scholarly journals Determining the Impact of a School-Based Health Education Package for Prevention of Intestinal Worm Infections in the Philippines: Protocol for a Cluster Randomized Intervention Trial

10.2196/18419 ◽  
2020 ◽  
Vol 9 (6) ◽  
pp. e18419
Author(s):  
Mary Lorraine S Mationg ◽  
Gail M Williams ◽  
Veronica L Tallo ◽  
Remigio M Olveda ◽  
Eindra Aung ◽  
...  
Keyword(s):  
Health Education ◽  
School Attendance ◽  
The Philippines ◽  
Trial Registration ◽  
Intervention Trial ◽  
Control Approach ◽  
School Based ◽  
Randomized Intervention ◽  
Cluster Randomized ◽  
The Impact

Background Repeated mass drug administration (MDA) of antihelminthics to at-risk populations is still the main strategy for the control of soil-transmitted helminth (STH) infections. However, MDA, as a stand-alone intervention, does not prevent reinfection. Accordingly, complementary measures to prevent STH reinfection, such as health education and improved sanitation, as part of an integrated control approach, are required to augment the effectiveness of MDA for optimal efficiency and sustainability. Objective The aim of this study is to determine the impact and generalizability of a school-based health education package entitled The Magic Glasses for STH prevention in the Philippines. Methods We conducted a cluster randomized controlled intervention trial, involving 2020 schoolchildren aged 9-10 years, in 40 schools in Laguna Province, Philippines, to evaluate the impact of the school-based health education package for the prevention of STHs. The trial was conducted over the course of 1 year (June 2016 to July 2017). A total of 20 schools were randomly assigned to the intervention arm, in which The Magic Glasses Philippines health education package was delivered with the standard health education activities endorsed by the Philippines Department of Health (DOH) and the Department of Education (DepEd). The other 20 schools comprised the control arm of the study, where the DOH/DepEd’s standard health education activities were done. At baseline, parasitological assessments and a knowledge, attitude, and practice survey were carried out in all schools. In addition, height, weight, and hemoglobin levels were obtained from each child (after parental consent), and their school attendance and academic performance in English and mathematics were accessed from the school records. The baseline and 2 follow-up surveys were completed using the same study measurements and quality-control assessments. Results Key results from this cluster randomized intervention trial will shed light on the impact that The Magic Glasses health education package will have against STH infections in schoolchildren in the province of Laguna, located on the Island of Luzon, in the Calabarzon Region of the Philippines. Conclusions The results of the trial will be used to assess the generalizability of the impact of The Magic Glasses health education package in different epidemiological and cultural settings, providing evidence for translation of this health education package into public health policy and practice in the Asian region and beyond. Trial Registration Australian New Zealand Clinical Trials Registry number ACTRN12616000508471; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368849 International Registered Report Identifier (IRRID) DERR1-10.2196/18419

scholarly journals Determining the Impact of a School-Based Health Education Package for Prevention of Intestinal Worm Infections in the Philippines: Protocol for a Cluster Randomized Intervention Trial (Preprint)

2020 ◽  
Author(s):  
Mary Lorraine S Mationg ◽  
Gail M Williams ◽  
Veronica L Tallo ◽  
Remigio M Olveda ◽  
Eindra Aung ◽  
...  
Keyword(s):  
Health Education ◽  
School Attendance ◽  
Integrated Control ◽  
The Philippines ◽  
Intervention Trial ◽  
Control Approach ◽  
School Based ◽  
Randomized Intervention ◽  
Cluster Randomized ◽  
The Impact

BACKGROUND Repeated mass drug administration (MDA) of antihelminthics to at-risk populations is still the main strategy for the control of soil-transmitted helminth (STH) infections. However, MDA, as a stand-alone intervention, does not prevent reinfection. Accordingly, complementary measures to prevent STH reinfection, such as health education and improved sanitation, as part of an integrated control approach, are required to augment the effectiveness of MDA for optimal efficiency and sustainability. OBJECTIVE The aim of this study is to determine the impact and generalizability of a school-based health education package entitled <i>The Magic Glasses</i> for STH prevention in the Philippines. METHODS We conducted a cluster randomized controlled intervention trial, involving 2020 schoolchildren aged 9-10 years, in 40 schools in Laguna Province, Philippines, to evaluate the impact of the school-based health education package for the prevention of STHs. The trial was conducted over the course of 1 year (June 2016 to July 2017). A total of 20 schools were randomly assigned to the intervention arm, in which <i>The Magic Glasses Philippines</i> health education package was delivered with the standard health education activities endorsed by the Philippines Department of Health (DOH) and the Department of Education (DepEd). The other 20 schools comprised the control arm of the study, where the DOH/DepEd’s standard health education activities were done. At baseline, parasitological assessments and a knowledge, attitude, and practice survey were carried out in all schools. In addition, height, weight, and hemoglobin levels were obtained from each child (after parental consent), and their school attendance and academic performance in English and mathematics were accessed from the school records. The baseline and 2 follow-up surveys were completed using the same study measurements and quality-control assessments. RESULTS Key results from this cluster randomized intervention trial will shed light on the impact that <i>The Magic Glasses</i> health education package will have against STH infections in schoolchildren in the province of Laguna, located on the Island of Luzon, in the Calabarzon Region of the Philippines. CONCLUSIONS The results of the trial will be used to assess the generalizability of the impact of <i>The Magic Glasses</i> health education package in different epidemiological and cultural settings, providing evidence for translation of this health education package into public health policy and practice in the Asian region and beyond. CLINICALTRIAL Australian New Zealand Clinical Trials Registry number ACTRN12616000508471; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368849 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/18419

