The longitudinal impact of an evidence‐based multiple family group intervention ( Amaka Amasanyufu ) on oppositional defiant disorder and impaired functioning among children in Uganda: analysis of a cluster randomized trial from the SMART Africa‐Uganda scale‐up study (2016–2022)

2022 ◽  
Author(s):  
Rachel Brathwaite ◽  
Fred M. Ssewamala ◽  
Ozge Sensoy Bahar ◽  
Mary M. McKay ◽  
Torsten B. Neilands ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Group Intervention ◽  
Scale Up ◽  
Cluster Randomized Trial ◽  
Evidence Based ◽  
Longitudinal Impact ◽  
Oppositional Defiant ◽  
Multiple Family Group ◽  
Cluster Randomized ◽  
Scale Up Study

scholarly journals A Brief History of Evidence-Informed Decision Making for Nutrition in Mexico

2019 ◽  
Vol 149 (Supplement_1) ◽  
pp. 2277S-2280S ◽  
Author(s):  
Lynnette M Neufeld ◽  
Rogelio Grados ◽  
Alejandría Villa de la Vega ◽  
Concepción Steta ◽  
Ferdinando Regalia ◽  
...  
Keyword(s):  
Randomized Trial ◽  
National Level ◽  
Scale Up ◽  
Cluster Randomized Trial ◽  
Pilot Scale ◽  
Conditional Cash Transfer ◽  
Child Growth ◽  
Cash Transfer ◽  
Transfer Program ◽  
Cluster Randomized

ABSTRACTThe Progresa Conditional Cash Transfer program in Mexico began in 1997, with a strong evidence-based design. The program's ultimate objective was to foster the development of human capital through 3 components—education, health, and food. Rigorous impact evaluation generated evidence of impact on several outcomes, including child growth, but also aspects of program design and implementation challenges that may have limited impact. The objective of this supplement is to present research that led to the redesign of the health component, its implementation and evaluation at pilot scale, and its scale-up to national level, representing >15 y of collaboration among evaluators, program implementers, and funders. The studies used various methodologies, including process evaluation, cohort studies, ethnographic assessments, and a cluster-randomized trial, among others. The articles report previously unpublished results and citations of published literature. Article 1 uses an impact pathway to highlight gaps and bottlenecks that limited potential for greater impact, the original recognition of which was the impetus for this long collaboration. Article 2 explores the social and cultural factors that influence decisions to participate in programs and to adopt the actions proposed by them. Article 3 presents a cluster-randomized trial implemented to inform the choice of nutritional supplements for pregnant and lactating women and children 6–59 mo of age and how this and other evidence from the studies were used to redesign the health component of the program. Articles 4 and 5 present results of the development and pilot testing of the modified health component, the Integrated Strategy for Attention to Nutrition (abbreviated to EsIAN from its name in Spanish) (article 4), and the process and challenges of training and supervision in taking the EsIAN to scale (article 5). The final article provides reflections on the relevance of this body of work for implementation research in nutrition.

Evidence-Based Checklist for Organ Donor Management – A Cluster-Randomized Trial

2021 ◽  
Author(s):  
Glauco Adrieno Westphal ◽  
Caroline Cabral Robinson ◽  
Natalia Elis Giordani ◽  
Cassiano Teixeira ◽  
Adriane Isabel Rohden ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Organ Donor ◽  
Cluster Randomized Trial ◽  
Evidence Based ◽  
Donor Management ◽  
Cluster Randomized ◽  
Organ Donor Management

scholarly journals Braiding Two Evidence-Based Programs for Families At-Risk: Results of a Cluster Randomized Trial

2017 ◽  
Vol 27 (2) ◽  
pp. 535-546 ◽  
Author(s):  
Kate Guastaferro ◽  
Betty S. Lai ◽  
Katy Miller ◽  
Jenelle Shanley Chatham ◽  
Daniel J. Whitaker ◽  
...  
Keyword(s):  
At Risk ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Evidence Based ◽  
Cluster Randomized ◽  
Evidence Based Programs

scholarly journals Building on existing tools to improve chronic disease prevention and screening in public health: a cluster randomized trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A. K. Lofters ◽  
M. A. O’Brien ◽  
R. Sutradhar ◽  
A. D. Pinto ◽  
N. N. Baxter ◽  
...  
Keyword(s):  
Public Health ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Randomized Trial ◽  
Low Income ◽  
Cluster Randomized Trial ◽  
Chronic Disease Prevention ◽  
Evidence Based ◽  
Wait List ◽  
Cluster Randomized

Abstract Background The BETTER (Building on Existing Tools to Improve Chronic Disease Prevention and Screening in Primary Care) intervention was designed to integrate the approach to chronic disease prevention and screening in primary care and demonstrated effective in a previous randomized trial. Methods We tested the effectiveness of the BETTER HEALTH intervention, a public health adaptation of BETTER, at improving participation in chronic disease prevention and screening actions for residents of low-income neighbourhoods in a cluster randomized trial, with ten low-income neighbourhoods in Durham Region Ontario randomized to immediate intervention vs. wait-list. The unit of analysis was the individual, and eligible participants were adults age 40–64 years residing in the neighbourhoods. Public health nurses trained as “prevention practitioners” held one prevention-focused visit with each participant. They provided participants with a tailored prevention prescription and supported them to set health-related goals. The primary outcome was a composite index: the number of evidence-based actions achieved at six months as a proportion of those for which participants were eligible at baseline. Results Of 126 participants (60 in immediate arm; 66 in wait-list arm), 125 were included in analyses (1 participant withdrew consent). In both arms, participants were eligible for a mean of 8.6 actions at baseline. At follow-up, participants in the immediate intervention arm met 64.5% of actions for which they were eligible versus 42.1% in the wait-list arm (rate ratio 1.53 [95% confidence interval 1.22–1.84]). Conclusion Public health nurses using the BETTER HEALTH intervention led to a higher proportion of identified evidence-based prevention and screening actions achieved at six months for people living with socioeconomic disadvantage. Trial registration NCT03052959, registered February 10, 2017.

Impact of Evidence-Based Standardized Assessment on the Disability Clinical Interview for Diagnosis of Service-Connected PTSD: A Cluster-Randomized Trial

2012 ◽  
Vol 25 (6) ◽  
pp. 607-615 ◽  
Author(s):  
Theodore Speroff ◽  
Patricia L. Sinnott ◽  
Brian Marx ◽  
Richard R. Owen ◽  
James C. Jackson ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Clinical Interview ◽  
Standardized Assessment ◽  
Evidence Based ◽  
Cluster Randomized
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