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评估针对患有慢性健康状况的住院学生的教育支持项目的有效性:一项对照试验可行性研究的方案

Evaluating the Effectiveness of Education Support Programs for Hospitalized Students With Chronic Health Conditions: Protocol for a Feasibility Study of a Controlled Trial.

作者信息

Barnett Tony, Goldfeld Sharon, Kelaher Margaret

机构信息

University of Melbourne, AU.

Murdoch Children's Research Institute, AU.

出版信息

Contin Educ. 2020 Nov 20;1(1):126-135. doi: 10.5334/cie.10. eCollection 2020.

Abstract

Chronic health conditions in children and young people can have a significant impact on their ability to maintain engagement in school, education, and learning. While this functional limitation affects only about 1.6% of all children and young people, the absolute number is not inconsequential. In Australia, for example, the number is in the order of 67,000 children and young people. Furthermore, research has shown that this group of young learners are at increased risk of lower academic, social, and emotional and quality of life outcomes than their healthy peers, both in the short and the longer term. For this reason, most pediatric hospitals in western developed countries have hospital-based schools that aim to prevent children and young people with a chronic health condition from disengaging from school, education, and learning. However, there is a lack of robust evidence of the effectiveness of these education support programs. This protocol for a feasibility study of the effectiveness of evaluating an education support program in Australia aims to identify a priori the methodological key features of a robust trial, including developing an answerable research question, choosing a controlled study design that compares the outcomes of both an intervention group and a well-matched non-intervention or control group, eligibility criteria, important and validated outcome measures such as quality of life, and how statistical data should be analyzed and reported. Lessons learned from the proposed feasibility study will be used to inform a larger-scale study.

摘要

儿童和青少年的慢性健康状况会对他们持续参与学校教育和学习的能力产生重大影响。虽然这种功能限制仅影响约1.6%的儿童和青少年,但绝对数量不容小觑。例如,在澳大利亚,这一数字约为67,000名儿童和青少年。此外,研究表明,与健康同龄人相比,这群年轻学习者在短期和长期内学业成绩较低、社交和情感及生活质量较差的风险更高。因此,西方发达国家的大多数儿科医院都设有校内学校,旨在防止患有慢性健康状况的儿童和青少年脱离学校教育和学习。然而,缺乏有力证据证明这些教育支持项目的有效性。本澳大利亚教育支持项目有效性评估可行性研究方案旨在预先确定一项有力试验方案的方法学关键特征,包括提出一个可解答的研究问题、选择一种对照研究设计,比较干预组和匹配良好的非干预或对照组的结果、资格标准、重要且经过验证的结果指标(如生活质量),以及应如何分析和报告统计数据。从拟议的可行性研究中吸取的经验教训将用于为更大规模的研究提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fe2/11104333/136a83c4e01d/cie-1-1-10-g1.jpg

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