Effects of the Informed Health Choices primary school intervention on the ability of children in Uganda to assess the reliability of claims about treatment effects: a cluster-randomised controlled trial

The Lancet

Volumn 390, Issue 10092, 2017, Pages 374-388

  Nsangi, Allen ^a,c   Semakula, Daniel ^a,c   Oxman, Andrew D ^b   Austvoll Dahlgren, Astrid ^b   Oxman, Matt ^b   Rosenbaum, Sarah ^b   Morelli, Angela ^b,d   Glenton, Claire ^b   Lewin, Simon ^b,e   Kaseje, Margaret ^f   Chalmers, Iain ^g   Fretheim, Atle ^b,c   Ding, Yunpeng ^b   Sewankambo, Nelson K ^a  

^a MAKERERE UNIVERSITY   (Uganda)

^b NORWEGIAN INSTITUTE OF PUBLIC HEALTH   (Norway)

^c UNIVERSITY OF OSLO   (Norway)

^d Infodesignlab   (Norway)

^e SOUTH AFRICAN MEDICAL RESEARCH COUNCIL   (South Africa)

^f GREAT LAKES UNIVERSITY OF KISUMU   (Kenya)

^g James Lind Initiative   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ACADEMIC ACHIEVEMENT; ARTICLE; BOOK; CHILD; CLINICAL EVALUATION; CONTROLLED STUDY; FEMALE; HEALTH LITERACY; HUMAN; INFORMATION DISSEMINATION; INFORMATION LITERACY; INTENTION TO TREAT ANALYSIS; INTERVENTION STUDY; LITERACY; MALE; MEDICAL DECISION MAKING; MEDICAL INFORMATION; MULTICENTER STUDY; MULTIPLE CHOICE TEST; NORMAL HUMAN; OUTCOME ASSESSMENT; PRACTICE GUIDELINE; PRIMARY SCHOOL; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RELIABILITY; SCHOOL HEALTH EDUCATION; SCHOOL HEALTH SERVICE; SCHOOL TEACHER; SENSITIVITY ANALYSIS; THERAPY EFFECT; UGANDA; UGANDAN; WORKSHOP; ADULT; ATTITUDE TO HEALTH; CLUSTER ANALYSIS; DECISION MAKING; EDUCATIONAL STATUS; HEALTH EDUCATION; INFORMATION SERVICE; ORGANIZATION AND MANAGEMENT; PARENT; PROCEDURES; PSYCHOLOGY; THERAPY; WEBCAST;

ADULT; CHILD; CHOICE BEHAVIOR; CLUSTER ANALYSIS; DECISION MAKING; EDUCATIONAL STATUS; FEMALE; HEALTH EDUCATION; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INFORMATION SERVICES; MALE; OUTCOME ASSESSMENT (HEALTH CARE); PARENTS; THERAPEUTICS; UGANDA; WEBCASTS AS TOPIC;

EID: 85019869268     PISSN: 01406736     EISSN: 1474547X     Source Type: Journal    
DOI: 10.1016/S0140-6736(17)31226-6     Document Type: Article

References (30)

