Alternative community-led intervention to improve uptake of cataract surgery services in rural Tanzania—The Dodoma Community Cataract Acceptance Trial (DoCCAT): a protocol for intervention co-designing and implementation in a cluster-randomized controlled trial

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dc.contributor.authorSandi, Frank
dc.contributor.authorMercer, Gareth
dc.contributor.authorGeneau, Robert
dc.contributor.authorBassett, Kenneth
dc.contributor.authorBintabara, Deogratius
dc.contributor.authorKalolo, Albino
dc.date.accessioned2024-08-20T04:46:21Z
dc.date.available2024-08-20T04:46:21Z
dc.date.issued2024
dc.descriptionFull-text. Available at https://doi.org/10.1093/biomethods/bpae016
dc.description.abstractAge-related lens opacification (cataract) remains the leading cause of visual impairment and blindness worldwide. In low- and middle-income countries, utilization of cataract surgical services is often limited despite community-based outreach programmes. Community-led research, whereby researchers and community members collaboratively co-design intervention is an approach that ensures the interventions are locally relevant and that their implementation is feasible and socially accepted in the targeted contexts. Community-led interventions have the potential to increase cataract surgery uptake if done appropriately. In this study, once the intervention is co-designed it will be implemented through a cluster-randomized controlled trial (cRCT) with ward as a unit of randomization. This study will utilise both the qualitative methods for co-designing the intervention and the quantitative methods for effective assessment of the developed community-led intervention through a cRCT in 80 rural wards of Dodoma region, Tanzania (40 Intervention). The ‘intervention package’ will be developed through participatory community meetings and ongoing evaluation and modification of the intervention based on its impact on service utilization. Leask’s four stages of intervention co-creation will guide the development within Rifkin’s CHOICE framework. The primary outcomes are two: the number of patients attending eye disease screening camps, and the number of patients accepting cataract surgery. NVivo version 12 will be used for qualitative data analysis and Stata version 12 for quantitative data. Independent and paired t-tests will be performed to make comparisons between and within groups. P-values less than 0.05 will be considered statistically significant.
dc.identifier.citationSandi, F., Mercer, G., Geneau, R., Bassett, K., Bintabara, D., & Kalolo, A. (2024). Alternative community-led intervention to improve uptake of cataract surgery services in rural Tanzania—The Dodoma Community Cataract Acceptance Trial (DoCCAT): a protocol for intervention co-designing and implementation in a cluster-randomized controlled trial. Biology Methods and Protocols, 9(1), bpae016.
dc.identifier.doi10.1093/biomethods/bpae016
dc.identifier.otherDOI: 10.1093/biomethods/bpae016
dc.identifier.urihttps://repository.udom.ac.tz/handle/20.500.12661/4870
dc.language.isoen
dc.publisherOxford University Press (OUP)
dc.relation.ispartofBiology Methods and Protocols
dc.subjectCataract surgery
dc.subjectCommunity-led interventions
dc.subjectCluster-randomized controlled trial (cRCT)
dc.subjectService utilization
dc.subjectParticipatory co-design
dc.subjectDodoma Region
dc.subjectTanzania
dc.titleAlternative community-led intervention to improve uptake of cataract surgery services in rural Tanzania—The Dodoma Community Cataract Acceptance Trial (DoCCAT): a protocol for intervention co-designing and implementation in a cluster-randomized controlled trial
dc.typeArticle
oaire.citation.issue1
oaire.citation.volume9
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