Early special educational needs provision and its impact on unplanned hospital utilisation and school absences in children with isolated cleft lip and/or palate: a demonstration target trial emulation study protocol using ECHILD [version 1; peer review: 1 approved, 2 approved with reservations]
Background Special educational needs (SEN) provision is designed to help pupils with additional educational, behavioural or health needs; for example, pupils with cleft lip and/or palate may be offered SEN provision to improve their speech and language skills. Our aim is to contribute to the literat...
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| Format: | Article |
| Language: | English |
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F1000 Research Ltd
2023-10-01
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| Series: | NIHR Open Research |
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| Online Access: | https://openresearch.nihr.ac.uk/articles/3-54/v1 |
| _version_ | 1797352834446917632 |
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| author | Vincent Nguyen Ruth Gilbert Lorraine Dearden Bianca De Stavola Kate M Lewis |
| author_facet | Vincent Nguyen Ruth Gilbert Lorraine Dearden Bianca De Stavola Kate M Lewis |
| author_sort | Vincent Nguyen |
| collection | DOAJ |
| description | Background Special educational needs (SEN) provision is designed to help pupils with additional educational, behavioural or health needs; for example, pupils with cleft lip and/or palate may be offered SEN provision to improve their speech and language skills. Our aim is to contribute to the literature and assess the impact of SEN provision on health and educational outcomes for a well-defined population. Methods We will use the ECHILD database, which links educational and health records across England. Our target population consists of children identified within ECHILD to have a specific congenital anomaly: isolated cleft lip and/or palate. We will apply a trial emulation framework to reduce biases in design and analysis of observational data to investigate the causal impact of SEN provision (including none) by the start of compulsory education (Year One – age five year on entry) on the number of unplanned hospital utilisation and school absences by the end of primary education (Year Six – age ten/eleven). We will use propensity score-based estimators (inverse probability weighting (IPW) and IPW regression adjustment IPW) to compare categories of SEN provision in terms of these outcomes and to triangulate results obtained using complementary estimation methods (Naïve estimator, multivariable regression, parametric g-formula, and if possible, instrumental variables), targeting a variety of causal contrasts (average treatment effect/in the treated/in the not treated) of SEN provision. Conclusions This study will evaluate the impact of reasonable adjustments at the start of compulsory education on health and educational outcomes in the isolated cleft lip and palate population by triangulating complementary methods under a target-trial framework. |
| first_indexed | 2024-03-08T13:21:31Z |
| format | Article |
| id | doaj.art-3fd7d575d53d4757be1ec6c035b7e80e |
| institution | Directory Open Access Journal |
| issn | 2633-4402 |
| language | English |
| last_indexed | 2024-03-08T13:21:31Z |
| publishDate | 2023-10-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | NIHR Open Research |
| spelling | doaj.art-3fd7d575d53d4757be1ec6c035b7e80e2024-01-18T01:00:00ZengF1000 Research LtdNIHR Open Research2633-44022023-10-01314618Early special educational needs provision and its impact on unplanned hospital utilisation and school absences in children with isolated cleft lip and/or palate: a demonstration target trial emulation study protocol using ECHILD [version 1; peer review: 1 approved, 2 approved with reservations]Vincent Nguyen0https://orcid.org/0000-0002-9776-6242Ruth Gilbert1Lorraine Dearden2Bianca De Stavola3https://orcid.org/0000-0001-7853-0528Kate M Lewis4https://orcid.org/0000-0003-1148-1017Institute of Child Health, University College London, London, England, WC1N 1EH, UKInstitute of Child Health, University College London, London, England, WC1N 1EH, UKSocial Research Institute, University College London, London, England, WC1H 0AL, UKInstitute of Child Health, University College London, London, England, WC1N 1EH, UKInstitute of Child Health, University College London, London, England, WC1N 1EH, UKBackground Special educational needs (SEN) provision is designed to help pupils with additional educational, behavioural or health needs; for example, pupils with cleft lip and/or palate may be offered SEN provision to improve their speech and language skills. Our aim is to contribute to the literature and assess the impact of SEN provision on health and educational outcomes for a well-defined population. Methods We will use the ECHILD database, which links educational and health records across England. Our target population consists of children identified within ECHILD to have a specific congenital anomaly: isolated cleft lip and/or palate. We will apply a trial emulation framework to reduce biases in design and analysis of observational data to investigate the causal impact of SEN provision (including none) by the start of compulsory education (Year One – age five year on entry) on the number of unplanned hospital utilisation and school absences by the end of primary education (Year Six – age ten/eleven). We will use propensity score-based estimators (inverse probability weighting (IPW) and IPW regression adjustment IPW) to compare categories of SEN provision in terms of these outcomes and to triangulate results obtained using complementary estimation methods (Naïve estimator, multivariable regression, parametric g-formula, and if possible, instrumental variables), targeting a variety of causal contrasts (average treatment effect/in the treated/in the not treated) of SEN provision. Conclusions This study will evaluate the impact of reasonable adjustments at the start of compulsory education on health and educational outcomes in the isolated cleft lip and palate population by triangulating complementary methods under a target-trial framework.https://openresearch.nihr.ac.uk/articles/3-54/v1Special Educational Needs Trial Emulation Confounding-by-indication Cleft Lip and/or Palateeng |
| spellingShingle | Vincent Nguyen Ruth Gilbert Lorraine Dearden Bianca De Stavola Kate M Lewis Early special educational needs provision and its impact on unplanned hospital utilisation and school absences in children with isolated cleft lip and/or palate: a demonstration target trial emulation study protocol using ECHILD [version 1; peer review: 1 approved, 2 approved with reservations] NIHR Open Research Special Educational Needs Trial Emulation Confounding-by-indication Cleft Lip and/or Palate eng |
| title | Early special educational needs provision and its impact on unplanned hospital utilisation and school absences in children with isolated cleft lip and/or palate: a demonstration target trial emulation study protocol using ECHILD [version 1; peer review: 1 approved, 2 approved with reservations] |
| title_full | Early special educational needs provision and its impact on unplanned hospital utilisation and school absences in children with isolated cleft lip and/or palate: a demonstration target trial emulation study protocol using ECHILD [version 1; peer review: 1 approved, 2 approved with reservations] |
| title_fullStr | Early special educational needs provision and its impact on unplanned hospital utilisation and school absences in children with isolated cleft lip and/or palate: a demonstration target trial emulation study protocol using ECHILD [version 1; peer review: 1 approved, 2 approved with reservations] |
| title_full_unstemmed | Early special educational needs provision and its impact on unplanned hospital utilisation and school absences in children with isolated cleft lip and/or palate: a demonstration target trial emulation study protocol using ECHILD [version 1; peer review: 1 approved, 2 approved with reservations] |
| title_short | Early special educational needs provision and its impact on unplanned hospital utilisation and school absences in children with isolated cleft lip and/or palate: a demonstration target trial emulation study protocol using ECHILD [version 1; peer review: 1 approved, 2 approved with reservations] |
| title_sort | early special educational needs provision and its impact on unplanned hospital utilisation and school absences in children with isolated cleft lip and or palate a demonstration target trial emulation study protocol using echild version 1 peer review 1 approved 2 approved with reservations |
| topic | Special Educational Needs Trial Emulation Confounding-by-indication Cleft Lip and/or Palate eng |
| url | https://openresearch.nihr.ac.uk/articles/3-54/v1 |
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