Evaluation of an Interventional Program for Family Physicians on Well-child Care for Children Under-5 in Suez Canal Area, Egypt
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 39
- 试验地点
- 1
- 主要终点
- to evaluate changes of positive attitudes items of participants before and after implementing an interventional program.
研究概览
简要总结
Background
Despite providing health promotion and preventive measures for children under-5 years are essential for lifelong health and wellbeing of individuals and countries, studies into family physicians' knowledge, attitudes, and practices (KAP) regarding comprehensive well-child services for children under-5 years seem to be scarce in developing countries. This study aimed to evaluate family physicians' KAP towards well-child care for children under-5 years in Suez Canal area before and after implementing an interventional program.
Methods A pre-post interventional study was conducted from September 2014 to March 2016 on comprehensive sample of 39 family physicians, who were under training in the Family Medicine department, Faculty of Medicine, Suez Canal University. Their KAP were assessed by valid and reliable questionnaire (78-items) at baseline and after 6 months of implementing a training program.
详细描述
A pre-post interventional study was conducted from September 2014 to March 2016. This interventional study was held in the Family Medicine Department, FOM/SCU. The assessment of participants' practices was performed in training family practice centers (FPCs) affiliated to Family Medicine Department, FOM/SCU in Port Said (2 centers), Ismailia (3 centers) and Suez governorates (4 centers).
Comprehensive sample of 39 family physicians (FPs) was recruited (the response rate was 63.93%), who accepted to participate in this intervention, affiliated to Family Medicine Department, FOM/SCU, and Ministry of Health and Population (MOHP) and regularly enrolled in classic postgraduate programs of Family Medicine Department, FOM/SCU.
The study excluded FPs who did not work in Suez Canal region despite they were under training of Family Medicine Department (FOM/SCU), were not adherent to attend the training program, did not send one of the pretest or posttest and staff of Family Medicine Department, FOM/SCU.
This study was conducted at 3 phases: preparatory, design and implementation of a training course, scoring of KAP questionnaire and evaluation and data management. During the preparatory phase; the questionnaire was designed by the researchers based on relevant literature [4,21-26].
This questionnaire consisted of 4 parts; the participants' socio-demographic data, and KAP of them towards well-child care for children under-5 years in Suez Canal area. The first 3 parts of this questionnaire were self-reported by FPs and the fourth part (practices) was assessed by the corresponding author via observational checklist during 12 months well-child visits, because of every well-child visit has its unique items of assessment in literatures and this visit included the most of targeted training practices in the present study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Family physicians affiliated to MOHP and regularly enrolled in classic postgraduate programs of family medicine department, FOM, SCU within the time of the study.
- •Family physicians affiliated to family medicine department (FOM, SCU) and regularly enrolled in postgraduate programs of family medicine department, FOM, SCU within the time of the study.
排除标准
- •Family physicians exposed to similar intervention in the present and past.
- •Family physicians who were under training of family medicine department (SCU), but they did not work in Suez Canal region e.g. trainee of credit hour program or FPs moved to work in other governorates within the time of the study.
- •Family physicians who were not adherent to attend the training program or they did not send one of the pretest or posttest.
- •Staff of family medicine department.
研究组 & 干预措施
a pre-post interventional study
intervention consisted of 3 repeated workshops, every workshop had held for 2 days, one day per week, the number of attendants was appropriate/workshop (10 - 15).
干预措施: Training program for family physicians on well-child care for children under-5 years (Other)
结局指标
主要结局
to evaluate changes of positive attitudes items of participants before and after implementing an interventional program.
时间窗: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program
The scores of attitudes were considered positive attitudes if they were ≥ 80 % (agree and strongly agree). The 5-point Liker scale responses were condensed into 2 categories (positive attitudes and negative attitudes) then McNamara's test was used to compare the attitudes' changes in the pre-post intervention.
to evaluate difference in total knowledge scores of participants on well-child care for under 5 years children in the pre-post intervention.
时间窗: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program
Paired t test was used to compare the total means of participants' knowledge changes (changes in the mean percentage of the correct answers) in the pre-post intervention. Participants' knowledge was assessed via 30 multiple choice questions, which were designed by research team.
to evaluate changes in acceptable level of knowledge subscales in the pre-post intervention.
