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Impact of text message reminders on caregivers' adherence to a home fortification program against child anemia in rural western China: A cluster-randomized controlled trial

Author

Listed:
  • Zhou, H.
  • Sun, S.
  • Luo, R.
  • Sylvia, S.
  • Yue, A.
  • Shi, Y.
  • Zhang, L.
  • Medina, A.
  • Rozelle, S.

Abstract

Objectives. To test whether text message reminders sent to caregivers improve the effectiveness of a home micronutrient fortification program in western China. Methods.We carried out a cluster-randomized controlled trial in 351 villages (clusters) in Shaanxi Province in 2013 and 2014, enrolling children aged 6 to 12 months. We randomly assigned each village to 1 of 3 groups: free delivery group, text messaging group, or control group. We collected information on compliance with treatments and hemoglobin concentrations from all children at baseline and 6-month follow-up. We estimated the intent-to-treat effects on compliance and child anemia using a logistic regression model. Results. There were 1393 eligible children. We found that assignment to the text messaging group led to an increase in full compliance (marginal effect = 0.10; 95% confidence interval [CI] = 0.03, 0.16) compared with the free delivery group and decrease in the rate of anemia at end line relative to the control group (marginal effect = -0.07; 95%CI = -0.12, -0.01), but not relative to the free delivery group (marginal effect = -0.03; 95% CI = -0.09, 0.03). Conclusions. Text messages improved compliance of caregivers to a home fortification program and children's nutrition.

Suggested Citation

  • Zhou, H. & Sun, S. & Luo, R. & Sylvia, S. & Yue, A. & Shi, Y. & Zhang, L. & Medina, A. & Rozelle, S., 2016. "Impact of text message reminders on caregivers' adherence to a home fortification program against child anemia in rural western China: A cluster-randomized controlled trial," American Journal of Public Health, American Public Health Association, vol. 106(7), pages 1256-1262.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303140_3
    DOI: 10.2105/AJPH.2016.303140
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    Cited by:

    1. Lei Wang & Mengjie Li & Sarah-Eve Dill & Yiwei Hu & Scott Rozelle, 2019. "Dynamic Anemia Status from Infancy to Preschool-Age: Evidence from Rural China," IJERPH, MDPI, vol. 16(15), pages 1-22, August.
    2. Ayeesha Kamran Kamal & Wardah Khalid & Abdul Muqeet & Anum Jamil & Kashfa Farhat & Sehar Rahim Ali Gillani & Maryam Zulfiqar & Mehreen Saif & Aliya Amin Muhammad & Fabiha Zaidi & Mohammad Mustafa & Am, 2018. "Making prescriptions “talk” to stroke and heart attack survivors to improve adherence: Results of a randomized clinical trial (The Talking Rx Study)," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-24, December.

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