Evidence map›Paper›PMID 41415799›Full record

Trial reportInternational journal of public health2025

Educational Intervention Effects on Pesticide-Related Knowledge, Attitudes, Practices, Exposure, and Health Among Ugandan Smallholder Farmers: A Cluster Randomized Controlled Trial.

Peter Ssekkadde, Vica Marie Jelena Tomberge, Curdin Brugger, Aggrey Atuhaire, Mohamed Aqiel Dalvie, Hanna-Andrea Rother, Martin Röösli, Jennifer Inauen, Mirko S Winkler, Samuel Fuhrimann

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

10 authors.

Peter SsekkaddeUniversity of Basel, Basel, Switzerland.
Vica Marie Jelena TombergeUniversity of Basel, Basel, Switzerland.
Curdin BruggerUniversity of Basel, Basel, Switzerland.
Aggrey AtuhaireUganda National Association of Community and Occupational Health, Kampala, Uganda.
Mohamed Aqiel DalvieUniversity of Cape Town School of Public Health, Observatory, South Africa.
Hanna-Andrea RotherUniversity of Cape Town School of Public Health, Observatory, South Africa.
Martin RöösliUniversity of Basel, Basel, Switzerland.
Jennifer InauenUniversitat Bern Institut fur Psychologie, Bern, Switzerland.
Mirko S WinklerUniversity of Basel, Basel, Switzerland.
Samuel FuhrimannUniversity of Basel, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This cluster randomized controlled trial assessed the effect of a two-day in-person pesticide safety training with or without text messages grounded in behavioral change theory on knowledge, attitude, and practice scores, exposure intensity scores (EIS) during application, and self-reported signs and symptoms of pesticide poisoning among 539 Ugandan smallholder farmers. Methods: Twelve subcounties were randomized into three groups: educational (n = 180), educational + text messages (n = 179), or control (n = 180). Intervention effects were estimated with mixed-effects regression models using baseline (2021) and follow-up (2022) data. Results: Knowledge scores increased by 4.4% (95% CI: 0.9, 7.8) and 6.1% (95% CI: 2.7, 9.6) in the educational and in the education + text messages groups, respectively. Attitudes increased by 6.6% (95% CI: 1.8, 11.4) with text messages. Practice scores showed no significant change. Both interventions reduced pesticide exposure, and text messages reduced signs and symptoms of pesticide poisoning by 1.1% (95% CI: -1.7, -0.3). Conclusion: The limited changes in general practices suggest that generic and content-heavy training programs may hinder implementation. Tailored behavior change approaches, identifying and addressing locally relevant practices and psychosocial drivers, may enhance farmer safety.

Indexed as

FarmersHealth EducationHealth Knowledge, Attitudes, PracticeOccupational ExposurePesticidesAdultFemaleHumansMaleMiddle AgedText MessagingUgandaYoung AdultPesticidesbehavior changeeducational interventionknowledgepesticide exposuretext messages

Identifiers

PMID41415799
PMCPMC12708362

What OpenQuestion holds

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LicenceCC BY
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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.