Evidence map›Paper›PMID 39300465›Full record

Trial reportTrials2024

Implementing a pragmatic randomised controlled trial in a humanitarian setting: lessons learned from the TISA trial.

D S N'Diaye, S Frison, M Ba, M L Lê, A E Cabo, F Siroma, A Devort, C MacLeod, J Lapègue, M Seye and 9 more

Registry-linked trialAbstract readPragmatic Clinical Trial
In one paragraph

Trial report in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04667767 (TISA), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04667767 nacompletednot on this map

TISA (Traitement Intégré de la Sous-Nutrition Aiguë) Trial : A Cluster Randomized Controlled Trial for the Effect of a WASH Kit Combined With Standard Outpatient Treatment on Severe Acute Malnutrition Recovery in Senegal

TypeinterventionalSponsorLondon School of Hygiene and Tropical MedicineRan2020 to 2023Enrolled2,411ConditionsSevere Acute MalnutritionArmsWASH kit, Standard treatment
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

D S N'DiayeAction Contre La Faim, Paris, France. dndiaye@actioncontrelafaim.org.ORCID http://orcid.org/0000-0002-7801-0458
S FrisonAction Contre La Faim, Paris, France.
M BaAction Contre La Faim, Dakar, Senegal.
M L LêAction Contre La Faim, Paris, France.
A E CaboAction Contre La Faim, Dakar, Senegal.
F SiromaAction Contre La Faim, Dakar, Senegal.
A DevortAction Contre La Faim, Dakar, Senegal.
C MacLeodDepartment of Disease Control, London School of Hygiene and Tropical Medicine, Faculty of Infectious and Tropical Diseases, London, UK.
J LapègueAction Contre La Faim, Paris, France.
M SeyeLaboratoire Des Transformations Économiques Et Sociales - Institut Fondamental d'Afrique Noire- Ch.A. Diop, University of Cheikh Anta Diop, Dakar, Senegal.
A B TraoréAction Contre La Faim, Dakar, Senegal.
T CerveauAction Contre La Faim, Dakar, Senegal.
D LégerAction Contre La Faim, Dakar, Senegal.
K GallandatDepartment of Disease Control, London School of Hygiene and Tropical Medicine, Faculty of Infectious and Tropical Diseases, London, UK.
Y GnokaneAction Contre La Faim, Dakar, Senegal.
A Vargas BrizuelaAction Contre La Faim, Madrid, Spain.
S SternAction Contre La Faim, Paris, France.
L BraunDepartment of Disease Control, London School of Hygiene and Tropical Medicine, Faculty of Infectious and Tropical Diseases, London, UK.
O CummingDepartment of Disease Control, London School of Hygiene and Tropical Medicine, Faculty of Infectious and Tropical Diseases, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHigh-quality evidence is crucial for guiding effective humanitarian responses, yet conducting rigorous research, particularly randomised controlled trials, in humanitarian crises remains challenging. The TISA ("traitement intégré de la sous-nutrition aiguë") trial aimed to evaluate the impact of a Water, Sanitation and Hygiene (WASH) intervention on the standard national treatment of uncomplicated Severe Acute Malnutrition (SAM) in children aged 6-59 months. Implemented in two northern Senegalese regions from December 22, 2021, to February 20, 2023, the trial faced numerous challenges, which this paper explores along with the lessons learned.

methodsThe study utilised trial documentation, including field reports, meeting minutes, training plans, operational monitoring data and funding proposals, to retrace the trial timeline, identify challenges and outline implemented solutions. Contributions from all TISA key staff-current and former, field-based and headquarters-were essential for collecting and interpreting information. Challenges were categorised as internal (within the TISA consortium) or external (broader contextual issues).

resultsThe TISA trial, executed by a consortium of academic, operational, and community stakeholders, enrolled over 2000 children with uncomplicated SAM across 86 treatment posts in a 28,000 km DISCUSSION AND

conclusionDespite these obstacles, the trial concluded successfully, underscoring the importance of tailored monitoring, open communication, transparency and community involvement. Producing high-quality evidence in humanitarian contexts demands extensive preparation and strong coordination among local and international researchers, practitioners, communities, decision-makers and funders from the study's inception.

trial registrationClinicaltrials.gov NCT04667767 .

Indexed as

HygieneSanitationAltruismChild Nutrition DisordersChild, PreschoolCOVID-19FemaleHumansInfantMaleRelief WorkResearch DesignSenegalTime FactorsTreatment OutcomeCapitalizationHumanitarian settingOperational researchPragmatic trial implementationSevere acute malnutritionWASH

Identifiers

PMID39300465
PMCPMC11414177

What OpenQuestion holds

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Registered trials

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.