scholarly journals The effect of training and supervision on primary health care workers’ competence to deliver maternal depression inclusive health education in Ibadan, Nigeria: a quasi-experimental study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Adeyinka Olufolake Adefolarin ◽  
Asiki Gershim ◽  
Arulogun Oyedunni Sola ◽  
Gureje Oye
Keyword(s):  
Health Education ◽  
Maternal Depression ◽  
Self Efficacy ◽  
Health Workers ◽  
Control Group ◽  
Knowledge Gain ◽  
Primary Health ◽  
Training And Supervision ◽  
Quasi Experimental ◽  
Group A

Abstract Background Health workers lack the competence to address maternal depression in the routine health education in Nigeria. Hence, awareness among maternal-child health clients is low. We assessed the effect of training and supervision on knowledge, skills, and self-efficacy of primary healthcare workers in delivering health talks and the clients’ knowledge on maternal depression. Methods A quasi-experimental study design was adopted. Five Local Government Area (LGAs) in the Ibadan metropolis were grouped according to geographical proximity and randomly assigned to experimental (Group A = two LGAs) and control (Group B = three LGAs) with 12 primary health centres in each group. All primary health care workers recruited in group A received a one-day training on maternal depression. Good Knowledge Gain (GKG), Good Skill Gain (GSG) and Self-Efficacy (SEG) were assessed in both groups. 1-week post-training, the knowledge of all the PHCs’ attendees in the two groups was assessed. Two weeks post- training, a half of experimental group’s PHCs received supportive supervision and a clinic-based health education delivery skill assessment was conducted. The knowledge of clients and their health seeking were also assessed. Fisher’s exact test, independent t test and Poisson regression were used to analyze differences in percentages and mean/ factors associated with GKG, GSG and SE, using SPSS 25. Results Training improved gains in the experimental versus controls as follows: GKG (84.3% vs. 15.7%), GSG (90.7% vs 9.3%) and SEG (100% vs 0%). Training contributed to the good gain in knowledge (RR = 6.03; 95%CI =2.44–16.46; p < 0.01); skill (RR = 1.88; CI = 1.53–2.33; p < 0.01).) and self-efficacy (RR = 2.74; CI = 2.07–2.73; p < 0.01). Clients in the experimental group had higher knowledge gain score than in the control (7.10 ± 2.4 versus − 0.45 ± 2.37); p < 0.01). The rater supervisor observed better motivation in the supervised group than the not supervised. Forty clients sought help in the intervention group while none in the control group. Thirty-five clients sought help in the supervised group while only five did in the not supervised. Conclusions Training followed by supervision improved the competence of health workers to transfer knowledge to clients. This intervention is recommended for primary healthcare settings to improve uptake of maternal mental health services.

scholarly journals The effect of training and supervision on primary health care workers’ competence to deliver maternal depression inclusive health education in Ibadan, Nigeria: a quasi-experimental study.

2020 ◽  
Author(s):  
Adeyinka Olufolake Adefolarin ◽  
Gershim Asiki ◽  
Oyedunni S Arulogun ◽  
Oye Gureje
Keyword(s):  
Health Education ◽  
Maternal Depression ◽  
Self Efficacy ◽  
Health Workers ◽  
Control Group ◽  
Knowledge Gain ◽  
Primary Health ◽  
Training And Supervision ◽  
Quasi Experimental ◽  
Group A

Abstract Background Health workers lacked the competence to address maternal depression in routine the health education in Nigeria. Hence, awareness among maternal-child health clients is low. We assessed the effect of training and/ supervision on knowledge, skills and self-efficacy of primary healthcare workers in delivering health talks and the clients’ knowledge on maternal depression. Methods A quasi-experimental study design was adopted. Five Local Government Area (LGAs) in the Ibadan metropolis were grouped according to geographical proximity and randomly assigned to experimental (Group A=two LGAs) and control (Group B= three LGAs) with 12 primary health centres in each group. All primary health care workers recruited in group A received a one-day training on maternal depression. Good Knowledge Gain (GKG), Good Skill Gain (GSG) and Self-Efficacy (SEG) based on bloom’s cut off were assessed in both groups. After 1 week, the knowledge of all the PHCs’ attendees in the two groups were assessed. A week after, a half of group A’s PHCs received supportive supervision and a clinic based health education skill assessment was conducted. The knowledge of clients and their health seeking were also assessed. Fisher’s exact test, independent t test and Poisson regression were used to analyze differences in percentages and mean/ factors associated with GKG, GSG and SE, using SPSS 25. Results Training improved gains in the experimental versus controls as follows: GKG (84.3% vs. 15.7%), GSG (90.7% vs 9.3%) and SEG (100% vs 0%). Training contributed to the good gain in knowledge (RR=6.03; 95%CI =2.44-16.46; p<0.01); skill (RR=1.88; CI=1.53-2.33; p<0.01).) and self-efficacy (RR=2.74; CI=2.07-2.73; p<0.01). Clients in the experimental group had higher knowledge gain score than in the control (7.10±2.4 versus -0.45±2.37); p<0.01). The rater supervisor observed better motivation in the supervised group than the not supervised. Forty clients sought help in the intervention group while none in the control group. Thirty-five clients sought help in the supervised group while only five did in the not supervised. Conclusions Training followed by supervision improved the competence of health workers to transfer knowledge to clients. This is recommended in the primary healthcare settings to improve uptake of maternal mental health services.

