PMID- 32584263 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 1929-0748 (Print) IS - 1929-0748 (Electronic) IS - 1929-0748 (Linking) VI - 9 IP - 6 DP - 2020 Jun 25 TI - Determining the Impact of a School-Based Health Education Package for Prevention of Intestinal Worm Infections in the Philippines: Protocol for a Cluster Randomized Intervention Trial. PG - e18419 LID - 10.2196/18419 [doi] LID - e18419 AB - BACKGROUND: Repeated mass drug administration (MDA) of antihelminthics to at-risk populations is still the main strategy for the control of soil-transmitted helminth (STH) infections. However, MDA, as a stand-alone intervention, does not prevent reinfection. Accordingly, complementary measures to prevent STH reinfection, such as health education and improved sanitation, as part of an integrated control approach, are required to augment the effectiveness of MDA for optimal efficiency and sustainability. OBJECTIVE: The aim of this study is to determine the impact and generalizability of a school-based health education package entitled The Magic Glasses for STH prevention in the Philippines. METHODS: We conducted a cluster randomized controlled intervention trial, involving 2020 schoolchildren aged 9-10 years, in 40 schools in Laguna Province, Philippines, to evaluate the impact of the school-based health education package for the prevention of STHs. The trial was conducted over the course of 1 year (June 2016 to July 2017). A total of 20 schools were randomly assigned to the intervention arm, in which The Magic Glasses Philippines health education package was delivered with the standard health education activities endorsed by the Philippines Department of Health (DOH) and the Department of Education (DepEd). The other 20 schools comprised the control arm of the study, where the DOH/DepEd's standard health education activities were done. At baseline, parasitological assessments and a knowledge, attitude, and practice survey were carried out in all schools. In addition, height, weight, and hemoglobin levels were obtained from each child (after parental consent), and their school attendance and academic performance in English and mathematics were accessed from the school records. The baseline and 2 follow-up surveys were completed using the same study measurements and quality-control assessments. RESULTS: Key results from this cluster randomized intervention trial will shed light on the impact that The Magic Glasses health education package will have against STH infections in schoolchildren in the province of Laguna, located on the Island of Luzon, in the Calabarzon Region of the Philippines. CONCLUSIONS: The results of the trial will be used to assess the generalizability of the impact of The Magic Glasses health education package in different epidemiological and cultural settings, providing evidence for translation of this health education package into public health policy and practice in the Asian region and beyond. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry number ACTRN12616000508471; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368849. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/18419. CI - (c)Mary Lorraine S Mationg, Gail M Williams, Veronica L Tallo, Remigio M Olveda, Eindra Aung, Portia Alday, Mark Donald Renosa, Chona Mae Daga, Jhoys Landicho, Maria Paz Demonteverde, Eunice Dianne Santos, Thea Andrea Bravo, Franziska A Angly Bieri, Yuesheng Li, Archie C A Clements, Peter Steinmann, Kate Halton, Donald E Stewart, Donald P McManus, Darren J Gray. