Building trust through an SMS intervention to encourage attendance to early childhood services in Colombia

Last registered on January 11, 2024
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Pre-Trial

Trial Information

General Information

Title
Building trust through an SMS intervention to encourage attendance to early childhood services in Colombia
RCT ID
AEARCTR-0008726
Initial registration date
January 05, 2022

Initial registration date is when the trial was registered.

It corresponds to when the registration was submitted to the Registry to be reviewed for publication.

First published
January 07, 2022, 7:26 PM EST

First published corresponds to when the trial was first made public on the Registry after being reviewed.

Last updated
January 11, 2024, 11:12 AM EST

Last updated is the most recent time when changes to the trial's registration were published.

Locations

Country
Colombia
Region

Primary Investigator

Name
Andres Ham
Affiliation
Universidad de los Andes
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Other Primary Investigator(s)

PI Name
Juanita Ruiz Contreras
PI Affiliation
Universidad de los Andes
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PI Name
Natalia Iriarte Tovar
PI Affiliation
Colombian Institute for Family Welfare (Instituto Colombiano de Bienestar Familiar – ICBF)
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PI Name
Oscar Ivan Pineda Diaz
PI Affiliation
Colombian Institute for Family Welfare (Instituto Colombiano de Bienestar Familiar – ICBF)
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PI Name
Juan Sebastian Cifuentes Troncoso
PI Affiliation
Colombian Institute for Family Welfare (Instituto Colombiano de Bienestar Familiar – ICBF)
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PI Name
Maria Fernanda Rodriguez Camacho
PI Affiliation
Colombian Institute for Family Welfare (Instituto Colombiano de Bienestar Familiar – ICBF)
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Additional Trial Information

Status
Completed
Start date
2021-09-01
End date
2022-04-01
Keywords
Behavior, Education
Additional Keywords
early childhood education, text messaging, parental attitudes, pre-primary attendance
JEL code(s)
C93, D9, I12, I29
Secondary IDs
Prior work
This trial does not extend or rely on any prior RCTs.
Abstract
This intervention aims to determine whether SMS messages can encourage caregivers of young children (aged five or less) to increase their trust and use of in-person early childhood services provided by the Colombian Institute for Family Welfare (Instituto Colombiano de Bienestar Familiar - ICBF). Since the beginning of the pandemic, attendance for ICBF services fell substantially, with 78% of caregivers responding that the main barrier for attendance was fear of infection from COVID-19. For this trial, 719 ICBF service units nationwide were randomized into one control and two treatment groups, the first in which caregivers receive text messages designed to combat risk aversion and the second who receive messages that reinforce positive social norms that early childhood education is a civic duty. In total, 15,100 caregivers received 12 SMS messages during October and November 2021. This research will evaluate the impact of the intervention to reduce self-reported fear of COVID-19 infection among caregivers and the potential increase in attendance rates for ICBF’s early childhood education services.
External Link(s)

Registration Citation

Citation
Ham, Andres et al. 2024. "Building trust through an SMS intervention to encourage attendance to early childhood services in Colombia." AEA RCT Registry. January 11. https://doi.org/10.1257/rct.8726-1.4
Sponsors & Partners

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Experimental Details

Interventions

Intervention(s)
This intervention aims to determine whether SMS messages can encourage caregivers of young children to increase their trust and use of in-person services provided by the Colombian Institute for Family Welfare (Instituto Colombiano de Bienestar Familiar - ICBF). Since the beginning of the pandemic and its ensuing lockdown measures, attendance for ICBF services fell substantially, with 78% of caregivers responding that the main barrier for attendance was fear of COVID-19. Two forms os SMS messages will be sent: the first aiming to combat risk aversion and the second to reinforce positive social norms with respect to education. The effectiveness of any SMS will be evaluated, as well as differences between the two types of text messages.
Intervention Start Date
2021-10-25
Intervention End Date
2021-11-30

Primary Outcomes

Primary Outcomes (end points)
Total days of attendance per month, dummy indicator for attendance.
Primary Outcomes (explanation)
The main constructed variable is the dummy for attendance. Given that ICBF has information on daily attendance, we can see an effect on mean number of days in which the child goes to in-person services. However, we want to observe any break points between attendance, e.g. from 0 to 1 days, from 1 to 2, days, and so on to determine if the intervention has a particular inflection point.

