scholarly journals Feedback assessment from the audience as part of health literacy training for health professionals: a case from Fukushima after the nuclear accident

2021 ◽  
pp. 014664532110109
Author(s):  
A. Goto ◽  
Y. Yumiya ◽  
K. Ueda

Following the accident at Fukushima Daiichi nuclear power plant in 2011, a series of health literacy training workshops for local health workers was developed and implemented. This study aimed to analyse who among the intended audience gained the greatest benefit from the training. Nine health workers attended a workshop consisting of classroom training and a follow-up feedback assessment of materials they created in the workshop. The materials were assessed by a total of 131 intended readers. Using Sakai’s tool, those items asking readers to rate the accessibility of written information were used to compare the materials before and after revision. The total score for Sakai’s measure showed a significant improvement, and the elderly and those without regular doctor visits were more likely to notice improvements after revision. Such health literacy training could serve as a model programme to prevent inequity in access to health information in the face of a regional health crisis.

2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Ajeng Fitria ◽  
Leonardo Lubis ◽  
Ambrosius Purba

The increasing number of elderly and elderly life expectancy is a challenge for health workers. Decreased cardiac endurance, muscle strength and increased incidence of inflammation will occur in the elderly as we get older. health cardio exercises series-I is an aerobic exercise that has moderate intensity and is carried out for 30 minutes, research is needed to analyze the effect on cardiac endurance, muscle strength and decrease plasma TNF-? levels in the elderly. Research design with experimental method, pre-test and post-test design approach. The study was conducted for 4 weeks on 25 samples which were divided into 3 groups of frequency of health cardio exercises series-I to measure endurance of the heart. A 6-minute road test and muscle strength were used for hand grip strength dynamometer, test back and leg dynamometer. Measurement of plasma TNF-? levels is carried out using the Elisa method. The data was then analyzed using paired t-test to see differences before and after health cardio exercises series-I. The results showed health cardio exercises series-I performed 3x / mg can increase the heart's endurance compared to the frequency of 4x / mg and 5x / mg (-16.11 vs 15.62 vs -47.62 meters). health cardio exercises series-I frequency of 3x / mg and 4x / mg can increase back muscle strength (p-value = 0.019, p <0.05) and the frequency of 5x / mg can increase the strength of attractive shoulder muscles. (p-value = 0.033, p <0.05). Health cardio exercises series-I performed 3x / mg, 4x / mg and 5x / mg did not have a significant effect on plasma TNF-? protein expression in the elderly (0.506 vs 0.856 vs. 0.382, p <0.05). It is suggested that the elderly can do I-1 series heart exercise with a frequency of 3x / mg to increase the heart's lung endurance and back muscle strength, a health cardio exercises series-I 4x / mg series to increase muscle strength of the back back, a series of health cardio exercises series-I frequency of 5x / mg to increase attractive shoulder muscle strength.


2021 ◽  
pp. 1-9
Author(s):  
Leona Lindberg ◽  
Inocência Nhambongo ◽  
Tacilta Nhampossa ◽  
Khátia Munguambe ◽  
Gunilla Priebe

Abstract Objective: To explore mothers’ perceptions of malnutrition and its causes in U-5’s in Mozambique, as well as their ability to recognise, prevent and act on signs of malnutrition. Design: A qualitative exploratory inquiry using focus group discussions and individual interviews analysed using Nutbeam’s health literacy themes. Setting: Manhiça District Hospital in Manhiça, Mozambique. Participants: Mothers of U-5’s (n 53) attending the in- and out-patient paediatric wards. Results: Different malnutrition literacy levels were identified in mothers’ responses. Mothers’ reflections on the causes of malnutrition in U-5’s were more elaborate compared to those of recognition, prevention and treatment strategies. Only severe forms of acute malnutrition were recognised by mothers, while early signs of undernutrition and stunting largely went undetected or unmentioned. Limited knowledge, time and financial resources were mentioned as contributors to suboptimal practices resulting in malnutrition. The district hospital, rather than community resources or local health posts, was indicated as the place mothers would go to seek advice and treatment for malnutrition. All mothers requested additional information on how to prevent and treat malnutrition. Conclusions: The varying literacy levels among mothers, the lack of references to community health workers as a resource in identifying and managing malnutrition, and the identification of poverty and sociocultural conditions as contributors to suboptimal practices indicate the need for in-depth research focused on the social determinants of malnutrition. A more comprehensive understanding of mothers’ health literacy would contribute to the development of holistic programmes aiming to improve community management of malnutrition.