scholarly journals Breast Health Educational Interventions

AAOHN Journal ◽  
2002 ◽  
Vol 50 (10) ◽  
pp. 460-467 ◽  
Author(s):  
Barbara Thomas ◽  
Lynnette Leeseberg Stamler ◽  
Kathryn D. Lafreniere ◽  
Tabitha D. Delahunt
Keyword(s):  
Health Education ◽  
Age Groups ◽  
Educational Interventions ◽  
Control Group ◽  
Breast Health ◽  
Large Populations ◽  
Post Test ◽  
Quasi Experimental ◽  
Group A ◽  
Self Examination

Health education programs supported by women's groups or workplaces have been successful in reaching large populations and changing intentions to perform breast health behaviors. This study examined the responses women working in the automotive industry had to two health education interventions, mailed pamphlets, and a combination of mailed material and classes at the worksite compared to a control group. A quasi-experimental design was used. Of the 948 women completing the pre-test, 437 also completed the post-test and were highly representative of the initial sample. The findings suggest that although the mailed information produced some change in practices and intentions, the classes in combination with the mailed pamphlets produced greater change. In addition, confidence in breast self examination as a method of detecting an existing breast lump increased from pre-test to post-test across all age groups. The reported influences on the women's decisions related to breast health varied across the life span. The results of this study can be used to support the development of effective health promotion programs for use at workplaces to increase the likelihood of women engaging in healthy breast practices.

scholarly journals THE EFFECT OF HEALTH EDUCATION OF TORBANGUN LEAF GALACTOGOGUE (COLEUS AMBOINICUS L) ON SELF-EFFICACY OF BREASTFEEDING MOTHERS AT AMANDA CLINIC, GAMPING, SLEMAN

2020 ◽  
Vol 7 (1) ◽  
pp. 13-20
Author(s):  
Ratna Prahesti ◽  
Nur Rahmawati Sholihah
Keyword(s):  
Breast Milk ◽  
Health Education ◽  
Self Efficacy ◽  
Test Group ◽  
Sampling Technique ◽  
Nutritional Composition ◽  
Control Group ◽  
Risk Of Death ◽  
Quasi Experimental ◽  
Coleus Amboinicus

Breast milk is the first and major food for infants. Breast milk contains the most complete nutritional composition and is ideal for the growth and development of infants during the first 6 months. UNICEF (2011) stated that children who are not breastfed have a 25% higher risk of death due to diarrhea and four times greater risk of pneumonia. The purpose of this study was to determine the effect of health education of galactogogue torbangun leaves (Coleus amboinicus l) on the self-efficacy of third-trimester pregnant women at the Amanda Clinic, Gamping, Sleman, Yogyakarta. This study used a quasi-experimental design with experimental post-test group design, namely the treatment group and the control group. The study was conducted at the Amanda Clinic, Gamping, Sleman in July 2018 with total samples of 42 respondents by using a quota sampling technique. The results showed the differences in self-efficacy between before and after treatment of health education which shown from the paired t-test value (p = 0,000 <0.05% (95% CI).

scholarly journals Differentiating instruction for learners’ mathematics self-efficacy in inclusive classrooms: Can learners with dyscalculia also benefit?

