Well-child CareWell-childNCT03976778
Evaluation of an Interventional Program for Family Physicians on Well-child Care for Children Under-5
A study testing Training program for family physicians on well-child care for children under-5 years in people with Well-child Care, run by Suez Canal University at 1 site in Egypt.
Trial 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… Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Well-child Care
- What is being tested?
- Training program for family physicians on well-child care for children under-5 years
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 39 participants
- Where
- 1 siteEgypt
- Study dates
- 1 Dec 2014to 31 Mar 2016
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- 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.
Who cannot join
- 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.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Evaluation of an Interventional Program for Family Physicians on Well-child Care for Children Under-5 in Suez Canal Area, Egypt
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.
Read the detailed description
A pre-post interventional study was conducted from September 2014 to March 2016. This interventional study was held in the Family Medicine Department, FOM/SCU. The assessment of participants' practices was performed in training family practice centers (FPCs) affiliated to Family Medicine Department, FOM/SCU in Port Said (2 centers), Ismailia (3 centers) and Suez governorates (4 centers).
Comprehensive sample of 39 family physicians (FPs) was recruited (the response rate was 63.93%), who accepted to participate in this intervention, affiliated to Family Medicine Department, FOM/SCU, and Ministry of Health and Population (MOHP) and regularly enrolled in classic postgraduate programs of Family Medicine Department, FOM/SCU.
The study excluded FPs who did not work in Suez Canal region despite they were under training of Family Medicine Department (FOM/SCU), were not adherent to attend the training program, did not send one of the pretest or posttest and staff of Family Medicine Department, FOM/SCU.
This study was conducted at 3 phases: preparatory, design and implementation of a training course, scoring of KAP questionnaire and evaluation and data management. During the preparatory phase; the questionnaire was designed by the researchers based on relevant literature [4,21-26].
This questionnaire consisted of 4 parts; the participants' socio-demographic data, and KAP of them towards well-child care for children under-5 years in Suez Canal area. The first 3 parts of this questionnaire were self-reported by FPs and the fourth part (practices) was assessed by the corresponding author via observational checklist during 12 months well-child visits, because of every well-child visit has its unique items of assessment in literatures and this visit included the most of targeted training practices in the present study.
Each part of questionnaire's KAP consisted of 3 subscales e.g. growth and developmental monitoring, risk assessment and screening, vaccination, chemoprevention and counseling for children under-5.
The participants' KAP were assessed by 30 multiple choice questions (MCQs), 33 items of a five-point Likert scale (with options of strongly disagree, disagree, no opinion, agree and strongly agree) and 15 items of 5-point rating scale (with options of clear unperformed, partially unperformed, borderline performed, partially performed and clear performed), respectively.
The questionnaire was validated by 3 experts in family medicine. A pilot study included 10 participants, who included in the investigator's sample size; it tested questionnaire's reliability and assessed the understandability of its items, clearness, acceptability and meaning to subjects. Cronbach's alpha was used as an internal consistency estimate of the reliability of KAP questionnaire (0.77, 0.80, and 0.81, respectively). Completion of this questionnaire lasted from 40 minutes to 50 minutes.
The percentage of correct answers of MCQs was calculated as a representative of knowledge score for each participant. While 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 attitudes score.
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 practices score. The scores of knowledge and practices were considered acceptable if they were ≥ 60% according to the working bylaws in FOM/SCU. The scores of attitudes were considered positive attitudes if they were ≥ 80 %.
These data were collected at baseline and after 6 months of participation in interventional study. 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).
Statistical analysis Data were analyzed by SPSS version 20. Paired t test was used to compare the means of participants' KAP. The 5-point scale items of attitudes were condensed into 2 categories then McNamara's test was used to compare participants' Knowledge and attitudes changes in this study. The 5-point rating scale items of practices were condensed into 3 categories the marginal homogeneity was used to compare participants' difference of practices in this pre-post intervention.
Pearson's correlation coefficient was used to assess correlation between participants' KAP. Multiple linear regression was used to detect predictors of posttest practices score (dependent variable) and independent variables (affiliation, posttest knowledge score, duration of practice and posttest attitudes score). Stepwise linear regression was used to explore the contribution of the significant independent variables to the used model.
