Evidence map›Paper›PMID 40722070›Full record

Trial reportBMC public health2025

Impact of mobile health-based nutritional education on hemoglobin levels in anemic adolescent girls in rural Bangladesh: a randomized controlled trial.

Md Jiaur Rahman, Md Moshiur Rahman, Mohammad Habibur Rahman Sarker, Ryota Matsuyama, Masayuki Kakehashi, Miwako Tsunematsu, Mohammad Ali, Ashir Ahmed, Mohammad Delwer Hossain Hawlader, Hiromi Kawasaki and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05185661 (Anemia Prevalence, Associated Factors, and Impact of eHealth Education Among School-going Adolescent Girls in Rural Bangladesh), 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.

NCT05185661 nacompletednot on this map

Anemia Prevalence, Associated Factors, and Impact of eHealth Education Among School-going Adolescent Girls in Rural Bangladesh

TypeinterventionalSponsorHiroshima UniversityRan2022 to 2024Enrolled138ConditionsAnemiaArmseHealth education
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

11 authors.

Md Jiaur RahmanDepartment of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan. jiaur9731@gmail.com.
Md Moshiur RahmanDepartment of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Mohammad Habibur Rahman SarkerTechnical Training Unit, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Ryota MatsuyamaVeterinary Medicine, Rakuno Gakuen University, Hokkaido, Japan.
Masayuki KakehashiDepartment of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Miwako TsunematsuDepartment of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Mohammad AliDepartment of Medicine, Dhaka Medical College, Dhaka, Bangladesh.
Ashir AhmedDepartment of Advanced Information Technology, Graduate School of Information Science and Electrical Engineering, Kyushu University, Fukuoka, Japan.
Mohammad Delwer Hossain HawladerDepartment of Public Health, School of Health and Life Sciences, North South University, Dhaka, Bangladesh.
Hiromi KawasakiDepartment of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Yoko ShimpukuDepartment of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnemia is a global public health concern, particularly among adolescent girls in rural Bangladesh, owing to inadequate knowledge and insufficient nutritional intake. Mobile health (mHealth) education has the potential to solve these limitations. This study aimed to evaluate the impact of mHealth education on raising hemoglobin levels and reducing anemia among adolescent girls in rural Bangladesh.

methodsThis open-label, parallel-group, randomized controlled trial was conducted at two schools in Chandpur district, Bangladesh from late May 2022 to January 2023. We randomly assigned one school to the intervention group and another to the control group and then performed simple random sampling to recruit 138 adolescent girls with anemia from the intervention (n = 69) and control (n = 69) groups. The intervention group received online counseling sessions and health education via mHealth technology, whereas the control group received usual care, and both groups were observed for 8 months. We performed mixed-effects model and generalized estimating equations (GEE) to evaluate the outcomes.

resultsThe study analyzed 121 participants (intervention group, 62; control group, 59). After adjusting for covariates, mixed-effects model observed that body mass index (BMI) [coefficient: 1.10, 95% confidence interval (CI): 0.44-1.76, P = 0.001], mid-upper arm circumference (MUAC) (coefficient: 0.77, 95% CI: 0.27-1.26, P = 0.002), hip circumference (coefficient: 2.24, 95% CI: 0.62-3.87, P = 0.007), and waist circumference (coefficient: 2.20, 95% CI: 0.74-3.66, P = 0.003) were significantly improved in intervention group. Although hemoglobin levels improved in the intervention group, the change was not statistically significant. However, the intervention group experienced a higher anemia recovery than the control group (25.8% vs. 13.6%). The GEE showed improvement in knowledge (coefficient: 4.11, 95% CI: 3.63-4.58, p = < 0.001), attitude (coefficient: 1.59, 95% CI: 1.24-1.96, p = < 0.001), and practice (coefficient: 0.39, 95% CI: 0.13-0.66, p = 0.004) in the intervention group compared to the control group after adjusting for relevant covariates.

conclusionsThe mHealth education led to improvements in knowledge, attitude, and practice (KAP) scores related to anemia among adolescent girls. Furthermore, the intervention resulted in improvements in BMI, MUAC, and hip and waist circumference measurements. Additionally, there were positive trends indicating a reduction in anemia prevalence, accompanied by an upward trend in hemoglobin levels. Therefore, implementing this strategy could enhance KAP and contribute to reducing adolescent girls' anemia in low-resource settings.

trial registrationNCT05185661 ( https://www. CLINICALTRIALS: gov/ ), registered [January 11, 2022] with ClinicalTrials.gov.

Indexed as

AnemiaHealth EducationHemoglobinsRural PopulationTelemedicineAdolescentBangladeshFemaleHumansHemoglobinsAdolescent girlAnemiaKAPmHealthNutritional educationSchool health

Identifiers

PMID40722070
PMCPMC12306085

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.