Cited by 4Mobile Health and mHealth ApplicationsChild Nutrition and Water AccessICT in Developing Communities

Using daily text messages to improve adherence to infant micronutrient powder (MNP) packets in rural western China: A cluster-randomized controlled trial

Open access
Wang, Xu, Luo, Renfu, Liu, Chengfang, Zhang, Linxiu, Yue, Ai, Medina, Alexis, Rozelle, Scott·2018·PLOS ONE

Abstract

OBJECTIVE: 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. TRIAL REGISTRATION: http://www.isrctn.com/ISRCTN44149146.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1371/journal.pone.0191549

Cites

46 of 46 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 4

  1. [4]United Nations Children’s Fund (UNICEF). The state of the world’s children: focus on nutrition Oxford University Press; 1999.
  2. [29]Spybrook J, Raudenbush S, Liu XF, Congdon R. Optimal design for longitudinal and multilevel research: documentation for the optimal design software Ann Arbor, MI: University of Michigan Press; 2008.
  3. [37]Rawat R, Saha K, Kennedy A, Ruel M, Menon P. Delivery Of Micronutrient Powder Sachets Through Sales By Frontline Health Workers Enables High Reach, But Household Poverty Constrains Uptake. Annals of Nutrition and Metabolism. 2013; 63: 220.
  4. [40]Siekmans K, Bégin F, Situma R, Kupka R. The potential role of micronutrient powders to improve complementary feeding practices. Maternal & Child Nutrition. 2017; 13(S2). PMC6866171 29032625

Cited by

Sorted by citations

Authors
Wang, X., Luo, R., Liu, C., Zhang, L., Yue, A., Medina, A., & Rozelle, S.
Affiliations
  • World Bank Group (US)
  • Peking University (CN)
  • Chinese Academy of Sciences (CN)
  • Shaanxi Normal University (CN)
  • Stanford University (US)
Corresponding author
Luo, Renfu
Venue
PLOS ONE
Published
2018-01-19
Volume
13
Issue
1
Pages
e0191549
ISSN
1932-6203 (ISSN-L)
OpenAlex
W2783276827
Cited by
4
References
46
Citations by year
2021: 1 · 2020: 1 · 2019: 2
FWCI
1.53
Type
journal article
Language
en
Open access
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
  • Greater South Information System
Funders
  • National Natural Science Foundation of China (71473239, 71473240)
  • the International Initiative for Impact Evaluation (PW2.04.01.02)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
  • Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
Keywords
text messaging, mobile health, adherence, infant feeding, caregiver behavior, maternal caregivers, rural China, Shaanxi, micronutrient supplementation
MeSH terms
Assessment of Medication Adherence, China, Female, Humans, Infant, Infant Food, Infant Nutritional Physiological Phenomena, Infant Nutrition Disorders, Male, Powders, Rural Population, Odds Ratio, Drug Monitoring, Caregivers, Micronutrients, Medication Adherence, Text Messaging

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review