2021 ◽  
Vol 41 (4) ◽  
pp. 1-15
Author(s):  
Charity N. Onyishi ◽  
Maximus M. Sefotho
Keyword(s):  
Mathematics Teachers ◽  
Self Efficacy ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Negative Effects ◽  
Post Intervention ◽  
Quasi Experimental ◽  
Group A ◽  
Senior Secondary ◽  
Mathematics Self Efficacy

Poor mathematics self-efficacy (MSE) has been recorded among learners at all levels in Nigeria. The study reported on here sought to establish the efficacy of differentiated instruction (DI) in raising learners’ MSE in inclusive settings. We also explored the differential effects of DI on the MSE of learners with dyscalculia, as well as on high- and low-achieving learners. We adopted a control group quasi-experimental research design involving 1 experimental and 1 control group. A total of 4 mathematics teachers and 158 Senior Secondary II (SSII) learners in 4 regular classes participated in the study. Mathematics teachers participated in a one week DI training workshop to equip them with DI skills for whole-term mathematics instruction. The Students’ Mathematics Self-efficacy Scale (SMSES) was used for data collection at pre- and post-intervention evaluations. Quantitative data were analysed using descriptive statistics and analysis of covariance (ANCOVA). The major findings reveal that using DI led to significant improvements in learners’ MSE. Prior achievement (PA) had a significant influence on MSE; however, DI was effective in reducing the negative effects of poor PA on the self-efficacy of low-achieving learners and learners with dyscalculia. It was concluded that DI offers teachers the impetus to help all learners to improve their self-efficacy in mathematics.

Pengaruh Pendidikan Kesehatan dengan Media Audiovisual Manajemen Laktasi terhadap Tingkat Pengetahuan dan Self Efficacy Ibu Menyusui

2016 ◽  
Vol 3 (2) ◽  
pp. 106
Author(s):  
Ni Ketut Citrawati ◽  
Elsi Dwi Hapsari ◽  
Widyandana Widyandana
Keyword(s):  
Health Education ◽  
Self Efficacy ◽  
Intervention Group ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Wilcoxon Test ◽  
Infant Mortality Rate ◽  
Dominant Factor ◽  
Control Group ◽  
Quasi Experimental

Background: Infant mortality rate in Indonesia in 2012 is 32 per 1,000 live births. It is less pleasant ifcompared to the target Ministry of Health of Republic of Indonesia tries to achieve, which is 24 by 2014. The low rate of breastfeedingto one of the dominant factor that cause the mortality it is influenced by several factors, in which one of them is the mother’sknowledge about breast milk and breastfeeding. Health education on lactation management may help increase mothers’ ability to gain information as well as their confidence to breastfeeding their baby.Objective: This research is conducted with the purpose to know the effect of health education with audiovisual on lactation management to the level of knowledge and self-efficacy among breastfeeding mothers.Method: This research is categorized as quasi experimental one, whose design applies pre-test and post-test non-equivalent control group. It is conducted toward 32 breastfeeding mothers who receive health education as the treatment group, and to 32 breastfeeding mothers who are asked to read modules about breastfeeding as the control group. The sampling technique applies purposive sampling and simple random sampling. Data are processed by computer programs using Mann-Whitney test, Wilcoxon test, and linear regression model.Result and Discussion : The score for the value of knowledge before treatment among both groups were relatively similar (p>0.05). After treatment, both groups  have improvement, (p<0.05). The score of self-efficacy before treatment among both groups did not have significantly different (p>0.05). compared to control group, the intervention group has significantly higher score of knowledge (p>0.05)Conclusion: Health education by audiovisual media and modules are more effective to improve the knowledge and self-efficacy among breastfeeding mothers compared to by only modules.Keywords: Health education, Audiovisual, Modules, Knowledge, Breastfeeding, Self-Efficacy

scholarly journals Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: a quasi-experimental study

2020 ◽  
Author(s):  
Ramesh Kumar ◽  
Midhat Farzeen ◽  
Assad Hafeez ◽  
Baseer Khan Achakzai ◽  
Muskan Vankwani ◽  
...  
Keyword(s):  
Experimental Study ◽  
Health Education ◽  
Pregnant Women ◽  
Health Workers ◽  
Intervention Group ◽  
Educational Interventions ◽  
Bed Nets ◽  
Control Group ◽  
Post Intervention ◽  
Quasi Experimental