时间窗: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program
Participants' Knowledge assessment included 3 subscales 1. Growth and developmental monitoring subscale, which was assessed by nine multiple choice questions 2. Risk assessment and screening subscale, which was assessed by eleven multiple choice questions 3. Vaccination, chemoprevention and counseling subscale, which was assessed by ten multiple choice questions The scores of knowledge in each subscale were considered acceptable if they were ≥ 60 %, according to the regulations in Faculty of Medicine, Suez Canal University. McNamara's test was used to compare the knowledge's categorical changes in the pre-post intervention.
to evaluate changes in correct knowledge of participants towards well-child care in the pre-post intervention.
时间窗: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program
Participants' Knowledge assessment included 30 multiple choice questions McNamara's test was used to compare the knowledge's categorical changes in the pre-post intervention.
to evaluate difference in total attitudes scores of participants towards well-child care for children under-5 years in Suez Canal area before and after implementing an interventional program.
时间窗: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program
Participants' attitudes were assessed by 33-Likert items, which were arranged in a five-point Likert scale with options of "strongly disagree," "disagree," "no opinion," "agree" and "strongly agree." It included 5 attitudes-items with reverse codes. Each response for Likert items was scored on a scale of 1 (strongly disagree) to 5 (strongly agree). Each response for reverse-coded Likert items was re-coded and scored on a scale of 5 (strongly disagree) to 1 (strongly agree). For each individual, score of attitudes' responses was summed and converted into percentages (20-100 %) to represent the attitude score. Paired t test was used to compare the total means of participants' attitudes in the pre-post intervention.
to evaluate changes of positive attitudes subscales before and after implementing an interventional program.
时间窗: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program
Participants' attitudes assessment included 3 subscales 1. Growth and developmental monitoring subscale, which was assessed by 11-Likert items. Items with numbers 5 and 7 were reverse codes. 2. Risk assessment and screening subscale, which was assessed by 9-Likert items. Items with numbers 16 and 20 were reverse codes. 3. Vaccination, chemoprevention and counseling subscale, which was assessed by 13-Likert items. item with number 31 was reverse code. The scores of each attitudes subcales were considered positive attitudes if they were ≥ 80 %. McNamara's test was used to compare the attitudes' changes in the pre-post intervention.
to evaluate difference in total practices scores itowards well-child care for children under-5 years in Suez Canal area before and after implementing an interventional program.
时间窗: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program it also lasted 3 months.
Family physicians' practice was assessed by the main researcher via observational checklist, which included 15 practices-items, which were arranged in a 5-point rating scale with options of "clear unperformed," "partially unperformed," "borderline performed," "partially performed" and "clear performed." The names of these options were developed by the main researcher. Each item for rating scale of practices was scored on a scale of 0 (clear unperformed) to 4 (clear performed). For each individual, score of items was summed and converted into percentage to represent the participant's practice score. Paired t test was used to compare the total means of participants' practices changes in the pre-post intervention.
to evaluate difference in acceptable level of practices subscales before and after implementing an interventional program.
时间窗: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program it also lasted 3 months.
The scores of practices were considered acceptable if they were ≥ 60 % according to the regulations in Faculty of Medicine, Suez Canal University. McNamara's test was used to compare the practices' changes in each subscale in the pre-post intervention.
to evaluate changes in practices items before and after implementing an interventional program.
时间窗: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program it also lasted 3 months.
The rating scale of practices was condensed in 3 categories clear unperformed/partially unperformed, borderline performed and partially performed/clear performed. Marginal homogeneity was used to compare changes in participants' practices items in the pre-post intervention.
次要结局
- Correlation of knowledge and practices of participants towards well-child care for children under 5 years in the posttest(Within 4 months of ending posttest assessment.)
- Correlation of knowledge and attitudes of participants towards well-child care for children under 5 years in the posttest(Within 4 months of ending posttest assessment.)
- Correlation of attitudes and practices of participants towards well-child care for children under 5 years in the posttest(Within 4 months of ending posttest assessment.)
- Predictors of posttest practices of participants towards well-child care for children under 5 years.(Within 4 months of ending posttest assessment.)
研究者
Hazem Ahmed Sayed Ahmed Sayed Ahmed
Principal investigator
Suez Canal University