Effectiveness of Child to Parent Communication Using Information Package on Food Hygiene

Author(s):  
Ms. Sonam Yangchen Bhutia ◽  
Dr. Sushma Kumari Saini ◽  
Dr. Manmeet Kaur ◽  
Dr. Sandhya Ghai

School children can act as change agent not only for families but for community. The study aimed to assess effectiveness of information package on knowledge and practices of parents/family members of school children studying in Govt. Sr. Sec. School on food hygiene in Dhanas and Daddu Majra Colony, UT, Chandigarh. A non-randomised controlled trial was conducted on 201 school children studying in VIIth standard and their parents/family members. Purposive sampling technique was utilised to enrol 101 in case and 100 participants in control group. Interview schedule for knowledge assessment and observation checklist for assessing the practices of parents/ family members was used. Pre assessment of both the groups was done by a home visit. Experimental group school children were educated on food hygiene as per the protocol. Pre and post-test knowledge of school children on food hygiene was assessed and were asked to disseminate the information to their parents/family members.  After 15 days, second time home visit was done to the parents/family members of both the groups for the post assessment of knowledge and practices. Significant improvement in knowledge and practices of parents/family members related to food hygiene was observed. Hence, school children can be an effective tool in health related knowledge dissemination which can further promote healthy practices.


2021 ◽  
pp. 1-11
Author(s):  
Jake Linardon ◽  
Mariel Messer ◽  
Adrian Shatte ◽  
David Skvarc ◽  
John Rosato ◽  
...  

Abstract Background Existing internet-based prevention and treatment programmes for binge eating are composed of multiple distinct modules that are designed to target a broad range of risk or maintaining factors. Such multi-modular programmes (1) may be unnecessarily long for those who do not require a full course of intervention and (2) make it difficult to distinguish those techniques that are effective from those that are redundant. Since dietary restraint is a well-replicated risk and maintaining factor for binge eating, we developed an internet- and app-based intervention composed solely of cognitive-behavioural techniques designed to modify dietary restraint as a mechanism to target binge eating. We tested the efficacy of this combined selective and indicated prevention programme in 403 participants, most of whom were highly symptomatic (90% reported binge eating once per week). Method Participants were randomly assigned to the internet intervention (n = 201) or an informational control group (n = 202). The primary outcome was objective binge-eating frequency. Secondary outcomes were indices of dietary restraint, shape, weight, and eating concerns, subjective binge eating, disinhibition, and psychological distress. Analyses were intention-to-treat. Results Intervention participants reported greater reductions in objective binge-eating episodes compared to the control group at post-test (small effect size). Significant effects were also observed on each of the secondary outcomes (small to large effect sizes). Improvements were sustained at 8 week follow-up. Conclusions Highly focused digital interventions that target one central risk/maintaining factor may be sufficient to induce meaningful change in core eating disorder symptoms.



BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e023666 ◽  
Author(s):  
Mustapha Alhassan

IntroductionEmpathy is crucial to the fundamental aim and achievement of nursing and midwifery goals. Researchers agree on the positive role empathy plays in interpersonal relationships when providing healthcare. Models of good communication have been developed to assist nurses, midwives and doctors to improve their ability to communicate with patients. This study investigated the effect of a 2-day communication skills training (CST) on nursing and midwifery students’ empathy in a randomised controlled trial.MethodsThe two groups had a baseline data collection at the same time. The intervention group had a CST, followed by post-test on day 3. The control group had post-test on day 4 just before their CST. The empathy outcome was measured with Jefferson Scales of Empathy-Health Professions Student version. Both groups had a follow-up test at the same time 6 months after the CST.ResultsIn this study, there was no statistically significant difference in the scores of empathy between the groups F(1, 171)=0.18, p=0.675. The intervention group had baseline T1 (M=109.8, SD=9.8, d=0.160), and post-test T2 (M=111.9, SD=9.0, d=0.201), whereas the control group had baseline T1 (M=107.9, SD=11.46, d=0.160), and post-test T2 (M=110.0, SD=11.0, d=0.201). Baseline data were collected on 15 June 2013.ConclusionsThis study has shown that empathy may not be enhanced within a short period after CST.