Abstract Background About one quarter of pregnant women in the population of Pakistan are using long-lasting insecticide-treated bed nets (LLINs) for prevention of malaria. Past research reported that adequate information and education would act as mediator to change behaviour among patients for prevention of malaria infection. The effective use of LLINs would contribute to reduction of disease burden caused by malaria. The aim of this study was to determine the effectiveness of health education on the adoption of LLINs among pregnant women living in Tharparkar, a remote district in Sindh Province, Pakistan.Methods A quasi-experimental study design with control and intervention groups was conducted with 200 pregnant women (100 in each group). Women in the intervention group were provided with health education sessions on malaria for 12 weeks, while those in the control group obtained routine information from lady health workers (LHWs). Pre- and post-intervention assessment was done of knowledge about malaria and use of LLIN, which was statistically analysed using descriptive statistics and difference in difference (DID) multivariable regression analysis to test effectiveness of the intervention.Results Baseline was conducted with 200 pregnant women. Demographic characteristics were similar in both groups with slight differences in age, education, income, type of latrine, and source of drinking water. There were no significant differences between mean knowledge and use of LLINs scores between groups at baseline. However, the estimated DID value after the intervention was 4.170 (p <0.01) and represents an increase in scores of knowledge in the intervention group compared to control. Similarly DID value of 3.360 (p <0.05) showed an increase in use of LLINs score after the intervention which was significant, showing that the intervention had a positive effect.Conclusions Results proved that health education could be an effective intervention for improving knowledge and usage of LLINs among pregnant women for the prevention of malaria. Such educational interventions have a positive potential to be implemented at larger scale by incorporating them into routine health sessions provided by health workers.

scholarly journals Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: A Quasi-experimental study

2020 ◽  
Author(s):  
Ramesh Kumar ◽  
Midhat Farzeen ◽  
Assad Hafeez ◽  
Baseer Khan Achakzai ◽  
Muskan Vankwani ◽  
...  
Keyword(s):  
Experimental Study ◽  
Health Education ◽  
Pregnant Women ◽  
Health Workers ◽  
Intervention Group ◽  
Educational Interventions ◽  
Bed Nets ◽  
Control Group ◽  
Difference In Difference ◽  
Quasi Experimental

Abstract Background: About one quarter pregnant women population were using long lasting insecticides treated bed nets in Pakistan for prevention of malaria.. Past research has reported that adequate information and education could act as mediator to change the behavior among patients for prevention of malaria infection. Hence, the effective use of LLINs could contribute in reduction of disease burden caused by malaria. Aim of this study was to determine the effectiveness of health education on adoption of LLINs among pregnant women living in a remote district Tharparkar Sindh Pakistan. Methods: A Quasi-experimental study design with control and intervention group was conducted with 200 pregnant women (100in each group). Women in intervention group were provided with health education sessions on malaria for 12 weeks while those in control group obtained routine information by lady health workers (LHWs). Pre and post intervention assessment was done for knowledge about malaria and use of LLINs; and was statistically analyzed using descriptive statistics and difference in difference (DID) multivariable regression analysis to test the effectiveness of intervention. Results: Baseline was conducted with 200 pregnant women. Demographic characteristics were similar in both groups with slight differences in age, education, income, type of latrine and source of drinking water. There were no significant differences between the mean knowledge and use of LLINs scores between groups at baseline. However, the estimated difference-in-difference value after the intervention was 4.170 (p <0.01) represents an increase in scores of knowledge in the intervention group as compared to control. Similarly difference-in-difference value of 3.360 (p <0.05) showed an increase in use of LLINs score after the intervention which was significant therefore showing that the intervention had a positive effect. Conclusions: Results proved that health education could be an effective intervention for improving knowledge and usage of LLINs among pregnant women for prevention of malaria. Therefore, such educational interventions have a positive potential to be implemented at larger scale by incorporating them into routine health sessions provided by health workers.

scholarly journals EFFECT OF A WORKBOOK IN HEALTH EDUCATION ON SELF-EFFICACY AND QUALITY OF LIFE OF PATIENTS WITH CORONARY HEART DISEASE

2019 ◽  
Vol 5 (6) ◽  
pp. 218-224
Author(s):  
Aan Nuraeni ◽  
Ristina Mirwanti ◽  
Anastasia Anna
Keyword(s):  
Quality Of Life ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Health Education ◽  
Self Efficacy ◽  
Intervention Group ◽  
Control Group ◽  
Validity And Reliability ◽  
Quasi Experimental

