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Mothers Understand And Can do it - Mid Upper Arm Circumference Screening for Malnutrition Performed by Mothers (MUAC)

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ClinicalTrials.gov Identifier: NCT01790815
Recruitment Status : Completed
First Posted : February 13, 2013
Last Update Posted : December 10, 2013
Sponsor:
Collaborator:
Bien Être de La femme et de L'Enfant au Niger
Information provided by (Responsible Party):
Alliance for International Medical Action

Brief Summary:

PRIMARY OBJECTIVE :

To determine whether mothers, given minimal group training, are capable of using a MUAC (mid-upper arm circumference) bracelet to screen their children for malnutrition and categorise them into one of three groups : 'red' (SAM ; severe acute malnutrition), 'yellow' (MAM ; moderate acute malnutrition) or 'green' (normal nutritional status)

SECONDARY OBJECTIVES :

To establish whether there is a difference in the MUAC value if measured on the right arm as opposed to the left, in young children

To determine whether there is a difference in the MUAC value if the mid upper arm position is determined visually as opposed to being measured in the 'classical' fashion


Condition or disease
Marasmus Kwashiorkor Malnutrition; Degree, Moderate Malnutrition

Detailed Description:
Severe Acute Malnutrition (SAM) and its complications are major causes of death in under 5s in the developing world. A simple, reproducible, scalable way to recognise acute malnutrition and target early intervention would be a huge advance. Can mothers with limited training reliably measure and interpret the results of Mid Upper Arm Circumference (MUAC), a measurement performed with a MUAC measuring tape costing $0.06? MUAC contrasts with Z-score (WHZ), which requires both scales and a height gauge, both health worker interventions susceptible to considerable error, sensitive to non-nutritional factors, requiring calculations and growth curves, yet much less accurate in predicting risk of death compared with MUAC.

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Study Type : Observational
Actual Enrollment : 300 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Mothers Understand And Can do it - Mid Upper Arm Circumference Screening for Malnutrition Performed by Mothers of Children < 5 Years Old
Study Start Date : August 2011
Actual Primary Completion Date : August 2012
Actual Study Completion Date : August 2012

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Malnutrition




Primary Outcome Measures :
  1. inter and intra observer variability [ Time Frame: 2 years ]
    Variance in result of screening for malnutrition performed by mothers with minimal training compared to 'gold-standard' fully trained health care workers. Screening will be performed with a MUAC (mid-upper arm circumference) bracelet, results will be expressed by category: SAM (severe acute malnutrition), MAM (moderate acute malnutrition) or 'normal nutritional status


Secondary Outcome Measures :
  1. inter and intra observer variability [ Time Frame: 2 years ]
    The difference in millimetres in the MUAC value if measured on the right arm as opposed to the left ('classical method'), in young children

  2. inter and intra observer variability [ Time Frame: 2 years ]
    The difference in the MUAC value in millimetres if the mid upper arm position is determined visually as opposed to being measured in the 'classical' fashion



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Ages Eligible for Study:   6 Months to 59 Months   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Children present in the inpatient malnutrition treatment unit and paediatric service of the Mirriah district hospital aged between 6-59 months old

Children aged between 6-59 months old in the two villages of the Mirriah district, Niger; where the community phase of the study was conducted

Criteria

Inclusion Criteria:

  • children present in the inpatient malnutrition treatment unit and paediatric service of the Mirriah district hospital aged between 6-59 months old
  • children aged between 6-59 months old in the two villages where the community phase of the study was conducted

Exclusion Criteria:

  • children receiving treatment in the intensive care unit of Mirriah district hospital
  • children with bilateral oedema
  • children whose mothers or fathers refused consent to participate in the study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01790815


Locations
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Niger
Mirriah Health District
Mirria, Mirriah, Niger
Sponsors and Collaborators
Alliance for International Medical Action
Bien Être de La femme et de L'Enfant au Niger
Investigators
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Study Director: nikki blackwell, FCICM,FRACP Alliance for International Medical Action

Additional Information:
Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Alliance for International Medical Action
ClinicalTrials.gov Identifier: NCT01790815     History of Changes
Other Study ID Numbers: MUAC mères
First Posted: February 13, 2013    Key Record Dates
Last Update Posted: December 10, 2013
Last Verified: December 2013

Keywords provided by Alliance for International Medical Action:
Acute Malnutrition
Mid Upper Arm Circumference
Screening

Additional relevant MeSH terms:
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Malnutrition
Kwashiorkor
Protein-Energy Malnutrition
Nutrition Disorders
Severe Acute Malnutrition
Protein Deficiency
Deficiency Diseases