Program: Mobile Health Education Program "Blood and Guts Van" Sponsors: The Center for Health Promotion of Group Health Cooperative and The Pacific Science Center

1992 ◽  
Vol 19 (1) ◽  
pp. 137-138
2015 ◽  
Vol 49 (3) ◽  
pp. 101-104
Author(s):  
Amrit Tewari ◽  
Utkal Mohanty ◽  
Ashima Goyal

ABSTRACT Background An Indian Council of medical Research (ICMR) task force project was started in 1985 covering a population of 120,000 of Raipur Rani block of Haryana to study the feasibility of implementation of oral health promotion and prevention in the community and in the schools by utilizing existing manpower at different sectors. Objectives (i) To evaluate the long-term role of healthcare workers in imparting primary preventive strategies of oral health to adult community (ii) To study the knowledge, attitude and practice of the community regarding oral health. Methodology A total of 600 households (300 in experimental block and 300 in control block) were included by stratified random sampling method depending on the distance from Community Health centre of Raipur Rani to assess KAP and Caries activity among the population. Results The use of toothbrush as an oral hygiene method is being practiced by 96.6% of population in the experimental area compared to 84% in the control population where no oral health promotion activity was carried out. A great variation was seen in the frequency of its usage; 56% of the population in experimental area brushes twice per day compared to 7% of control area. According to the present data, 80% of the population in the experimental area is aware about the etiology, progress and consequences of gum diseases due to continuous oral health education delivered by the trained health staff during their routine beat program. In the control area where no oral health program was implemented, this knowledge was seen in 22 to 35% of the population. Conclusion In a developing country like India there is a pressing need of community-based oral health programs to reduce the burden of oral diseases, improve quality of life and reduce out of pocket expenditure incurring toward treatment of these diseases. How to cite this article Goyal A, Gauba K, Mohanty U, Tewari A. Community-based Oral Health Education Program in a Rural Population of Haryana: A 25 years Experience. J Postgrad Med Edu Res 2015;49(3):101-104.


2011 ◽  
Vol 33 (1) ◽  
pp. 23-34 ◽  
Author(s):  
Norihide NISHINOUE ◽  
Masayuki TATEMICHI ◽  
Miho ARATAKE ◽  
Akira YAMAZAKI ◽  
Hiroshi FUKUDA ◽  
...  

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 10022-10022
Author(s):  
Joseph Greer ◽  
Jamie M. Jacobs ◽  
Nicole Pensak ◽  
James MacDonald ◽  
Charn-Xin Fuh ◽  
...  

10022 Background: Patients with incurable cancer often experience marked anxiety that is associated with poor quality of life (QOL), high symptom burden, and complications with medical treatment. The aim of this study was to test the efficacy of a mobile app-based cognitive-behavioral therapy (CBT) intervention to treat anxiety symptoms in patients with incurable cancer. Methods: From 2/15 to 8/16, 145 patients with incurable cancers (e.g., advanced lung, breast, GI/GU, sarcoma, melanoma) who screened positive for at least mild anxiety symptoms (Hospital Anxiety & Depression Scale-Anxiety subscale, HADS-A > 7) were randomized 1:1 at two cancer centers to receive either the CBT mobile app for anxiety or a mobile health education program (control), delivered via tablet computers. The CBT app included 7 modules teaching skills to relax the body, reduce worry, stay present-focused, improve communication, and plan/pace activities, which patients completed over 12 weeks. To assess anxiety, mood, and QOL, we administered the Hamilton Anxiety Rating Scale (HAM-A), Clinical Global Impression Scale (CGI), HADS, and Functional Assessment of Cancer Therapy-General at baseline and 12 weeks. General linear models were used to assess the effect of the intervention on patient outcomes over time. Results: The sample was predominantly female (73.8%) and white (91.7%), with a mean age of 56.45 ( SD= 11.30) years. Both study groups reported significant improvements in anxiety, depression, and QOL from baseline to post-assessment (all p-values≤002), with no differences in the improved outcomes between groups. Secondary analyses showed interaction effects on anxiety between the intervention and baseline HAM-A scores. Among patients with higher baseline anxiety, those randomized to the CBT app had greater improvements on the HAM-A ( p= .043), CGI ( p= .048), and HADS-A ( p= .001) compared to the health education control group. Conclusions: Patients with incurable cancer who received either a CBT mobile app intervention or mobile health education program reported improvements in anxiety, depression, and QOL. However, the CBT mobile app had better outcomes than health education for patients with higher baseline anxiety. Clinical trial information: NCT02286466.


2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 175-175 ◽  
Author(s):  
Joseph Greer ◽  
Jamie M. Jacobs ◽  
Nicole Pensak ◽  
James J MacDonald ◽  
Charn-Xin Fuh ◽  
...  

175 Background: Patients with incurable cancer often experience marked anxiety that is associated with poor quality of life (QOL), high symptom burden, and complications with medical treatment. The aim of this study was to test the efficacy of a mobile app-based cognitive-behavioral therapy (CBT) intervention to treat anxiety symptoms in patients with incurable cancer. Methods: From 2/15 to 8/16, 145 patients with incurable cancers (e.g., advanced lung, breast, GI/GU, sarcoma, melanoma) who screened positive for at least mild anxiety symptoms (Hospital Anxiety & Depression Scale-Anxiety subscale, HADS-A > 7) were randomized 1:1 at two cancer centers to receive either the CBT mobile app for anxiety or a mobile health education program (control), delivered via tablet computers. The CBT app consisted of 7 modules teaching skills to relax the body, reduce worry, stay present-focused, improve communication, and plan/pace activities, which patients completed over 12 weeks. To assess anxiety, mood, and QOL, we administered the Hamilton Anxiety Rating Scale (HAM-A), Clinical Global Impression Scale (CGI), HADS, and Functional Assessment of Cancer Therapy-General at baseline and 12 weeks. General linear models were used to assess the effect of the intervention on patient outcomes over time. Results: The sample was predominantly female (73.8%) and white (91.7%), with a mean age of 56.45 ( SD= 11.30) years. Both study groups reported significant improvements in anxiety, depression, and QOL from baseline to post-assessment (all p-values < .002), with no differences in the improved outcomes between groups. Secondary analyses revealed interaction effects on anxiety between the intervention and baseline HAM-A scores. Among patients with higher baseline anxiety, those randomized to the CBT app had greater improvements on the HAM-A ( p= .043), CGI ( p= .048), and HADS-A ( p= .001) compared to the health education control group. Conclusions: Patients with incurable cancer who received either a CBT mobile app intervention or mobile health education program reported improvements in anxiety, depression, and QOL. However, the CBT mobile app had better outcomes than health education for patients with higher baseline anxiety. Clinical trial information: NCT02286466.


2016 ◽  
Vol 33 (2) ◽  
pp. 119-141
Author(s):  
El-Setouhy, M. A ◽  
El-Rafie, M. K ◽  
Abdelaal, Mona ◽  
Abdel-Moneim, Jihan, M

2010 ◽  
Author(s):  
Kristin M. Wieneke ◽  
Ileana Gruia ◽  
Maureen Kenny ◽  
Michael R. Capawana

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