Allen Nsangi|Daniel Semakula|Andrew D Oxman|Astrid Austvoll?Dahlgren|Matt Oxman|Sarah Rosenbaum|Angela Morelli|Claire Glenton|Simon Lewin|Margaret Kaseje|Iain Chalmers|Atle Fretheim|Yunpeng Ding|Nelson K. Sewankambo
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
Makerere University|University of Oslo|Makerere University|University of Oslo|Norwegian Institute of Public Health|Norwegian Institute of Public Health|Norwegian Institute of Public Health|Norwegian Institute of Public Health|Norwegian Institute of Public Health|Norwegian Institute of Public Health|South African Medical Research Council|Norwegian Institute of Public Health|Great Lakes University of Kisumu|University of Oslo|Norwegian Institute of Public Health|Norwegian Institute of Public Health|Makerere University
claims improves harms health ubiquitous people need able assess reliability claims aimed evaluate intervention designed teach primary school children assess claims effects treatments ie action intended maintain improve healthin clusterrandomised controlled trial included primary schools central region uganda taught year5 children aged 1012 years excluded international schools special needs schools children auditory visual impairments schools participated usertesting piloting resources infant nursery schools adult education schools schools difficult us access terms travel time randomly allocated representative sample eligible schools either intervention control group intervention schools received informed health choices primary school resources textbooks exercise books teachers guide teachers attended 2 day introductory workshop gave nine 80 min lessons one school term lessons addressed 12 concepts essential assessing claims treatment effects making informed health choices intervene control schools primary outcome measured end school term mean score test two multiplechoice questions 12 concepts proportion children passing scores test trial registered pan african clinical trial registry number pactr201606001679337between april 11 2016 june 8 2016 2960 schools assessed eligibility 2029 eligible random sample 170 invited recruitment meetings recruitment meetings 120 eligible schools consented randomly assigned either intervention group n60 76 teachers 6383 children control group n60 67 teachers 4430 children mean score multiplechoice test intervention schools 624 sd 188 compared 431 152 control schools adjusted mean difference 200 95 ci 173227 p000001 intervention schools 3967 69 5753 children achieved predetermined passing score 13 24 correct answers compared 1186 27 4430 children control schools adjusted difference 50 95 ci 4455 intervention effective children different levels reading skills effective children better reading skillsthe use informed health choices primary school learning resources introductory workshop teachers led large improvement ability children assess claims effects treatments results show possible teach primary school children think critically schools large student teacher ratios resources future studies address scale use resources longterm effects including effects actual health choices transferability countries build programme additional primary secondary school learning resourcesresearch council norway