Evidence map›Paper›PMID 27807084›Full record

Trial reportBMJ open2016

Protocol for the economic evaluation of a community-based intervention to improve growth among children under two in rural India (CARING trial).

Jolene Skordis-Worrall, Rajesh Sinha, Amit Kumar Ojha, Soumendra Sarangi, Nirmala Nair, Prasanta Tripathy, H S Sachdev, Sanghita Bhattacharyya, Rajkumar Gope, Shibanand Rath and 9 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Jolene Skordis-WorrallUniversity College London, Institute for Global Health, London, UK.ORCID 0000-0002-8633-0208
Rajesh SinhaEkjut, Chakradharpur, Jharkhand, India.
Amit Kumar OjhaEkjut, Chakradharpur, Jharkhand, India.
Soumendra SarangiEkjut, Chakradharpur, Jharkhand, India.
Nirmala NairEkjut, Chakradharpur, Jharkhand, India.
Prasanta TripathyEkjut, Chakradharpur, Jharkhand, India.
H S SachdevSitaram Bhartia Institute of Science and Research, New Delhi, India.
Sanghita BhattacharyyaPublic Health Foundation of India, New Delhi, India.
Rajkumar GopeEkjut, Chakradharpur, Jharkhand, India.
Shibanand RathEkjut, Chakradharpur, Jharkhand, India.
Suchitra RathEkjut, Chakradharpur, Jharkhand, India.
Aradhana SrivastavaPublic Health Foundation of India, New Delhi, India.
Neha BaturaUniversity College London, Institute for Global Health, London, UK.ORCID 0000-0002-8175-8125
Anni-Maria Pulkki-BrännströmUniversity College London, Institute for Global Health, London, UK.
Anthony CostelloUniversity College London, Institute for Global Health, London, UK.
Andrew CopasDepartment of Infection and Population Health, University College London, London, UK.
Naomi SavilleUniversity College London, Institute for Global Health, London, UK.
Audrey ProstUniversity College London, Institute for Global Health, London, UK.
Hassan Haghparast-BidgoliUniversity College London, Institute for Global Health, London, UK.

Funding

Medical Research Council MR/K007270/1Wellcome TrustWellcome Trust 099708/Z/12/Z
6 · The paper itself

Abstract

introductionUndernutrition affects ∼165 million children globally and contributes up to 45% of all child deaths. India has the highest proportion of global undernutrition-related morbidity and mortality. This protocol describes the planned economic evaluation of a community-based intervention to improve growth in children under 2 years of age in two rural districts of eastern India. The intervention is being evaluated through a cluster-randomised controlled trial (cRCT, the CARING trial). METHODS AND ANALYSIS: A cost-effectiveness and cost-utility analysis nested within a cRCT will be conducted from a societal perspective, measuring programme, provider, household and societal costs. Programme costs will be collected prospectively from project accounts using a standardised tool. These will be supplemented with time sheets and key informant interviews to inform the allocation of joint costs. Direct and indirect costs incurred by providers will be collected using key informant interviews and time use surveys. Direct and indirect household costs will be collected prospectively, using time use and consumption surveys. Incremental cost-effectiveness ratios (ICERs) will be calculated for the primary outcome measure, that is, cases of stunting prevented, and other outcomes such as cases of wasting prevented, cases of infant mortality averted, life years saved and disability-adjusted life years (DALYs) averted. Sensitivity analyses will be conducted to assess the robustness of results. ETHICS AND DISSEMINATION: There is a shortage of robust evidence regarding the cost-effectiveness of strategies to improve early child growth. As this economic evaluation is nested within a large scale, cRCT, it will contribute to understanding the fiscal space for investment in early child growth, and the relative (in)efficiency of prioritising resources to this intervention over others to prevent stunting in this and other comparable contexts. The protocol has all necessary ethical approvals and the findings will be disseminated within academia and the wider policy sphere. TRIAL REGISTRATION NUMBER: ISRCTN51505201; pre-results.

Indexed as

Child DevelopmentInfant MortalityCost-Benefit AnalysisFemaleFood AssistanceGrowth DisordersHealth PromotionHumansIndiaInfantMaleProgram EvaluationPublic HealthResearch DesignRural PopulationSurveys and QuestionnairesCost-effectivenessIndiaPUBLIC HEALTHstuntingundernutrition

Identifiers

PMID27807084
PMCPMC5128945

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.