scholarly journals 'Like brushing teeth' - Implementation experiences with opt-in, at-home screening for SARS-CoV-2 among schoolchildren in Germany

2021 ◽  
Author(s):  
Jonas Wachinger ◽  
Maximilian Schirmer ◽  
Nicole Taeuber ◽  
Shannon A McMahon ◽  
Claudia M Denkinger
Keyword(s):  
Primary School ◽  
Screening Program ◽  
School Students ◽  
Screening Programs ◽  
Screening Participation ◽  
Home Based ◽  
Self Testing ◽  
Implementation Communication ◽  
A Prospective Study ◽  
At Home

Background: Over the course of the pandemic, many countries have repeatedly closed schools and shifted students to remote learning. However, evidence for negative mental and physiological health consequences of such measures for students is increasing, highlighting the need for evidence-based recommendations on how to safely reopen schools. This study presents experiences when implementing opt-in, at-home SARS-CoV-2 screening using rapid diagnostic tests (RDTs) to facilitate safe face-to-face-teaching during a pandemic. Methods: We present data form a prospective study implementing an RDT-based screening program at a primary school in southwest Germany. We conducted qualitative in-depth interviews with participating children, parents, and school stakeholders to elicit implementation experiences and screening perception. Results: The screening intervention was highly accepted and appreciated among participants; no positive RDT was reported over the duration of the study. Self-testing at home before coming to school was feasible, but more positive consequences of screening participation (e.g., easing of mask mandates) besides a personal feeling of safety would be appreciated. Participants preferred home-based RDTs over some other measures, particularly mask mandates. Despite the RDTs being licensed as self-tests in Germany, additional training can help avoid mistakes, and ensuring intervention ownership and improving pre-implementation communication can facilitate buy-in. Conclusions: Ag-RDT-based SARS-CoV-2 screening programs relying on self-testing at home proved feasible and accepted among primary school students, parents, and school staff who participated in this study.

scholarly journals To do or not to do – a survey study on factors associated with participating in the Danish screening program for colorectal cancer

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jesper Bo Nielsen ◽  
Gabriele Berg-Beckhoff ◽  
Anja Leppin
Keyword(s):  
Colorectal Cancer ◽  
Screening Program ◽  
Demographic Data ◽  
Survey Study ◽  
Stepwise Logistic Regression ◽  
Willingness To Participate ◽  
Cross Sectional Survey ◽  
Screening Programs ◽  
Crc Screening ◽  
Screening Participation

Abstract Background Screening programs for colorectal cancer (CRC) exist in many countries, and with varying participation rates. The present study aimed at identifying socio-demographic factors for accepting a cost-free screening offer for CRC in Denmark, and to study if more people would accept the screening offer if the present fecal test was replaced by a blood test. Methods We used a cross-sectional survey design based on a representative group of 6807 Danish citizens aged 50–80 years returning a fully answered web-based questionnaire with socio-demographic data added from national registries. Data were analyzed in STATA and based on bivariate analyses followed by regression models. Results Danes in general have a high level of lifetime participation (+ 80%) in the national CRC screening program. The results of the stepwise logistic regression model to predict CRC screening participation demonstrated that female gender, higher age, higher income, and moderate alcohol intake were positively associated with screening participation, whereas a negative association was observed for higher educational attainment, obesity, being a smoker, and higher willingness to take health risks. Of the 1026 respondents not accepting the screening offer, 61% were willing to reconsider their initial negative response if the fecal sampling procedure were replaced by blood sampling. Conclusion The CRC screening program intends to include the entire population within a certain at-risk age group. However, individual factors (e.g. sex, age obesity, smoking, risk aversity) appear to significantly affect willingness to participate in the screening program. From a preventive perspective, our findings indicate the need for a more targeted approach trying to reach these groups.

scholarly journals Absenteeism, Dropout, and On-Time School Completion of Vulnerable Primary School Students in Ethiopia: Exploring the Role of Adolescent Decision-Making Power in the Household, Exposure to Violence, and Paid and Unpaid Work

2021 ◽  
Author(s):  
Tassew Woldehanna ◽  
Kefyalew Endale ◽  
Joan Hamory ◽  
Sarah Baird
Keyword(s):  
Decision Making ◽  
Primary School ◽  
Positive Association ◽  
School Enrollment ◽  
Rapid Expansion ◽  
School Students ◽  
Child Work ◽  
Age Cohort ◽  
Adolescent Education ◽  
At Home