Author(s):  
Cristina Lázaro-Pérez ◽  
Jose Ángel Martínez-López ◽  
José Gómez-Galán ◽  
Eloy López-Meneses

The COVID-19 health crisis has had a global effect, but the consequences in the different countries affected have been very different. In Spain, in a short period of time, health professionals went from a situation of stability to living with a working environment characterized by overcrowded hospitals, lack of individual protection equipment, non-existent or contradictory work protocols, as well as an unknown increase in mortality. Although in their professional activity health workers are closely linked to death processes, in recent months, working conditions and health emergencies have drawn an unheard of working scenario, with the stress and anxiety they may suffer when faced with the death of their patients. The present quantitative research was carried out in different hospitals in Spain on health professionals during the month of April 2020. Through the subscale of anxiety in the face of the death of others, developed by Collett–Lester, it has been verified that health professionals have had to develop their work in a context of precariousness, putting at risk both their individual and collective health, notably increasing anxiety in the face of the death of their patients. The predictive variables of this anxiety have been the absence of individual protection equipment, as well as high levels in the burnout subscales of emotional exhaustion and depersonalization.


2020 ◽  
Vol 29 (1) ◽  
pp. 25-32
Author(s):  
Sumithra Suppiah ◽  
Yi Wen Tan ◽  
Grand H-L Cheng ◽  
Wern Ee Tang ◽  
Rahul Malhotra

Background: In Singapore, English is predominantly used on prescription medication labels (PMLs). However, many older Singaporeans cannot read English, and among those who read English, their English health literacy (EHL) proficiency varies. It is thus pertinent to examine the link between EHL and medication use outcomes in this population. The present research aims to address this question. Methods: Data from a national survey, on 1167 home-dwelling elderly on ⩾1 prescribed medication was analysed. The validated Health Literacy Test for Singapore was used to determine EHL. Medication non-adherence was self-reported. Path analysis examined the association between limited EHL and medication non-adherence and tested possible mediators. Results: Limited EHL was associated with medication non-adherence (total effect=0.35; p-value: 0.032), and ‘uncertainty in taking medications correctly due to difficulty in understanding written information on PMLs’ was a significant mediator (indirect effect=0.23, 95% confidence interval (0.12–0.39)). Conclusions: Elderly people with limited EHL were significantly more likely than those with adequate EHL to report that they were uncertain about taking medications correctly because they had difficulty understanding the information on PMLs and this misunderstanding contributed to medication non-adherence. Interventions focused on incorporating bilingual text and/or pictograms on PMLs may reduce uncertainty in taking medication correctly and improve medication adherence among the elderly.


2021 ◽  
Vol 2 (2) ◽  
pp. 34
Author(s):  
Ajeng Fitria ◽  
Leonardo Lubis ◽  
Ambrosius Purba

The increasing number of elderly and elderly life expectancy is a challenge for health workers. Decreased cardiac endurance, muscle strength and increased incidence of inflammation will occur in the elderly as we get older. health cardio exercises series-I is an aerobic exercise that has moderate intensity and is carried out for 30 minutes, research is needed to analyze the effect on cardiac endurance, muscle strength and decrease plasma TNF-α levels in the elderly. Research design with experimental method, pre-test and posttest design approach. The study was conducted for 4 weeks on 25 samples which were divided into 3 groups of frequency of health cardio exercises series-I to measure endurance of the heart. A 6-minute road test and muscle strength were used for hand grip strength dynamometer, test back and leg dynamometer. Measurement of plasma TNF-α levels is carried out using the Elisa method. The data was then analyzed using paired t-test to see differences before and after health cardio exercises series-I. The results showed health cardio exercises series-I performed 3x / mg can increase the heart's endurance compared to the frequency of 4x / mg and 5x / mg (-16.11 vs 15.62 vs -47.62 meters). health cardio exercises series-I frequency of 3x / mg and 4x / mg can increase back muscle strength (pvalue= 0.019, p <0.05) and the frequency of 5x /mg can increase the strength of attractive shoulder muscles. (p-value=0.033, p<0.05). Health cardio exercises series-I performed 3x / mg, 4x / mg and 5x / mg did not have a significant effect on plasma TNF-α protein expression in the elderly (0.506 vs 0.856 vs. 0.382, p<0.05). It is suggested that the elderly can do I-1 series heart exercise with a frequency of 3x / mg to increase the heart's lung endurance and back muscle strength, a health cardio exercises series-I 4x / mg series to increase muscle strength of the back back, a series of health cardio exercises series-I frequency of 5x / mg to increase attractive shoulder muscle strength.


