scholarly journals Recognizing and Responding to Elder Mistreatment: Developing and Testing an Online Training for EMS Practitioners

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 828-828
Author(s):  
Kristin Lees Haggerty ◽  
Dana Wardlaw ◽  
Melanie Miller ◽  
Randi Campetti ◽  
Athi Myint-U ◽  
...  
Keyword(s):  
Code Of Ethics ◽  
Online Training ◽  
Health Concern ◽  
Pilot Test ◽  
Elder Mistreatment ◽  
Education Development ◽  
State Laws ◽  
Attitudes And Practices ◽  
Iterative Development ◽  
Prehospital Emergency

Abstract Elder mistreatment is an urgent and under recognized public health concern with devastating consequences for older adults, families, and health systems. Risk for elder mistreatment has increased during the COVID-19 pandemic, further highlighting the urgency to address it. Prehospital emergency medical service (EMS) practitioners have unique opportunities to recognize signs of elder mistreatment but often lack the training and tools required to facilitate consistent identification and intervention. To address this gap, Education Development Center collaborated with a team of expert advisors and EMS practitioners to develop and pilot test Recognizing and Responding to Elder Mistreatment: An Online Training for EMS Practitioners with funding from the RRF Foundation for Aging. This training aims to prepare EMS practitioners to recognize potential mistreatment and report suspected elder mistreatment in line with state laws and their professional code of ethics. In this presentation, we will describe the iterative development process, present results from a pilot test conducted with EMS practitioners in Massachusetts and share strategies and progress for disseminating the training nationally. The pilot study utilized a pre-post design to assess changes in knowledge, attitudes, and practices at baseline, immediately after and two months following participation in the training. Results indicate statistically significant improvements in knowledge related to elder mistreatment identification and response from pre- to post-training and maintenance of these improvements two months later. Participants reported feeling more prepared to address elder mistreatment in their work as EMS practitioners and applying their new knowledge and skills during the two months following the training.

scholarly journals Leveraging Prehospital Care to Address Elder Mistreatment: Development of an Online Training for EMS

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 218-219
Author(s):  
Kristin Lees Haggerty ◽  
Melanie Miller ◽  
Dana Wardlaw ◽  
Athi Myint-U ◽  
Randi Campetti ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Elder Abuse ◽  
Prehospital Care ◽  
Online Training ◽  
Well Being ◽  
Coordinated Care ◽  
Elder Mistreatment ◽  
Education Development ◽  
Adult Protective Services

Abstract Elder abuse affects an estimated 1 in 10 older adults in the US and has devastating consequences for their health and well-being yet is widely under-recognized. Prehospital emergency medical service (EMS) providers are particularly well-positioned to identify older adults who are at risk of or experiencing mistreatment, and to report and intervene as appropriate. However, many EMS providers across the country lack the training and tools required to facilitate consistent identification and intervention. Recognizing the critical need for easily accessible, comprehensive, and relevant training, Education Development Center received funding from RRF Foundation for Aging to develop and pilot test the Elder Mistreatment EMS Training Curriculum (EM-ETC). The EM-ETC aims to improve identification, referral, and linkage to coordinated care and support services for older adults who are at risk of mistreatment. In this presentation, we will describe our iterative and collaborative process for developing an interactive online training program for EMS providers. The training leverages the unique circumstances of prehospital care to prepare EMS providers to recognize and respond effectively to elder abuse and help them to fulfill state licensing requirements. We will present findings from our formative research comprising consultation with subject matter experts and state offices of EMS education, focus groups with EMS and Adult Protective Services providers, and user testing with EMS providers.

scholarly journals DECONSTRUCTING THE MODEL-MINORITY MYTH OF U.S. ASIANS: DETERMINANTS AND CONSEQUENCES OF ELDER MISTREATMENT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S760-S760
Author(s):  
XinQi Dong ◽  
Melissa Simon
Keyword(s):  
Family Relationships ◽  
Model Minority ◽  
Population Based ◽  
Community Dwelling ◽  
Health Concern ◽  
Community Research ◽  
Minority Population ◽  
Model Minority Myth ◽  
Elder Mistreatment ◽  
Population Based Study