Effect of a School-Based Supervised Tooth Brushing Program In Mexico City: A Cluster Randomized Intervention

2017 ◽  
Vol 41 (3) ◽  
pp. 204-213 ◽  
Author(s):  
S Aída Borges-Yáñez ◽  
Roberto Carlos Castrejón-Pérez ◽  
María Esther Irigoyen Camacho
Keyword(s):  
Health Education ◽  
Mexico City ◽  
Oral Hygiene ◽  
Dental Plaque ◽  
Intervention Group ◽  
Tooth Brushing ◽  
School Based ◽  
Randomized Intervention ◽  
Cluster Randomized

Large-scale school-based programs effectively provide health education and preventive strategies. SaludARTE is a school-based program, including supervised tooth brushing, implemented in 51 elementary schools in Mexico City. Objectives: To assess the three-month efficacy of supervised tooth brushing in reducing dental plaque, gingival inflammation, and bleeding on probing in schoolchildren participating in SaludARTE. Study Design: This was a pragmatic cluster randomized intervention, with two parallel branches. Four randomly selected schools participating in SaludARTE (n=200) and one control school, which did not participate in the program (CG) (n=50), were assessed. Clusters were not randomly allocated to intervention. The main outcomes were as follows: mean percentage gingival units with no inflammation, dental surfaces with no dental plaque, and gingival margins with no bleeding. The independent variable was supervised tooth brushing at school once a day after a meal. Guardians and children responded to a questionnaire on sociodemographic and oral hygiene practices, and children were examined dentally. Mean percentage differences were compared (baseline and follow-up). Results: A total of 75% of guardians from the intervention group (IG) and 77% from the CG answered the questionnaire. Of these, 89.3% were women, with a mean age of 36.9±8.5 years. No differences in sociodemographic variables were observed between groups, and 151 children from the IG and 35 from the CG were examined at baseline and follow-up. Mean percentage differences for plaque-free surfaces (8.8±28.5%) and healthy gingival units (23.3%±23.2%) were significantly higher in the IG. Conclusion: The school-supervised tooth brushing program is effective in improving oral hygiene and had a greater impact on plaque and gingivitis than on gingival bleeding. It is necessary to reinforce the oral health education component of the program.

scholarly journals Assessing the impact of a school-based latrine cleaning and handwashing program on pupil absence in Nyanza Province, Kenya: a cluster-randomized trial

2014 ◽  
Vol 19 (10) ◽  
pp. 1185-1197 ◽  
Author(s):  
Bethany A. Caruso ◽  
Matthew C. Freeman ◽  
Joshua V. Garn ◽  
Robert Dreibelbis ◽  
Shadi Saboori ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Nyanza Province ◽  
School Based ◽  
Cluster Randomized ◽  
The Impact

scholarly journals Improving Nursing Home Residents' Oral Hygiene: Results of a Cluster Randomized Intervention Trial

2018 ◽  
Vol 19 (12) ◽  
pp. 1086-1091 ◽  
Author(s):  
Jane A. Weintraub ◽  
Sheryl Zimmerman ◽  
Kimberly Ward ◽  
Christopher J. Wretman ◽  
Philip D. Sloane ◽  
...  
Keyword(s):  
Nursing Home ◽  
Oral Hygiene ◽  
Nursing Home Residents ◽  
Intervention Trial ◽  
Randomized Intervention ◽  
Cluster Randomized

3-year follow-up results of bone mineral content and density after a school-based physical activity randomized intervention trial

