ClinicalTrials.gg
Enrolling by invitationNCT07919327Updated Nov 5, 2026

Long-term Impacts of Psychosocial Stimulation and Iron Supplementation

An observational study in Iron Deficiency Anemia and Parenting Intervention, sponsored by International Centre for Diarrhoeal Disease Research, Bangladesh. Enrolling by invitation at 1 site in Bangladesh. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by International Centre for Diarrhoeal Disease Research, Bangladesh · Observational

Updated Nov 5, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
379
Sex
All
01

Study summary

The goal of this observational follow-up study is to learn about the long-term effects of early childhood parenting interventions and iron supplementation on young adults in rural Bangladesh. The main questions it aims to answer are:

Do early psychosocial stimulation interventions and iron supplementations lead to sustained improvements in IQ, reduction in mental health and violent behavior into young adulthood?

Does the psychosocial parenting stimulation intervention generate "trickle-down" effects on younger siblings within the same families?

Participants from a previously completed cluster randomized controlled trial conducted in 30 villages in Bangladesh will be invited to participate at approximately 19 years after the original intervention. Young adults aged 20-21 years will undergo assessments of IQ, depressive symptoms, violent behavior, social support-seeking capacity, and hand grip strength. Younger siblings will also be assessed for selected outcomes to examine potential spillover effects of the original parenting intervention.

02

Conditions studied

  • Iron Deficiency Anemia
  • Parenting Intervention

Keywords

  • Early childhood
  • Parenting
  • Psychosocial Stimulation
  • Iron
  • IQ
  • Mental Health
  • Behavior
  • Young Adulthood
03

In context

Anemia, Iron-Deficiency

600 studies on the registry are indexed under Anemia, Iron-Deficiency; 95 are open to participants now.

This study's planned enrollment of 379 is above the median of 200 across 118 observational studies indexed under Anemia, Iron-Deficiency.

Browse Anemia, Iron-Deficiency studies →

Lead sponsor

International Centre for Diarrhoeal Disease Research, Bangladesh is the lead sponsor of 206 studies on the registry; 31 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Sampling method
Non-probability sample

Study population

The study population will comprise young adults aged approximately 20-21 years who participated in a previously completed cluster randomized controlled trial conducted in 30 villages in rural Bangladesh. The original trial enrolled children aged 6-24 months, including iron-deficient anemic and non-anemic children, who were assigned to early childhood parenting intervention or no parenting intervention; anemic children received iron supplementation. Approximately 19 years after the original trial, eligible surviving participants who can be traced will be invited to participate in the follow-up study. Immediate adolescent siblings of the original participants aged above 15 years will also be invited to assess potential spillover effects of the early childhood parenting intervention.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Individuals who participated in the endline assessment of the original study.
  2. Individuals who can be successfully located and contacted during this 19-year follow-up period.
  3. Individuals who provide written to participate in the study.

Exclusion criteria

Exclusion Criteria:

  1. Individuals who cannot be traced or contacted despite repeated attempts.
  2. Individuals who did not participate in the endline assessment of the original study.
  3. Individuals who decline or withdraw .
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
379 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Intelligence Quotient (IQ) in Young Adulthood

    IQ will be assessed using the Wechsler Abbreviated Scale of Intelligence, Second Edition (WASI-II). The overall IQ score will be used to evaluate the long-term effects of early childhood psychosocial stimulation and iron supplementation on cognitive functioning in young adulthood.

    Time frame: At the 19-year follow-up assessment, when participants are approximately 20-21 years of age.

Secondary outcomes

  1. Depressive Symptoms in Young Adulthood

    Depressive symptoms will be assessed using the Patient Health Questionnaire-9 (PHQ-9). For adolescent siblings, depressive symptoms will be assessed using the Patient Health Questionnaire for Adolescents (PHQ-A). Scores will be used to characterize depressive symptom severity.

    Time frame: At the 19-year follow-up assessment; participants will be approximately 20-21 years old.

  2. Violent Behavior Traits in Young Adulthood

    Violent behavior will be assessed using the Bangla-adapted Buss-Perry Aggression Questionnaire (BPAQ). Questionnaire scores will be used to characterize aggression-related behavior and examine the long-term effects of the original interventions.

    Time frame: At the 19-year follow-up assessment, when original trial participants are approximately 20-21 years of age.

  3. Perceived Social Support

    Social support will be assessed using the Oslo Social Support Scale. The resulting score will be used to characterize the perceived social support of the participants.

    Time frame: At the 19-year follow-up assessment, when original trial participants are approximately 20-21 years of age.

  4. Hand Grip Strength in Young Adulthood

    Hand grip strength will be measured using a dynamometer following Southampton protocols. Measurements will be used to characterize participants' physical strength.

