Evaluation of an Interventional Program for Family Physicians on Well-child Care for Children Under-5

NCT03976778 | Completed

• 2 other identifiers: Well-child careFOM-SCU
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

Background Despite providing health promotion and preventive measures for children under-5 years are essential for lifelong health and wellbeing of individuals and countries, studies into family physicians' knowledge, attitudes, and practices (KAP) regarding comprehensive well-child services for children under-5 years seem to be scarce in developing countries. This study aimed to evaluate family physicians' KAP towards well-child care for children under-5 years in Suez Canal area before and after implementing an interventional program. Methods A pre-post interventional study was conducted from September 2014 to March 2016 on comprehensive sample of 39 family physicians, who were under training in the Family Medicine department, Faculty of Medicine, Suez Canal University. Their KAP were assessed by valid and reliable questionnaire (78-items) at baseline and after 6 months of implementing a training program.

Conditions

Well-child Care

Keywords

Well-child; Pediatric health maintenance; Health supervision for children

Outcome Measures

Primary Outcomes (9)

• to evaluate difference in total knowledge scores of participants on well-child care for under 5 years children in the pre-post intervention.

  Paired t test was used to compare the total means of participants' knowledge changes (changes in the mean percentage of the correct answers) in the pre-post intervention. Participants' knowledge was assessed via 30 multiple choice questions, which were designed by research team.

  Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program

• to evaluate changes in acceptable level of knowledge subscales in the pre-post intervention.

  Participants' Knowledge assessment included 3 subscales 1. Growth and developmental monitoring subscale, which was assessed by nine multiple choice questions 2. Risk assessment and screening subscale, which was assessed by eleven multiple choice questions 3. Vaccination, chemoprevention and counseling subscale, which was assessed by ten multiple choice questions The scores of knowledge in each subscale were considered acceptable if they were ≥ 60 %, according to the regulations in Faculty of Medicine, Suez Canal University. McNamara's test was used to compare the knowledge's categorical changes in the pre-post intervention.

  Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program

• to evaluate changes in correct knowledge of participants towards well-child care in the pre-post intervention.

  Participants' Knowledge assessment included 30 multiple choice questions McNamara's test was used to compare the knowledge's categorical changes in the pre-post intervention.

  Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program

• to evaluate difference in total attitudes scores of participants towards well-child care for children under-5 years in Suez Canal area before and after implementing an interventional program.

  Participants' attitudes were assessed by 33-Likert items, which were arranged in a five-point Likert scale with options of "strongly disagree," "disagree," "no opinion," "agree" and "strongly agree." It included 5 attitudes-items with reverse codes. Each response for Likert items was scored on a scale of 1 (strongly disagree) to 5 (strongly agree). Each response for reverse-coded Likert items was re-coded and scored on a scale of 5 (strongly disagree) to 1 (strongly agree). For each individual, score of attitudes' responses was summed and converted into percentages (20-100 %) to represent the attitude score. Paired t test was used to compare the total means of participants' attitudes in the pre-post intervention.

  Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program

• to evaluate changes of positive attitudes subscales before and after implementing an interventional program.

  Participants' attitudes assessment included 3 subscales 1. Growth and developmental monitoring subscale, which was assessed by 11-Likert items. Items with numbers 5 and 7 were reverse codes. 2. Risk assessment and screening subscale, which was assessed by 9-Likert items. Items with numbers 16 and 20 were reverse codes. 3. Vaccination, chemoprevention and counseling subscale, which was assessed by 13-Likert items. item with number 31 was reverse code. The scores of each attitudes subcales were considered positive attitudes if they were ≥ 80 %. McNamara's test was used to compare the attitudes' changes in the pre-post intervention.

  Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program

• to evaluate changes of positive attitudes items of participants before and after implementing an interventional program.

  The scores of attitudes were considered positive attitudes if they were ≥ 80 % (agree and strongly agree). The 5-point Liker scale responses were condensed into 2 categories (positive attitudes and negative attitudes) then McNamara's test was used to compare the attitudes' changes in the pre-post intervention.

  Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program

• to evaluate difference in total practices scores itowards well-child care for children under-5 years in Suez Canal area before and after implementing an interventional program.

  Family physicians' practice was assessed by the main researcher via observational checklist, which included 15 practices-items, which were arranged in a 5-point rating scale with options of "clear unperformed," "partially unperformed," "borderline performed," "partially performed" and "clear performed." The names of these options were developed by the main researcher. Each item for rating scale of practices was scored on a scale of 0 (clear unperformed) to 4 (clear performed). For each individual, score of items was summed and converted into percentage to represent the participant's practice score. Paired t test was used to compare the total means of participants' practices changes in the pre-post intervention.

  Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program it also lasted 3 months.

• to evaluate difference in acceptable level of practices subscales before and after implementing an interventional program.

  The scores of practices were considered acceptable if they were ≥ 60 % according to the regulations in Faculty of Medicine, Suez Canal University. McNamara's test was used to compare the practices' changes in each subscale in the pre-post intervention.

  Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program it also lasted 3 months.

• to evaluate changes in practices items before and after implementing an interventional program.

  The rating scale of practices was condensed in 3 categories clear unperformed/partially unperformed, borderline performed and partially performed/clear performed. Marginal homogeneity was used to compare changes in participants' practices items in the pre-post intervention.

  Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program it also lasted 3 months.

Secondary Outcomes (4)

• Correlation of knowledge and attitudes of participants towards well-child care for children under 5 years in the posttest

  Within 4 months of ending posttest assessment.

• Correlation of knowledge and practices of participants towards well-child care for children under 5 years in the posttest

  Within 4 months of ending posttest assessment.

• Correlation of attitudes and practices of participants towards well-child care for children under 5 years in the posttest

  Within 4 months of ending posttest assessment.

• Predictors of posttest practices of participants towards well-child care for children under 5 years.

  Within 4 months of ending posttest assessment.

Study Arms (1)

a pre-post interventional study

OTHER

intervention consisted of 3 repeated workshops, every workshop had held for 2 days, one day per week, the number of attendants was appropriate/workshop (10 - 15).

Other: Training program for family physicians on well-child care for children under-5 years

Interventions

Training program for family physicians on well-child care for children under-5 years OTHER

The researchers designed this intervention, which consisted of 3 repeated workshops, every workshop had held for 2 days, one day per week, the number of attendants was appropriate/workshop (10 - 15).

a pre-post interventional study

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Family physicians affiliated to MOHP and regularly enrolled in classic postgraduate programs of family medicine department, FOM, SCU within the time of the study.
• Family physicians affiliated to family medicine department (FOM, SCU) and regularly enrolled in postgraduate programs of family medicine department, FOM, SCU within the time of the study.

You may not qualify if:

• Family physicians exposed to similar intervention in the present and past.
• Family physicians who were under training of family medicine department (SCU), but they did not work in Suez Canal region e.g. trainee of credit hour program or FPs moved to work in other governorates within the time of the study.
• Family physicians who were not adherent to attend the training program or they did not send one of the pretest or posttest.
• Staff of family medicine department.

Sponsors & Collaborators

• Suez Canal University: lead

Study Sites (1)

Faculty of Medicine, Suez Canal University

Ismailia, 411522, Egypt

Location

Study Officials

• Hazem A Sayed Ahmed, PhD

  Family medicine Department, Faculty of Medicine, Suez Canal University, Egypt

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: A pre-post interventional study

Study Record Dates

• First Submitted: May 21, 2019
• First Posted: June 6, 2019
• Study Start: December 1, 2014
• Primary Completion: March 31, 2016
• Study Completion: March 31, 2016
• Last Updated: June 7, 2019

Record last verified: 2019-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: ICF
• Time Frame: After acceptance of publication and getting permission from the main author The data will be available for years
• Access Criteria: Links of journal which accept the manuscript for publication

Locations

EG (1)