Trial reportBMC medical education2018
Effectiveness of an action-oriented educational intervention in ensuring long term improvement of knowledge, attitudes and practices of community health workers in maternal and infant health: a randomized controlled study.
Trial report in BMC medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevention of malaria in pregnancy through health education intervention programs on insecticide-treated nets use: a systematic review.BMC public health · 2024Pooled it
- Novel approaches to empowering health workforce: a scoping review.Human resources for health · 2026Article
- Community-based interventions to improve child nutrition knowledge, attitudes and practices: a pilot study in three nutritionally vulnerable Sri Lankan districts.BMC research notes · 2025Article
- Exploring male nursing students' experiences and perspectives in a maternal-newborn clinical course using high-fidelity simulation: a qualitative study.BMC medical education · 2025Article
- Piloting a framework to explore the impacts of public health workforce capacity-building initiatives.Frontiers in public health · 2025Article
- Community-Based Mycetoma Surveillance in Uganda: Identifying Knowledge Gaps and Training of Community Health Workers to Improve Case Detection.PLoS neglected tropical diseases · 2024Article
- Methods and Measures to Assess Health Care Provider Behavior and Behavioral Determinants in Reproductive, Maternal, Newborn, and Child Health: A Rapid Review.Global health, science and practice · 2023Review
- Six Recommendations for Provider Behavior Change in Family Planning.Global health, science and practice · 2023Review
- Assessing the knowledge, attitudes, practices, and perspectives of stakeholders of the deworming program in rural Rwanda.PLoS neglected tropical diseases · 2023Article
- [Exploring facilitators and barriers to implementing expanded nursing roles in MexicoEstudo de facilitadores e barreiras para a implementação de funções ampliadas de enfermagem no México].Revista panamericana de salud publica = Pan American journal of public health · 2023Article
- Mother and child protection card as a resource tool for health care providers on VHND sessions: Providers' views in rural area of Valsad district in south Gujarat, India.Journal of family medicine and primary care · 2022Article
- Problem-based learning for in-service training on breastfeeding in Friuli Venezia Giulia, Italy.International breastfeeding journal · 2021Article
- Community Health Workers Can Provide Psychosocial Support to the People During COVID-19 and Beyond in Low- and Middle- Income Countries.Frontiers in public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundThe potential role of Community Health Workers (CHWs) in improving maternal and child health outcomes, particularly in low and middle-income countries and in disadvantaged communities, is receiving increased attention. Adequate and focused training is among the key requisites for enhancing CHWs performances and research is necessary to identify effective training methods.
methodsA randomized controlled study was designed to assess the effectiveness of a training course in improving knowledge, attitudes and practices (KAP) of CHWs regarding maternal and infant health. Seventy-eight CHWs belonging to Family Health Units in the city of Recife, Brazil were randomly allocated to intervention and control groups. The intervention group took part in a four-day interactive training course based on an action-oriented guide to perform home visits to pregnant women and their infants throughout pregnancy and infancy until 9 months of age. KAP in intervention group after training and after 1 year were compared to control group and to baseline.
resultsFifty-nine CHWs completed all KAP assessments (31 in intervention and 28 in control group). Baseline characteristics were similar in both groups. At 1 year from training, the intervention group had higher overall KAP score (120.65 vs. 108.19, p < 0.001) as well as knowledge (47.45 vs. 40.54, p < 0.001), practice (53.45 vs. 49.11, p < 0.001) and attitudes scores (19.74 vs. 18.81, p = 0.047) than the control group. Moreover, at 1 year from training, the intervention group maintained significant improvements in overall KAP score (120.65 vs. 106.55, p < 0.001) as well as in knowledge (45.45 vs. 42.13, p < 0.001), and practice (53.45 vs. 45.29, p < 0.001) scores with respect to baseline. In the control group, overall KAP (106.59 vs. 108.19, p = 0.345) as well as separate knowledge, attitudes and practices scores remained unchanged.
conclusionsA four-day interactive training course on action-oriented home visits to pregnant women and infants produced a sustained improvement of CHWs' KAP and may represent a model to ensure retention of acquired competences.
trial registrationRBR-9gchqr . Date registered: July 21, 2018 (Retrospectively registered).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.