    Time frame: At the 19-year follow-up assessment, when original trial participants are approximately 20-21 years of age.

  5. Depressive Symptoms and Aggressive Behaviors Among Adolescent Siblings

    Depressive symptoms and aggressive behaviors among participants' immediate adolescent siblings aged above 12 years will be assessed using the Patient Health Questionnaire for Adolescents (PHQ-A) and the Bangla-adapted Buss-Perry Aggression Questionnaire (BPAQ), respectively. Outcomes will be examined according to the original parenting intervention exposure to evaluate potential trickle-down effects of the early childhood intervention.

    Time frame: At the 19-year follow-up assessment, among eligible immediate adolescent siblings aged above 15 years.

07

Study locations

1 site
  • Rural Setting, Monohardi
    Narsingdi, Dhaka Division, Bangladesh
08

References and documents

Publications

  • Kocalevent RD, Berg L, Beutel ME, Hinz A, Zenger M, Harter M, Nater U, Brahler E. Social support in the general population: standardization of the Oslo social support scale (OSSS-3). BMC Psychol. 2018 Jul 17;6(1):31. doi: 10.1186/s40359-018-0249-9. PubMed 30016997 ↗
  • Sayer AA, Kirkwood TB. Grip strength and mortality: a biomarker of ageing? Lancet. 2015 Jul 18;386(9990):226-7. doi: 10.1016/S0140-6736(14)62349-7. Epub 2015 May 13. No abstract available. PubMed 25982159 ↗
  • Ortega FB, Silventoinen K, Tynelius P, Rasmussen F. Muscular strength in male adolescents and premature death: cohort study of one million participants. BMJ. 2012 Nov 20;345:e7279. doi: 10.1136/bmj.e7279. PubMed 23169869 ↗
  • Johnson JG, Harris ES, Spitzer RL, Williams JB. The patient health questionnaire for adolescents: validation of an instrument for the assessment of mental disorders among adolescent primary care patients. J Adolesc Health. 2002 Mar;30(3):196-204. doi: 10.1016/s1054-139x(01)00333-0. PubMed 11869927 ↗
  • Rahman MA, Dhira TA, Sarker AR, Mehareen J. Validity and reliability of the Patient Health Questionnaire scale (PHQ-9) among university students of Bangladesh. PLoS One. 2022 Jun 8;17(6):e0269634. doi: 10.1371/journal.pone.0269634. eCollection 2022. PubMed 35675375 ↗
  • Williams N. PHQ-9. Occup Med (Lond). 2014 Mar;64(2):139-40. doi: 10.1093/occmed/kqt154. No abstract available. PubMed 24562689 ↗
  • Tofail F, Hamadani JD, Mehrin F, Ridout DA, Huda SN, Grantham-McGregor SM. Psychosocial stimulation benefits development in nonanemic children but not in anemic, iron-deficient children. J Nutr. 2013 Jun;143(6):885-93. doi: 10.3945/jn.112.160473. Epub 2013 Apr 24. PubMed 23616511 ↗
  • Grantham-McGregor SM, Powell CA, Walker SP, Himes JH. Nutritional supplementation, psychosocial stimulation, and mental development of stunted children: the Jamaican Study. Lancet. 1991 Jul 6;338(8758):1-5. doi: 10.1016/0140-6736(91)90001-6. PubMed 1676083 ↗
  • Waber DP, Vuori-Christiansen L, Ortiz N, Clement JR, Christiansen NE, Mora JO, Reed RB, Herrera MG. Nutritional supplementation, maternal education, and cognitive development of infants at risk of malnutrition. Am J Clin Nutr. 1981 Apr;34(Suppl 4):807-13. doi: 10.1093/ajcn/34.4.807. PubMed 7223696 ↗
  • Vazir S, Engle P, Balakrishna N, Griffiths PL, Johnson SL, Creed-Kanashiro H, Fernandez Rao S, Shroff MR, Bentley ME. Cluster-randomized trial on complementary and responsive feeding education to caregivers found improved dietary intake, growth and development among rural Indian toddlers. Matern Child Nutr. 2013 Jan;9(1):99-117. doi: 10.1111/j.1740-8709.2012.00413.x. Epub 2012 May 24. PubMed 22625182 ↗
  • Pitchik HO, Tofail F, Rahman M, Akter F, Sultana J, Shoab AK, Huda TMN, Jahir T, Amin MR, Hossain MK, Das JB, Chung EO, Byrd KA, Yeasmin F, Kwong LH, Forsyth JE, Mridha MK, Winch PJ, Luby SP, Fernald LC. A holistic approach to promoting early child development: a cluster randomised trial of a group-based, multicomponent intervention in rural Bangladesh. BMJ Glob Health. 2021 Mar;6(3):e004307. doi: 10.1136/bmjgh-2020-004307. PubMed 33727278 ↗
