A randomised controlled feasibility trial of a BabyWASH household playspace: the CAMPI study

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dc.contributor.authorBudge, Sophie
dc.contributor.authorHutchings, Paul
dc.contributor.authorParker, Alison
dc.contributor.authorTyrrel, Sean
dc.contributor.authorNorton, Sam
dc.contributor.authorGarbutt, Camila
dc.contributor.authorWoldemedhin, Fitsume
dc.contributor.authorJemal, Mohammed Yasin
dc.contributor.authorMoges, Mathewos
dc.contributor.authorHussen, Siraj
dc.contributor.authorBeyene, Hunachew
dc.date.accessioned2021-08-10T10:45:39Z
dc.date.available2021-08-10T10:45:39Z
dc.date.issued2021-07-14
dc.description.abstractBackground Water, sanitation and hygiene (WASH) interventions should support infant growth but trial results are inconsistent. Frequently, interventions do not consider behaviours or transmission pathways specific to age. A household playspace (HPS) is one intervention component which may block faecal-oral transmission. This study was a two-armed, parallel-group, randomised, controlled feasibility trial of a HPS in rural Ethiopia. It aimed to recommend proceeding to a definitive trial. Secondary outcomes included effects on infant health, injury prevention and women’s time. Methods November 2019−January 2020 106 households were identified and assessed for eligibility. Recruited households (N = 100) were randomised (blinded prior to the trial start) to intervention or control (both n = 50). Outcomes included recruitment, attrition, adherence, and acceptability. Data were collected at baseline, two and four weeks. Findings Recruitment met a priori criteria (≥80%). There was no loss to follow-up, and no non-use, meeting adherence criteria (both ≤10%). Further, 48.0% (95% CI 33.7−62.6; n = 24) of households appropriately used and 56.0% (41.3−70.0; n = 28) cleaned the HPS over four weeks, partly meeting adherence criteria (≥50%). For acceptability, 41.0% (31.3−51.3; n = 41) of infants were in the HPS during random visits, failing criteria (≥50%). Further, the proportion of HPS use decreased during some activities, failing criteria (no decrease in use). A modified Barrier Analysis described good acceptability and multiple secondary benefits, including on women’s time burden and infant injury prevention. Interpretation Despite failing some a priori criteria, the trial demonstrated mixed adherence and good acceptability among intervention households. A definitive trial to determine efficacy is warranted if recommended adjustments are made.en_UK
dc.identifier.citationBudge S, Hutchings P, Parker A, et al., (2021) A randomised controlled feasibility trial of a BabyWASH household playspace: the CAMPI study. PLoS Neglected Tropical Diseases, Volume 15, Issue 7, 2021, Article number e0009514en_UK
dc.identifier.issn1935-2727
dc.identifier.urihttps://doi.org/10.1371/journal.pntd.0009514
dc.identifier.urihttp://dspace.lib.cranfield.ac.uk/handle/1826/16983
dc.language.isoenen_UK
dc.publisherPublic Library of Scienceen_UK
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectCampylobacteren_UK
dc.subjectDiarrheaen_UK
dc.subjectRandomized controlled trialsen_UK
dc.titleA randomised controlled feasibility trial of a BabyWASH household playspace: the CAMPI studyen_UK
dc.typeArticleen_UK

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