Bone ◽  
2013 ◽  
Vol 55 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Ursina Meyer ◽  
Dominique Ernst ◽  
Lukas Zahner ◽  
Christian Schindler ◽  
Jardena J. Puder ◽  
...  
Keyword(s):  
Physical Activity ◽  
Bone Mineral Content ◽  
Bone Mineral ◽  
Mineral Content ◽  
Intervention Trial ◽  
School Based ◽  
Randomized Intervention

scholarly journals Measuring the effects of a personalized music intervention on agitated behaviors among nursing home residents with dementia: design features for cluster-randomized adaptive trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ellen M. McCreedy ◽  
Roee Gutman ◽  
Rosa Baier ◽  
James L. Rudolph ◽  
Kali S. Thomas ◽  
...  
Keyword(s):  
Nursing Home ◽  
Real World ◽  
Implementation Strategies ◽  
Trial Registration ◽  
World Health ◽  
Secondary Outcome ◽  
Link Type ◽  
Cluster Randomized ◽  
The Impact ◽  
Adaptive Trial

Abstract Background Agitated and aggressive behaviors (behaviors) are common in nursing home (NH) residents with dementia. Medications commonly used to manage behaviors have dangerous side effects. NHs are adopting non-pharmacological interventions to manage behaviors, despite a lack of effectiveness evidence and an understanding of optimal implementation strategies. We are conducting an adaptive trial to evaluate the effects of personalized music on behaviors. Adaptive trials may increase efficiency and reduce costs associated with traditional RCTs by learning and making modifications to the trial while it is ongoing. Methods We are conducting two consecutive parallel cluster-randomized trials with 54 NHs in each trial (27 treatment, 27 control). Participating NHs were recruited from 4 corporations which differ in size, ownership structure, geography, and residents’ racial composition. After randomization, there were no significant differences between the NHs randomized to each trial with respect to baseline behaviors, number of eligible residents, degree of cognitive impairment, or antipsychotic use. Agitated behavior frequency is assessed via staff interviews (primary outcome), required nursing staff conducted resident assessments (secondary outcome), and direct observations of residents (secondary outcome). Between the two parallel trials, the adaptive design will be used to test alternative implementation strategies, increasingly enroll residents who are likely to benefit from the intervention, and seamlessly conduct a stage III/IV trial. Discussion This adaptive trial allows investigators to estimate the impact of a popular non-pharmaceutical intervention (personalized music) on residents’ behaviors, under pragmatic, real-world conditions testing two implementation strategies. This design has the potential to reduce the research timeline by improving the likelihood of powered results, increasingly enrolling residents most likely to benefit from intervention, sequentially assessing the effectiveness of implementation strategies in the same trial, and creating a statistical model to reduce the future need for onsite data collection. The design may also increase research equity by enrolling and tailoring the intervention to populations otherwise excluded from research. Our design will inform pragmatic testing of other interventions with limited efficacy evidence but widespread stakeholder adoption because of the real-world need for non-pharmaceutical approaches. {2a} Trial registration ClinicalTrials.govNCT03821844. Registered on January 30, 2019. This trial registration meets the World Health Organization (WHO) minimum standard.

scholarly journals Algerian Sport High School as Comprehensive Approach for Improving Public Education System

2019 ◽  
Vol 59 (1) ◽  
pp. 69-78
Author(s):  
Reguig Madani ◽  
Mohammed Zerf ◽  
SBA Bouabdellah
Keyword(s):  
High School ◽  
Public Schools ◽  
Health Education ◽  
Education Program ◽  
Rating Scales ◽  
Abdominal Muscles ◽  
Health Education Program ◽  
School Based ◽  
Explosive Force ◽  
The Impact

Summary In 2001 Algerian Governmental created Sport High School (HSA). Its main mission is education, training and development of young talents by providing all the conditions to serve their healthy sports path. Firstly, by intensifying their daily sports as school-based health education program designed to improve their physical status relates to their healthy lifestyle. Disclosed by evaluation tool design to detect their physical abilities as well as their longitudinal followings. Used in present as evaluation scale to inspect imprudence related to the objectives of Algerian public schools (HPA). For proposing this comparative study test 1 000 High School student, 800 boys and 200 girls for academic years 2017 – 2018. The evaluation focused on measuring anthropometric parameters - age, weight, height and BMI as well as physical qualities - speed (30 m), the explosive force vertical (VJ), explosive force of the arms (medicine ball throw 3 kg (MB), flexibility trunk (FT)), endurance abdominal muscles (maximum of <4 sit-ups > in one minute (EAM) and aerobic endurance (20m shuttle test (VO2max)). Controlled by rating scales produced by Iaiche Rezoug. Based on the scale provided by this latter, our results proclaims the generalization of perspectives implemented in Algerian Sport High School as school-based physical health education program designed to reduce the consequences of overweight on health-related to physical performance. Estimated by rating scales produced by Iaiche Rezoug, which could serve as a model database refining the impact of the two Algerian educational systems, as an approach suggesting a clear direction for the development of adequate programs for the larger populations of Algerian scholars.