Abstract Elder mistreatment (EM) is increasingly recognized as a global health concern. Among U.S. minority and immigrant populations, the social contexts and psychological consequences associated with EM remain poorly understood. Further population-based epidemiological studies using standard EM measures are required to advance the field. To address this gap and to challenge prior assumptions regarding Asian populations, this purpose of this symposium is to improve our understanding of EM epidemiology in an older minority population. Data were drawn from the Population-based Study of Chinese Elderly in Chicago (PINE), a longitudinal, representative, population-based study of 3,157 community-dwelling Chinese older adults in the greater Chicago area. Session 1 will examine the transmission between child mistreatment, intimate partner violence, and EM. Session 2 will take a typology approach to capture the multifaceted family relationships, and will further examine which family typologies were associated with greater likelihood of EM, while which typologies were protective against EM. Session 3 will explore the positive and negative aspects of social support from spouse, family, and friends in relationship to EM subtypes, including psychological, physical, financial and sexual mistreatment, and caregiver neglect. Session 4 will examine the relationship between broad, moderate, and strict definitions of EM and likelihood of experiencing anxiety. Last, Session 5 will explore the differential relationships between EM subtypes and depressive symptoms. In summation, this symposium challenges popular conceptions of the “model minority myth” and aims to increase the practical and clinical relevance of EM epidemiology in community, research, healthcare, and policy settings.

scholarly journals Attitudes and decision-making processes of Midwakh smoking among adult males in UAE

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S233-S233
Author(s):  
Hamid Alhaj ◽  
Rahaf Abughosh ◽  
Batool Aldaher ◽  
Asma Elhewairis ◽  
Ahmed Ali ◽  
...  
Keyword(s):  
Decision Making ◽  
Harmful Effect ◽  
Peer Pressure ◽  
Health Concern ◽  
Categorical Variables ◽  
Public Health Approach ◽  
P Value ◽  
Adult Males ◽  
Attitudes And Practices ◽  
Decision Making Processes

AimsMidwakh, which involves smoking an Arabian tobacco blend typically mixed with herbs and spices, has recently become a major health concern due to a spreading popularity among adolescents and young adults in the United Arab Emirates (UAE). It is known to contain a higher nicotine content than cigarettes, potentially increasing the risk of addiction, despite contrary popular belief among young smokers. Yet, little is known about attitudes and decision-making processes involving this emerging smoking behaviour. The aim of this study was to ascertain the knowledge, attitudes and practices of Midwakh use among adult males in the UAE.MethodA cross sectional study was conducted among male adults in Abu Dhabi, Dubai and Sharjah. A total of 500 participants completed self-administered validated questionnaires, which consisted of 30 questions that targeted the public's understanding, perception and use of Midwakh. Data were analysed using SPSS 23. Percentages and means were calculated for demographic data and Chi-Square was utilised to measure relations between categorical variables. Odds Ratio (OR) was used to estimate how strongly a predictor was associated to an outcome. A p-value less than 0.05 was considered statistically significant.ResultThe prevalence of smoking Midwakh was 34.8% among the study sample. Males between ages 26 to 35 were found to be 4.48 times (95% CI: 1.59–12.66) more likely to be current Midwakh smokers than any other age groups (P = 0.01). Emiratis in the study were 5.92 times (95% CI: 2.83–12.35) more likely to smoke Midwakh than expats. 65% of respondents reported willingness to smoke Midwakh if it was offered to them. Adults with 3-4 close friends who smoke Midwakh were 6.8 times (95% CI: 2.08–22.41) more likely to smoke Midwakh themselves. Knowledge of being unsafe was cited in 62% of the participants as a cause of quitting Midwakh within two years.ConclusionOur results demonstrate a significant impact of peer pressure on the decision-making process of Midwakh smoking. The high prevalence among young male residents warrants a multi-agency public health approach to tackle the issue. Culturally sensitive campaigns raising awareness to the harmful effect of Midwakh including its addictiveness appear to be essential. Further research investigating the effects of a targeted Midwakh-smoking cessation approaches is warranted.

