scholarly journals Effects of a Health Education Program on Fall Risk Prevention among the Urban Elderly: A Quasi-Experimental Study

Author(s):  
Piyathida KUHIRUNYARATN ◽  
Prasert PRASOMRAK ◽  
Bangonsri JINDAWONG

Background: Elderly falls increase dramatically with age and are a leading cause of injury, carrying a risk of loss of independence and death. We studied the effects of a health education program on fall-risk prevention among urban elderly persons in the municipality of Khon Kaen, Thailand. Methods: A quasi-experimental study was conducted in 2 communities. The calculated sample size was 216 individuals: 108 for intervention and 108 for control, all of whom were 60 or older, and registered at the Samlium Primary Care Unit (SPCU). The educational intervention was a fall risk intervention program by an elderly buddy. A structured questionnaire that incorporated questions from the Thai Fall Risk Assessment Tool (Thai-FRAT) was used to collect general and specific information. Data were analyzed using the independent sample t-test and c2, with P<0.05 being statistically significant. Results: The response rate was 94.4%. More than half of the respondents were at risk of a fall. The prevalence of risk of a fall among the intervention group was slightly less than that for those within the control group [Intervention group=52.9% (95%CI: 42.85, 62.81, P<0.001); Control group=60.8% (95%CI: 50.59, 70.15, P=0.016)]. After 6 months of intervention, the balance impairment, medicine usage, and overall proportion with risk of fall were decreased. The difference between the intervention and control groups was statistically significant (P<0.05). Conclusion: The provision of a health education program designed for fall risk prevention among the elderly would be a useful public health initiative.

2009 ◽  
Vol 33 (3) ◽  
pp. 259-264 ◽  
Author(s):  
Moti Moskovitz ◽  
Wassim Abud ◽  
Diana Ram

Objectives: To evaluate the effectiveness of an oral health education program when given in a public dental clinic, by assessing caries and restorations. Methods: This was done by assessing changes in caries prevalence in the mouth of children aged 12 to 14 year- old. Data was obtained from files of patients treated in the Dental Volunteers for Israel (DVI) clinic in Jerusalem. Children must prove understanding and also application of what they learned in the educational program in order to receive restorative dental treatment. Results: 280 children were included in the intervention group. The control group constituted 173 children who had never had any restorative treatment in the DVI clinic. The extent of caries surfaces differed greatly between the intervention and the control groups. 35.2% of the control group, and as many as 64% of the intervention group had low caries (DMFS&lt; 3). The situation is reversed when comparing the difference in the restored teeth surfaces between the two groups- 56.6% of the control group had no restorations and 66.2% of the children in the intervention group had treated teeth. DMFS scores reveal fewer differences between the two groups. The mean carious surface was 1.8 times greater in the control group, and the restored surfaces were 2.1 times greater for the intervention children. Nevertheless when comparing DMFS means between control and intervention groups t-test result shows no statistical significant difference for the slightly lower DMFS levels in the intervention group. Conclusions: This study shows that even a comprehensive preventive program given by professional personnel,followed by free dental treatment, is not enough to improve dental health status for children from a lower socioeconomic class. Still, a consideration of the ethical responsibility of the profession to educate children about oral diseases and their prevention should be carried out, irrespective of the implementation of the knowledge.


2019 ◽  
pp. 105984051987164 ◽  
Author(s):  
Mohd Said Nurumal ◽  
Siti Hajar Mohd Zain ◽  
Mohamad Haniki Nik Mohamed ◽  
Shefaly Shorey

Preventing smoking among adolescents is critical. This study evaluated the effectiveness of the Smoking Prevention Education Program among nonsmoking adolescents. A quasi-experimental study design was used. Data were collected from Year 5 students ( n = 140) from four government primary schools in the Kuantan and Pahang districts of Malaysia. The participating schools were randomly assigned into the intervention and control groups. Questionnaires and exhaled carbon monoxide (CO) levels were used to collect data at the baseline and at 3 months postintervention. At 3 months postintervention, the percentage of nonsmokers remained 100% in the intervention group, while 2.9% of the participants in the control group reported to have smoked in past 7 days. Comparatively, the mean scores of attitudes, subjective norms, and nonsmoking intentions of the intervention group improved significantly. The intervention was effective in preventing smoking initiations among Malaysian adolescents; however, further evaluation of this intervention is needed among varied populations.


Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 832
Author(s):  
María Begoña Martos-Cabrera ◽  
José Luis Gómez-Urquiza ◽  
Guillermo Cañadas-González ◽  
José Luis Romero-Bejar ◽  
Nora Suleiman-Martos ◽  
...  