scholarly journals Soil-transmitted helminth infections and nutritional indices among Filipino schoolchildren

2021 ◽  
Vol 15 (12) ◽  
pp. e0010008
Author(s):  
Mary Lorraine S. Mationg ◽  
Gail M. Williams ◽  
Veronica L. Tallo ◽  
Remigio M. Olveda ◽  
Eindra Aung ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Trials ◽  
New Zealand ◽  
Health Education ◽  
Significant Risk ◽  
The Philippines ◽  
Trial Registration ◽  
Nutritional Indices ◽  
Attitudes And Practices ◽  
Clinical Trials Registry

Background Soil-transmitted helminth (STH) infections are still prevalent among schoolchildren in the Philippines. We evaluated the risk factors associated with STH and the relationship between STH and nutritional indices among schoolchildren aged 9–10 years in Laguna province, the Philippines. Methods We used the baseline data from 40 schools enrolled in a randomised controlled trial of the Magic Glasses Philippines health education package. Data on demographic and socio-economic variables, and STH related knowledge, attitudes and practices, were obtained through a questionnaire. Stool samples were collected and assessed for STH egg presence using the Kato-Katz technique. Haemoglobin levels and height and weight of study participants were also determined. The generalized estimating equations approach was used to construct logistic regression models to assess STH-associated risk factors, and the association between any STH infection and anaemia, child stunting, wasting and being underweight. The trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12616000508471). Findings Among 1,689 schoolchildren, the prevalence of any STH was 23%. The prevalence of anaemia, stunting, being underweight and wasting was 13%, 20.2%, 19% and 9.5%, respectively. Age, socio-economic status, rural/urban classification of schools and knowledge of STH were significant risk factors for acquiring a STH infection. Moreover, infections with any STH were significantly associated with stunting (P = <0.001) and being underweight (P = <0.003), but not wasting (P = 0.375) or anaemia (P = 0.462) after controlling for confounding covariates. Conclusion The study findings emphasise the need for sustainable deworming in tandem with other measures such as the provision of health education, improvements in sanitation and hygiene, and nutritional programs in order to control STH infections and improve morbidity outcomes in schoolchildren. Trial registration Australian New Zealand Clinical Trials Registry (ACTRN12616000508471).

scholarly journals Potential interventions targeting adolescent nutrition in Indonesia: a literature review

2018 ◽  
Vol 22 (1) ◽  
pp. 15-27 ◽  
Author(s):  
Vanessa M Oddo ◽  
Airin Roshita ◽  
Jee Hyun Rah
Keyword(s):  
Nutrition Education ◽  
School Attendance ◽  
Grey Literature ◽  
Reproductive Health Services ◽  
Adolescent Nutrition ◽  
School Based ◽  
Folic Acid Supplements ◽  
Iron Folic Acid ◽  
Nutrition Sensitive ◽  
The Impact

AbstractObjectiveThe present study aimed to take stock of nutrition interventions that warrant consideration as a minimum package of interventions in Indonesia to improve four key nutrition indicators for adolescents: stunting, thinness, overweight and anaemia.DesignWe conducted a review of the peer-reviewed literature published between 1995 and 2017 on nutrition-specific and nutrition-sensitive interventions that target adolescents in Indonesia. The search to identify studies was conducted in PubMed, Google Scholar and EMBASE, using key search terms. We also explored programmatic and policy documents from the grey literature as they related to adolescents and/or Indonesia. Our search yielded thirty-five peer-reviewed articles and programmatic documents.SettingIndonesia.SubjectsAdolescent girls and boys.ResultsThere is very limited evidence on the impact of interventions specifically among adolescents in Indonesia. Nevertheless, findings from our review suggest the minimum package of interventions in Indonesia could include the following nutrition-specifc interventions: (i) iron–folic acid supplements, paired with antihelminths delivered at scale via school-based platforms and through health centres; and (ii) diet counselling and nutrition education provided through school-based platforms, adolescent youth centres/peer education and technology-based platforms. The minimum package could also include the following nutrition-sensitive interventions: (i) improving access to reproductive health services; and (ii) increasing the coverage of interventions designed to increase school attendance.ConclusionsProgrammes and policies targeting adolescent nutrition are relatively new and coverage is low. To improve the nutritional status of this vulnerable population, additional evaluations of adolescent programming and surveillance data on adolescents are needed.

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