Secondary Outcomes

Secondary Outcomes (end points)
Responses to telephone survey on fear of covid and willingness to send their child to ICBF services, specifically: what is the main reason why your child is not attending in-person ICBF services? (multiple responses allowed)
Secondary Outcomes (explanation)
A telephone survey to all caregivers intends to measure the reasons for not attending before and after the intervention, in order to help understand the mechanisms that may explain any results in our primary outcomes. Note, we assume response rates between 20-50% on this survey given previous evidence on the effectiveness of these surveys.

Experimental Design

Experimental Design
ICBF has 73,000 educational service units (SU) through which it provides early childhood services to children and pregnant women. In partnership with ICBF, we randomly selected 719 SU and randomly divided those units in three groups: control, treatment 1 and treatment 2. 244 service units were assigned to control group, 235 were assigned to treatment 1, and 240 were assigned to treatment 2. The first group receives text messages designed to combat risk aversion and the second receives SMS that reinforce positive social norms that education is a civic duty. These randomizations included clusters by macro regions, which guarantees that we have representative samples for all 4 macro-regions of Colombia (Amazonía-Orinoquía, Centro-Oriente, Norte, Pacífico-Occidente).
Experimental Design Details
Randomization Method
Randomization done in office by a computer with pre-treatment administrative data.
Randomization Unit
Clusters. Educational centers, stratified across four macro-regions (Amazonía-Orinoquía, Centro-Oriente, Norte, and Pacifico-Occidente)
Was the treatment clustered?
Yes

Experiment Characteristics

Sample size: planned number of clusters
719 educational centers
Sample size: planned number of observations
15,100 children and between 25-50% of that number in the telephone surveys.
Sample size (or number of clusters) by treatment arms
244 educational centers in control, 235 educational centers in treatment 1 (risk aversion SMS), and 240 educational centers in treatment 2 (social norms SMS).
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
Days attended: Mean 2.39 (5.57). Minimum detecable effect with ICC of 0.65 estimated from pre-treatment data = 1.17 days Dummy for attendance (>2 days equals unity): Mean 0.17 (0.37). Minimum detecable effect with ICC of 0.72 estimated from pre-treatment data = 0.08 percentage points Willingness to return to in-person attendance (survey): Mean 0.62 (0.49). Minimum detecable effect with ICC of 0.22 estimated from pre-treatment data = 0.06 percentage points
Supporting Documents and Materials
IRB

Institutional Review Boards (IRBs)

IRB Name
IRB Approval Date
IRB Approval Number
Analysis Plan

Analysis Plan Documents

Pre-Analysis Plan

MD5: c04beaba8170eeef89a6998a3613c9e0

SHA1: 55562d5e49b720cba08907df823136fcb2995e40

Uploaded At: January 14, 2022

Post-Trial

Post Trial Information

Study Withdrawal

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Intervention

Is the intervention completed?
Yes
Intervention Completion Date
December 18, 2021, 12:00 +00:00
Data Collection Complete
Yes
Data Collection Completion Date
December 18, 2021, 12:00 +00:00
Final Sample Size: Number of Clusters (Unit of Randomization)
719
Was attrition correlated with treatment status?
No
Final Sample Size: Total Number of Observations
15100 children
Final Sample Size (or Number of Clusters) by Treatment Arms
4,028 Control 4,892 Treatment 1 6,180 Treatment 2
Data Publication

Data Publication

Is public data available?
No

Program Files

Program Files
No
Reports, Papers & Other Materials

Relevant Paper(s)

Abstract
This paper investigates whether text messages can encourage caregivers of young children to increase their intention to use in-person early childhood services and subsequently, actual attendance. We randomly assign 15,100 beneficiaries in 719 educational centers into one control and two treatment groups, the first in which caregivers receive four text messages designed to target risk and loss aversion for three weeks, while the second group receives the same number of messages reinforcing social norms that early childhood education is a civic duty. Results show greater reported intent from caregivers who receive text messages for their children to attend but no significant differences by the type of message. However, this increased willingness to attend does not translate into greater effective attendance. These findings suggest that while text messages may be useful to provide information to caregivers, these nudges require additional and complementary efforts to turn their reported intentions into actions.
Citation
Ham, A., Ruiz, J., Pineda-Diaz, O. I., Iriarte-Tovar, N., Cifuentes, J. S., Rodríguez-Camacho, M. F., & Vélez, L. F. (2022). Promoting in-person attendance for early childhood services after the COVID-19 pandemic using text messages (No. 020773).
URL
https://gobierno.uniandes.edu.co/sites/default/files/books/DT/DT-94.pdf

Reports & Other Materials