  • Low MS, Speedy J, Styles CE, De-Regil LM, Pasricha SR. Daily iron supplementation for improving anaemia, iron status and health in menstruating women. Cochrane Database Syst Rev. 2016 Apr 18;4(4):CD009747. doi: 10.1002/14651858.CD009747.pub2. PubMed 27087396 ↗
  • Lozoff B, Jimenez E, Smith JB. Double burden of iron deficiency in infancy and low socioeconomic status: a longitudinal analysis of cognitive test scores to age 19 years. Arch Pediatr Adolesc Med. 2006 Nov;160(11):1108-13. doi: 10.1001/archpedi.160.11.1108. PubMed 17088512 ↗
  • Falkingham M, Abdelhamid A, Curtis P, Fairweather-Tait S, Dye L, Hooper L. The effects of oral iron supplementation on cognition in older children and adults: a systematic review and meta-analysis. Nutr J. 2010 Jan 25;9:4. doi: 10.1186/1475-2891-9-4. PubMed 20100340 ↗
  • Pasricha SR, Hayes E, Kalumba K, Biggs BA. Effect of daily iron supplementation on health in children aged 4-23 months: a systematic review and meta-analysis of randomised controlled trials. Lancet Glob Health. 2013 Aug;1(2):e77-e86. doi: 10.1016/S2214-109X(13)70046-9. Epub 2013 Jul 24. PubMed 25104162 ↗
  • Grantham-McGregor S, Ani C. A review of studies on the effect of iron deficiency on cognitive development in children. J Nutr. 2001 Feb;131(2S-2):649S-666S; discussion 666S-668S. doi: 10.1093/jn/131.2.649S. PubMed 11160596 ↗
  • Lozoff B, Beard J, Connor J, Barbara F, Georgieff M, Schallert T. Long-lasting neural and behavioral effects of iron deficiency in infancy. Nutr Rev. 2006 May;64(5 Pt 2):S34-43; discussion S72-91. doi: 10.1301/nr.2006.may.s34-s43. PubMed 16770951 ↗
  • Lozoff B, Jimenez E, Hagen J, Mollen E, Wolf AW. Poorer behavioral and developmental outcome more than 10 years after treatment for iron deficiency in infancy. Pediatrics. 2000 Apr;105(4):E51. doi: 10.1542/peds.105.4.e51. PubMed 10742372 ↗
  • McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993-2005. Public Health Nutr. 2009 Apr;12(4):444-54. doi: 10.1017/S1368980008002401. Epub 2008 May 23. PubMed 18498676 ↗
  • GBD 2021 Anaemia Collaborators. Prevalence, years lived with disability, and trends in anaemia burden by severity and cause, 1990-2021: findings from the Global Burden of Disease Study 2021. Lancet Haematol. 2023 Sep;10(9):e713-e734. doi: 10.1016/S2352-3026(23)00160-6. Epub 2023 Jul 31. PubMed 37536353 ↗
  • Walker SP, Chang SM, Vera-Hernandez M, Grantham-McGregor S. Early childhood stimulation benefits adult competence and reduces violent behavior. Pediatrics. 2011 May;127(5):849-57. doi: 10.1542/peds.2010-2231. Epub 2011 Apr 25. PubMed 21518715 ↗
  • Walker SP, Chang SM, Powell CA, Simonoff E, Grantham-McGregor SM. Effects of psychosocial stimulation and dietary supplementation in early childhood on psychosocial functioning in late adolescence: follow-up of randomised controlled trial. BMJ. 2006 Sep 2;333(7566):472. doi: 10.1136/bmj.38897.555208.2F. Epub 2006 Jul 28. PubMed 16877454 ↗
  • van Aar J, Leijten P, Orobio de Castro B, Overbeek G. Sustained, fade-out or sleeper effects? A systematic review and meta-analysis of parenting interventions for disruptive child behavior. Clin Psychol Rev. 2017 Feb;51:153-163. doi: 10.1016/j.cpr.2016.11.006. Epub 2016 Nov 14. PubMed 27930935 ↗
  • Campbell FA, Pungello EP, Burchinal M, Kainz K, Pan Y, Wasik BH, Barbarin OA, Sparling JJ, Ramey CT. Adult outcomes as a function of an early childhood educational program: an Abecedarian Project follow-up. Dev Psychol. 2012 Jul;48(4):1033-43. doi: 10.1037/a0026644. Epub 2012 Jan 16. PubMed 22250997 ↗
