Evidence map›Paper›PMID 37027357›Full record

ArticlePloS one2023

Prioritisation of Informed Health Choices (IHC) key concepts to be included in lower secondary school resources: A consensus study.

Joseph Jude Agaba, Faith Chesire, Michael Mugisha, Pamela Nandi, Jane Njue, Allen Nsangi, Venuste Nsengimana, Cyril Oyuga, Florian Rutiyomba, Daniel Semakula and 3 more

Abstract readConsensus Statement
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

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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

13 authors.

Joseph Jude AgabaNational Curriculum Development Centre, Kampala, Uganda.
Faith ChesireTropical Institute of Community Health and Development in Africa, Kisumu, Kenya.
Michael MugishaInstitute of Health and Society, University of Oslo, Oslo, Norway.
Pamela NandiHuma Girls Secondary School, Kisumu, Kenya.
Jane NjueKenya Institute of Curriculum Development, Nairobi, Kenya.
Allen NsangiDepartment of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Venuste NsengimanaCollege of Education, University of Rwanda, Kigali, Rwanda.ORCID 0000-0001-5963-8314
Cyril OyugaKenya Institute of Curriculum Development, Nairobi, Kenya.
Florian RutiyombaRwanda Education Board, Kigali, Rwanda.
Daniel SemakulaDepartment of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Ronald SsenyongaInstitute of Health and Society, University of Oslo, Oslo, Norway.
Innocent UwimanaRwanda Education Board, Kigali, Rwanda.
Andrew David OxmanCentre for Epidemic Interventions Research, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0002-5608-5061

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Informed Health Choices Key Concepts are principles for thinking critically about healthcare claims and deciding what to do. The Key Concepts provide a framework for designing curricula, learning resources, and evaluation tools.

objectivesTo prioritise which of the 49 Key Concepts to include in resources for lower secondary schools in East Africa.

methodsTwelve judges used an iterative process to reach a consensus. The judges were curriculum specialists, teachers, and researchers from Kenya, Uganda, and Rwanda. After familiarising themselves with the concepts, they pilot-tested draft criteria for selecting and ordering the concepts. After agreeing on the criteria, nine judges independently assessed all 49 concepts and reached an initial consensus. We sought feedback on the draft consensus from other stakeholders, including teachers. After considering the feedback, nine judges independently reassessed the prioritised concepts and reached a consensus. The final set of concepts was determined after user-testing prototypes and pilot-testing the resources.

resultsThe first panel of judges prioritised 29 concepts. Based on feedback from teachers, students, curriculum specialists, and members of the research team, two concepts were dropped. A second panel of nine judges prioritised 17 of the 27 concepts that emerged from the initial prioritisation and feedback. Based on feedback on prototypes of lessons and pilot-testing a set of 10 lessons, we determined that it was possible to introduce nine concepts in 10 single-period (40-minute) lessons. We included eight of the 17 prioritised concepts and one additional concept.

conclusionUsing an iterative process with explicit criteria, we prioritised nine concepts as a starting point for students to learn to think critically about healthcare claims and choices.

Indexed as

Choice BehaviorHealth EducationCurriculumHumansSchoolsUganda

Identifiers

PMID37027357
PMCPMC10081733

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Registered trials

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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.