2020 ◽  
Vol 7 (1) ◽  
pp. 57
Author(s):  
Irene Febriany Mamo Kitu ◽  
Meidiana Dwidiyanti ◽  
Diyan Yuli Wijayanti

Keluarga mempunyai beban yang besar dalam merawat anggota keluarga yang mengalami Skizofrenia, dimana stigma yang keliru dari masyarakat menjadi stresor tambahan bagi keluarga. Dalam merawat anggota keluarga yang mengalami Skizofrenia, keluarga memerlukan koping yang efektif sehingga perawatan yang diberikan dapat optimal. Salah satu cara yang dapat dilakukan oleh keluarga adalah dengan meningkatkan kesadaran dan perhatian melalui intervensi mindfulness. Tujuan untuk mengetahui pengaruh intervensi mindfulness terhadap tingkat koping keluarga pasien Skizofrenia. Penelitian ini menggunakan desain quasi experiment dengan rancangan pre-post test with control grup design. Teknik sampling yang digunakan adalah purposive sampling dengan populasi sebanyak 50 keluarga yang terbagi atas 25 kelompok intervensi dan 25 kelompok control, dengan menggunakan instrument Ways Of Coping. Hasil ditunjukkan adanya pengaruh terhadap tingkat koping keluarga pasien Skizofrenia  sesudah diberikan intervensi mindfulness dengan nilai p = 0,000. Pemberian intervensi mindfulness dapat membantu keluarga meningkatkan koping yang efektif dengan cara lebih fokus dan menerima keadaan yang terjadi tanpa menghakiminya, sehingga pemberian pelayanan tidak hanya berfokus kepada pasien saja tetapi juga mencakup keluarga pasien.Kata Kunci: koping keluarga; skizofrenia; mindfulness IMPROVEMENT OF SCIZOFRENIA PATIENTS’ FAMILY THROUGH MINDFULNESS INTERVENTION ABSTRAKThe family has a big burden in caring for family members who experience Schizophrenia, where the wrong stigma from the community becomes an additional stressor for the family. In treating family members who have Schizophrenia, families need effective coping so that the care provided can be optimal. One way that families can do is to increase awareness and attention through mindfulness interventions. This study was to determine the effect of mindfulness interventions on the level of coping in families of Schizophrenia patients. This research used a quasi-experimental design with a pre-post-test with control group design. The sampling technique used was purposive sampling with a population of 50 families divided into 25 intervention groups and 25 control groups. The study was conducted on 50 families using the Ways of Coping instrument. Results: There was an influence on the level of coping in Schizophrenia family after mindfulness intervention with p = 0,000. Conclusion: Providing mindfulness interventions can help families improve effective coping by focusing more and accepting the circumstances that occur without judging them, so that service delivery does not only focus on the patient but also includes the patient's familyKeywords: family coping; schizophrenia; mindfulness



Author(s):  
Novi Anggraeni

Enuresis called bedwetting is a problem in pre school children which have overcome, because actually at this period the child shall could to controlling their bladder. Enuresis can also effected the quality of social and psychological of the children moreover the quality of the child growing to adult. Required serious handling until growing problem of this development, one of them is a complementary therapy acupressure. This study purpose to determinate the effect of acupressure therapy to the enuresis frequency of a pre school children. Characteristic of this research is quantitative research with used pre experimental research design with one group pre test – post test design without the control group. The population of this research were 20 children, and the sample were 19 respondents with Purposive Sampling technique that given acupressure therapy 3 times in 1 week with 15 minutes duration per intervention. The analysis method is Paired Sample T- Test. The result of Paired Sample T – Test shown that the enuresis frequency average before given acupressure therapy is 4.36 per week and the enuresis frequency average after given acupressure therapy is 3,10 per week, with the 0,000 significancy ( p < 0,05 ). The value shown that acupressure therapy is effected to the enuresis frequency of a pre school children at the ANNA HUSADA kindergarten, Bangkalan. Parents which have the pre school child with the enuresis problem, should to be resolve enuresis problem at the early time, also can do acupressure therapy exactly and goodly.



