estimated the intent-to-treat effects on compliance and child anemia using a logistic regression model. Results. There were 1393 eligible children. We found that assignment to the text messaging group led to an increase in full compliance (marginal effect = 0.10; 95% confidence interval [CI] = 0.03, 0.16) compared with the free delivery group and decrease in the rate of anemia at end line relative to the control group (marginal effect = -0.07; 95%CI = -0.12, -0.01), but not relative to the free delivery group (marginal effect = -0.03; 95% CI = -0.09, 0.03). Conclusions. Text messages improved compliance of caregivers to a home fortification program and children's nutrition.
- Subjects
CHINA; ANEMIA prevention; ANALYSIS of variance; CAREGIVERS; CHI-squared test; CONFIDENCE intervals; DIETARY supplements; DRUGS; HEALTH education; HEALTH promotion; INFANT nutrition; PATIENT compliance; PROBABILITY theory; RESEARCH funding; MICRONUTRIENTS; LOGISTIC regression analysis; TEXT messages; RANDOMIZED controlled trials; TREATMENT effectiveness; DATA analysis software; CHILDREN
- Publication
American Journal of Public Health, 2016, Vol 106, Issue 7, p1256
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2016.303140