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从一开始就做对(GIRFTS):一项基于学校框架的改善儿童口语和阅读成果的阶梯式楔形集群随机对照试验方案。

Getting it Right from the Start (GIRFTS): protocol for a stepped-wedge cluster randomised controlled trial of a school-based framework to improve children's oral language and reading outcomes.

机构信息

Population Health, Murdoch Children's Research Institute, Parkville, Victoria, Australia

Faculty of Education, The University of Melbourne, Melbourne, Victoria, Australia.

出版信息

BMJ Paediatr Open. 2024 Nov 2;8(1):e002466. doi: 10.1136/bmjpo-2023-002466.

Abstract

INTRODUCTION

Strong oral language and reading skills are important for child development. The response to intervention (RTI) framework supports schools to apply evidence-based practices and interventions to proactively meet the learning needs of all students and identify and support students at risk of learning difficulties. Getting it Right from the Start (GIRFTS) aims to implement a codesigned RTI framework in the first 2 years of formal schooling (foundation and grade 1) to improve oral language and reading skills. GIRFTS includes an implementation evaluation.

METHODS AND ANALYSIS

GIRFTS is a stepped-wedge cluster randomised trial conducted in Victoria, Australia, over 3 years. Clusters are primary schools. The intervention is to implement tiers 1 and 2 of the RTI framework into foundation and grade 1 according to RTI principles. The primary outcome is reading comprehension by the start of grade 2. Secondary outcomes include listening comprehension, word and non-word reading and phonological awareness. An implementation evaluation will also be conducted with the study to understand schools' RTI implementation process and enablers and barriers to implementation. Strategies used by schools to overcome implementation challenges will also be investigated.

ETHICS AND DISSEMINATION

This trial was approved by the Royal Children's Hospital Human Research Ethics Committee (HREC/58832/RCHM-2019). Investigators will communicate the results to stakeholders, collaborators and participating schools and teachers through presentations and publications.

TRIAL REGISTRATION NUMBERS

ISRCTN91164066, ACTRN12622000146796.

摘要

简介

强大的口语和阅读技能对儿童发展很重要。反应干预 (RTI) 框架支持学校应用循证实践和干预措施,主动满足所有学生的学习需求,并识别和支持有学习困难风险的学生。从一开始就做对 (GIRFTS) 旨在在前 2 年的正规学校教育(基础和 1 年级)中实施经共同设计的 RTI 框架,以提高口语和阅读技能。GIRFTS 包括实施评估。

方法与分析

GIRFTS 是在澳大利亚维多利亚州进行的一项为期 3 年的梯级式集群随机对照试验。集群是小学。干预措施是根据 RTI 原则,在基础和 1 年级实施 RTI 框架的 1 级和 2 级。主要结果是在 2 年级开始时的阅读理解能力。次要结果包括听力理解、单词和非单词阅读和语音意识。还将对研究进行实施评估,以了解学校的 RTI 实施过程以及实施的促进因素和障碍。还将研究学校用来克服实施挑战的策略。

伦理与传播

该试验已获得皇家儿童医院人类研究伦理委员会 (HREC/58832/RCHM-2019) 的批准。调查人员将通过演示和出版物向利益相关者、合作者和参与学校和教师传达研究结果。

试验注册号

ISRCTN91164066、ACTRN12622000146796。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/790b/11535705/374cccefc6e3/bmjpo-8-1-g001.jpg

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