scholarly journals Relationship between high rates of intestinal parasitic infections and knowledge, attitudes, and practices of Ndelele Health District populations (East Region, Cameroon): a cross-sectional mixed approach

2021 ◽  
Author(s):  
Viviane Ongbassomben ◽  
Cyrille Ndo ◽  
Ericka A. Lebon ◽  
Hugues C. Nana Djeunga ◽  
Albert L. Same Ekobo ◽  
...  
Keyword(s):  
Rural Areas ◽  
Health District ◽  
Indigenous Populations ◽  
Health Concern ◽  
Parasitic Infections ◽  
Cross Sectional ◽  
Intestinal Parasitic Infections ◽  
Attitudes And Practices ◽  
East Region ◽  
Hard To Reach Populations

AbstractBackgroundIntestinal parasitic infections remain of public health concern worldwide, especially among rural and poorest populations as a consequence of precariousness, lack of sanitation, non-availability of potable water and poor hygiene conditions. The present study aimed to better understand the epidemiology of intestinal parasitic infections in rural areas of forested Cameroon.MethodologyA cross-sectional survey was conducted in three Health Areas (Ndelele, Kentzou and Lolo) of the Ndelele Health District (East Region, Cameroon). Information on socio-demographic characteristics, knowledge, attitudes, and practices regarding intestinal parasitic infections were collected using a semi-structured questionnaire. Stool samples were collected and analyzed by the Kato-Katz and formalin-ether concentration techniques to complement simple direct examination.Principal FindingsA total of 406 individuals belonging to three main groups (Kako or Bantu, Baka or Pygmies and Central African Republic refugees) were enrolled in the study. The overall intestinal parasitic infection rate was 74.9%, including 57.2% cases of polyparasitism. Fourteen parasite species were identified, 89.1% being intestinal protozoa and 41.8% belonging to helminths. Infections with helminths were associated with Baka (P < 0.0001). Spring water consumption was associated with hookworm infection (OR = 3.87; P = 0.008). Garbage deposited near houses was positively associated with infection with Giardia lamblia (OR = 3.41; P = 0.003). Polyparasitism was positively linked to washing hand without soap before meal (OR= 11.64; p= 0.002).Conclusion/SignificanceIntestinal parasitic infections exhibited high rates in the Ndelele Health District, especially among indigenous and hard-to-reach populations (Pygmies). Hygiene measures appear as the main drivers sustaining transmission, and targeted strategies should be developed to efficiently fight against these debilitating diseases.Author summaryIntestinal parasitic infections such as soil transmitted helminthiasis and schistosomiasis, remain a public health concern in Cameroon. To better understand the epidemiology of these infections in hard-to-reach populations in rural areas, a cross-sectional study was carried out in three health areas of Ndelele health District in the Eastern-Cameroon. The rate of intestinal parasitic infections was high (74.9%) especially in indigenous populations (Baka-Pygmies) which exhibited high prevalence of soil transmitted helminth infections (83.3%). The study confirmed that the lack of sanitation and poor hygiene largely contribute to the endemicity of intestinal parasitic infections, particularly among indigenous populations. Targeted control strategies seem mandatory to reach these populations and offer them appropriate care to interrupt or reduce the transmission of these diseases.

scholarly journals Knowledge, Attitudes and Practices of Veterinarians Towards Antimicrobial Resistance and Stewardship in Nigeria