Background: Coronary Heart Disease (CHD) has a high recurrence in Indonesia. This condition may occur as a result of the failure of compliance with post-acute management following a heart attack by CHD patients. One of the causes is the lack of effective health education.Objective: The aim of this study was to identify the feasibility of the workbook in improving patients’ self-efficacy (SE) and quality of life (QoL).Methods: This research used a quasi-experimental with pretest-posttest control design. A pretest was done to the patients who were treated in the cardiac intensive unit, and a posttest was carried out at the end of the first and second month after the pretest. The population was all post-acute CHD patients who were admitted to the cardiac intensive unit in one of the referral hospitals in West Java, Indonesia. A purposive sampling was used and obtained 39 respondents who were divided into control and intervention groups. The intervention group was given a health education using a workbook, and the control group was given a direct health education. Self-efficacy was measured using a questionnaire developed by the authors, with high validity and reliability. A SF-12 instrument was used for measuring the quality of life.  Data were analyzed using a descriptive quantitative analysis such as mean, Mann Whitney test, and Independent t-test. To estimate the effects of the intervention to QoL and SE, Kruskal Wallis test and One-way ANOVA were used.Results: The results showed that there was an increase in SE and QoL in both groups, either in the posttest 1 or posttest 2. The comparison of QoL in the pretest, posttest I and II obtained p=.452, .741, and .826, while SE between and within groups obtained p = .732, .220, and .009, respectively.Conclusions: Health education using the workbook was significantly more effective to increase SE than QoL of the CHD patients.

scholarly journals The Effect of Islamic Spiritual Mindfulness on Self-Efficacy in Anger Management among Schizophrenic Patients

2021 ◽  
Vol 11 (3) ◽  
pp. 404-412
Author(s):  
Meidiana Dwidiyanti ◽  
Ashri Maulida Rahmawati ◽  
Dian Ratna Sawitri
Keyword(s):  
Self Efficacy ◽  
Anger Management ◽  
Intervention Group ◽  
Control Group ◽  
Significant Difference ◽  
Post Test ◽  
Quasi Experimental ◽  
Schizophrenic Patients ◽  
Group A ◽  
And Control

Background: The prevalence of schizophrenia has increased in the last few years. Nevertheless, methods in assisting schizophrenic patients have not improved significantly. Islamic spiritual mindfulness is a spiritual approach that can help schizophrenic patients increase their self-efficacy in anger management. However, the application of this intervention is still not well researched.Purpose: This study aimed to determine the effect of Islamic spiritual mindfulness on self-efficacy in anger management among schizophrenic patients.Methods: This study utilized a pre-post quasi-experimental design with a control group. A total of 54 schizophrenic patients were purposively recruited and divided into two groups: the intervention group (n=27) and the control group (n=27). The intervention group received four sessions of Islamic spiritual mindfulness in two weeks, while the control group received a standard intervention from the hospital. The data were collected using the Regulatory Emotional Self-Efficacy (RESE) scale and analyzed using the t-test.Results: The results showed a significant difference in self-efficacy scores between the control and intervention groups (p=0.000) after the intervention. In the pre-test, the mean score of self-efficacy in the intervention group was lower than the control group (M=28.15 vs. M=30.26) without a significant difference. However, in the post-test, a significant difference in self-efficacy between the intervention and control groups was found (M=46.44 vs. M=46.44; p=0.000).Conclusion: Islamic spiritual mindfulness significantly affects self-efficacy among schizophrenic patients. The Islamic spiritual mindfulness can be applied as a new form of approach to increase self-efficacy in schizophrenic patients.

scholarly journals Changes in Knowledge and Attitudes in Preventing Anemia in Female Adolescents: A Comparative Study

2021 ◽  
Vol 1 (2) ◽  
pp. 46-54
Author(s):  
Nur Intan Kusuma ◽  
Farida Kartini
Keyword(s):  
Health Education ◽  
Health Workers ◽  
Negative Impact ◽  
Female Adolescents ◽  
Control Group ◽  
P Value ◽  
Knowledge And Attitudes ◽  
Knowledge Variable ◽  
Quasi Experimental ◽  
Anemia During Pregnancy

Background: Anemia in adolescents is a global health problem, with prevalence in Southeast Asia reaching 27% -55% and 37.1% in Indonesia. Anemia in adolescents entails a negative impact, including fatigue, decreased concentration, growth problems, and long-term causes of anemia during pregnancy. Therefore, health education regarding anemia in adolescents is an effort to prevent and diminish the prevalence of anemia and anemia during pregnancy. Purpose: This study aims to describe adolescents' changes in knowledge and attitudes in preventing anemia after being treated with health education. Methods: This study employed a quasi-experimental design using a pretest-posttest technique with the control group. Samples were obtained through the total sampling of 20 female students as the experimental and 19 students as the control group. Data analysis used the Wilcoxon tests. Results: This study indicated the p-value of the knowledge variable p = 0.002 and the attitude variable p = 0.001 (<0.05). Conclusion: There is a change in educating female adolescents about anemia on knowledge and attitudes in preventing anemia. Health workers and schools are urged to improve adolescent reproductive health promotion, especially regarding anemia in female adolescents and its prevention.

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