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 25.06.2020. FAU - Mationg, Mary Lorraine S AU - Mationg MLS AUID- ORCID: 0000-0002-0161-419X AD - Research School of Population Heath, The Australian National University, Canberra, Australia. AD - Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine, Manila, Philippines. FAU - Williams, Gail M AU - Williams GM AUID- ORCID: 0000-0002-4822-5263 AD - School of Public Health, University of Queensland, Brisbane, Australia. FAU - Tallo, Veronica L AU - Tallo VL AUID- ORCID: 0000-0001-8389-8722 AD - Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine, Manila, Philippines. FAU - Olveda, Remigio M AU - Olveda RM AD - Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine, Manila, Philippines. FAU - Aung, Eindra AU - Aung E AUID- ORCID: 0000-0001-7297-5593 AD - Research School of Population Heath, The Australian National University, Canberra, Australia. AD - St Vincent's Clinical School, University of New South Wales, Sydney, Australia. FAU - Alday, Portia AU - Alday P AUID- ORCID: 0000-0001-9360-8477 AD - Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine, Manila, Philippines. FAU - Renosa, Mark Donald AU - Renosa MD AUID- ORCID: 0000-0002-7414-7174 AD - Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine, Manila, Philippines. FAU - Daga, Chona Mae AU - Daga CM AUID- ORCID: 0000-0001-7198-8691 AD - Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine, Manila, Philippines. FAU - Landicho, Jhoys AU - Landicho J AUID- ORCID: 0000-0002-0152-2658 AD - Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine, Manila, Philippines. FAU - Demonteverde, Maria Paz AU - Demonteverde MP AUID- ORCID: 0000-0002-5905-5909 AD - Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine, Manila, Philippines. FAU - Santos, Eunice Dianne AU - Santos ED AUID- ORCID: 0000-0001-5914-2597 AD - Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine, Manila, Philippines. FAU - Bravo, Thea Andrea AU - Bravo TA AUID- ORCID: 0000-0003-3747-3103 AD - Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine, Manila, Philippines. FAU - Angly Bieri, Franziska A AU - Angly Bieri FA AUID- ORCID: 0000-0001-6239-1463 AD - Research School of Population Heath, The Australian National University, Canberra, Australia. FAU - Li, Yuesheng AU - Li Y AUID- ORCID: 0000-0001-5202-2509 AD - Molecular Parasitology Laboratory, Infectious Diseases Division, QIMR Berghofer Medical Research Institute, Brisbane, Australia. AD - Hunan Institute of Parasitic Diseases, World Health Organization Collaborating Centre for Research and Control on Schistosomiasis in Lake Region, Yueyang, China. FAU - Clements, Archie C A AU - Clements ACA AUID- ORCID: 0000-0002-7601-325X AD - Faculty of Health Sciences, Curtin University, Perth, Australia. FAU - Steinmann, Peter AU - Steinmann P AUID- ORCID: 0000-0003-4800-3019 AD - Swiss Tropical and Public Health Institute, Basel, Switzerland. AD - University of Basel, Basel, Switzerland. FAU - Halton, Kate AU - Halton K AUID- ORCID: 0000-0001-9785-1458 AD - School of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia. FAU - Stewart, Donald E AU - Stewart DE AUID- ORCID: 0000-0001-7588-7273 AD - Research School of Population Heath, The Australian National University, Canberra, Australia. AD - School of Medicine, Griffith University, Brisbane, Australia. FAU - McManus, Donald P AU - McManus DP AUID- ORCID: 0000-0001-6443-1449 AD - Molecular Parasitology Laboratory, Infectious Diseases Division, QIMR Berghofer Medical Research Institute, Brisbane, Australia. FAU - Gray, Darren J AU - Gray DJ AUID- ORCID: 0000-0003-3525-1339 AD - Research School of Population Heath, The Australian National University, Canberra, Australia. LA - eng PT - Journal Article DEP - 20200625 PL - Canada TA - JMIR Res Protoc JT - JMIR research protocols JID - 101599504 PMC - PMC7381005 OTO - NOTNLM OT - Magic Glasses OT - Philippines OT - integrated control OT - randomized controlled trial OT - school-based health educational intervention OT - soil-transmitted helminths COIS- Conflicts of Interest: None declared. EDAT- 2020/06/26 06:00 MHDA- 2020/06/26 06:01 PMCR- 2020/06/25 CRDT- 2020/06/26 06:00 PHST- 2020/03/04 00:00 [received] PHST- 2020/04/09 00:00 [accepted] PHST- 2020/04/07 00:00 [revised] PHST- 2020/06/26 06:00 [entrez] PHST- 2020/06/26 06:00 [pubmed] PHST- 2020/06/26 06:01 [medline] PHST- 2020/06/25 00:00 [pmc-release] AID - v9i6e18419 [pii] AID - 10.2196/18419 [doi] PST - epublish SO - JMIR Res Protoc. 2020 Jun 25;9(6):e18419. doi: 10.2196/18419.