一年后中学干预的知情健康选择的影响:使用个人参与者数据进行前性元分析
Faith Chesire1,2, Michael Mugisha3,2, Ronald Ssenyonga4,2
1Tropical Institute of Community Health and Development, Kisumu, Kenya.
Trials
|October 31, 2024
概括
这项研究表明,在学校教导健康选择的批判性思维技能会产生持久的积极影响. 尽管在一年后,通过测试的学生数量减少了5.5%,但干预措施显示出了显著的长期益处.
科学领域:
- 卫生教育卫生教育教育
- 青少年健康 青少年健康
- 批判性思维技巧 批判性思维技巧
背景情况:
- 批判性思维对于导航健康信息和做出明智的选择至关重要.
- 一项前性元分析综合了来自三个集群随机试验的1年随访数据.
- 关于学校为青少年提供批判性健康思维干预措施的先前研究是有限的.
研究的目的:
- 评估旨在教导初中学生关于健康选择的批判性思维的干预措施的长期有效性.
- 为了评估干预后一年的学习保留.
- 综合了肯尼亚,卢旺达和乌干达三项集群随机试验的结果.
主要方法:
- 三个集群随机试验涉及244所学校和11344名学生.
- 干预包括教师培训和10个课程的数字资源,重点关注9个关键健康概念.
- 随机效应的元分析被用来估计干预效应,学习保留是根据一年后的测试成绩计算的.
主要成果:
- 这项干预措施在干预后一年显示出持续的积极效果,赔率比为3.6 (95% CI:1.9-7.1).
- 通过测试的学生的百分比从干预后的33.3%下降到一年后的25.6%,表明学习保留率为88.3%.
- 尽管通过分数略有下降,但干预组的表现仍然明显优于对照组.
结论:
- 这项干预有效地改善了学生对健康选择的批判性思维,在干预完成一年后.
- 通过分数略有下降,在一年后通过的学生减少了5.5%.
- 证据的确定性因随访期间学生退学率为27%而降低.
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