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首页> 外文OA文献 >Does the use of the Informed Healthcare Choices (IHC) primary school resources improve the ability of grade-5 children in Uganda to assess the trustworthiness of claims about the effects of treatments: protocol for a cluster-randomised trial
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Does the use of the Informed Healthcare Choices (IHC) primary school resources improve the ability of grade-5 children in Uganda to assess the trustworthiness of claims about the effects of treatments: protocol for a cluster-randomised trial

机译：使用知情医疗保健选择（IHC）小学资源是否提高了乌干达5年级儿童评估治疗效果声称的可信度的能力：集群随机试验的协议

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BackgroundThe ability to appraise claims about the benefits and harms of treatments is crucial for informed health care decision-making. This research aims to enable children in East African primary schools (the clusters) to acquire and retain skills that can help them make informed health care choices by improving their ability to obtain, process and understand health information. The trial will evaluate (at the individual participant level) whether specially designed learning resources can teach children some of the key concepts relevant to appraising claims about the benefits and harms of health care interventions (treatments).MethodsThis is a two-arm, cluster-randomised trial with stratified random allocation. We will recruit 120 primary schools (the clusters) between April and May 2016 in the central region of Uganda. We will stratify participating schools by geographical setting (rural, semi-urban, or urban) and ownership (public or private). The Informed Healthcare Choices (IHC) primary school resources consist of a textbook and a teachers’ guide. Each of the students in the intervention arm will receive a textbook and attend nine lessons delivered by their teachers during a school term, with each lesson lasting 80 min. The lessons cover 12 key concepts that are relevant to assessing claims about treatments and making informed health care choices. The second arm will carry on with the current primary school curriculum. We have designed the Claim Evaluation Tools to measure people’s ability to apply key concepts related to assessing claims about the effects of treatments and making informed health care choices. The Claim Evaluation Tools use multiple choice questions addressing each of the 12 concepts covered by the IHC school resources. Using the Claim Evaluation Tools we will measure two primary outcomes: (1) the proportion of children who ‘pass’, based on an absolute standard and (2) their average scores.DiscussionAs far as we are aware this is the first randomised trial to assess whether key concepts needed to judge claims about the effects of treatment can be taught to primary school children. Whatever the results, they will be relevant to learning how to promote critical thinking about treatment claims.
机译：背景评估对治疗的利弊的主张的能力对于知情的医疗决策至关重要。这项研究旨在使东非小学（集群）中的儿童获得并保留技能，从而通过提高他们获取，处理和理解健康信息的能力来帮助他们做出明智的医疗选择。该试验将评估（在参与者的个人层面上）专门设计的学习资源是否可以教给孩子一些与评估有关医疗保健干预措施（治疗）的利弊有关的关键概念。分层随机分配的随机试验。我们将于2016年4月至5月在乌干达中部地区招募120所小学（集群）。我们将按地理环境（农村，半城市或城市）和所有权（公立或私立）对参与学校进行分层。知情医疗选择（IHC）小学资源包括一本教科书和一本教师指南。干预部门中的每个学生都将收到一本教科书，并参加他们的老师在一个学期中提供的9堂课，每堂课持续80分钟。这些课程涵盖了12个关键概念，这些概念与评估有关治疗的主张和做出明智的医疗保健选择有关。第二支队伍将继续执行当前的小学课程。我们设计了理赔评估工具，以衡量人们运用与评估有关治疗效果的理赔和做出明智的医疗保健选择相关的关键概念的能力。索赔评估工具使用多项选择题来解决IHC学校资源涵盖的12个概念。使用索赔评估工具，我们将衡量两个主要结果：（1）基于绝对标准的``通过''儿童的比例和（2）他们的平均分数。讨论据我们所知，这是第一个随机试验评估是否可以向小学生教授判断有关治疗效果的主张所需的关键概念。无论结果如何，它们都将与学习如何促进对治疗主张的批判性思考有关。

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