AbstractWhile Ethiopia has seen a rapid expansion of school enrollment over the past 25 years, especially in primary education, dropout, absenteeism, and grade repetition remain key challenges to achieving the education-related Sustainable Development Goals. This article uses the 2017/18 Gender and Adolescence: Global Evidence (GAGE) survey of 6800 Ethiopian adolescents and regression analysis to examine how exposure to and /or experience of violence (from peers and at home), adolescent decision-making power in the household, and paid and unpaid child work are related to absenteeism, dropout, and on-time completion in primary school. The findings provide empirical evidence on the positive association between adolescent decision-making power in the household and educational outcomes and the negative relationships between adolescent education and both exposure to and /or experience of violence and paid and unpaid child work. We explore variations in the magnitude and robustness of these associations across gender, age cohort, and rural/urban residential location. Our findings suggest that programs which enhance decision-making power of adolescents in the household reduce exposure to and/or experience of violence among peers and at home and reduce participation in paid and unpaid child work which can improve adolescent educational attainment.

scholarly journals Prevalence of Health Problems Targeted by the National School-based Screening Program among Primary School Students in Saudi Arabia, 2019

2021 ◽  
Author(s):  
Manal Matar Al Daajani ◽  
Dina Mohammed Al-Habib ◽  
Mona Hamed Ibrahim ◽  
Nora Abdulrhman Al Shewear ◽  
Yahya Mohammad Fagihi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Primary School ◽  
Screening Program ◽  
Health Problems ◽  
Overweight And Obesity ◽  
Primary School Students ◽  
School Students ◽  
School Based ◽  
National School ◽  
Dental Cavities

The Ministry of Health (MOH) in the Kingdom of Saudi Arabia (KSA) established a National School-based Screening Program (NSBSP) for health screening of school-going children. Students from specific grades were systematically screened for several health problems including obesity, visual and auditory problems, dental cavities, scoliosis, and attention-deficit/hyperactivity disorder (ADHD). This cross-sectional study aimed to determine the prevalence of these health problems among primary school students based on secondary data obtained from the NSBSP. We included 444,259 screened school children from the 1st and 4th grades of 50% of the selected schools (both private and public) across the KSA during the academic year 2018-2019. Among them, the most prevalent health problems identified were dental cavities (38.7%), eye refractory errors (10.9%), and overweight and obesity (10.5%); the less prevalent problems included ADHD (2.81%), auditory problems (0.6%), and scoliosis (0.48%). A greater prevalence of most health problems was observed in girls than boys. The NSBSP successfully aided the detection of health conditions with high and low prevalence among primary school students in the KSA, and thus, identification of health problems of specific concern. Implementation of effective school health services for the prevention, early detection, diagnosis, and treatment of these health problems is imperative.

scholarly journals FACTORS INFLUENCING PARENTAL CONTROL FOR THE SAFE AND PEDAGOGICAL INTERNET USE AMONG PRIMARY SCHOOL STUDENTS

2012 ◽  
Vol 42 (1) ◽  
pp. 125-135
Author(s):  
Elena Vitalaki ◽  
Panagiotes S. Anastasiades ◽  
George Tsouvelas
Keyword(s):  
Primary School ◽  
Parental Control ◽  
The Internet ◽  
Primary School Students ◽  
School Students ◽  
Internet Safety ◽  
Factors Influencing ◽  
Safety Awareness ◽  
Use Of The Internet ◽  
At Home

Due to the increasing children’s use of the Internet at home and at school as well as that inappropriate Internet content may jeopardize their health or safety, the aim of the present study is twofold: a) to examine parents’ perceptions of the degree to which children may be exposed to negative Internet content, and b) to find out the differences in parents' attitudes to the use of the Internet by students of 4th, 5th and 6th grade, as an acknowledgment of being an important part of their children's day-to-day educational and interpersonal life. 1503 questionnaires from urban and rural provinces of Crete demonstrate that parents’ technological efficacy is strongly related to their better evaluation of the Internet hazards and their effectiveness in promoting Internet safety awareness when navigating with their children at home. Key words: Internet safety awareness, factors, parental control, primary school.

scholarly journals To do or not to do – A survey study on factors associated with participating in the Danish screening program for colorectal cancer

