{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T18:02:23Z","timestamp":1793901743239,"version":"4.8.0"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T00:00:00Z","timestamp":1709856000000},"content-version":"vor","delay-in-days":67,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Lions Clubs International Foundation Grand Number","award":["SFP2138\/UND"],"award-info":[{"award-number":["SFP2138\/UND"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Age-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.<\/jats:p>\n               <jats:p>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.<\/jats:p>\n               <jats:p>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 \u2018intervention package\u2019 will be developed through participatory community meetings and ongoing evaluation and modification of the intervention based on its impact on service utilization. Leask\u2019s four stages of intervention co-creation will guide the development within Rifkin\u2019s 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.<\/jats:p>","DOI":"10.1093\/biomethods\/bpae016","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T19:27:07Z","timestamp":1709926027000},"source":"Crossref","is-referenced-by-count":2,"title":["Alternative community-led intervention to improve uptake of cataract surgery services in rural Tanzania\u2014The Dodoma Community Cataract Acceptance Trial (DoCCAT): a protocol for intervention co-designing and implementation in a cluster-randomized controlled trial"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2073-2041","authenticated-orcid":false,"given":"Frank","family":"Sandi","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, The University of Dodoma Medical School , Dodoma, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gareth","family":"Mercer","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology & Visual Sciences, University of Toronto , Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Geneau","sequence":"additional","affiliation":[{"name":"Division of Ophthalmology, University of Cape Town , Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Bassett","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, The University of British Columbia , Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deogratius","family":"Bintabara","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, The University of Dodoma Medical School , Dodoma, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2318-2949","authenticated-orcid":false,"given":"Albino","family":"Kalolo","sequence":"additional","affiliation":[{"name":"Department of Public Health, St Francis University College of Health and Allied Sciences , Morogoro, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,3,8]]},"reference":[{"key":"2024040222431118200_bpae016-B1","doi-asserted-by":"crossref","first-page":"e489\u2013551","DOI":"10.1016\/S2214-109X(20)30488-5","article-title":"The lancet global health commission on global eye health: vision beyond 2020","volume":"9","author":"Burton","year":"2021","journal-title":"Lancet Glob Health"},{"key":"2024040222431118200_bpae016-B2"},{"key":"2024040222431118200_bpae016-B3","doi-asserted-by":"crossref","first-page":"e130\u201343","DOI":"10.1016\/S2214-109X(20)30425-3","article-title":"Trends in prevalence of 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