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CholeraCHoBI7NCT04008134

Cholera-Hospital-Based-Intervention-for-7-days

A study testing CHoBI7 health facility program, CHoBI7 mHealth program and CHoBI7 home visit program in people with Cholera and Diarrhea, run by Johns Hopkins Bloomberg School of Public Health.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The Cholera Hospital Based Intervention for 7 Days (CHoBI7) randomized controlled trial for transition to scale aimed to: (1) Develop and evaluate scalable approaches to integrate the CHoBI7 intervention into the services provided for hospitalized diarrhea patients at health facilities in Bangladesh; and (2) Evaluate… Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
Conditions the study is for
Cholera, Diarrhea, Stunting
What is being tested?
CHoBI7 health facility program, CHoBI7 mHealth program and CHoBI7 home visit program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,626 participants
Where
No sites listed yet
Study dates
4 Dec 2016to 26 Apr 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Diarrhea patients will be defined as patients having acute watery diarrhea three or more loose stools over a 24-hour period in the past three days. Diarrhea patients admitted to ICDDRB Dhaka Hospital or Mugda General Hospital will be eligible for the trial if:
  • have had 3 or more loose stools over the past 24 hours
  • plan to reside in Dhaka for the next 12 months
  • have no basin for running water in their home
  • have a child under five years of age in their household (including themselves) that produced a stool sample at baseline
  • have a working mobile phone in the household.
Show all 9Show fewer
  • Household members of the diarrhea patient will be eligible for the trial if:
  • they have shared the same cooking pot and resided in the same home with the diarrhea patient for the last three days
  • plan to reside in their current household with the diarrhea patient for the next 12 months

Who cannot join

  • Children in foster care will be excluded from all research study activities.

About this study

Official title: CHoBI7 Trial: A Hospital Based Water, Sanitation and Hygiene Intervention for Households of Diarrheal Patients in Bangladesh

The Cholera Hospital Based Intervention for 7 Days (CHoBI7) randomized controlled trial for transition to scale aimed to: (1) Develop and evaluate scalable approaches to integrate the CHoBI7 intervention into the services provided for hospitalized diarrhea patients at health facilities in Bangladesh; and (2) Evaluate the ability of the CHoBI7 intervention to lead to a sustained uptake of the promoted hand washing with soap and water treatment behaviors and significant reductions in diarrheal disease over time.

Read the detailed description

The findings from the recent randomized controlled trial of The Cholera Hospital Based Intervention for 7 Days (CHoBI7) demonstrated that this intervention was effective in significantly reducing symptomatic cholera infections in intervention households, and had significant sustained impacts on hand washing with soap behaviors and improved water quality 12 months post intervention. Next steps to transition to scale were: (1) Develop and evaluate scalable approaches to integrate the CHoBI7 intervention into the services provided for hospitalized diarrhea patients at health facilities in Bangladesh; and (2) Evaluate the ability of the CHoBI7 intervention to lead to a sustained uptake of the promoted hand washing with soap and water treatment behaviors and significant reductions in diarrheal disease over time.

Being tested
CHoBI7 health facility program, CHoBI7 mHealth program, CHoBI7 home visit program
Keywords
handwashing with soap, water treatment, behavior change, water, sanitation and hygiene
Medical subject headings
Cholera, Diarrhea, Growth Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CHoBI7 health facility programBehavioural

    The CHoBI7 health facility program focuses on promoting handwashing with soap and water treatment to diarrhea patients and their household members during the one-week period after the patient is admitted to the health facility, when their household is at highest risk for diarrheal diseases. The CHoBI7 program includes: (1) a WASH pictorial module delivered by a health worker bedside to diarrhea patient and their household members in a health facility on handwashing with soap, water treatment, and safe water storage; and (2) a diarrhea prevention package containing chlorine tablets for water treatment, a soapy water bottle (water and detergent powder), a handwashing station, and a water vessel with a lid and tap for safe drinking water storage. Households are instructed to boil their water once their supply of chlorine tablets is completed.

  • CHoBI7 mHealth programBehavioural

    The CHoBI7 mHealth (mobile health) program targets five key behaviors: (1) preparing soapy water using water and detergent powder; (2) handwashing with soap at food and stool related events; (3) treating household drinking water using chlorine tablets during the one week high risk period after the diarrhea patient in the household was admitted to the health facility; (4) safe drinking water storage in a water vessel with a lid and tap; and (5) heating of household drinking water until it reaches a rolling boil after the one week high risk period. Participant households receive bi-weekly voice and text messages from the CHoBI7 mHealth program over a 12-month period. These mobile messages are sent using the VIAMO platform (www.viamo.io).