2021 ◽  
Author(s):  
Jesper Bo Nielsen ◽  
Gabriela Berg-Beckhoff ◽  
Anja Leppin
Keyword(s):  
Colorectal Cancer ◽  
Screening Program ◽  
Demographic Data ◽  
Survey Study ◽  
Stepwise Logistic Regression ◽  
Willingness To Participate ◽  
Cross Sectional Survey ◽  
Screening Programs ◽  
Crc Screening ◽  
Screening Participation

Abstract Background Screening programs for colorectal cancer (CRC) exist in many countries, and with varying participation rates. The present study aimed at identifying socio-demographic factors for accepting a cost-free screening offer for CRC in Denmark, and to study if more people would accept the screening offer if the present fecal test was replaced by a blood test. Methods We used a cross-sectional survey design based on a representative group of 6,807 Danish citizens aged 50-80 years returning a fully answered web-based questionnaire with socio-demographic data added from national registries. Data were analyzed in STATA and based on bivariate analyses followed by regression models. Results Danes in general have a high level of lifetime participation (+80%) in the national CRC screening program. The results of the stepwise logistic regression model to predict CRC screening participation demonstrated that female gender, higher age, higher income, and moderate alcohol intake were positively associated with screening participation, whereas a negative association was observed for higher educational attainment, obesity, being a smoker, and higher willingness to take health risks. Of the 1026 respondents not accepting the screening offer, 61% were willing to reconsider their initial negative response if the fecal sampling procedure were replaced by blood sampling.Conclusion The CRC screening program intends to include the entire population within a certain at-risk age group. However, individual factors (e.g. sex, age obesity, smoking, risk aversity) appear to significantly affect willingness to participate in the screening program. From a preventive perspective, our findings indicate the need for a more targeted approach trying to reach these groups.

Breast Cancer Diagnostic Methods: Screen-Detected and Clinical Cases. An Italian Survey of Women's Experiences

2007 ◽  
Vol 93 (5) ◽  
pp. 452-460 ◽  
Author(s):  
Paolo Giorgi Rossi ◽  
Laura Camilloni ◽  
Paola Mantellini ◽  
Vincenzo Barile ◽  
Piero Borgia ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Best Practice ◽  
Screening Program ◽  
Breast Cancer Diagnosis ◽  
Diagnostic Methods ◽  
The Public ◽  
Screening Programs ◽  
Screening Participation ◽  
Italian Regions ◽  
Diagnostic Pathways

Aims and Background The real practice of breast cancer diagnosis and treatment is often very different from guideline recommendations. Screening programs should minimize deviations from “best practice”. The aim of the study was to compare cases detected by screening programs with cases that were not part of the public screening program, analyzing the diagnostic pathways from the first suspected breast problem to therapeutic intervention for breast cancer. Methods We interviewed a random sample of 268 women aged 49–70 years in three Italian regions (Lazio, Tuscany, Basilicata) who were treated for breast cancer, stratified by screening participation. Results In the nonscreened group, 48% of women were symptomatic and 50% were diagnosed by preventive tests. The proportion of women treated within 30 days of diagnosis was significantly lower in the screened group, 21.3% vs 35.8% (P = 0.0003). The mean number of tests (mammography, ultrasonography, cytology and histology) performed in the screened group was significantly higher than in the nonscreened group, 3.7 vs 2.8 (P = 0.001). The percentage of women treated without a preoperative histological or cytological diagnosis was lower in the screened group than in the nonscreened group, 14% vs 25% (P = 0.024). Conclusion Participation in screening programs seems to lead to more appropriate disease management even for breast cancer cases treated at the same hospital.

Comparing two Modalities of Management of Women with Cytologic Evidence of Squamous Or Glandular Atypia: Early Repeat Cytology or Colposcopy

1997 ◽  
Vol 83 (4) ◽  
pp. 732-734 ◽  
Author(s):  
Silvia Cecchini ◽  
Anna lossa ◽  
Rita Bonardi ◽  
Stefano Ciatto ◽  
Paola Cariaggi
Keyword(s):  
Screening Program ◽  
Cost Effective ◽  
Punch Biopsy ◽  
Easy Access ◽  
Squamous Cells ◽  
Screening Programs ◽  
Large Loop ◽  
Intraepithelial Lesion ◽  
A Prospective Study ◽  
The Cost

