Assessing the Impact of Online Health Education Interventions From 2010-2020: A Systematic Review of the Evidence

2021 ◽  
pp. 089011712110393
Author(s):  
Suzi B. Claflin ◽  
Shannon Klekociuk ◽  
Hannah Fair ◽  
Emmanuelle Bostock ◽  
Maree Farrow ◽  
...  

Objective: Systematically review the evaluation and impact of online health education interventions: assess approaches used, summarize main findings, and identify knowledge gaps. Data Source: We searched the following databases: EMBASE, ERIC, MEDLINE, and Web of Science. Study Inclusion and Exclusion Criteria: Studies were included if (a) published in English between 2010-2020 in a peer-reviewed journal (b) reported an online health education intervention aimed at consumers, caregivers, and the public (c) evaluated implementation OR participant outcomes (d) included ≥ 100 participants per study arm. Data Extraction: Two authors extracted data using a standardized form. Data Synthesis: Data synthesis was structured around the primary outcomes of the included studies. Results: 26 studies met the inclusion criteria. We found substantial heterogeneity in study population, design, intervention, and primary outcomes, and significant methodological issues that resulted in moderate to high risk of bias. Overall, interventions that were available to all (e.g., on YouTube) consistently attained a large global reach, and knowledge was consistently improved. However, the impact on other outcomes of interest (e.g., health literacy, health behaviors) remains unclear. Conclusion: Evidence around the impacts of the type of online health education interventions assessed in this review is sparse. A greater understanding of who online interventions work for and what outcomes can be achieved is crucial to determine, and potentially expand, their place in health education.

2018 ◽  
Vol 118 (3) ◽  
pp. 227-238 ◽  
Author(s):  
Didde Hoeeg ◽  
Dan Grabowski ◽  
Ulla Christensen

Purpose To treat childhood obesity, health education interventions are often aimed at the whole family. However, such interventions seem to have a relatively limited effect on weight loss. The purpose of this paper is to examine how families enrolled in a family-based health education intervention manage the intervention in their daily lives and to understand how and why intra-familial conflicts may occur. Design/methodology/approach Data consist of 10 in-depth semi-structured family interviews with 25 family members (10 children, 15 parents), who were enrolled in a family-based health education intervention for families with an obese child. Findings Actively involving all family members in the intervention proved difficult in many families. Often, the children experienced inconsistent family support, which led to intra-familial conflicts. When parents were unsuccessful in changing unhealthy habits, the responsibility for healthy living was often passed on to the obese child. Thus, several families managed the intervention by making specific rules that only the obese child was required to adhere to. This resulted in several children feeling stigmatized in their own family. Practical implications Professionals working with family-based health education interventions should understand that, in order to minimize the risk of intra-familial conflicts and stigmatization of the obese child, all family members must be equally committed to the lifestyle intervention. Originality/value The study contributes to the existing literature by adding specific knowledge about how and why conflicts occur in these families and what the consequences of these conflicts are.


Antibiotics ◽  
2020 ◽  
Vol 9 (10) ◽  
pp. 704
Author(s):  
Lynn Y. Chen ◽  
Elizabeth Flood-Grady ◽  
Austen Hentschel ◽  
Lauren Wright ◽  
Rahma Mkuu ◽  
...  

The overutilization of antibiotics during pregnancy and early life are associated with adverse health outcomes for mothers and infants. In this study, we explored pregnant women’s opinions and concerns of antibiotics and how perceptions may affect their health-related decision-making. We conducted 18 in-depth, semi-structured interviews with pregnant women and used the Health Belief Model (HBM) as a framework to analyze the data. We found that mothers generally understood the benefits of antibiotics and were aware that antibiotics are clinically effective for treating bacterial infections. Importantly, perceived barriers related to antibiotic use included concerns regarding the impact of antibiotics on breastfeeding efficacy, microbial health, and societal factors such as antimicrobial resistance. The prescription of antibiotics by a healthcare provider was a cue to action for women, as they trusted providers to recommend medications that were safe for them and their infants. Overall, mothers shared that receiving education on the effects of antibiotics would improve their self-efficacy and decision-making surrounding the use of antibiotics for treating illness. Implications for tailored perinatal health education interventions to enhance antibiotic use, knowledge, and decision-making are discussed.


2019 ◽  
Vol 3 (2) ◽  
pp. 95-104
Author(s):  
Erna Sariana

Rubbish sorting is to separate waste types in according to the dissociation nature. In Serang city, especially the State Elementary School in working area Puskesmas Taktakan as being the location TPSA Cilowong Serang City government property still carry out the separation of biodegradable garbage and is not readily biodegradable. This is related with the knowledge and attitudes about less waste sorting. The purpose of this study was to determine the effect of health education on the knowledge level and attitudes about the waste sorting at the State Elementary School students in the Serang City 2015. The method used is a quasi-experimental. Samples some students at class V SDN Serang City. The first group is the experimental sample is SDN Pereng Cilowong village, and the second group is the experimental sample was SDN Taktakan 1 Serang. Data was analyzed using univariate and bivariate analysis with dependent t test, independent t test, and the correlation test. Based on the research results revealed that the mean of knowledge before the health education intervention = 11.088, mean knowledge after = 12.431. Mean attitude before = 37.363, and the attitude of health education interventions after the mean values ​​obtained 38.902. No statistically significant difference between the average knowledge before and after the health education intervention in the experimental first group (p = 0.0001) and second group (p = 0.0001). There are significant differences between the average attitude before and after the health education intervention in the experimental first group (p = 0.002) and second group (p = 0.040). The score average students knowledge and attitude who are given health education interventions through the film, is higher than the students knowledge and attitudes who are given health education interventions through leaflets (p = 0.015 and p = 0.048). There is a significant relationship between knowledge and attitude about waste separation (r= 0.524) and p = 0.0001). Suggestions in this research is to be able to select and use the appropriate health education media for students, especially elementary school students who turned out to be more effective to use audio visual media be compared visual media. Keywords       :  Health Education, Knowledge, Attitude, Sorting Waste, Elementary School Students.


2017 ◽  
Vol 5 (3) ◽  
pp. 371
Author(s):  
Sari Priyanti

ABSTRACTCervical cancer was non communicable desease that worries the public and causes an increase mortality in women. One of the first sign causes of cervical cancer is occourrence of Leucorrhoe. The incidence of Leucorrhoe in women Indonesia by 90% of which >75% of women experience once of leucorrhoe and experience ≥ 2 times by 25%. Leucorrhoe should not be considered an ordinary thing because can be caused to itchy on genetalia, pain during sexsual, infection  can be caused odema on genetalia, hot like burned on vagina even the impact if not treated promptly will caused infertility and cancer. Aims of study was to analyze factors of influenced on Leucorrhoe incident. Design of study was cross sectional study. Population was women of childbearing age who use contraceptives in the karang jeruk village, Jatirejo sub district, Mojokerto district in March of 2017. Sample in this study was 33 people. Data analyze with logistic regresion. Result of study showed contraceptive and sexsual activity has significant influenced with leucorrhoe (PR = 10.000; 95% CI= 1,732-57,722 dan PR=8,750; 95% CI=1,466-52,232). Suggestion: should be married and have first sexual intercourse for the first time at the age of  ≥ 20 years, limit the number of children not more than 2 as the greater the number of children the greater the risk of Leucorrhoe, and not using hormonal contraception for a along time that more than 2 years. Keywords: contraceptive,sexsual activity, leucorrhoe


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