  • CHoBI7 home visit programBehavioural

    The CHoBI7 home visit program involves two, 30-minute home visits conducted during the week after the index diarrhea patient was recruited at the health facility. A health worker reinforces the content of the CHoBI7 health facility program in the participant's home.

Study groups in NCT04008134
Study groupRoleWhat they receive
Standard recommendation (ORS)No interventionParticipants received the standard recommendation on oral rehydration solution use
mHealth with no home visitsExperimentalParticipants received the health facility delivery of CHoBI7, plus bi-weekly mHealth (voice and text) reminders for 12 months
Receives: Behavioral: CHoBI7 health facility program; Behavioral: CHoBI7 mHealth program
mHealth with home visitsExperimentalParticipants received the health facility delivery of CHoBI7, plus two home visits and bi-weekly mHealth (voice and text) reminders for 12 months
Receives: Behavioral: CHoBI7 health facility program; Behavioral: CHoBI7 mHealth program; Behavioral: CHoBI7 home visit program

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Diarrhea prevalence among children under 2 years of age

    Diarrhea prevalence among children under 2 years of age assessed by caregiver self report over a 12-month period

    Measured: 12 months

  2. Diarrhea prevalence among children under 5 years of age

    Diarrhea prevalence among children under 5 years of age assessed by caregiver self report over a 12-month period

    Measured: 12 months

  3. Diarrhea prevalence among all household members

    Diarrhea prevalence among all household members assessed by self report over a 12-month period

    Measured: 12 months

Secondary outcomes (11)
  1. Diarrhea prevalence among participants ages 5-9 years

    Diarrhea prevalence among all household members ages 5-9 years assessed by self report over a 12-month period

    Measured: 12 months

  2. Diarrhea prevalence among participants ages 10-18 years

    Diarrhea prevalence among all household members ages 10-18 years assessed by self report over a 12-month period

    Measured: 12 months

  3. Diarrhea prevalence among participants ages greater than 18 years

    Diarrhea prevalence among all household members ages greater than 18 years assessed by self report over a 12-month period

    Measured: 12 months

  4. Handwashing with soap

    Household members handwashing with soap at food and stool related events assessed by 5-hour structured observation over a 12-month period

    Measured: 12 months

  5. Household drinking water treatment

    Households with stored drinking water samples without detectable E.coli (<1 colony forming units / 100 ml) assessed by unannounced household visits for sample collection of household stored drinking water over a 12-month period

    Measured: 12 months

  6. Height-for-age among children under 2 years of age

    Height, weight and age measurements among children under 2 years of age assessed over a 12-month period were used to calculate height-for-age z-scores according to the World Health Organization child growth standards

    Measured: 12 months

  7. Height-for-age among children under 5 years of age

    Height, weight and age measurements among children under 5 years of age assessed over a 12-month period were used to calculate height-for-age z-scores according to the World Health Organization child growth standards

    Measured: 12 months

  8. Weight-for-age among children under 2 years of age

    Height, weight and age measurements among children under 2 years of age assessed over a 12-month period were used to calculate weight-for-age z-scores according to the World Health Organization child growth standards

    Measured: 12 months

  9. Weight-for-age among children under 5 years of age

    Height, weight and age measurements among children under 5 years of age assessed over a 12-month period were used to calculate weight-for-age z-scores according to the World Health Organization child growth standards

    Measured: 12 months

  10. Weight-for-height among children under 2 years of age

    Height, weight and age measurements among children under 2 years of age assessed over a 12-month period were used to calculate weight-for-height z-scores according to the World Health Organization child growth standards

    Measured: 12 months

  11. Weight-for-height among children under 5 years of age

    Height, weight and age measurements among children under 5 years of age assessed over a 12-month period were used to calculate weight-for-height z-scores according to the World Health Organization child growth standards

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Jul 2019
  2. Study start4 Dec 2016
  3. Primary completion26 Apr 2019
  4. Study completion26 Apr 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
2,626 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04008134
Sponsor's protocol ID
IRB00006785
Other IDs
PR-15133
Acronym
CHoBI7
Status last verified
Jan 2022
First submitted
2 Jul 2019
Last updated
10 Feb 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • George CM, Monira S, Zohura F, Thomas ED, Hasan MT, Parvin T, Hasan K, Rashid MU, Papri N, Islam A, Rahman Z, Rafique R, Islam Bhuyian MS, Saxton R, Labrique A, Alland K, Barman I, Jubyda FT, Afroze F, Sultana M, Johura FT, Khan MAH, Tahmina S, Munmun F, Sack DA, Perin J, Alam M. Effects of a Water, Sanitation, and Hygiene Mobile Health Program on Diarrhea and Child Growth in Bangladesh: A Cluster-randomized Controlled Trial of the Cholera Hospital-based Intervention for 7 Days (CHoBI7) Mobile Health Program. Clin Infect Dis. 2021 Nov 2;73(9):e2560-e2568. doi: 10.1093/cid/ciaa754.