Early repeat cytology is recommended in most screening programs for cervical cancer in subjects with squamous or glandular abnormalities not amounting to neoplasia (atypical squamous cells of undetermined significance, ASCUS), but immediate colposcopy is also recommended in some countries, especially those where there is easy access to colposcopic facilities. We evaluated the cost-effectiveness of the two procedures in a prospective study of women with cytologic ASCUS, invited to cytocolposcopic assessment after 6 months. Colposcopy-directed biopsy was assumed as the gold standard, and the accuracy of colposcopy at 6 months was assumed to be equal to that of immediate colposcopy. Out of 874 compilers, punch biopsy was performed in 303 cases (34.7%), and 19 CIN2+ lesions were detected (CIN2 = 12, CIN3 = 6, microinvasive carcinoma = 1). Detecting 13 CIN2+ lesions at colposcopy required 874 colposcopies and 303 directed biopsies: the cost per CIN2+ lesion detected with the procedure was 2,749 US$. Detecting 15 CIN2+ lesions at repeat cytology required 874 cytologic examinations, 137 colposcopies, 64 directed biopsies, and 6 diagnostic large-loop resections, the latter being performed in subjects with high-grade squamous intraepithelial lesion and less severe lesions at punch biopsy: the cost per CIN2+ lesion detected with the procedure was 1,961 US$. The policy of repeat smear was more cost-effective than immediate colposcopy. According to such results, the protocol of the Florence screening program has been modified since October 1996.

scholarly journals Using Clinical Prompts in General Practice to Increase Participation in the National Bowel Cancer Screening Program: A Case Study Protocol

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 52s-52s
Author(s):  
S. Lee ◽  
B. Bowring ◽  
A. Cooper ◽  
M. Gardiner
Keyword(s):  
General Practice ◽  
Cancer Screening ◽  
Screening Program ◽  
Point Of Care ◽  
Bowel Cancer ◽  
Screening Programs ◽  
Screening Participation ◽  
Cancer Screening Program ◽  
Number Of Patients ◽  
Bowel Cancer Screening

Background: One in 12 Australians is expected to develop bowel cancer by age 85. Over 90% of bowel cancers can be successfully treated if detected early yet participation rates in the National Bowel Cancer Screening Program (NBCSP) are currently only 39%. Research shows that general practitioner (GP) recommendation is a key predictor for bowel cancer screening uptake. However the current NBCSP invitation system does not involve GPs, making it difficult for them to know when a patient has received a test kit in the mail, and in turn play a role in screening behavior. Research suggests that GP point-of-care clinical prompts, encouraging GPs to discuss screening with their patients, can increase fecal occult blood testing. Such a ´reminder´ system is integral to other screening programs in Australia, however no such system exists for the NBCSP. The George Town Medical Centre located in rural Tasmania, has recently implemented a reminder prompt for bowel cancer screening as part of its standard clinical practice. This paper describes the protocol used to implement and evaluate this service. Aim: Our research aims to determine whether a clinical prompt delivered to GPs at point-of-care, can increase bowel cancer screening participation in patients attending a rural Tasmanian general practice. Secondary aims include assessing GP and patient attitudes toward the prompt and determining socio-demographic differences in the effect of the prompt on screening participation. Methods: The clinical prompt was implemented in January 2018. Active patients turning 50 (n=106), 60 (n=141) or 70 (n=103) in 2018 were eligible to receive the prompt. The prompt was created within the practice management software and associated with each eligible patient's file. GPs were provided with information on the NBCSP as well as resources to support their conversation with patients including a sample kit. The number of patients with whom the GP discussed screening and the number of patients who completed a kit will be collected after 12 months. Screening rates of patients eligible for the prompt will be compared with patients turning 54, 64 and 74 in 2018, controlling for potential covariates including age, gender and socioeconomic status. Interviews with all GPs (n=10) and a minimum of 10 patients will be conducted to gain an understanding of attitudes toward the prompt. Results: To date the prompt has been successfully integrated into the practice and GPs have begun encouraging patients to use their NBCSP kits. Attitudes of GPs and patients toward the prompt and preliminary data on kit usage will also be presented. Conclusion: A clinical prompt in general practice may be a simple and cost effective way to increase participation in the National Bowel Cancer Screening Program. The findings from this study will have implications for the program in terms of engaging GPs in the screening invitation process. The results will further be used to inform a pilot study in Tasmania.

Sign in / Sign up

Export Citation Format

Share Document