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Using daily text messages to improve adherence to infant micronutrient powder (MNP) packets in rural western China: A cluster-randomized controlled trial
Wang, Xu1; Luo, Renfu2; Liu, Chengfang2; Zhang, Linxiu3; Yue, Ai4; Medina, Alexis5; Rozelle, Scott5
2018-01-19
Source PublicationPLOS ONE
ISSN1932-6203
Volume13Issue:1Pages:13
Corresponding AuthorLuo, Renfu(luorf.ccap@pku.edu.cn)
AbstractObjective To evaluate the effectiveness of daily text messages as a means to improve caregivers' adherence to infant micronutrient powder (MNP) in rural Shaanxi Province of China. Methodology 638 infants aged 6 +/- 11 months in 234 villages were involved in a cluster-randomized controlled trial (RCT). All caregivers were given free infant MNP packets at baseline in April 2013 and the follow-up survey was in July 2013. We randomly assigned 318 infants in 117 villages to treatment group (receiving daily text message) and 320 infants in the other 117 villages as control group. Results On average, daily text messages increased the number of MNP packets fed (marginal effect = 4.63; 95% confidence interval (CI) = 0.16, 9.10). The text message is more likely to increase the consumption of MNP packets if the primary caregiver was the mother (marginal effect = 12.19; 95% CI = 0.69, 23.68). Receiving the text message appears to significantly increase the likelihood of full adherence when the primary caregiver can either check (odds ratio = 2.93; 95% CI = 1.34, 6.40) or knows how to send (odds ratio = 3.26; 95% CI = 1.53, 6.97) text messages. Conclusion Daily text messages improved the consumption of infant MNP packets. However, the impact was not large enough to increase the probability of caregivers being fully adherent to the feeding instruction, which is to feed 5 +/- 7 packets per week as recommended. In addition, when the mother is the caregiver and when the caregiver can check or knows how to send text messages there is greater adherence by the primary caregivers.
DOI10.1371/journal.pone.0191549
WOS KeywordCHILD UNDERNUTRITION ; PILOT PROGRAM ; HEALTH ; REMINDERS ; MEDICATION ; ANEMIA ; SUPPLEMENTATION ; GRANDCHILDREN ; INTERVENTIONS ; CONSEQUENCES
Indexed BySCI
Language英语
Funding ProjectNational Natural Science Foundation of China[71473239] ; National Natural Science Foundation of China[71473240] ; International Initiative for Impact Evaluation[PW2.04.01.02]
Funding OrganizationNational Natural Science Foundation of China ; International Initiative for Impact Evaluation
WOS Research AreaScience & Technology - Other Topics
WOS SubjectMultidisciplinary Sciences
WOS IDWOS:000422911300112
PublisherPUBLIC LIBRARY SCIENCE
Citation statistics
Document Type期刊论文
Identifierhttp://ir.igsnrr.ac.cn/handle/311030/56833
Collection中国科学院地理科学与资源研究所
Corresponding AuthorLuo, Renfu
Affiliation1.World Bank Grp, Educ Global Practices East & South Africa, Washington, DC USA
2.Peking Univ, Sch Adv Agr Sci, China Ctr Agr Policy, Beijing, Peoples R China
3.Chinese Acad Sci, Inst Geog Sci & Nat Resources Res, Ctr Chinese Agr Policy, Beijing, Peoples R China
4.Shaanxi Normal Univ, CEEE, Xian, Shaanxi, Peoples R China
5.Stanford Univ, Freeman Spogli Inst Int Studies, Stanford, CA 94305 USA
Recommended Citation
GB/T 7714
Wang, Xu,Luo, Renfu,Liu, Chengfang,et al. Using daily text messages to improve adherence to infant micronutrient powder (MNP) packets in rural western China: A cluster-randomized controlled trial[J]. PLOS ONE,2018,13(1):13.
APA Wang, Xu.,Luo, Renfu.,Liu, Chengfang.,Zhang, Linxiu.,Yue, Ai.,...&Rozelle, Scott.(2018).Using daily text messages to improve adherence to infant micronutrient powder (MNP) packets in rural western China: A cluster-randomized controlled trial.PLOS ONE,13(1),13.
MLA Wang, Xu,et al."Using daily text messages to improve adherence to infant micronutrient powder (MNP) packets in rural western China: A cluster-randomized controlled trial".PLOS ONE 13.1(2018):13.
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