Rowe Anita, Titterington Jill, Taggart Laurence
Institute of Nursing and Health Research, Ulster University, Shore Road, Newtownabbey, Antrim BT37 0QB Northern Ireland.
Pilot Feasibility Stud. 2019 Jun 24;5:82. doi: 10.1186/s40814-019-0468-8. eCollection 2019.
There is international recognition of the need for creative, classroom-based interventions to support children at risk of low academic achievement and well-being, due to poor attention and language skills on school entry. Working memory (WM) is a cognitive skill that is strongly associated with attention and language skills. There has been speculation that WM training, embedded within typical educational activities, may improve children's WM skills and produce transfer effects to real-world skills such as attention and language. However, little is known about the effectiveness of this approach.'Recall to Enhance Children's Attention, Language and Learning' (RECALL) is a novel, 6-week, classroom-based intervention targeting WM, attention and language skills in 4-5 year olds. RECALL was co-produced with health professionals, teachers and parents. This protocol describes the rationale, methods and analysis plan for a proposed cluster randomised feasibility trial of this RECALL programme.
This is a three-arm, cluster randomised feasibility trial comparing RECALL to an existing programme (active control), and no-intervention (education as usual). We will recruit six schools in socially disadvantaged areas in one region of the UK. Two schools will be randomly allocated to each arm of the trial. In each school, one class of children (ages 4-5 years) of approx. 30 children will be involved in this study. Ten children in each class will be sampled purposefully for outcome measurement including: standardised assessments of WM, language and attention skills; teacher ratings of attention; and parent ratings of functional communication skills. These will be administered at baseline and 1-week post-intervention in order to test the acceptability of the measures. A process evaluation using semi-structured interviews with participants will explore the acceptability of RECALL and the procedures employed in this trial.
This feasibility study will explore the acceptability of RECALL to the health professionals and teachers who will deliver it and inform the optimal design of the programme. The inclusion of an active control group and the blinding of outcomes assessors enhance rigour in this study. The findings will determine whether this study can be scaled-up into a definitive cluster randomised trial to evaluate the effectiveness of RECALL.
ISRCTN13633886. Registered 7 Sept 2018.
由于入学时注意力和语言技能较差，需要采取基于课堂的创新性干预措施来帮助学业成绩不佳和幸福感较低的儿童，这一需求已得到国际认可。工作记忆（WM）是一种与注意力和语言技能密切相关的认知技能。有人推测，将工作记忆训练融入典型的教育活动中，可能会提高儿童的工作记忆技能，并对注意力和语言等现实世界技能产生迁移效应。然而，对于这种方法的有效性知之甚少。“唤起以增强儿童注意力、语言和学习能力”（RECALL）是一项为期6周、基于课堂的新颖干预措施，旨在针对4至5岁儿童的工作记忆、注意力和语言技能。RECALL是与健康专业人员、教师和家长共同制定的。本方案描述了一项关于该RECALL计划的拟议整群随机可行性试验的基本原理、方法和分析计划。
这是一项三臂整群随机可行性试验，将RECALL与现有计划（积极对照）和无干预（照常教育）进行比较。我们将在英国一个地区的社会弱势地区招募六所学校。两所学校将被随机分配到试验的每个组。在每所学校，一个约30名4至5岁儿童的班级将参与本研究。每个班级将有10名儿童被有目的地抽样进行结果测量，包括：工作记忆、语言和注意力技能的标准化评估；教师对注意力的评分；以及家长对功能性沟通技能的评分。这些将在基线和干预后1周进行，以测试这些测量方法的可接受性。使用对参与者的半结构化访谈进行过程评估，将探讨RECALL的可接受性以及本试验中采用的程序。
这项可行性研究将探讨RECALL对实施该计划的健康专业人员和教师的可接受性，并为该计划的最佳设计提供信息。纳入积极对照组和对结果评估者进行盲法处理提高了本研究的严谨性。研究结果将确定这项研究是否可以扩大为一项确定性的整群随机试验以评估RECALL的有效性。
ISRCTN13633886。2被随机分配到试验的每个组。在每所学校，一个约30名4至5岁儿童的班级将参与本研究。每个班级将有10名儿童被有目的地抽样进行结果测量，包括：工作记忆、语言和注意力技能的标准化评估；教师对注意力的评分；以及家长对功能性沟通技能的评分。这些将在基线和干预后1周进行，以测试这些测量方法的可接受性。使用对参与者的半结构化访谈进行过程评估，将探讨RECALL的可接受性以及本试验中采用的程序。
这项可行性研究将探讨RECALL对实施该计划的健康专业人员和教师的可接受性，并为该计划的最佳设计提供信息。纳入积极对照组和对结果评估者进行盲法处理提高了本研究的严谨性。研究结果将确定这项研究是否可以扩大为一项确定性的整群随机试验以评估RECALL的有效性。
ISRCTN13633886。2018年9月7日注册。
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