  • McCormick MC, Brooks-Gunn J, Buka SL, Goldman J, Yu J, Salganik M, Scott DT, Bennett FC, Kay LL, Bernbaum JC, Bauer CR, Martin C, Woods ER, Martin A, Casey PH. Early intervention in low birth weight premature infants: results at 18 years of age for the Infant Health and Development Program. Pediatrics. 2006 Mar;117(3):771-80. doi: 10.1542/peds.2005-1316. PubMed 16510657 ↗
  • Eckenrode J, Campa M, Luckey DW, Henderson CR Jr, Cole R, Kitzman H, Anson E, Sidora-Arcoleo K, Powers J, Olds D. Long-term effects of prenatal and infancy nurse home visitation on the life course of youths: 19-year follow-up of a randomized trial. Arch Pediatr Adolesc Med. 2010 Jan;164(1):9-15. doi: 10.1001/archpediatrics.2009.240. PubMed 20048236 ↗
  • Nordhov SM, Ronning JA, Dahl LB, Ulvund SE, Tunby J, Kaaresen PI. Early intervention improves cognitive outcomes for preterm infants: randomized controlled trial. Pediatrics. 2010 Nov;126(5):e1088-94. doi: 10.1542/peds.2010-0778. Epub 2010 Oct 11. PubMed 20937650 ↗
  • Fergusson DM, Boden JM, Horwood LJ. Nine-year follow-up of a home-visitation program: a randomized trial. Pediatrics. 2013 Feb;131(2):297-303. doi: 10.1542/peds.2012-1612. Epub 2013 Jan 28. PubMed 23359575 ↗
  • Hamadani JD, Huda SN, Khatun F, Grantham-McGregor SM. Psychosocial stimulation improves the development of undernourished children in rural Bangladesh. J Nutr. 2006 Oct;136(10):2645-52. doi: 10.1093/jn/136.10.2645. PubMed 16988140 ↗
  • Hamadani JD, Mehrin SF, Tofail F, Hasan MI, Huda SN, Baker-Henningham H, Ridout D, Grantham-McGregor S. Integrating an early childhood development programme into Bangladeshi primary health-care services: an open-label, cluster-randomised controlled trial. Lancet Glob Health. 2019 Mar;7(3):e366-e375. doi: 10.1016/S2214-109X(18)30535-7. PubMed 30784637 ↗
  • Hossain SJ, Rahman SM, Fisher J, Rahman A, Tofail F, Hamadani JD. Effect of a parenting and nutrition education programme on development and growth of children using a social safety-net platform in urban Bangladesh: a cluster randomized controlled trial. Lancet Reg Health Southeast Asia. 2024 Mar 19;25:100388. doi: 10.1016/j.lansea.2024.100388. eCollection 2024 Jun. PubMed 38550293 ↗
  • Jeong J, Domonko V, Mendile T, Yousafzai AK. Effects of a Parenting and Nutrition Intervention on Siblings: A Cluster-RCT. Pediatrics. 2023 Oct 1;152(4):e2023061383. doi: 10.1542/peds.2023-061383. PubMed 37777643 ↗
  • Hossain SJ, Tofail F, Mehrin SF, Hamadani JD. Six-Year Follow-up of Childhood Stimulation on Development of Children With and Without Anemia. Pediatrics. 2023 May 1;151(Suppl 2):e2023060221E. doi: 10.1542/peds.2023-060221E. PubMed 37125884 ↗
  • Gertler P, Heckman J, Pinto R, Zanolini A, Vermeersch C, Walker S, Chang SM, Grantham-McGregor S. Labor market returns to an early childhood stimulation intervention in Jamaica. Science. 2014 May 30;344(6187):998-1001. doi: 10.1126/science.1251178. PubMed 24876490 ↗

Individual participant data

Plan to share: No — We will not share our data to international collaborator. They will help us in manuscript writing only.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2026 (actual). Primary completion is estimated for Nov 2026, 2 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 1, 2026
First posted
Nov 5, 2026
StartActual
Sep 2, 2026
Primary completionEst.
Nov 2026
CompletionEst.
Nov 2026
Last update
Nov 5, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 5, 2026
Show all 1 update
  1. Nov 5, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07919327
Responsible party
Sponsor
First posted
Nov 5, 2026
Start date
Sep 2, 2026
Primary completion
Nov 2026 (estimated)
Completion
Nov 2026 (estimated)
Last update
Nov 5, 2026

Study contacts

Sheikh Jamal Hossain, Ph.D
principal investigator · International Centre for Diarrhoeal Disease Research, Bangladesh

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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