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IRCT2016030225127N2 IRCT 2016-03-25 Vice chancellor for research, Yasouj University of Medical Sciences . The Effect of education on The indexes of growth and development of 6-12 months infants Comparison of effect of tele health– nursing and multimedia education of mothers on the growth and developmental indexes of infants, Compared with mothers who received training of health care workers 2015-06-20 anticipated 129 Complete https://irct.ir/trial/21065 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Factorial, Purpose: Health service research, Other design features: Blindness is not carried out due to educational interventions. N/A Infants growth & developement. Intervention 1: In the first intervention group (long distance-tele- health nursing education method), procedures of surveying, education, orientation and suggestion were performed and used. For 6-8 months age children, phone connections were performed once a week regarding to Nutrition Education Protocol suggested by the Health Ministry of Iran according to items mentioned in children development profiles, assigned at 6, 7, 9 and 12 months of children age. Necessary educations were presented as weekly phone calls and the questions of parents were answered and were consulted if required. Contents of the next week were educated in each phone call and previous efforts were also checked and emphasized if were not obeyed. Two phone calls were performed for children with age of 9 months and more per week and the mother were referred to reserved physician if medical intervention was required. They were also given a phone number for further and necessary consults. Intervention 2: In the second intervention group (multi media education method), the education process was based on lectures in group sessions according to an educational program. These educational sessions were formed at 6,8,10 and 12 moths of children ages regarding to the time of َAges and Stages questionnaire filling. Because of the dissipation of children ages and large number of people in a group, children born at the first half of month were educated at the beginning of the corresponding month and children born at the second half of month were educated at the last days of month by multimedia method. Also an educational film containing items about supplementary nutrition, use of iron supplementary droplets, emotional relations performance with the suckle, quality and modality of games at different ages and protection of the baby against accidents was shown to the mothers. Duration of each session was an hour. Educational pamphlets containing the issues of next 2 months according to the phone educations were given to the participants at the end of each session and they were asked to read the contents of each next week at corresponding week time. All educational contents and concepts were similar in both intervention groups. These educations were presented besides and apart of educations and recommendations offered by health personnel of mentioned health and medical centers. Intervention 3: In the control group, only educations through the health care personnel were presented. ages and stages questionnaires were filled at the end of 6, 8, 10 and 12 months during interviews by the mothers.
public Elham Farahnak
Univercity of Medical Science, Dr.Jalil street, Yasouj
yasouj Iran (Islamic Republic of) +98 74 3223 5138 farahnake@sums.ac.ir Yasouj University of Medical Sciences scientific Nazafarin Hosseini
Univercity of Medical Science, Dr.Jalil street, Yasouj
Yasouj Iran (Islamic Republic of) +98 74 2332 3411 hosseinichenar@yahoo.com Yasouj University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Inclusion criteria: mother is willing to cooperate in this project; mother has direct responsible for child's feeding; the father and mother be literate (at least secondary education is completed); the mother does not express certain mental problem; no graduates or studying in sciences or psychology or medicine; children at the time of the study not have defects, acute illness or not systematic; children have normal growth at baseline (is not Under 3 percentile ); parents are both still alive; having a home phone or mobile phone. Exclusion criteria: at the time of the study children go to kindergarten; children become ill or chronic disease; the child get single parent; the child's father become unemployed; the child's mother begin studying the medical sciences or psychology; parents cancel to continue working with more than two absences researcher training sessions or care. 6 months 12 months Both Behavior Behavior Behavior In the first intervention group (long distance-tele- health nursing education method), procedures of surveying, education, orientation and suggestion were performed and used. For 6-8 months age children, phone connections were performed once a week regarding to Nutrition Education Protocol suggested by the Health Ministry of Iran according to items mentioned in children development profiles, assigned at 6, 7, 9 and 12 months of children age. Necessary educations were presented as weekly phone calls and the questions of parents were answered and were consulted if required. Contents of the next week were educated in each phone call and previous efforts were also checked and emphasized if were not obeyed. Two phone calls were performed for children with age of 9 months and more per week and the mother were referred to reserved physician if medical intervention was required. They were also given a phone number for further and necessary consults. In the second intervention group (multi media education method), the education process was based on lectures in group sessions according to an educational program. These educational sessions were formed at 6,8,10 and 12 moths of children ages regarding to the time of َAges and Stages questionnaire filling. Because of the dissipation of children ages and large number of people in a group, children born at the first half of month were educated at the beginning of the corresponding month and children born at the second half of month were educated at the last days of month by multimedia method. Also an educational film containing items about supplementary nutrition, use of iron supplementary droplets, emotional relations performance with the suckle, quality and modality of games at different ages and protection of the baby against accidents was shown to the mothers. Duration of each session was an hour. Educational pamphlets containing the issues of next 2 months according to the phone educations were given to the participants at the end of each session and they were asked to read the contents of each next week at corresponding week time. All educational contents and concepts were similar in both intervention groups. These educations were presented besides and apart of educations and recommendations offered by health personnel of mentioned health and medical centers. In the control group, only educations through the health care personnel were presented. ages and stages questionnaires were filled at the end of 6, 8, 10 and 12 months during interviews by the mothers Weight. Timepoint: At the end of 6, 7, 9 and 12 months. Method of measurement: By Scale. Length. Timepoint: At the end of 6, 7, 9 and 12 months. Method of measurement: Length measured with meters. Head circumference. Timepoint: At the end of 6, 7, 9 and 12 months. Method of measurement: Head circumference measured with meters. Development. Timepoint: At the end of 6, 8, 10 and 12 months. Method of measurement: By using Ages and Stages Questionnaire. Vice chancellor for research, Yasouj University of Medical Sciences . Approved 2015-05-22 Ethics committee of Yasuj University of Medical Sciences Yasuj Univercity of Medical Science, Shahid Motahari street Yasuj Iran (Islamic Republic of)