<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20220508054783N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-05-29</date_registration>
      <primary_sponsor>Jimma University</primary_sponsor>
      <public_title>Effect of Intensive Nutrition Counselling on Nutritional Status of Pregnant Women</public_title>
      <acronym></acronym>
      <scientific_title>Effect of Intensive Nutrition Education and Counselling Package on Nutritional Status of Pregnant Women Attending Antenatal Care Clinic. A Clustered Randomized Controlled Trial.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-05-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>300</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/63448</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Single, Purpose: Prevention, Randomization description: Unit of randomization will be health center. Health centers will be randomly allocated to intervention and control arms. From the total of 6 health centers, 3 are allocated to intervention groups and the rest 3 health centers are allocated to control groups. Randomization will be done after a public container ballot by a person who is not a member of this study.  Cluster randomization will be used to prevent message contamination because women in the same cluster have a high probability of communicating and discussing the intervention messages. To avoid this, all eligible pregnant women in one cluster will be enrolled in the same arm (either in the intervention or control arms). Moreover, buffer zones (health center with non-adjacent catchment area) will be left between the intervention and control clusters to prevent information contamination, Blinding description: The health facilities will be invited to participate prior to randomization without disclosure of allocation status. Participants will not informed about allocation to intervention or control arm. Outcome assessors who have no information about the experiment will be deployed to measure the outcome of the intervention.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Not applicable.</hc_freetext>
      <i_freetext>Intervention 1: The intervention group will receive the intensive nutrition education and counseling package (INECP). The intervention package contains intensive counselling by trained health care providers on  promoting a healthy diet, adequate weight gain, consistent use of micro-nutrient supplements, counseling about healthy eating and deworming. Leaflets will be given and regular short message service will be sent to pregnant mothers on their mobile phones. Intervention 2: Control group: The control group will continue to receive the usual care.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
Nutritional status of pregnant women

When:
January 2024

To whom:
will be shared for people working in academic institutions

Conditions:
The data could be used for academicians, researchers and policy makers

Where to obtain:
Data can be obtained from Mr. Ermias Bekele Wakwoya, email: ermi3577@gmail.com

How to obtain:
Making request through email

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Ermias Bekele Wakwoya</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Institute of Health, Jimma University, Jimma</address>
        <city>Jimma</city>
        <country1>Ethiopia</country1>
        <zip>378, Jimma Universit</zip>
        <telephone>+251 91 307 0421</telephone>
        <email>ermi3577@gmail.com</email>
        <affiliation>Jimma University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Ermias Bekele Wakwoya</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Institute of Health, Jimma University, Jimma</address>
        <city>Jimma</city>
        <country1>Ethiopia</country1>
        <zip>378, Jimma Universit</zip>
        <telephone>+251 91 307 0421</telephone>
        <email>ermi3577@gmail.com</email>
        <affiliation>Jimma University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Ethiopia</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Pregnant women attending antenatal care clinic in selected health institutions in East Shoa zone, Central Ethiopia.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>45 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Pregnant women who had known medical illnesses</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>The intervention group will receive the intensive nutrition education and counseling package (INECP). The intervention package contains intensive counselling by trained health care providers on  promoting a healthy diet, adequate weight gain, consistent use of micro-nutrient supplements, counseling about healthy eating and deworming. Leaflets will be given and regular short message service will be sent to pregnant mothers on their mobile phones.</i_keyword>
      <i_keyword>Control group: The control group will continue to receive the usual care.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>The primary outcome of the study is nutritional status of pregnant women. The nutritional status of the pregnant women will be assessed by using mid upper arm circumference measurement method. The measurement will be made before and after the intervention. Timepoint: 12 weeks after intervention. Method of measurement: The nutritional status of pregnant women will be measured by using Mid Upper Arm Circumference (MUAC).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Hemoglobin level. Timepoint: 12 weeks after intervention. Method of measurement: Heamocue machine.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Jimma University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-07-24</approval_date>
        <contact_name>Institutional Review Board, Institute of Health, Jimma University</contact_name>
        <contact_address>Institute of Health, Jimma University, Jimma Jimma Oromia Ethiopia</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
