Show simple item record

dc.contributor.authorMationg, MLS
dc.contributor.authorWilliams, GM
dc.contributor.authorTallo, VL
dc.contributor.authorOlveda, RM
dc.contributor.authorAung, E
dc.contributor.authorAlday, P
dc.contributor.authorReñosa, MD
dc.contributor.authorDaga, CM
dc.contributor.authorLandicho, J
dc.contributor.authorDemonteverde, MP
dc.contributor.authorSantos, ED
dc.contributor.authorBravo, TA
dc.contributor.authorBieri, FA
dc.contributor.authorBedford, A
dc.contributor.authorLi, Y
dc.contributor.authorClements, ACA
dc.contributor.authoret al.
dc.date.accessioned2021-11-23T23:54:40Z
dc.date.available2021-11-23T23:54:40Z
dc.date.issued2021
dc.identifier.issn2666-6065en_US
dc.identifier.doi10.1016/j.lanwpc.2021.100312en_US
dc.identifier.urihttp://hdl.handle.net/10072/410321
dc.description.abstractBackground: Soil-transmitted helminths (STH) cause substantial disease and disability globally. Health education has proven complementary to school-based drug administration programs for STH control. We determined the generalizability of the impact of “The Magic Glasses” health education package for STH prevention in schoolchildren in Laguna province, the Philippines, having previously shown its positive impact in China. Methods: We conducted a cluster-randomised controlled trial, in schoolchildren, aged 9–10 years, across 40 schools over one year. Schools were randomly assigned either to the “Magic Glasses Philippines” health education intervention package (consisting of a cartoon video, classroom discussions, drawing and essay competition) complementing the standard health education activities of the Philippines Departments of Health and Education, or to a control group, which involved only the standard health education activities. The primary trial outcomes were the proportion of STH infected schoolchildren and their knowledge, attitude and behaviour of STH assessed in both groups at baseline and through two follow-up surveys undertaken immediately prior to the semi-annual national mass administration of albendazole. The outcomes between the study arms were compared using generalized estimating equation models, accounting for clustering at the school level. The trial is registered with Australian New Zealand Clinical Trials Registry number: ACTRN12616000508471 Findings: At follow-up assessments, the mean knowledge and behaviour scores in the intervention group were, respectively, 5·3 (95% confidence interval [CI]:4·2[sbnd]6·5; p=<0.001) and 1·1 (95% CI: 0·4[sbnd]1·7; p=0.002) percentage points higher than the control group. There was no overall effect on helminth infections (any STH; adjusted odds ratio [aOR]:1·0; 95% CI: 0·8[sbnd]1·3; p=0·856), Ascaris lumbricoides; aOR:1·0; 95% CI: 0·7[sbnd]1·6; p=0·894, or Trichuris trichiura; aOR:1·7; 95% CI: 0·9[sbnd]1·6; p=0·315) but sub-group analysis showed a 60% reduction in the odds of any STH infection resulting from the “Magic Glasses” intervention in schools with a baseline prevalence ≤15% (aOR: 0·4; 95% CI: 0·2[sbnd]0·7; p=0·001). Interpretation: The health-education package demonstrated a modest but statistically significant impact on the students’ overall STH knowledge and changes in their behaviour but was only effective in preventing STH infections in intervention schools where the baseline prevalence was ≤15%. Funding: National Health and Medical Research Council, Australia, and the UBS-Optimus Foundation, Switzerland.en_US
dc.description.peerreviewedYesen_US
dc.languageenen_US
dc.publisherElsevier BVen_US
dc.relation.ispartofjournalThe Lancet Regional Health - Western Pacificen_US
dc.subject.fieldofresearchClinical sciencesen_US
dc.subject.fieldofresearchcode3202en_US
dc.subject.keywordsSoil-transmitted helminthsen_US
dc.subject.keywordsrandomised controlled trialen_US
dc.subject.keywordsschool-based health education interventionen_US
dc.subject.keywordsMagic Glasses Philippinesen_US
dc.subject.keywordsintegrated controlen_US
dc.title“The Magic Glasses Philippines”: a cluster randomised controlled trial of a health education package for the prevention of intestinal worm infections in schoolchildrenen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationMationg, MLS; Williams, GM; Tallo, VL; Olveda, RM; Aung, E; Alday, P; Reñosa, MD; Daga, CM; Landicho, J; Demonteverde, MP; Santos, ED; Bravo, TA; Bieri, FA; Bedford, A; Li, Y; Clements, ACA; Steinmann, P; Halton, K; Stewart, DE; McManus, DP; Gray, DJ, “The Magic Glasses Philippines”: a cluster randomised controlled trial of a health education package for the prevention of intestinal worm infections in schoolchildren, The Lancet Regional Health - Western Pacific, 2021.en_US
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/en_US
dc.date.updated2021-11-23T22:24:13Z
dc.description.versionVersion of Record (VoR)en_US
gro.rights.copyright© 2021 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)en_US
gro.hasfulltextFull Text
gro.griffith.authorStewart, Donald E.


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record