Antibiotics ◽  
2020 ◽  
Vol 9 (8) ◽  
pp. 453
Author(s):  
Usman O. Adekanye ◽  
Abel B. Ekiri ◽  
Erika Galipó ◽  
Abubakar Bala Muhammad ◽  
Ana Mateus ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Antimicrobial Stewardship ◽  
Online Survey ◽  
Action Plan ◽  
Prophylactic Antibiotic ◽  
Antibiotic Use ◽  
Health Concern ◽  
Attitudes And Practices ◽  
Laboratory Services ◽  
Knowledge Attitudes And Practices

Antimicrobial resistance (AMR) is a global health concern and the inappropriate use of antibiotics in animals and humans is considered a contributing factor. A cross-sectional survey to assess the knowledge, attitudes and practices of veterinarians regarding AMR and antimicrobial stewardship was conducted in Nigeria. A total of 241 respondents completed an online survey. Only 21% of respondents correctly defined the term antimicrobial stewardship and 59.8% were unaware of the guidelines provided by the Nigeria AMR National Action Plan. Over half (51%) of the respondents indicated that prophylactic antibiotic use was appropriate when farm biosecurity was poor. Only 20% of the respondents conducted antimicrobial susceptibility testing (AST) frequently, and the unavailability of veterinary laboratory services (82%) and the owner’s inability to pay (72%) were reported as key barriers to conducting AST. The study findings suggest strategies focusing on the following areas may be useful in improving appropriate antibiotic use and antimicrobial stewardship among veterinarians in Nigeria: increased awareness of responsible antimicrobial use among practicing and newly graduated veterinarians, increased dissemination of regularly updated antibiotic use guidelines, increased understanding of the role of good biosecurity and vaccination practices in disease prevention, and increased provision of laboratory services and AST at affordable costs.

scholarly journals Nurses’ knowledge, attitudes and practices regarding evidence-based practice in the prevention of mother-to-child transmission of HIV programme in Malawi

Curationis ◽  
2017 ◽  
Vol 40 (1) ◽  
Author(s):  
Chisomo Mulenga ◽  
Joanne R. Naidoo
Keyword(s):  
Evidence Based Practice ◽  
Predictive Analytics ◽  
Health Concern ◽  
Evidence Based ◽  
Global Public Health ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Attitudes And Practices ◽  
Mother To Child ◽  
Knowledge Attitudes And Practices

Background: HIV continues to be a global public health concern with Malawi being among the worst affected countries. The prevalence of HIV among pregnant women is also very high, thereby raising concerns of mother-to-child transmission of the virus. Prevention of mother-to-child transmission (PMTCT) of HIV is therefore a priority in the efforts to curb the HIV pandemic. Keeping in mind that the area of HIV management is rapidly evolving, underpinning nursing care with evidence-based practice is essential and has been reported to reduce mother-to-child transmission.Objectives: The aim of the study was to explore and describe the knowledge, attitudes and practices of nurses regarding evidence-based practice in PMTCT at a selected hospital in Malawi.Methods: An exploratory descriptive quantitative design was used, and 81 nurses working in paediatric, obstetrics and gynaecology departments completed a self-administered questionnaire. Data were analysed using Predictive Analytics Software.Results: The results showed that nurses had average knowledge of evidence-based practice and although their attitudes were favourable, their practice was very low. Certain sociodemographic variables had an influence on the respondent’s knowledge, attitudes and practices. Furthermore, the results have indicated that evidence-based practice was mainly hampered by insufficient resources and difficulties in accessing research articles. It emerged from the study that mentoring, training and access to literature could facilitate evidence-based practice in PMTCT among nurses.Conclusion: Nurses need to be provided with the necessary support including education and resources if evidence-based practice in PMTCT is to be promoted.

scholarly journals Knowledge, Attitudes and Practices of the University Students on Malaria Prevention in Kavango East, Namibia