1. Hoffmann, TC, Del Mar, C, Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. JAMA Intern Med 175 (2015), 274–286.
2. Berkman, ND, Sheridan, SL, Donahue, KE, Halpern, DJ, Crotty, K, Low health literacy and health outcomes: an updated systematic review. Ann Intern Med 155 (2011), 97–107.
3. Frass, M, Strassl, RP, Friehs, H, et al. Use and acceptance of complementary and alternative medicine among the general population and medical personnel: a systematic review. Ochsner J 12 (2012), 45–56.
4. Brownlee, S, Chalkidou, K, Doust, J, et al. Evidence for overuse of medical services around the world. Lancet, 2017 published online Jan 8 http://dx.doi.org/10.1016/S0140-6736(16)32585-5.
5. Starr, RR, Too little, too late: ineffective regulation of dietary supplements in the United States. Am J Public Health 105 (2015), 478–485.
6. National Research Council. Taking science to school: learning and teaching science in grades K-8, 2007, The National Academies Press, Washington, DC.
7. Sandoval, WA, Sodian, B, Koerber, S, Wong, J, Developing children's early competencies to engage with science. Educ Psychol 49 (2014), 139–152.
8. Ruddock, G, Sainsbury, M, Comparison of the core primary curriculum in England to those of other high performing countries. Research Report DCSF-RW048, 2008, Department for Children, Schools and Families, London.
9. UNESCO Institute for Statistics. UIS.STAT. December 2016 release. http://data.uis.unesco.org/index.aspx?queryid=192 (accessed Jan 16, 2017).
10. Vosniadou, S, International handbook of research on conceptual change, 2nd edition, 2013, Routledge, Oxford.
11. Abrami, PC, Bernard, RM, Borokhovski, E, Waddington, DI, Wade, CA, Persson, T, Strategies for teaching students to think critically a meta-analysis. Rev Educ Res 85 (2015), 275–314.
12. Hanley, P, Slavin, R, Elliott, L, Thinking, doing, talking science: evaluation report and executive summary, 2015, Education Endowment Foundation, London https://v1.educationendowmentfoundation.org.uk/uploads/pdf/Oxford_Science.pdf (accessed March 8, 2017).
13. Nsangi, A, Semakula, D, Glenton, C, et al. Resources to teach primary school children in low-income countries to assess claims about treatment effects: protocol for a process evaluation. IHC Working Paper 2016. http://www.informedhealthchoices.org/wp-content/uploads/2016/08/IHC-Process-Evaluation-School-resources_final.pdf (accessed May 3, 2017).
14. Austvoll-Dahlgren, A, Nsangi, A, Semakula, D, Interventions and assessment tools addressing key concepts people need to know to appraise claims about treatment effects: a systematic mapping review. Syst Rev, 5, 2016, 215.
15. Austvoll-Dahlgren, A, Oxman, AD, Chalmers, I, et al. Key concepts that people need to understand to assess claims about treatment effects. J Evid Based Med 8 (2015), 112–125.
16. Austvoll-Dahlgren A, Semakula D, Nsangi A, et al. The development of the “Claim Evaluation Tools”: assessing critical thinking about effects. BMJ Open (in press).
17. Austvoll-Dahlgren A, Guttersrud Ø, Semakula D, Nsangi A, Oxman AD. Measuring ability to assess claims about treatment effects: A latent trait analysis of the Claim Evaluation Tools using Rasch modelling. BMJ Open (in press).
18. Semakula, D, Nsangi, A, Guttersrud, Ø, et al. Measuring ability to assess claims about treatment effects in English and Luganda: evaluation of multiple-choice questions from the “Claim Evaluation Tools” database using Rasch modelling. IHC Working Paper. http://www.informedhealthchoices.org/wp-content/uploads/2016/08/Claim-2nd-Rasch-analysis-in-Uganda-2017-03-17.pdf, 2017 (accessed April 28, 2017).
19. Semakula, D, Nsangi, A, Oxman, AD, et al. Effects of the Informed Health Choices podcast on the ability of parents of primary school children in Uganda to assess claims about treatment effects: a randomised controlled trial. Lancet, 2017 published online May 21 http://dx.doi.org/10.1016/S0140-6736(17)31225-4.
20. McEwan, PJ, Improving learning in primary schools of developing countries: a meta-analysis of randomized experiments. Rev Educ Res 85 (2015), 353–394.
21. Zopluoglu, C, A cross-national comparison of intra-class correlation coefficient in educational achievement outcomes. J Meas Eval Educ Psychol 3 (2012), 242–278.
22. Lee, DS, Training, wages, and sample selection: estimating sharp bounds on treatment effects. Rev Econ Stud 76 (2009), 1071–1102.
23. Snilstveit, B, Stevenson, J, Phillips, D, et al. Interventions for improving learning outcomes and access to education in low- and middle-income countries: a systematic review, 2015, International Initiative for Impact Evaluation, London http://www.3ieimpact.org/en/evidence/systematic-reviews/details/259/ (accessed Jan 17, 2017).
24. White, IR, Thomas, J, Standardized mean differences in individually-randomized and cluster randomized trials, with applications to meta-analysis. Clin Trials 2 (2005), 141–151.
25. Seftor, N, Raising the bar. Eval Rev, 2016, 10.1177/0193841X16665023 published online Sep 7.
26. US Department of Education's Institute of Education Sciences. What Works Clearinghouse. Procedures and standards handbook. Version 3.0. Washington, DC: US Department of Education, Institute of Education Sciences. https://ies.ed.gov/ncee/wwc/Docs/referenceresources/wwc_procedures_v3_0_standards_handbook.pdf (accessed Jan 17, 2017).
27. Deke, J, Chiang, H, The WWC attrition standard: sensitivity to assumptions and opportunities for refining and adapting to new contexts. Eval Rev, 2016, 10.1177/0193841X16670047.
28. Slavin, R, Madden, NA, Measures inherent to treatments in program effectiveness reviews. J Res Educ Eff 4 (2011), 370–380.
29. Mpyangu, CM, Ochen, EA, Onyango, EO, Lubaale, YAM, Out of school children study in Uganda, 2014, UN Children's Fund, Uganda Country Office, Kampala.
30. Nordheim, L, Gundersen, MW, Espehaug, B, Guttersrud, Ø, Flottorp, S, Effects of school-based educational interventions for enhancing adolescents' abilities in critical appraisal of health claims: a systematic review. PLoS One, 11, 2016, e0161485.