Impact of an Epilepsy Educational Programme on Coping Mechanism, Attitude, Knowledge and Awareness: A Rural Sabah Experience

2020 ◽  
Vol 18 (2) ◽  
pp. 1-14
Author(s):  
Sivaraj Raman ◽  
Chun Wai Chang ◽  
Jin Ee Heng ◽  
See Wan Wong

Epilepsy is a disabling disease which has not been adequately emphasised as a public health concern. Patients are often left in the dark about their disease, affecting their ability to cope and live a normal life. This study aimed to explore and evaluate the effects of a structured epilepsy education programme (EEP) on awareness, knowledge and attitude (AKA) and coping mechanism of patients. Recruited participants were required to complete the modified Malay AKA epilepsy questionnaire and Malay brief coping orientation to problem experienced (Brief COPE)-27. Upon completion, they received a structured EEP conducted by trained personnel using validated materials. Participants were then followed up for a period of 6 months and reassessed at 1, 3 and 6 months to measure any changes in their AKA and coping mechanisms. Twenty-two participants were successfully recruited. Total AKA score of participants showed a significant increase (mean score difference = 16.3, p = 0.021, 95% CI: 3.0, 28.1) at 6 months post-EEP. This improvement was mostly contributed by the increase in both knowledge and attitude scores. Religion was the most preferred coping mechanism (82.5%), followed by instrumental support, emotional support, active coping and acceptance at 75.0%, respectively. Only three domains showed significant differences after the educational programme: planning: 62.5% versus 77.5%, p = 0.026; denial: 57.5% versus 37.5%, p = 0.004; venting: 62.5% versus 52.5%, p = 0.004. The EEP was effective in improving attitude and knowledge while bringing about changes in coping skills of patients over a period of time. Educational programmes should be part of epilepsy standard of care, especially as they are inexpensive and brief yet impactful

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Salma Mohamed Samir El Said ◽  
Ghada Essam El-Din Amin ◽  
Essam Mohamed Baumy Helal ◽  
Reham Salah Amin Radwan ◽  
Hoda MF Wahba

Background. Empowering the elderly by education programs can decrease medication problems, morbidity, and mortality. Methods. A cross-sectional study to identify trends and baseline medication management among the elderly in nursing homes followed by an interventional study (tailored educational programme) offered within the same population followed by reassessment of the same medication management domains. Results. There was no effect regarding nursing home participants’ medication knowledge before and after intervention, while there were variable degrees of significant statistical differences in how the participants obtain and take their medications as well as their total deficiency scores before and after intervention. Other domains were also variably affected. Conclusion. It is vital to ensure that patients have sufficient knowledge regarding their medications and how to handle and administer them. Different domains may variably be affected by educational programmes mainly due to preassessment deficits. Educational programmes need to be tailored according to the requirements of the population targeted.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Rohan Kalra ◽  
Narayan R Mutalik ◽  
Vinod A ◽  
Shankar Moni ◽  
S B Choudhari ◽  
...  

Background: In the current competitive world, every student’s life is very stressful due to various factors like studies, exams, batch mates, lecturers or pressure by parents. Stress is sometimes called as the wear and tear experienced by everyone’s body because we need to adjust to the ever changing environment. Objective: Aim was to assess the perceived stress and coping profile among undergraduate medical students in Bagalkot. A total of 100 undergraduate students from S. N. Medical College, Bagalkot were included based on systematic random sampling test methods. Each enrolled student was given two self-rating questionnaires-Perceived Stress Scale and Brief Cope Inventory. Chi-square test and Fisher’s exact were used for analysis. Result: Majority of study participants had belonged to very high health concern level followed by high health concern level. Most of the participants used self-distraction and active coping strategy. Perceived stress was not associated with sex, religion, place of domicile or type of the family. Conclusion: The effect of stress depends on the way it is perceived. The coping strategies are usually influenced by socioeconomic and cultural characteristics. So they vary from individuals to individuals. Students who are stressed must receive counseling on how to manage and cope up with the stress. We need to enforce early interventions strategies to improve the quality of life of each student by reducing the stress.


