评估幼儿虫预防策略:一个阶段集群随机对照试验的研究方案
Peiya Cao1,2,3, Yan Zhang4, Shannon H Houser5
1Research Center for Healthcare Service Management and Policy, Institute of Hospital Management, Sichuan University West China Hospital, Chengdu, Sichuan, China.
BMJ open
|August 3, 2025
概括
本研究评估了中国初级保健提供者的虫风险评估和管理 (CRAM) 干预措施. 它的目的是改善在资源较少的环境中改善幼儿虫病的预防.
科学领域:
- 公共卫生 公共卫生
- 儿科牙科 儿科牙科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 预防幼儿 (ECC) 是至关重要的,但在低收入和中等收入国家,初级保健提供者实施风险评估和管理 (CRAM) 的研究不足.
- 中国的初级保健机构为评估CRAM干预提供了一个独特的环境.
- 这项研究解决了在资源有限的环境中了解CRAM实施的差距.
研究的目的:
- 评估中国初级保健机构初级保健提供者提供的CRAM干预措施的实施和有效性.
- 评估CRAM培训对提供者遵守程序和家长口腔护理实践的影响.
- 探索影响CRAM实施的障碍和促进者.
主要方法:
- 一个混合型二级形集群随机对照试验将在中国卢州市的9个初级医疗机构进行.
- 机构将随机分配到三个干预波中,初级保健提供者将接受CRAM培训.
- 主要结果包括提供者完成CRAM程序以及改善家长在家为3岁以下儿童提供口腔护理. 二次结果和定性访谈也将被评估.
主要成果:
- 该研究旨在衡量初级保健提供者完成所有CRAM程序的比例.
- 将评估家长对3岁以下儿童的家庭口腔护理实践的改进.
- 二次结果包括儿童的口腔健康相关的生活质量,时间到第一个虫发病率,和成本效益.
结论:
- 这些发现将有助于在中国和类似的低资源国家的初级保健机构中有效实施CRAM.
- 这项研究旨在通过改善初级保健提供来加强幼儿虫病预防策略.
- 传播将通过出版物,会议和政策简报向利益相关者进行.
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