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Health education interventions to raise awareness of rheumatic fever: a systematic review protocol.
[acute rheumatic fever]
There
is
a
significant
global
health
burden
associated
with
acute
rheumatic
fever
(
ARF
)
and
rheumatic
heart
disease
(
RHD
)
,
especially
in
developing
countries
.
ARF
and
RHD
most
often
strike
children
and
young
adults
living
in
impoverished
settings
,
where
unhygienic
conditions
and
lack
of
awareness
and
knowledge
of
streptococcal
infection
progression
are
common
.
Secondary
prophylactic
measures
have
been
recommended
in
the
past
,
but
primary
prevention
measures
have
been
gaining
more
attention
from
researchers
frustrated
by
the
perpetual
prevalence
of
ARF
and
RHD
in
developing
countries
.
Health
education
aims
to
empower
people
to
take
responsibility
for
their
own
well-being
by
gaining
control
over
the
underlying
factors
that
influence
health
.
We
therefore
conducted
a
review
of
the
current
best
evidence
for
the
use
of
health
education
interventions
to
increase
awareness
and
knowledge
of
streptococcal
pharyngitis
and
ARF
.
T
his
article
describes
the
protocol
for
a
systematic
review
of
the
effectiveness
of
health
education
interventions
aimed
at
increasing
awareness
and
knowledge
of
the
symptoms
,
causes
and
consequences
of
streptococcal
pharyngitis
,
rheumatic
fever
and
/
or
rheumatic
heart
disease
.
Studies
will
be
selected
in
which
the
effect
of
an
intervention
is
compared
with
either
a
pre-intervention
or
a
control
,
targeting
all
possible
audience
types
.
Primary
and
secondary
outcomes
of
interest
are
pre-specified
.
Randomized
controlled
trials
,
quasi-randomized
trials
,
controlled
before-after
studies
and
controlled
clinical
trials
will
be
considered
.
We
will
search
several
bibliographic
databases
(
for
example
,
PubMed
,
EMBASE
,
World
Health
Organization
Library
databases
,
Google
Scholar
)
and
search
sources
for
gray
literature
.
We
will
meta
-analyze
included
studies
.
We
will
conduct
subgroup
analyses
according
to
intervention
subtypes
:
printed
versus
audiovisual
and
mass
media
versus
training
workshops
.
This
review
will
provide
evidence
for
the
effectiveness
of
educational
components
in
health
promotion
interventions
in
raising
public
awareness
in
regard
to
the
symptoms
,
causes
and
consequences
of
streptococcal
pharyngitis
,
ARF
and
/
or
RHD
.
Our
results
may
provide
guidance
in
the
development
of
future
intervention
studies
and
programs
.
Diseases
Validation
Diseases presenting
"secondary outcomes"
symptom
acute rheumatic fever
congenital diaphragmatic hernia
heparin-induced thrombocytopenia
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
thoracic outlet syndrome
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