An interventional study of Community behaviour change campaign in Diarrhoeal Disease, sponsored by London School of Hygiene and Tropical Medicine. Completed at 1 site in Zambia. Open to participants aged 1 Month to 59 Months. Per ClinicalTrials.gov, last updated 2016-03-11.
Sponsored by London School of Hygiene and Tropical Medicine · Not applicable, Interventional, and Prevention
Control of diarrhoeal disease requires a comprehensive package of preventive and curative interventions. in Zambia, the Programme for Awareness and Elimination of Diarrhoea (PAED) aims to reduce child deaths by combating diarrhoea in Lusaka province, Zambia. The behaviour change component of the PAED programme seeks to change behaviours important for diarrhoea prevention (handwashing with soap and exclusive breastfeeding) and improved treatment outcomes (use of oral rehydration solution (ORS) and zinc in home management of child diarrhoea).
The study aims to evaluate the feasibility of implementing a multiple behaviour change community programme to tackle diarrhoeal disease in children under-five and to assess the impact of this programme on practice of the target behaviours by caregivers of children under-five. The research questions will be answered through a a two-arm cluster-randomised trial (eight clusters per study arm).
Specific objectives of the study are as follows:
Investigate which components of the community programme (i.e. specific activities in clinics, community events etc.) are linked to the success of the programme (most acceptable, feasible etc) and in what context
o Validate model of intervention theory that explains how the context and mechanisms of the intervention interact to produce behavioural outcomes
852 studies on the registry are indexed under Diarrhea; 78 are open to participants now.
This study's enrollment of 640 is above the median of 136 across 713 interventional studies indexed under Diarrhea.
Browse Diarrhea studies →London School of Hygiene and Tropical Medicine is the lead sponsor of 296 studies on the registry; 15 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants will be exposed to the community behaviour change intervention.
Behavioral: Community behaviour change campaign
No community intervention will take place in the control arm, although exposure to some intervention messaging (radio adverts) may take place.
Community campaign targeting exclusive breastfeeding, handwashing with soap, and use of ORS and zinc to manage child diarrhoea. Includes a range of activities within the community (large events and small group sessions); clinic activities (ORS preparation), radio adverts.
Change in target behaviour: zinc use
Proportion of under-five diarrhoeal episodes receiving zinc. The study aims to demonstrate the intervention can successfully change behaviour and therefore no health outcomes were chosen and there is a primary outcome for each behaviour.
Time frame: six weeks post-intervention
Change in target behaviour: correct ORS preparation
Proportion of caregivers able to demonstrate correct ORS preparation.
Time frame: six weeks post-intervention
Change in target behaviour: Exclusive breastfeeding
Proportion of mothers exclusively breastfeeding infants 0-5 months of age.
Time frame: six weeks post-intervention
Change in target behaviour: Handwashing with soap
Proportion of observed handwashing events where there is risk of faecal contamination (i.e. after latrine and when dealing with child stools) accompanied by handwashing with soap
Time frame: six weeks post-intervention
Change in target behaviours: ORS use
Proportion of under-five diarrhoeal episodes receiving ORS.
Time frame: six weeks post-intervention
Change in target behaviours: ORS storage
Proportion of caregivers storing ORS sachets at home
Time frame: six weeks post-intervention
Change in target behaviours: zinc trial
Proportion of caregivers of a child under-five who have ever used zinc to treat diarrhoea in a child
Time frame: six weeks post-intervention
Zinc awareness
Proportion of caregivers who have heard of zinc for diarrhoea treatment
Time frame: six weeks post-intervention
Change in target behaviours: exclusive breastfeeding 0-2 months
Proportion of mothers exclusively breastfeeding infants 0-2 months of age.
Time frame: six weeks post-intervention
Change in target behaviours: predominant breastfeeding
Proportion of mothers predominantly breastfeeding infants 0-5 months of age.
Time frame: six weeks post-intervention
Change in target behaviours: handwashing with soap at key times
Proportion of observed handwashing events associated with food handling or faeces accompanied by handwashing with soap
Time frame: six weeks post-intervention
Change in target behaviours: use of soap
Proportion of observed handwashing occasions where soap is used
Time frame: six weeks post-intervention
This study is completed, as verified in Mar 2016. You cannot join it, but the record below documents what was studied.
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London School of Hygiene and Tropical Medicine