- Conditions
- Well-child Care
- Being tested
- Training program for family physicians on well-child care for children under-5 years
- Keywords
- Well-child, Pediatric health maintenance, Health supervision for children
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Training program for family physicians on well-child care for children under-5 yearsOther
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).
| Study group | Role | What they receive |
|---|---|---|
| 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). Receives: Other: Training program for family physicians on well-child care for children under-5 years |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 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
- Growth and developmental monitoring subscale, which was assessed by nine multiple choice questions
- Risk assessment and screening subscale, which was assessed by eleven multiple choice questions
- 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.
Measured: 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.
Measured: 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.
Measured: 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
- Growth and developmental monitoring subscale, which was assessed by 11-Likert items. Items with numbers 5 and 7 were reverse codes.
- Risk assessment and screening subscale, which was assessed by 9-Likert items. Items with numbers 16 and 20 were reverse codes.
- 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.
Measured: 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.
Measured: 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.
Measured: 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.
Measured: 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.
Measured: 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
Pearson's correlation coefficient was used to assess correlation between total posttest score of knowledge and total posttest score of attitudes
Measured: 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
Pearson's correlation coefficient was used to assess correlation between total posttest score of knowledge and total posttest score of practices
Measured: 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
Pearson's correlation coefficient was used to assess correlation between total posttest score of attitudes and total posttest score of practices
Measured: Within 4 months of ending posttest assessment.
Predictors of posttest practices of participants towards well-child care for children under 5 years.
Multiple linear regression was used to detect predictors of posttest practice score (dependent or outcome variable) and independent variables (affiliation, posttest knowledge score and duration of practice).
Measured: Within 4 months of ending posttest assessment.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jun 2019
- Study start1 Dec 2014
- Primary completion31 Mar 2016
- Study completion31 Mar 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Well-child CareStudies of the same condition, open and under way.
- More trials run by Suez Canal UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- A pre-post interventional study
- Masking
- None (open label)
- Enrolment
- 39 participants (actual)
Sponsor and investigators
- Lead sponsor
- Suez Canal University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Hazem Ahmed Sayed Ahmed Sayed Ahmed, Suez Canal University
- Investigators
- Hazem A Sayed Ahmed, PhD, Principal investigator, Family medicine Department, Faculty of Medicine, Suez Canal University, Egypt
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03976778
- Sponsor's protocol ID
- Well-child care
- Other IDs
- FOM-SCU
- Acronym
- Well-child
- Status last verified
- Jun 2019
- First submitted
- 21 May 2019
- Last updated
- 7 Jun 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: SPSS documents
Study at a glance
From the registry record, last updated by the sponsor on 7 Jun 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of an Interventional Program for Family Physicians on Well-child Care for Children Under-5 in Suez Canal Area, Egypt
- ClinicalTrials.gov ID
- NCT03976778
- Acronym / sponsor ID
- Well-child / Well-child care
- Conditions
- Well-child Care
- Keywords
- Well-child, Pediatric health maintenance, Health supervision for children
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 39 participants (actual)
- Lead sponsor
- Suez Canal UniversityUniversity, hospital or other
- Study start
- 1 Dec 2014 (actual)
- Primary completion
- 31 Mar 2016 (actual)
- Study completion
- 31 Mar 2016 (actual)
- First posted
- 6 Jun 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
A pre-post interventional study was conducted from September 2014 to March 2016. This interventional study was held in the Family Medicine Department, FOM/SCU. The assessment of participants' practices was performed in training family practice centers (FPCs) affiliated to Family Medicine Department, FOM/SCU in Port Said (2 centers), Ismailia (3 centers) and Suez governorates (4 centers).
Comprehensive sample of 39 family physicians (FPs) was recruited (the response rate was 63.93%), who accepted to participate in this intervention, affiliated to Family Medicine Department, FOM/SCU, and Ministry of Health and Population (MOHP) and regularly enrolled in classic postgraduate programs of Family Medicine Department, FOM/SCU.
The study excluded FPs who did not work in Suez Canal region despite they were under training of Family Medicine Department (FOM/SCU), were not adherent to attend the training program, did not send one of the pretest or posttest and staff of Family Medicine Department, FOM/SCU.
This study was conducted at 3 phases: preparatory, design and implementation of a training course, scoring of KAP questionnaire and evaluation and data management. During the preparatory phase; the questionnaire was designed by the researchers based on relevant literature [4,21-26].