Author(s):  
Maria Isabel Dias Costa Malheiro

Current health guidelines aim to increase the responsibility of people with chronic conditions to self-care. Literature studies highlight educational programmes for self-management of chronic conditions as a holistic approach, involving special health needs and emotional, psychological and social needs. Lorig and Holman (with adults and the elderly population) and Malheiro (with adolescent’s with spina bifida) have proposed self-management educational programmes, using ‘Lay-leds’, as mentors on programmes. These programmes have proven effective, with positive health outcomes, such as improvement on adherence to therapy, functionality and decrease of use of emergency services and hospitalisations and reducing health costs. Thus, we propose to adapt and implement this education programme for self-management of adolescents with diabetes type 1, using Lay-leds as educators, and evaluate their effectiveness on self-management competences, quality of life, self-efficacy, physical activity motivation, self-concept, HbA1c, variability in heart rate, blood pressure, body mass index and anthropometric profile. Keywords: Self-management programme, adolescents, chronic conditions, Lay-leds.


2021 ◽  
Vol 10 (1) ◽  
pp. e001087
Author(s):  
Tarek F Radwan ◽  
Yvette Agyako ◽  
Alireza Ettefaghian ◽  
Tahira Kamran ◽  
Omar Din ◽  
...  

A quality improvement (QI) scheme was launched in 2017, covering a large group of 25 general practices working with a deprived registered population. The aim was to improve the measurable quality of care in a population where type 2 diabetes (T2D) care had previously proved challenging. A complex set of QI interventions were co-designed by a team of primary care clinicians and educationalists and managers. These interventions included organisation-wide goal setting, using a data-driven approach, ensuring staff engagement, implementing an educational programme for pharmacists, facilitating web-based QI learning at-scale and using methods which ensured sustainability. This programme was used to optimise the management of T2D through improving the eight care processes and three treatment targets which form part of the annual national diabetes audit for patients with T2D. With the implemented improvement interventions, there was significant improvement in all care processes and all treatment targets for patients with diabetes. Achievement of all the eight care processes improved by 46.0% (p<0.001) while achievement of all three treatment targets improved by 13.5% (p<0.001). The QI programme provides an example of a data-driven large-scale multicomponent intervention delivered in primary care in ethnically diverse and socially deprived areas.


2020 ◽  
pp. 001789692098162
Author(s):  
Muhammad Naeem ◽  
Hamad Ghalib Dailah

Background: This study explored the role of hospitals, specialised doctors and staff in developing patient awareness, participation and motivation concerning asthma control. It also looked at the challenges that undermine the value of asthma educational programmes, especially in an Arab cultural context. Methods: Semi-structured interviews were used to collect data from 30 asthma patients who had been living with asthma for a long period of time. Results: Findings highlight how an asthma educational programme can increase patient knowledge about the causes of asthma. Following the programme, patients had a better understanding of levels of medication, breathing techniques and rest and relaxation. Awareness of support from health professionals for managing depression and frustration also increased. However, some patients felt that the asthma educational programme content and delivery was not very interactive and was too lengthy. Conclusion: Findings can help policy makers, researchers, hospitals, doctors and the national Ministry of Health improve the content of future asthma educational programmes. They can also inform the development of a research framework to extend understanding of relevant issues in an Arabian context.


2005 ◽  
Vol 13 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Faye Hayman

Objective: To provide descriptive information about a short-term educational programme for rural carers of people with a mental illness, living in the Loddon Campaspe Southern Mallee region. Method: The Carers Education Exchange Programme is a flexible, needsbased model that can be modified to cater for individual groups. It consists of a number of sessions on topics relevant to caring for someone with a mental illness, held over a period of several weeks. The programme is offered at locations throughout the region, making it accessible to carers in isolated, rural areas. Results: Feedback indicates that the benefits of participating in the programme include the reduction of isolation and stigma, increased understanding of mental illness, development of skills relevant to the caring role and the formation of supportive networks, both professional and personal. Conclusions: Educational group programmes for carers are an effective way of providing both education and support. This programme can assist in reducing some of the distress and difficulties inherent in caring for someone with a mental illness. Carer well-being is enhanced by the promotion of self-care and a positive outlook.


