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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Main Authors: Li Wang, Hueiming Liu, Linhai Zhao, Wei Guo, Lidan Wang, Yanqun Zhang, Peilin Wu, Xiangxiang Chang, Wenhua Xu
Format: Article
Language:English
Published: BMJ Publishing Group 2022-09-01
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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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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