This questionnaire consisted of 4 parts; the participants' socio-demographic data, and KAP of them towards well-child care for children under-5 years in Suez Canal area. The first 3 parts of this questionnaire were self-reported by FPs and the fourth part (practices) was assessed by the corresponding author via observational checklist during 12 months well-child visits, because of every well-child visit has its unique items of assessment in literatures and this visit included the most of targeted training practices in the present study.
Each part of questionnaire's KAP consisted of 3 subscales e.g. growth and developmental monitoring, risk assessment and screening, vaccination, chemoprevention and counseling for children under-5.
The participants' KAP were assessed by 30 multiple choice questions (MCQs), 33 items of a five-point Likert scale (with options of strongly disagree, disagree, no opinion, agree and strongly agree) and 15 items of 5-point rating scale (with options of clear unperformed, partially unperformed, borderline performed, partially performed and clear performed), respectively.
The questionnaire was validated by 3 experts in family medicine. A pilot study included 10 participants, who included in the investigator's sample size; it tested questionnaire's reliability and assessed the understandability of its items, clearness, acceptability and meaning to subjects. Cronbach's alpha was used as an internal consistency estimate of the reliability of KAP questionnaire (0.77, 0.80, and 0.81, respectively). Completion of this questionnaire lasted from 40 minutes to 50 minutes.
The percentage of correct answers of MCQs was calculated as a representative of knowledge score for each participant. While 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 attitudes score.
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 practices score. The scores of knowledge and practices were considered acceptable if they were ≥ 60% according to the working bylaws in FOM/SCU. The scores of attitudes were considered positive attitudes if they were ≥ 80 %.
These data were collected at baseline and after 6 months of participation in interventional study. 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).
Statistical analysis Data were analyzed by SPSS version 20. Paired t test was used to compare the means of participants' KAP. The 5-point scale items of attitudes were condensed into 2 categories then McNamara's test was used to compare participants' Knowledge and attitudes changes in this study. The 5-point rating scale items of practices were condensed into 3 categories the marginal homogeneity was used to compare participants' difference of practices in this pre-post intervention.
Pearson's correlation coefficient was used to assess correlation between participants' KAP. Multiple linear regression was used to detect predictors of posttest practices score (dependent variable) and independent variables (affiliation, posttest knowledge score, duration of practice and posttest attitudes score). Stepwise linear regression was used to explore the contribution of the significant independent variables to the used model.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- A pre-post interventional study
| Arm | Type | Receives |
|---|---|---|
| a pre-post interventional study | Other | Other: Training program for family physicians on well-child care for children under-5 yearsintervention 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). |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (2 listed)
- 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.
Key exclusion criteria (4 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Training program for family physicians on well-child care for children under-5 yearsThe 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). | Other | a pre-post interventional study |
Primary outcome
to evaluate difference in total knowledge scores of participants on well-child care for under 5 years children in the pre-post intervention.
Time frame: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program
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.
to evaluate changes in acceptable level of knowledge subscales in the pre-post intervention.
Time frame: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program
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.
to evaluate changes in correct knowledge of participants towards well-child care in the pre-post intervention.
Time frame: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program
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.
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.
Time frame: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the 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.
to evaluate changes of positive attitudes subscales before and after implementing an interventional program.
Time frame: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the 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.
to evaluate changes of positive attitudes items of participants before and after implementing an interventional program.
Time frame: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the 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.
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.
Time frame: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program it also lasted 3 months.
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.
to evaluate difference in acceptable level of practices subscales before and after implementing an interventional program.
Time frame: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program it also lasted 3 months.
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.
to evaluate changes in practices items before and after implementing an interventional program.
Time frame: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program it also lasted 3 months.
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.
4 secondary outcomes
Correlation of knowledge and attitudes of participants towards well-child care for children under 5 years in the posttest
Time frame: 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
Time frame: 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
Time frame: Within 4 months of ending posttest assessment.
Predictors of posttest practices of participants towards well-child care for children under 5 years.
Time frame: Within 4 months of ending posttest assessment.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jun 2019.
- Individual participant dataSharing planned: Yes. SPSS documents
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Hazem A Sayed Ahmed, PhD principal investigator
Family medicine Department, Faculty of Medicine, Suez Canal University, Egypt
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Training program for family physicians on well-child care for children under-5 years in people with Well-child Care, run by Suez Canal University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 7 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
to evaluate difference in total knowledge scores of participants on well-child care for under 5 years children in the pre-post intervention. (time frame: Pretest lasted 3 months and post-test questionnaire was assessed after 6 months of the interventional program). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Jun 2019.