2019 ◽  
Vol 11 (2) ◽  
pp. 102 ◽  
Author(s):  
Victoria Jacob ◽  
Vistolina Nuuyoma
Keyword(s):  
At Risk ◽  
University Students ◽  
Malaria Prevention ◽  
Health Concern ◽  
Prevention Measures ◽  
Mosquito Net ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
East Region ◽  
Knowledge Attitudes And Practices

Malaria remains a public health concern in Namibia and it is endemic in many regions, including Kavango east region. University students in Kavango east region are at risk of malaria due to bushy environment and the presence of Kavango river, which makes it easy for mosquitoes to multiply. This study aimed to assess and describe knowledge, attitudes and practices of malaria prevention among university students. A quantitative descriptive cross-sectional study was conducted, using a pretested questionnaire to collect data from 239 university students in Kavango east region. A proportionate stratified random sampling was used to sample students from the three faculties on campus. Data were analysed with a Statistical Programme of Social Sciences. The overall response rate was 75% (239) from a total of 318 respondents. Mean age was 21.4 years, respondents comprised of 155 (64.9%) females and 84 (35.1%) males. Almost all respondents (94.5%) know that malaria is transmitted by mosquitoes and 80% of respondents indicated that malaria is preventable. Usage of mosquito net was the most commonly known preventive measure, indicated by 224 (94%) of respondents. The vast majority of respondents 227 (95%) agreed that the appropriate method to prevent self from getting malaria is to prevent mosquito bites. Surprisingly 80 (33%) of the respondents believe that only children and pregnant women get malaria and therefore it&rsquo;s only them who need preventive measures. Only 43 (18%) of the respondents always sleep under mosquito nets to prevent themselves from getting malaria. It was concluded that university students in Kavango east region have good knowledge on malaria prevention measures. Although there were some misconceptions noted, especially on the identification of population at risk of malaria, the attitudes on malaria prevention are generally satisfactory. However, the knowledge and attitudes do not reflect in the students&rsquo; practices.&nbsp;

scholarly journals Self-medication among Alexandria University students and effect of an educational intervention on their self-medication knowledge, attitudes and practices

2020 ◽  
Vol 7 (4) ◽  
pp. 1205
Author(s):  
Sara A. Hanafy ◽  
Zahira M. Gad ◽  
Mohamed D. El Bourgy ◽  
Iman H. Wahdan
Keyword(s):  
University Students ◽  
Educational Intervention ◽  
Intervention Program ◽  
Knowledge Score ◽  
Drug Misuse ◽  
Health Concern ◽  
Post Intervention ◽  
Self Medication ◽  
Cross Sectional ◽  
Attitudes And Practices

Background: Self-medication (SM) among university students is a growing prevalent public health concern worldwide. It is highly prevalent in developing countries. SM leads to serious consequences such as drug misuse/abuse and adverse drug reactions. The study aims to determine the prevalence of SM among university students in Alexandria, Egypt and to assess the effect of an educational intervention on their SM knowledge, attitudes and self-reported practices (KAP).Methods: The study was conducted among 400 students using a cross sectional approach followed by one group pre/post-test intervention approach. Data were collected using an interviewing questionnaire. A health education program was designed and implemented among students then KAP were reassessed using the same questionnaire.Results: The prevalence of SM was estimated to be 79.5% among Alexandria University students. About one quarter (24.5%) of students had poor level of knowledge about SM and 47.5% had positive attitude towards SM. Logistic regression analysis revealed that father's occupation as clerical, family member working as healthcare professional, medication sharing practice, and total SM knowledge score were the significant independent factors that affected SM. There were significant differences between pre and post intervention KAP scores.Conclusions: The prevalence of SM is high among university students. There is a significant effect of the intervention program on KAP about SM.

scholarly journals TB Infection Control in TB/HIV Settings in Cross River State, Nigeria: Policy Vs Practice

