Study protocol of a 4- parallel arm, superiority, community based cluster randomized controlled trial comparing paper and e-platform based interventions to improve accuracy of recall of last menstrual period (LMP) dates in rural Bangladesh

Article


Salam, Shumona Sharmin, Ali, Nazia Binte, Rahman, Ahmed Ehsanur, Tahsina, Tazeen, Islam, Md. Irteja, Iqbal, Afrin, Hoque, Dewan Md. Emdadul, Saha, Samir Kumar and El-Arifeen, Shams. 2018. "Study protocol of a 4- parallel arm, superiority, community based cluster randomized controlled trial comparing paper and e-platform based interventions to improve accuracy of recall of last menstrual period (LMP) dates in rural Bangladesh ." BMC Public Health. 18 (1). https://doi.org/10.1186/s12889-018-6258-z
Article Title

Study protocol of a 4- parallel arm, superiority, community based cluster randomized controlled trial comparing paper and e-platform based interventions to improve accuracy of recall of last menstrual period (LMP) dates in rural Bangladesh

ERA Journal ID13449
Article CategoryArticle
AuthorsSalam, Shumona Sharmin, Ali, Nazia Binte, Rahman, Ahmed Ehsanur, Tahsina, Tazeen, Islam, Md. Irteja, Iqbal, Afrin, Hoque, Dewan Md. Emdadul, Saha, Samir Kumar and El-Arifeen, Shams
Journal TitleBMC Public Health
Journal Citation18 (1)
Article Number1359
Number of Pages8
Year2018
PublisherBioMed Central Ltd.
Place of PublicationUnited Kingdom
ISSN1471-2458
Digital Object Identifier (DOI)https://doi.org/10.1186/s12889-018-6258-z
Web Address (URL)https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-018-6258-z
Abstract

Background: Gestational age (GA) is a key determinant of newborn survival and long-term impairment. Accurate estimation of GA facilitates timely provision of essential interventions to improve maternal and newborn outcomes. Menstrual based dating, ultrasound based dating, and neonatal estimates are the primarily used methods for assessing GA; all of which have some strength and weaknesses that require critical consideration. Last menstrual period (LMP) is simple, low-cost self-reported information, recommended by the World Health Organization for estimating GA but has issues of recall mainly among poorer, less educated women and women with irregular menstruation, undiagnosed abortion, and spotting during early pregnancy. Several studies have noted that about 20-50% of women cannot accurately recall the date of LMP. The goal of this study is therefore to improve recall and reporting of LMP and by doing so increase the accuracy of LMP based GA assessment in a rural population of Bangladesh where antenatal care-seeking, availability and utilization of USG is low. Method: We propose to conduct a 4- parallel arm, superiority, community based cluster randomized controlled trial comparing three interventions to improve recall of GA with a no intervention arm. The interventions include (i) counselling and a paper based calendar (ii) counselling and a cell phone based SMS alert system (iii) counselling and smart-phone application. The trial is being conducted among 3360 adolescent girls and recently married women in Mirzapur sub-district of Bangladesh. Discussion: Enrolment of study participants continued from January 24, 2017 to March 29, 2017. Data collection and intervention implementation is ongoing and will end by February, 2019. Data analysis will measure efficacy of interventions in improving the recall of LMP date among enrolled participants. Results will be reported following CONSORT guideline. The innovative conventional & e-platform based interventions, if successful, can provide substantial evidence to scale-up in a low resource setting where m-Health initiatives are proliferating with active support from all sectors in policy and implementation. Trial registration: ClinicalTrials.gov NCT02944747. The trial has been registered before starting enrolment on 24 October 2016.

KeywordsBangladesh; Gestational age; LMP; M-health; Mobile phone; Preterm birth; Recall
ANZSRC Field of Research 20204206. Public health
PubMed ID30526560
FunderBill and Melinda Gates Foundation
Byline AffiliationsInternational Centre for Diarrhoeal Disease Research (ICDDR), Bangladesh
Dhaka Shishu (Children’s) Hospital, Bangladesh
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