Author(s):  
Shweta Macknight ◽  
Rohitash Kumar ◽  
S. K. Singh

Background: Pre-schooler are very much prone to infectious diseases due to low immunity among those diseases the commonest is dental carries which occurs due to improper brushing technique. The study was conducted with the objective to assess knowledge and effectiveness of planned teaching program regarding modified bass brushing technique among school children at selected rural area.Methods: Research design and setting experimental pre-test-post-test control group design used and setting was selected rural area, Sarojini Nagar, Lucknow, Uttar Pradesh. Sample and sampling technique total 66 sample and villages for experimental and control group were selected through simple random technique. Tools were used as self-structured knowledge questionnaire and checklist.Results: Revealed that in experimental group post-test mean and SD score (7.55±1.09) was significantly higher than pre-test score (5.06±1.03) and in checklist the post-test mean and SD score (7.64±1.32) was significantly higher than the mean and SD pre-test score was 5.27±0.45. The researcher compared the calculated t-value (11.04) with the tabulated value (1.986) for the questionnaire and the checklist t-value 3.14. In control group the knowledge questionnaire post-test mean and SD score was (5.27±0.45) and pre-test mean and SD score was (4.24±1.03) with the t-value of 0.04. Whereas checklist post-test mean and SD score (5.21±0.48) and pre-test mean and SD score (5.27±0.05) with the t- value 0.32.  Conclusions: Thus the planned teaching programme on knowledge regarding modified bass brushing technique was effective.



2019 ◽  
Vol 1 (1) ◽  
pp. 108-114
Author(s):  
I Made Wirta

The main objective of the present study is to investigate the effect of implementing innovative learning approaches upon English students’ achievement. The study was quasi experimental study using the post-test only control group design involving 35 students altogether selected using census sampling technique. The instrument which is used to gather data in the study was test. There were two tests used to gather intended data. They were linguistic test and student achievement test. The obtained data were analyzed statistically using descriptive and inferential analysis. The analysis of covariance was conducted to test the hypotheses.



Author(s):  
Rut Emi Febriyani Simamora ◽  
Lince Sihombing ◽  
Johannes Jefria Gultom

This study is aimed at finding out the effect of Collaborative Strategic Reading (CSR) on students’ achievement in reading comprehension on hortatory exposition text. Experimental design was applied in this research. The population was the 2014/2015 second year students (grade XI) of SMA Swasta YAPIM Medan. There were two paralel classes that consisted of 34 students. The total number of the population were 68 students. The total number of the sample were 68 students. The researcher selected the sample by using total sampling technique. The sample was divided into two groups, experimental group and control group. The experimental group was taught by using Collaborative Strategic Reading (CSR) strategy while the control group was taught without using Collaborative Strategic Reading (CSR) strategy. The data were taken by administering the pre-test and post-test to both control and experimental groups. These data were analyzed by using t-test. The result of computing the t-test obviously showed that t-observed (5.61) is higher than t-table (1.99) with the degree of freedom (df= 66) at the level significance 0.05. It means that the alternative hypothesis stating that there is a significant effect of Collaborative Strategic Reading (CSR) on students’ achievement in reading comprehension on hortatory exposition text is accepted. Keywords : Collaborative Strategic Reading, Reading Comprehension



2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
S van Wessel ◽  
T Hamerlynck ◽  
V Schutyser ◽  
C Tomassetti ◽  
C Wyns ◽  
...  