    PubMed 32761174
  • George CM, Bhuyian MSI, Thomas ED, Parvin T, Monira S, Zohura F, Hasan MT, Tahmina S, Munmun F, Sack DA, Perin J, Alam M. Psychosocial Factors Mediating the Effect of the CHoBI7 Mobile Health Program on Handwashing With Soap and Household Stored Water Quality: A Randomized Controlled Trial. Health Educ Behav. 2022 Apr;49(2):326-339. doi: 10.1177/1090198120987134. Epub 2021 May 5.

    PubMed 33949243
  • George CM, Zohura F, Teman A, Thomas E, Hasan T, Rana S, Parvin T, Sack DA, Bhuyian SI, Labrique A, Masud J, Winch P, Leontsini E, Zeller K, Begum F, Khan AH, Tahmina S, Munum F, Monira S, Alam M. Formative research for the design of a scalable water, sanitation, and hygiene mobile health program: CHoBI7 mobile health program. BMC Public Health. 2019 Jul 31;19(1):1028. doi: 10.1186/s12889-019-7144-z.

    PubMed 31366398
  • Thomas ED, Zohura F, Hasan MT, Rana MS, Teman A, Parvin T, Masud J, Bhuyian MSI, Hossain MK, Hasan M, Tahmina S, Munmun F, Khan MAH, Monira S, Sack DA, Leontsini E, Winch PJ, Alam M, George CM. Formative research to scale up a handwashing with soap and water treatment intervention for household members of diarrhea patients in health facilities in Dhaka, Bangladesh (CHoBI7 program). BMC Public Health. 2020 Jun 1;20(1):831. doi: 10.1186/s12889-020-08727-0.

    PubMed 32487209
  • Masud J, Islam Bhuyian MS, Kumar Biswas S, Zohura F, Perin J, Papri N, Dil Farzana F, Parvin T, Monira S, Alam M, George CM. Diarrhoeal disease knowledge among diarrhoea patient housholds: findings from the randomised controlled trial of the Cholera-Hospital-Based-Intervention-for-7-days (CHoBI7) mobile health program. Trop Med Int Health. 2020 Aug;25(8):996-1007. doi: 10.1111/tmi.13415. Epub 2020 Jul 21.

    PubMed 32406989
  • Islam Bhuyian MS, Saxton R, Hasan K, Masud J, Zohura F, Monira S, Kumar Biswas S, Tasdik Hasan M, Parvin T, Minhaj I, Md Zillur Rahman K, Papri N, Rashid MU, Sharin L, Teman A, Thomas ED, Alland K, Labrique A, Sack DA, Perin J, Alam M, George CM. Process evaluation for the delivery of a water, sanitation and hygiene mobile health program: findings from the randomised controlled trial of the CHoBI7 mobile health program. Trop Med Int Health. 2020 Aug;25(8):985-995. doi: 10.1111/tmi.13414. Epub 2020 Jul 18.

    PubMed 32406965
  • Zohura F, Bhuyian MSI, Saxton RE, Parvin T, Monira S, Biswas SK, Masud J, Nuzhat S, Papri N, Hasan MT, Thomas ED, Sack D, Perin J, Alam M, George CM. Effect of a water, sanitation and hygiene program on handwashing with soap among household members of diarrhoea patients in healthcare facilities in Bangladesh: a cluster-randomised controlled trial of the CHoBI7 mobile health program. Trop Med Int Health. 2020 Aug;25(8):1008-1015. doi: 10.1111/tmi.13416. Epub 2020 Jul 14.

    PubMed 32406581
  • George CM, Perin J, Parvin T, Bhuyian S, Thomas ED, Monira S, Zohura F, Hasan T, Sack D, Alam M. Effects of a Water, Sanitation and Hygiene Mobile Health Program on Respiratory Illness in Bangladesh: A Cluster-Randomized Controlled Trial of the CHoBI7 Mobile Health Program. Am J Trop Med Hyg. 2022 Jan 10;106(3):979-984. doi: 10.4269/ajtmh.21-0679.

    PubMed 35008045

Questions about this trial

What is this clinical trial studying?

A study testing CHoBI7 health facility program, CHoBI7 mHealth program and CHoBI7 home visit program in people with Cholera and Diarrhea, run by Johns Hopkins Bloomberg School of Public Health.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Diarrhea prevalence among children under 2 years of age (time frame: 12 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04008134, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Feb 2022; AzTrials last refreshed its copy on 30 Oct 2026.

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