2020 ◽  
pp. 101-109
Author(s):  
Michael Odo ◽  
Kingsley Chinedum Ochei ◽  
Emmanuel Ifeanyi Obeagu ◽  
Afirima Barinaadaa ◽  
Ugobo Emmanuel Eteng ◽  
...  
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Teaching Hospital ◽  
Health Centre ◽  
Health Concern ◽  
People Living With Hiv ◽  
Cross River ◽  
Cross River State ◽  
Attitudes And Practices ◽  
Tb Infection Control

TB and HIV remain a dangerous duo of significant public health concern across the globe. Both diseases require significant community and health system activities to be successfully managed. TB infection control is an important disease prevention strategy among the general population and among people living with HIV, in cost and management. We undertook to assess the situation of TB infection control at three levels of health care in Cross River State of Nigeria. A qualitative method was used to assess TB infection control (TBIC) knowledge, attitudes, and practices of the health care workers at each of the purposefully selected facilities using a semi-structured questionnaire - University of Calabar Teaching hospital, Calabar; Infectious disease Hospital, Calabar and primary Health Centre, Calabar Municipal, between 15th to 31st November, 2019 in the first phase, and an extension to February, 2020 due to delayed ethical clearance from the University of Calabar Teaching hospital. Data was collected and entered on an excel template and cleaned by trained data entry clerks. Charts and color diagrams were developed to compare specific descriptive data. There is wide variation between the written policies of TB infection control and the practices among health workers. Even though there are strong administrative protocols to support TB infection control in the higher levels of care, it is better practiced in the lower level PHC where the protocols were not spelt out.

scholarly journals Knowledge, Attitude and Practice of healthcare workers Towards Coronavirus Disease 2019 (COVID-19) Pandemic

2020 ◽  
Vol 18 (2) ◽  
pp. 293-300 ◽  
Author(s):  
Prabina Ghimire ◽  
Samriddh Dhungel ◽  
Anil Pokhrel
Keyword(s):  
Prevention And Control ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Online Survey ◽  
Health Concern ◽  
Infection Prevention And Control ◽  
Attitudes And Practices ◽  
Attitude And Practice ◽  
And Control ◽  
Knowledge Attitude And Practice

Background: The emergence of SARS-CoV 2 pandemic is the greatest public health concern of the century. Healthcare workers are the front liners of pandemic management. Their knowledge, attitudes and practices can influence the outcome of pandemic. The study aims to determine the knowledge, attitude and practices among healthcare workers.Methods: Knowledge, attitude and practice related questionnaire based online survey through Google forms was conducted from Healthcare workers, following ethical approval from NHRC (ERB protocol registration number: 297/2020 P). Online forms were disseminated via Facebook, Instagram, Whatsapp, Viber and personal messaging. Responses containing anonymized data was collected analyzed in using SPSS-version 26, (Year: 2019). The results were interpreted in terms of percentage response, knowledge score, and practice and discussed on the possible solutions in improving the infection prevention and control practice.Results: 473 HCWs responded to the questionnaire, out of which 426 responses met inclusion criteria which is 90% of the total responses. The mean score for knowledge was 3.20 + 1.15 out of maximum seven; with 45.7% correct answers. 70.4 % (300) participants felt that Nepal will be unable to contain the pandemic, 64 % of the total employed participants felt that there was inadequate institutional preparedness to protect HCWs from exposure. 91% participants reported practicing hand hygiene after every patient encounter; whereas 31.7% (77) and 22.1% (59) participants did not know how to check sealing of the N95 masks and use personal protective equipment’s respectively.Conclusions: The survey findings showed deficiencies in knowledge and appropriate practice among the HCWs, in prevention of SARS-CoV-2 transmission. Attitudes towards COVID19 were a mix of both positive and negative viewpoints. Even in health care workers with access to internet, there is significant gap in universal infection prevention and control practices required for self-protection and limiting untoward transmission. Keywords: Attitude and practice; COVID-19; healthcare workers; infection prevention and control; knowledge, Nepal; SARS CoV 2

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