2021 ◽  
Vol 2 (1) ◽  
pp. 19-24
Author(s):  
Netty Herawati

Hypertension is the main cause of stroke which brings high mortality. The cause of hypertension consists of genetic and environmental factors, Along with the changing lifestyle of hypertension cases continues to increase. According to the WHO International Hypertension Society there are currently 600 million sufferers worldwide, and 3 million of them die each year. Based on the results of interviews with hypertension patients who visited the Tanjung Paku Puskesmas among the elderly, said if their high blood pressure always went to the Puskesmas and took hypertension medication, but still rarely did non-pharmacological treatment, so far it was more likely if there were complaints such as headaches, shoulders feels heavy then go straight to the health center. This type of research in this study is a pre-experimental design "One Pre-Test-Post Test Design" in this study the group of subjects was measured blood pressure before deep breathing techniques (pre-test), then carried out deep breating (intervention) and measured again pressure blood after deep breating technique (post test). From the statistical test there was a significant difference between systole blood pressure before and after the deep breathing technique with a p value of 0,000 ˃ 0.05. It is expected that health workers can provide more optimal information, especially for patients with hypertension both mild, mild, moderate and severe to help hypertension sufferers in lowering blood pressure in a non-pharmacological manner.


2021 ◽  
Vol 15 (5) ◽  
pp. 1779-1782
Author(s):  
Roghaye Ershad Sarabi ◽  
Rafigh Dehvari Mohammadi ◽  
Aziollah Arbabisarjou

Introduction and Objective: Malaria is considered one of the most important parasitic diseases in Iran. With regard to malaria, Sistan and Baluchestan province ranks first among the country's provinces. This study set out in 2017 to investigate the impact of education on malaria knowledge, attitude and behavior among health workers working in Saravan city health center. Materials and Methods: The present study is a semi-experimental study of before and after clinical trial type that was performed on 73 health workers in Saravan city. A researcher-made questionnaire was used to collect the required data. It consisted of two parts: the first part was dedicated to demographic data and the second part was about the knowledge, attitude and performance of health workers regarding malaria. The face and content validity of the questionnaire was confirmed by an expert panel. The reliability of the questionnaire was calculated using Cronbach's alpha coefficient (α=0.85). Before the start of the training, the questionnaires were given to the health workers. The trainings were presented in 49 one-hour sessions by the experts of the headquarters of Saravan Health Center in Behvarzi Center using lectures and pamphlets. One month after the training, the same questionnaires were filled in by health workers. The difference between the variables of knowledge, attitude and performance in the two groups before and after the intervention was performed using a one-sample and paired sample t-test or their non-parametric equivalent i.e. Binominal and Wilcoxon tests in the SPSS software (version 18). A significance level of 0.5 was taken into consideration. Results: The results showed that the mean scores of health workers in the areas of knowledge, attitude and performance increased significantly after the workshop (p=0.001) so that the participants' knowledge score increased from 26.06 to 56.7. In terms of attitude, their score increased from 7.2 to 17.7, and in terms of performance, participants' score increased from 13 to 32. Discussion and Conclusions: The findings revealed that the implementation of educational programs in the field of malaria can increase the level of knowledge, attitude and performance of the community regarding the preventive behaviors of malaria. Therefore, health system officials are recommended to work toward the amelioration of the knowledge, attitude and performance of the health workers. Keywords: knowledge, attitude, performance, health workers, malaria, retrainin


2021 ◽  
Vol 15 (6) ◽  
pp. 1598-1601
Author(s):  
Roghaye Ershad Sarabi ◽  
Rafigh Dehvari Mohammadi ◽  
Aziollah Arbabisarjou

