Evidence map›Paper›PMID 36574453›Full record

Trial reportPLoS neglected tropical diseases2022

Improving knowledge, attitudes, and practices on dengue and diarrhea in rural primary school students, their parents, and teachers in Colombia: A cluster-randomized controlled trial.

Diana Sarmiento-Senior, Maria Ines Matiz, Sandra Vargas-Cruz, Juan Felipe Jaramillo, Victor Alberto Olano, Audrey Lenhart, Thor Axel Stenström, Neal Alexander, Hans J Overgaard

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PLoS neglected tropical diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. 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

9 authors at 5 institutions in 5 countries.

Diana Sarmiento-SeniorInstituto de Salud y Ambiente, Universidad El Bosque, Bogotá, Colombia.
Maria Ines MatizInstituto de Salud y Ambiente, Universidad El Bosque, Bogotá, Colombia.
Sandra Vargas-CruzInstituto de Salud y Ambiente, Universidad El Bosque, Bogotá, Colombia.
Juan Felipe JaramilloInstituto de Salud y Ambiente, Universidad El Bosque, Bogotá, Colombia.
Victor Alberto OlanoInstituto de Salud y Ambiente, Universidad El Bosque, Bogotá, Colombia.
Audrey LenhartLiverpool School of Tropical Medicine, Liverpool, United Kingdom.
Thor Axel StenströmInstitute for Water and Waste Water Technology, Durban University of Technology, Durban, South Africa.
Neal AlexanderMRC International Statistics and Epidemiology Group, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0002-6707-7876
Hans J OvergaardFaculty of Science and Technology, Norwegian University of Life Sciences, Ås, Norway.
Universidad El Bosque · CODurban University of Technology · ZAKhon Kaen University · THLiverpool School of Tropical Medicine · GBLondon School of Hygiene & Tropical Medicine · GB

Funding

Medical Research Council MR/K012126/1Medical Research Council MR/R010161/1
6 · The paper itself

Abstract

backgroundImproved education on water-related diseases in schools could help to reduce disease burden. This paper presents specific results on knowledge, attitudes and practices (KAP) of a cluster-randomized controlled trial to reduce diarrheal disease and dengue entomological risk factors in rural primary schools in Colombia. The aim was to investigate whether enhanced educational interventions on dengue and diarrheal disease in schools could improve KAP scores related to these diseases in students and teachers in rural primary schools, as well as the students' parents. METHODOLOGY/PRINCIPAL

findingsA factorial cluster-randomized controlled trial was carried out in 35 rural primary schools in two municipalities in Cundinamarca, central Colombia. Schools were randomized into four arms: interventions related to diarrheal disease (DIA), dengue (DEN), both (DIADEN), or no interventions (control, CON). Both educational and physical interventions to reduce risk factors of dengue and diarrhea were implemented. Comprehensive teachers' manuals were developed and deployed to guide the learning activities. The intervention was carried out over two school years. The knowledge scores of students receiving dengue interventions (DEN, DIADEN) increased by 1.16 point score (0.75-1.56, p<0.001) and those receiving diarrhea interventions (DIA, DIADEN) increased by 1.15 point score (0.67-1.63, p<0.001). The attitude and practice scores of students receiving the diarrhea interventions increased (Attitudes: 0.41 [0.11-0.71, p = 0.01]; Practices: 0.33 [0.01-0.65, p = 0.042]), but not for those receiving the dengue interventions (p = 0.31 and p = 0.08, respectively). CONCLUSIONS/SIGNIFICANCE: There were increases in knowledge scores among students, their teachers and their parents for both diseases. However, the attitudes and practices components were not affected to the same extent. The hypothesis that the students would disseminate knowledge acquired from the educational interventions to their parents was confirmed for dengue, but not for diarrhea.

trial registrationISRCTN40195031 The trial is registered in the Current Controlled Trials under Infections and Infestations category.

Indexed as

DengueHealth Knowledge, Attitudes, PracticeColombiaDiarrheaHumansParentsSchoolsStudents

Identifiers

PMID36574453
PMCPMC9829171
OpenAlexW4312210450

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.