Type 2 diabetes mellitus (DM2) is a highly prevalent disease, the progression of which depends on high blood glucose levels, which are reflected in the level of glycosylated haemoglobin (HbA1c). Appropriate health education equips patients with the knowledge and skills to control their glucose and HbA1c levels to avoid long-term complications. This study was set up to compare the results of an intensive (360 min) educational intervention to improve HbA1c parameters in patients with DM2 with those of a usual 90 min intervention. For this purpose, healthcare personnel led a quasi-experimental study of 249 diabetics: 171 in the control group, and 78 in the intervention group. In the control group, the mean HbA1c value decreased from 6.97 to 6.75, while in intervention group it fell from 8.97 to 8.06. The before and after mean difference between both groups was compared with a Wilcoxon test, and the results statistically significant (W = 4530; p < 0.001), indicating a higher reduction of HbA1c in the intervention group. We concluded that the intensive health education provided by nurses during the consultation helped improve HBA1c levels in persons with DM2.


QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A M Ibrahim ◽  
A E Shoman ◽  
G E Mady ◽  
A M Hassan ◽  
D H Mohamed

Abstract Background Patients with renal failure had poorer quality of life than patients with other chronic diseases such as heart failure, diabetes mellitus and even cancer which makes them more susceptible to withdraw dialysis treatment. Objectives The study was conducted to implement a health education program for patients with end stage renal disease on hemodialysis and their caregivers at Ain Shams University Hospital and measure its effect on their quality of life. Methods A controlled interventional study was carried out on three phases. A sample of 56 patients on chronic regular hemodialysis and their caregivers (HD) were selected from the two hemodialysis units at Ain Shams university hospital and data were collected at the beginning and after six months of the health education program. Results The intervention group of the patients after the intervention reported significant better quality of life scores than the control group in all the domains except in work status, quality of social interaction, sexual function, social support and patient satisfaction and there were statistically significant increases in the intervention group of the caregivers than the control group in social function, emotional well-being, role emotional and mental component summary scores. Conclusion The health education and individualized nutritional program had a positive effect on many components of quality of life of the hemodialysis patients and their caregivers


2020 ◽  
Author(s):  
Ramesh Kumar ◽  
Midhat Farzeen ◽  
Assad Hafeez ◽  
Baseer Khan Achakzai ◽  
Muskan Vankwani ◽  
...  

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.


2020 ◽  
Author(s):  
Ramesh Kumar ◽  
Midhat Farzeen ◽  
Assad Hafeez ◽  
Baseer Khan Achakzai ◽  
Muskan Vankwani ◽  
...  

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.


2019 ◽  
Author(s):  
Ramesh Kumar ◽  
Midhat Farzeen ◽  
Assad Hafeez ◽  
Baseer Khan Achakzai ◽  
Muskan Vankwani ◽  
...  

Abstract Background: Malaria being a pressing public health issue in Pakistan can be prevented if long lasting insecticides are made freely available in the country. However, the success of this prevention strategy depends upon usage of long-lasting insecticide treated nets (LLINs) by community. Hence the focus of present study was to determine the effectiveness of health education on adoption of LLINs among pregnant women living in 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 use of LLINs; and was statistically analyzed using independent sample t-test, chi-square with p values, and mean scores. Results: Baseline was conducted with 200 pregnant women. Demographic characteristics were similar in both groups except for age, education, income, type of latrine and source of drinking water. After intervention, as compared to baseline, knowledge of participants increased two-fold in intervention group whereas it remained unchanged in control group. Furthermore, statistically significance difference (<0.05) between intervention and control groups on use of LLINs was found with increase in LLINs usage among intervention group. Conclusions: Results proved that health education could be an effective intervention for improving knowledge and usage of LLINs among pregnant women for preventing malaria. Therefore, such educational interventions have a potential to be implemented at scale by incorporating them into routine health sessions provided by health workers to pregnant women so that maternal and child morbidity and mortality due to malaria can be prevented.


2021 ◽  
pp. 105477382110339
Author(s):  
Qingli Ren ◽  
Suhua Shi ◽  
Chen Yan ◽  
Yang Liu ◽  
Wei Han ◽  
...  

Self-management in hemodialysis patients is critical; however, is generally low. This study aimed to examine the effects of a theory-based micro-video health education program on the improvement of self-management, hemodialysis knowledge, and self-efficacy in hemodialysis patients. A pre-test post-test control group quasi-experimental design was used to recruit 80 hemodialysis patients in a dialysis center. The participants were assigned in a 1:1 ratio to receive routine care or a 3-month micro-video health education program. Between-group comparison showed that patients in the intervention group had significantly greater improvement in hemodialysis knowledge than those in the control group ( p < .05). However, no significant group differences were observed in terms of self-management and self-efficacy. Within-group comparison showed that the overall self-management level of patients in both groups improved significantly, particularly in problem-solving skills and self-care dimensions. Therefore, micro-video health education can improve the self-management and hemodialysis knowledge in Chinese patients undergoing hemodialysis. Trial Registration: Registered at ClinicalTrials.gov with study number (ChiCTR1800018172; http://www.chictr.org.cn/index.aspx ).


Sign in / Sign up

Export Citation Format

Share Document