An mHealth Tool to improve community health agent performance for child development: a cluster-randomized controlled trial in Peru

An mHealth Tool to improve the performance of community health workers during home visits to improve child development and nutrition. A cluster-randomized controlled trial in Peru

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN43591826

Enrollment

698

Registered

2018-12-04

Start date

2019-02-01

Completion date

Unknown

Last updated

2024-01-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Early childhood development Not Applicable

Interventions

The intervention group will receive a training workshop on how to use the digital health tool and each community health agent will receive an electronic tablet with the CHEST Application pre-loaded. T

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Children: 1. Children aged 6 to 36 months. Caregivers: 1. Primary caregiver of the child is older than 16 years. 2. The caregiver is willing to receive visits from the CHA.

Exclusion criteria

Exclusion criteria: Caregivers: 1. Families where the main caregiver or the child does not speak Spanish. Children: 1. Children with mental or physical disabilities.

Design outcomes

Primary

Measure	Time frame
1. Child development scores will be measured using the Caregiver Reported Early Development Instrument (CREDI) at baseline and 12 weeks. 2. Anemia prevalence in children will be evaluated by the local health center using the Hemocue at baseline and 12 weeks. 3. Chronic malnutrition prevalence in children will be assed by the local health center during the children's growth monitoring check-ups, continuously throughout the study. The data will be gathered and analyzed at baseline and 12 weeks.	—

Measure

Time frame

1. Child development scores will be measured using the Caregiver Reported Early Development Instrument (CREDI) at baseline and 12 weeks. 2. Anemia prevalence in children will be evaluated by the local health center using the Hemocue at baseline and 12 weeks. 3. Chronic malnutrition prevalence in children will be assed by the local health center during the children's growth monitoring check-ups, continuously throughout the study. The data will be gathered and analyzed at baseline and 12 weeks.

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Secondary

Measure	Time frame
Caregivers: 1. Knowledge evaluation scores will be measured using a knowledge exam created by the study team, at baseline and 12 weeks. 2. The frequency of which caregivers bring their child to growth monitoring check-ups will be evaluated by data obtained from the local health center, at baseline and 12 weeks. Community health agents: 1. The performance evaluation scores of community health agents will be measured using an observational checklist created by the author, at baselina and 12 weeks. 2. Self-efficacy scores of the community health agents will be measured using a qualitative questionnaire at baseline and 12 weeks. 3. The number of home visits made by community health agents will be measured using the CHEST Application consistently throughout the intervention.	—

Measure

Time frame

Caregivers: 1. Knowledge evaluation scores will be measured using a knowledge exam created by the study team, at baseline and 12 weeks. 2. The frequency of which caregivers bring their child to growth monitoring check-ups will be evaluated by data obtained from the local health center, at baseline and 12 weeks. Community health agents: 1. The performance evaluation scores of community health agents will be measured using an observational checklist created by the author, at baselina and 12 weeks. 2. Self-efficacy scores of the community health agents will be measured using a qualitative questionnaire at baseline and 12 weeks. 3. The number of home visits made by community health agents will be measured using the CHEST Application consistently throughout the intervention.

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Countries

Peru

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 20, 2026