Author(s):  
Smita Smita

A descriptive study was carried out for the purpose to investigate the level of stress and coping and to determine the relationship between stress and various coping mechanism among infertile women in selected two infertility clinic to find out the variables and their significance that may be related to study including (age, educational level, occupation, duration of infertility, …ect). The study sample consisted of 200 infertile women who were diagnosed as infertile and who were visiting infertility clinic during the data collection and met the inclusion criteria for the study. Self-developed likert scale for assessing the level of stress and coping in infertile women In this study, we used inferential and Descriptive Statistics, mean, standard deviation and mean percentage ,Correlation Coefficient Pearson, anova and unpaired t test were used in the study, the results showed that there is a moderately positive relationship between infertility related stress and coping mechanism, 47.21% was the total stress in total population, 40% have mild stress, 49.50% have moderate stress and 10.5% have severe stress. 53% have moderate coping 24% have inadequate coping 23% have adequate coping. The findings of the current study found that there is statistical significances at p>0.05. The study found significant association in age and year of infertility with stress calculated value was greater than tabulated value at p>0.05 type of family,income,substance use and exposure to stress reduction therapy have no association because the calculated value is less than tabulated value at p>0.05 and no significance in occupation, education and income per month. type of family, substance use, exposure to stress reduction technique, income with coping at p>0.05. Psychological aspect of infertility should be given more attention, and be considered in all stages of treatment and medical interventions to decrease the psychological suffering of the infertile women and to prevent developing of the psychological disorder.


2008 ◽  
Vol 54 (2) ◽  
pp. 264-272 ◽  
Author(s):  
John W McMurdy ◽  
Gregory D Jay ◽  
Selim Suner ◽  
Gregory Crawford

Abstract Background: Anemia is an underdiagnosed, significant public health concern afflicting &gt;2 billion people worldwide. The detrimental effects of tissue oxygen deficiency on the cardiovascular system and concurrent appearance of anemia with numerous high-risk disorders highlight the importance of clinical screening. Currently there is no universally accepted, clinically applicable, noninvasive hemoglobin/hematocrit screening tool. The need for such a device has prompted an investigation into a breadth of techniques. Methods: A synopsis of the literature and current directions of research in noninvasive total hemoglobin measurement was collected. Contributions highlighted in this review are limited to those studies conducted with a clinical aspect, and most include in vivo patient studies. Results: The review of potential techniques presented here includes optoacoustic spectroscopy, spectrophotometric imaging, diffuse reflectance spectroscopy, transcutaneous illumination, electrical admittance plethysmography, and photoplethysmography. The technological performance, relative benefits of each approach, potential instrumentation design considerations, and future directions are discussed in each subcategory. Conclusions: Many techniques reviewed here have shown excellent accuracy, sensitivity, and specificity in measuring hemoglobin/hematocrit, thus in the near future a new clinically viable tool for noninvasive hemoglobin/hematocrit monitoring will likely be widely used for patient care. Limiting factors in clinical adoption will likely involve technology integration into the current standard of care in each field routinely dealing with anemia.


10.28945/2779 ◽  
2004 ◽  
Author(s):  
Ho-Leung Tsoi

Business Information Systems education-such as majoring in Business Computing, E-Commerce and Business Computing, and Information Systems--is the basic foundation of all Information Systems professionals. So good planning of these programmes is an indispensable element in the development of computing disciplines. The traditional ways of planning an education programme are mainly based on understanding the goals and including appropriate teaching modules to fulfil the requirements. The major drawback of this development methodology is that the importance of different (though relevant) modules in the development process may be undermined. For instance, human and environmental factors are fundamental to planning an education programme and must be taken into account. Soft Systems Methodology (SSM) is a well-known model for information system design. This paper proposes to see an education programme as a system and adopts the soft systems concept to represent the design of the programme. Based on the soft systems concept, a new methodology, named Soft Systems Programme Planning Methodology (SSPPM), for programme planning is proposed to support designing and planning a new postsecondary programme. The SSPPM not only considers all relevant facets, but it also helps the school management to clarify the connectivity of the elements in the design of a programme.


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