Background: Malaria is considered one of the most important parasitic diseases in Iran. With regard to malaria, Sistan and Baluchestan province ranks first among the country's provinces. Aim: To investigate the impact of education on malaria knowledge, attitude and behavior among health workers working in Saravan city health center. Methods: The present study is a semi-experimental study of before and after clinical trial type that was performed on 73 health workers in Saravan city. A researcher-made questionnaire was used to collect the required data. It consisted of two parts: the first part was dedicated to demographic data and the second part was about the knowledge, attitude and performance of health workers regarding malaria. The face and content validity of the questionnaire was confirmed by an expert panel. The reliability of the questionnaire was calculated using Cronbach's alpha coefficient (α=0.85). Before the start of the training, the questionnaires were given to the health workers. The trainings were presented in 49 one-hour sessions by the experts of the headquarters of Saravan Health Center in Behvarzi Center using lectures and pamphlets. One month after the training, the same questionnaires were filled in by health workers. Results: The results showed that the mean scores of health workers in the areas of knowledge, attitude and performance increased significantly after the workshop (p=0.001) so that the participants' knowledge score increased from 26.06 to 56.7. In terms of attitude, their score increased from 7.2 to 17.7, and in terms of performance, participants' score increased from 13 to 32. Conclusions: The findings revealed that the implementation of educational programs in the field of malaria can increase the level of knowledge, attitude and performance of the community regarding the preventive behaviors of malaria. Therefore, health system officials are recommended to work toward the amelioration of the knowledge, attitude and performance of the health workers. Keywords: knowledge, attitude, performance, health workers, malaria, retrainin


2021 ◽  
Vol 15 (6) ◽  
pp. 2039-2042
Author(s):  
Roghaye Ershad Sarabi ◽  
Rafigh Dehvari Mohammadi ◽  
Aziollah Arbabisarjou

Introduction and Objective: Malaria is considered one of the most important parasitic diseases in Iran. With regard to malaria, Sistan and Baluchestan province ranks first among the country's provinces. This study set out in 2017 to investigate the impact of education on malaria knowledge, attitude and behavior among health workers working in Saravan city health center. Materials and Methods: The present study is a semi-experimental study of before and after clinical trial type that was performed on 73 health workers in Saravan city. A researcher-made questionnaire was used to collect the required data. It consisted of two parts: the first part was dedicated to demographic data and the second part was about the knowledge, attitude and performance of health workers regarding malaria. The face and content validity of the questionnaire was confirmed by an expert panel. The reliability of the questionnaire was calculated using Cronbach's alpha coefficient (α=0.85). Before the start of the training, the questionnaires were given to the health workers. The trainings were presented in 49 one-hour sessions by the experts of the headquarters of Saravan Health Center in Behvarzi Center using lectures and pamphlets. One month after the training, the same questionnaires were filled in by health workers. The difference between the variables of knowledge, attitude and performance in the two groups before and after the intervention was performed using a one-sample and paired sample t-test or their non-parametric equivalent i.e. Binominal and Wilcoxon tests in the SPSS software (version 18). A significance level of 0.5 was taken into consideration. Results: The results showed that the mean scores of health workers in the areas of knowledge, attitude and performance increased significantly after the workshop (p=0.001) so that the participants' knowledge score increased from 26.06 to 56.7. In terms of attitude, their score increased from 7.2 to 17.7, and in terms of performance, participants' score increased from 13 to 32. Discussion and Conclusions: The findings revealed that the implementation of educational programs in the field of malaria can increase the level of knowledge, attitude and performance of the community regarding the preventive behaviors of malaria. Therefore, health system officials are recommended to work toward the amelioration of the knowledge, attitude and performance of the health workers. Keywords: knowledge, attitude, performance, health workers, malaria, retrainin


2019 ◽  
Vol 1 (3) ◽  
pp. 203
Author(s):  
Sri Maharani

Menopause is a period of cessation of menstruation that will be experienced by all women and can not be avoided. Some symptoms of menopause will be experienced by women from mild symptoms to things that can interfere with life. As a result of changing lifestyle patterns that are relaxed, lack of movement and exercise and eating patterns that lead to a ready-to-eat dish containing fat, protein and salt but low in fiber, bring consequences to the development of degenerative diseases such as obesity, diabetes mellitus, diabetes, osteoporosis, disease coronary heart disease (CHD), and hypertension. The problems faced by partners today include the lack of knowledge about menopause, so it is considered necessary to provide counseling to provide knowledge to the elderly to overcome complaints experienced by the elderly in the face of menopause. Community service activities are carried out at the Al-Mutjahidin mosque in Jambi City. Timing in January 2018. The target is the elderly. Community service methods survey approach, lecture, discussion, demonstration / simulation. The results obtained are the elderly are able to understand about menopause. It is recommended that health workers, especially at the Puskesmas, give more information about menopause to the elderly by participating in elderly pengajianpara activities to get information about menopause and can undergo menopause well.


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