Ermias Wabeto Wana, Nardos Anbese Mengesha
Hand-Washing at Critical Times and Associated Factors Among Mothers/Caregivers of Under-Five Year Children in Nefas Silk Lafto Sub-City, Addis Ababa, Ethiopia
Health services research and managerial epidemiology
number children experience difficulties social communication longterm deleterious effects mental health social development education eplays2 study test intervention eplays aimed supporting children eplays uses dyadic computer game develop collaborative communication skills preliminary studies authors show eplays produce improvements children social communication difficulties communication test scores observed collaborative behaviours study described definitive trial test effectiveness costeffectiveness eplays delivered teaching assistants schools aim eplays2 trial establish effectiveness costeffectiveness care usual plus eplays programme delivered primary schools compared care usual clusterrandomisation take place school level avoid contamination eplays intervention delivered schools teaching assistants teachers select suitable children ages 57 years old schools using guidelines provided research team assessments include blinded language measures observations conducted research team nonblinded teacherreported measures peer relations classroom behaviour parentreported use resources quality life process evaluation also include interviews parents children teaching assistants observations intervention delivery survey care usual primary analysis compare pragmatic language scores children received eplays intervention versus 40 weeks postrandomisation secondary analyses assess costeffectiveness mixed methods process evaluation provide richer data delivery eplays aim study undertake final definitive test effectiveness eplays delivered teaching assistants within schools use technology game form novel approach area currently available interventions eplays prove effective end trial believe likely welcomed schools parents children isrctn 17561417 registration date 19th december 2022 v11 19th june 2023