Evidence map›Paper›PMID 31852697›Full record

ArticleBMJ open2019

Informed Health Choices media intervention for improving people's ability to critically appraise the trustworthiness of claims about treatment effects: a mixed-methods process evaluation of a randomised trial in Uganda.

Daniel Semakula, Allen Nsangi, Andrew Oxman, Claire Glenton, Simon Lewin, Sarah Rosenbaum, Matt Oxman, Margaret Kaseje, Astrid Austvoll-Dahlgren, Christopher James Rose and 2 more

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Daniel SemakulaMakerere University College of Health Sciences, Kampala, Uganda.ORCID 0000-0002-0806-213X
Allen NsangiMakerere University College of Health Sciences, Kampala, Uganda.ORCID 0000-0001-8702-9217
Andrew OxmanNorwegian Institute of Public Health, Oslo, Norway oxman@online.no.
Claire GlentonNorwegian Institute of Public Health, Oslo, Norway.
Simon LewinNorwegian Institute of Public Health, Oslo, Norway.
Sarah RosenbaumNorwegian Institute of Public Health, Oslo, Norway.
Matt OxmanNorwegian Institute of Public Health, Oslo, Norway.
Margaret KasejeTropical Institute of Community Health and Development, Kisumu, Kenya.
Astrid Austvoll-DahlgrenEast and South, Regional Centre for Child and Youth Mental Health and Child Welfare, Oslo, Norway.
Christopher James RoseNorwegian Institute of Public Health, Oslo, Norway.
Atle FretheimNorwegian Institute of Public Health, Oslo, Norway.
Nelson SewankamboMakerere University College of Health Sciences, Kampala, Uganda.

Funding

Wellcome TrustWellcome Trust 107742/Z/15/Z
6 · The paper itself

Abstract

We developed the Informed Health Choices podcast to improve people's ability to assess claims about the effects of treatments. We evaluated the effects of the podcast in a randomised trial.

objectivesWe conducted this process evaluation to assess the fidelity of the intervention, identify factors that affected the implementation and impact of the intervention and could affect scaling up, and identify potential adverse and beneficial effects.

settingThe study was conducted in central Uganda in rural, periurban and urban settings.

participantsWe collected data on parents who were in the intervention arm of the Informed Health Choices study that evaluated an intervention to improve parents' ability to assess treatment effects. PROCEDURES: We conducted 84 semistructured interviews during the intervention, 19 in-depth interviews shortly after, two focus group discussions with parents, one focus group discussion with research assistants and two in-depth interviews with the principal investigators. We used framework analysis to manage qualitative data, assessed the certainty of the findings using the GRADE-CERQual (Grading of Recommendations, Assessment, Development and Evaluations-Confidence in the Evidence from Reviews of Qualitative Research) approach, and organised findings in a logic model. OUTCOMES: Proportion of participants listening to all episodes; factors influencing the implementation of the podcast; ways to scale up and any adverse and beneficial effects.

resultsAll participants who completed the study listened to the podcast as intended, perhaps because of the explanatory design and recruitment of parents with a positive attitude. This was also likely facilitated by the podcast being delivered by research assistants, and providing the participants with MP3 players. The podcast was reportedly clear, understandable, credible and entertaining, which motivated them to listen and eased implementation. No additional adverse effects were reported.

conclusionsParticipants experienced the podcast positively and were motivated to engage with it. These findings help to explain the short-term effectiveness of the intervention, but not the decrease in effectiveness over the following year.

Indexed as

Choice BehaviorFemaleHealth EducationHealth LiteracyHumansMaleParentsPatient Care TeamPatient Education as TopicProcess Assessment, Health Careadverse effectsbarrierscritical appraisaledutainmentevidence-informed decision-makingfacilitatorsfidelityhealth communicationmedia interventionspodcastprocess evaluationscaling-up

Identifiers

PMID31852697
PMCPMC6937069

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.