dc.date.accessioned | 2023-12-01T08:10:40Z | |
dc.date.available | 2023-12-01T08:10:40Z | |
dc.date.created | 2023-10-02T14:57:22Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Mugisha, Michael Nyirazinyoye, Laetitia Simbi, Clarisse Marie Claudine Chesire, Faith Chelagat Senyonga, Ronald Oxman, Matt Nsangi, Allen Semakula, Daniel Rose, Christopher James Moberg, Jenny Olivia Jenkins Dahlgren, Astrid Kaseje, Margaret Lewin, Simon Arnold Sewankambo, Nelson K. Rosenbaum, Sarah Ellen Oxman, Andrew David . Effects of the Informed Health Choices secondary school intervention on the ability of students in Rwanda to think critically about health choices: A cluster-randomized trial. Journal of Evidence-Based Medicine (JEBM). 2023, 16(3), 264-274 | |
dc.identifier.uri | http://hdl.handle.net/10852/106100 | |
dc.description.abstract | Aim
The aim of this trial was to evaluate the effects of the Informed Health Choices intervention on the ability of students in Rwandan to think critically and make Informed Health Choices.
Methods
We conducted a two-arm cluster-randomized trial in 84 lower secondary schools from 10 districts representing five provinces of Rwanda. We used stratified randomization to allocate schools to the intervention or control. One class in each intervention school had ten 40-min lessons taught by a trained teacher in addition to the usual curriculum. Control schools followed the usual curriculum. The primary outcome was a passing score (≥ 9 out of 18 questions answered correctly) for students on the Critical Thinking about Health Test completed within 2 weeks after the intervention. We conducted an intention-to-treat analysis using generalized linear mixed models, accounting for the cluster design using random intercepts.
Results
Between February 25 and March 29, 2022, we recruited 3,212 participants. We assigned 1,572 students and 42 teachers to the intervention arm and 1,556 students and 42 teachers to the control arm. The proportion of students who passed the test in the intervention arm was 915/1,572 (58.2%) compared to 302/1,556 (19.4%) in the control arm, adjusted odds ratio 10.6 (95% CI: 6.3–17.8), p < 0.0001, adjusted difference 37.2% (95% CI: 29.5%–45.0%).
Conclusions
The intervention is effective in helping students think critically about health choices. It was possible to improve students’ ability to think critically about health in the context of a competence-based curriculum in Rwanda, despite challenging postpandemic conditions. | |
dc.language | EN | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.title | Effects of the Informed Health Choices secondary school intervention on the ability of students in Rwanda to think critically about health choices: A cluster-randomized trial | |
dc.title.alternative | ENEngelskEnglishEffects of the Informed Health Choices secondary school intervention on the ability of students in Rwanda to think critically about health choices: A cluster-randomized trial | |
dc.type | Journal article | |
dc.creator.author | Mugisha, Michael | |
dc.creator.author | Nyirazinyoye, Laetitia | |
dc.creator.author | Simbi, Clarisse Marie Claudine | |
dc.creator.author | Chesire, Faith Chelagat | |
dc.creator.author | Senyonga, Ronald | |
dc.creator.author | Oxman, Matt | |
dc.creator.author | Nsangi, Allen | |
dc.creator.author | Semakula, Daniel | |
dc.creator.author | Rose, Christopher James | |
dc.creator.author | Moberg, Jenny Olivia Jenkins | |
dc.creator.author | Dahlgren, Astrid | |
dc.creator.author | Kaseje, Margaret | |
dc.creator.author | Lewin, Simon Arnold | |
dc.creator.author | Sewankambo, Nelson K. | |
dc.creator.author | Rosenbaum, Sarah Ellen | |
dc.creator.author | Oxman, Andrew David | |
cristin.unitcode | 185,52,14,0 | |
cristin.unitname | Avdeling for samfunnsmedisin og global helse | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 2181012 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Journal of Evidence-Based Medicine (JEBM)&rft.volume=16&rft.spage=264&rft.date=2023 | |
dc.identifier.jtitle | Journal of Evidence-Based Medicine (JEBM) | |
dc.identifier.volume | 16 | |
dc.identifier.issue | 3 | |
dc.identifier.startpage | 264 | |
dc.identifier.endpage | 274 | |
dc.identifier.doi | https://doi.org/10.1111/jebm.12551 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 1756-5383 | |
dc.type.version | PublishedVersion | |