scholarly journals Prevention of developmental delays among children at public healthcare facilities of Pakistan: protocol for a cluster Randomized Controlled Trial

2021 ◽  
Vol 20 (11) ◽  
Author(s):  
Nida Khan ◽  
Muhammad Amir Khan ◽  
Muhammad Ahmar Khan ◽  
Amna Ejaz ◽  
Azza Warraitch ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Randomized Controlled Trial ◽  
Developmental Delays ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
Public Health Care ◽  
Public Healthcare ◽  
Randomized Controlled ◽  
Cluster Randomized

Objectives: This cluster Randomized Controlled Trial (cRCT) aims to evaluate the effectiveness of an integrated ECD package in preventing developmental delays among children aged two years, in public health care centers, as compared to a control arm. Methods: This is a parallel, two-arm, cluster randomized controlled trial. 768 mother-child pairs (‘dyads’) attending any of the 24-public health centers in two districts of Pakistan will be recruited, with an average of 32 participants per cluster. In the intervention arm, ECD based counselling sessions will be delivered to mother–child dyads by trained staff at public health care centers. Our primary outcome is reduction in prevalence of two or more developmental delays among children, from 38% to 23% in the intervention arm. Unit of randomization will be public health care center. 24 eligible clusters recruited will be randomized into intervention and control arms, using 1:1 allocation. Discussion: The integrated model of child care into primary health care has the potential to provide a feasible and sustainable model for improving child developmental scale. Key words: Early Child Development; Prevention; Developmental Delays; Public healthcare facilities

scholarly journals Improved recording of work relatedness during patient consultations in occupational primary health care: A cluster randomized controlled trial using routine and register data

2019 ◽  
Author(s):  
Salla Atkins ◽  
Tiia Reho ◽  
Nina Talola ◽  
Markku Sumanen ◽  
Mervi Viljamaa ◽  
...  
Keyword(s):  
Health Care ◽  
Randomized Controlled Trial ◽  
Occupational Health ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
Electronic Reminder ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Cluster Randomized

Abstract Background Prolonging working careers is a key policy goal in ageing populations in Europe, but reaching this goal is complex. Occupational health services are in the best position to contribute towards prolonging working careers, through preventing illnesses that cause work disability and early pensions. However, this requires close follow-up and recording of patient health status during consultations, as well as continuity of care. We aimed to determine whether a combined educational and electronic reminder system could improve the recording and follow-up of patient primary care visits in occupational health care, and through this, to impact on sickness absence rates. Methods This study is a pragmatic cluster randomized controlled trial using medical record data. Data were extracted from routine patient registers collected by Pihlajalinna Työterveys from 2015 to 2017. Data were cleaned and analysed intention-to-treat using ANCOVA. Results There was no significant difference between intervention and control sites in terms of sickness absences of different duration. Process indicators suggested that there was a change in physicians’ practice following the educational component of the intervention. Conclusion Education with an electronic reminder can change physicians’ practice, but longer term follow-up is needed to determine whether this impacts on patients’ sickness absences.

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