Evaluating an oral health programme for the prevention of dental decay among school-aged children in China: protocol for a mixed-methods study based on the RE-AIM framework
Introduction The objective of the Comprehensive Intervention of Oral Disease for Children (CIODC) in China is to prevent dental decay for school-aged children and provide free prevention services in pilot areas beginning in 2008. It is a potentially affordable, acceptable and effective prevention st...
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BMJ Publishing Group
2022-09-01
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Series: | BMJ Open |
Online Access: | https://bmjopen.bmj.com/content/12/9/e061601.full |
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author | Li Wang Hueiming Liu Linhai Zhao Wei Guo Lidan Wang Yanqun Zhang Peilin Wu Xiangxiang Chang Wenhua Xu |
author_facet | Li Wang Hueiming Liu Linhai Zhao Wei Guo Lidan Wang Yanqun Zhang Peilin Wu Xiangxiang Chang Wenhua Xu |
author_sort | Li Wang |
collection | DOAJ |
description | Introduction The objective of the Comprehensive Intervention of Oral Disease for Children (CIODC) in China is to prevent dental decay for school-aged children and provide free prevention services in pilot areas beginning in 2008. It is a potentially affordable, acceptable and effective prevention strategy to use for more school-aged children in the future. There is a shortage of robust evidence regarding the cost-effectiveness, feasibility and scalability of prevention strategies for dental decay for school-aged children in China. This study aims to provide a comprehensive evaluation, including an economic evaluation and process evaluation, to better understand how and why the public health programme may be effective and economical.Methods and analysis Mixed methods will be used in this study. Cost-effectiveness analysis (CEA) will be conducted from a societal perspective, based on a modelling study over 6 years (from age 7 to 12) in terms of the incremental cost-effectiveness ratios per dental decay averted. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework informed the process evaluation. An estimated 48–80 semistructured interviews with service providers, patient parents/caregivers and decision-makers under the logic model will be used in the progress evaluation to describe the feasibility and sustainability of CIODC.Ethics and dissemination The study has all necessary ethical approvals from the Ethics Committee of Anhui Medical University (number 2021H030). All participants will provide informed consent prior to participation. Findings will be disseminated through conference presentations and scientific publications in peer-reviewed journals. |
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issn | 2044-6055 |
language | English |
last_indexed | 2024-04-12T12:40:58Z |
publishDate | 2022-09-01 |
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series | BMJ Open |
spelling | doaj.art-d4c7d48f088241639b06355e0e61e64d2022-12-22T03:32:47ZengBMJ Publishing GroupBMJ Open2044-60552022-09-0112910.1136/bmjopen-2022-061601Evaluating an oral health programme for the prevention of dental decay among school-aged children in China: protocol for a mixed-methods study based on the RE-AIM frameworkLi Wang0Hueiming Liu1Linhai Zhao2Wei Guo3Lidan Wang4Yanqun Zhang5Peilin Wu6Xiangxiang Chang7Wenhua Xu8School of Health Service and Management, Anhui Medical University, Hefei, Anhui, ChinaThe George Institute for Global Health, Newtown, New South Wales, AustraliaSchool of Health Service and Management, Anhui Medical University, Hefei, Anhui, ChinaSchool of Health Service and Management, Anhui Medical University, Hefei, Anhui, ChinaSchool of Health Service and Management, Anhui Medical University, Hefei, Anhui, ChinaSchool of Health Service and Management, Anhui Medical University, Hefei, Anhui, ChinaSchool of Health Service and Management, Anhui Medical University, Hefei, Anhui, ChinaSchool of Health Service and Management, Anhui Medical University, Hefei, Anhui, ChinaStomatologic Hospital & College, Anhui Medical University, Hefei, Anhui, ChinaIntroduction The objective of the Comprehensive Intervention of Oral Disease for Children (CIODC) in China is to prevent dental decay for school-aged children and provide free prevention services in pilot areas beginning in 2008. It is a potentially affordable, acceptable and effective prevention strategy to use for more school-aged children in the future. There is a shortage of robust evidence regarding the cost-effectiveness, feasibility and scalability of prevention strategies for dental decay for school-aged children in China. This study aims to provide a comprehensive evaluation, including an economic evaluation and process evaluation, to better understand how and why the public health programme may be effective and economical.Methods and analysis Mixed methods will be used in this study. Cost-effectiveness analysis (CEA) will be conducted from a societal perspective, based on a modelling study over 6 years (from age 7 to 12) in terms of the incremental cost-effectiveness ratios per dental decay averted. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework informed the process evaluation. An estimated 48–80 semistructured interviews with service providers, patient parents/caregivers and decision-makers under the logic model will be used in the progress evaluation to describe the feasibility and sustainability of CIODC.Ethics and dissemination The study has all necessary ethical approvals from the Ethics Committee of Anhui Medical University (number 2021H030). All participants will provide informed consent prior to participation. Findings will be disseminated through conference presentations and scientific publications in peer-reviewed journals.https://bmjopen.bmj.com/content/12/9/e061601.full |
spellingShingle | Li Wang Hueiming Liu Linhai Zhao Wei Guo Lidan Wang Yanqun Zhang Peilin Wu Xiangxiang Chang Wenhua Xu Evaluating an oral health programme for the prevention of dental decay among school-aged children in China: protocol for a mixed-methods study based on the RE-AIM framework BMJ Open |
title | Evaluating an oral health programme for the prevention of dental decay among school-aged children in China: protocol for a mixed-methods study based on the RE-AIM framework |
title_full | Evaluating an oral health programme for the prevention of dental decay among school-aged children in China: protocol for a mixed-methods study based on the RE-AIM framework |
title_fullStr | Evaluating an oral health programme for the prevention of dental decay among school-aged children in China: protocol for a mixed-methods study based on the RE-AIM framework |
title_full_unstemmed | Evaluating an oral health programme for the prevention of dental decay among school-aged children in China: protocol for a mixed-methods study based on the RE-AIM framework |
title_short | Evaluating an oral health programme for the prevention of dental decay among school-aged children in China: protocol for a mixed-methods study based on the RE-AIM framework |
title_sort | evaluating an oral health programme for the prevention of dental decay among school aged children in china protocol for a mixed methods study based on the re aim framework |
url | https://bmjopen.bmj.com/content/12/9/e061601.full |
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