Abstract STUDY QUESTIONS Does the application of anti-adhesion gel, compared to no gel, following operative hysteroscopy to treat intrauterine pathology in women wishing to conceive increase the chance of conception leading to live birth? WHAT IS KNOWN ALREADY Intrauterine adhesions (IUAs) following operative hysteroscopy may impair reproductive success in women of reproductive age. Anti-adhesion barrier gels may decrease the occurrence of IUAs, but the evidence on their effectiveness to improve reproductive outcomes is sparse and of low quality. STUDY DESIGN, SIZE, DURATION This multicentre, parallel group, superiority, blinded and pragmatic randomised controlled trial is being carried out in seven participating centres in Belgium. Recruitment started in April 2019. Women will be randomly allocated to treatment with anti-adhesion gel (intervention group) or no gel (control group). Sterile ultrasound gel will be applied into the vagina as a mock-procedure in both treatment arms. The patient, fertility physician and gynaecologist performing the second-look hysteroscopy are unaware of the allocated treatment. Power analysis, based on a target improvement of 15% in conception leading to live birth using anti-adhesion gel, a power of 85%, a significance level of 5%, and a drop-out rate of 10%, yielded a number of 444 patients to be randomised. The baseline rate of conception leading to live birth in the control group is expected to be 45%. PARTICIPANTS/MATERIALS, SETTING, METHODS Women of reproductive age (18–47 years), wishing to conceive (spontaneously or by fertility treatment) and scheduled for operative hysteroscopy to treat intrauterine pathology (endometrial polyps, myomas with uterine cavity deformation, uterine septa, IUAs or retained products of conception) are eligible for recruitment. Women may try to conceive from 3 to 6 weeks after receiving allocated treatment with follow-up ending at 30 weeks after treatment. If the woman fails to conceive within this timeframe, a second-look hysteroscopy will be scheduled within 2–6 weeks to check for IUAs. The primary endpoint is conception leading to live birth, measured at 30 weeks after randomisation. The secondary endpoints are time to conception, clinical pregnancy, miscarriage and ectopic pregnancy rates, measured at 30 weeks after receiving allocated treatment. The long-term follow-up starts when the patient is pregnant and she will be contacted every trimester. STUDY FUNDING/COMPETING INTEREST(S) This work is funded by the Belgian Healthcare Knowledge Centre (KCE). The anti-adhesion gel is supplied at no cost by Nordic Pharma and without conditions. Dr. Tomassetti reports grants and non-financial support from Merck SA, non-financial support from Ferring SA, personal fees and non-financial support from Gedeon-Richter, outside the submitted work. None of the other authors have a conflict of interest.



Author(s):  
Ruth E. Ashton ◽  
Jonathan J. Aning ◽  
Garry A. Tew ◽  
Wendy A Robson ◽  
John M Saxton

Abstract Purpose To investigate the effects of a supported home-based progressive resistance exercise training (RET) programme on indices of cardiovascular health, muscular strength and health-related quality of life (HR-QoL) in prostate cancer (PCa) patients after treatment with robot-assisted radical prostatectomy (RARP). Methods This study was a single-site, two-arm randomised controlled trial, with 40 participants randomised to either the intervention or control group over a 10-month period. In addition to receiving usual care, the intervention group completed three weekly RET sessions using resistance bands for 6 months. Participants performed 3 sets of 12–15 repetitions for each exercise, targeting each major muscle group. The control group received usual care only. Brachial artery flow-mediated dilatation (FMD) was the primary outcome and assessed at baseline, 3 and 6 months. Secondary outcomes included body weight, body fat, aerobic fitness, strength and blood-borne biomarkers associated with cardiometabolic risk. Results There was no significant difference between the groups in FMD at 3 or 6 months. However, there were improvements in aerobic exercise capacity (P < 0.01) and upper- (P < 0.01) and lower-limb (P = 0.01) strength in favour of the RET group at 6 months, accompanied by greater weight loss (P = 0.04) and a reduction in body fat (P = 0.02). Improvements in HRQoL were evident in the RET group at 3 and 6 months via the PCa-specific component of the FACT-P questionnaire (both P < 0.01). Five adverse events and one serious adverse event were reported throughout the trial duration. Conclusion This study demonstrates that home-based RET is an effective and safe mode of exercise that elicits beneficial effects on aerobic exercise capacity, muscular strength and HR-QoL in men who have undergone RARP. Trial registration ISRCTN10490647.



2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Anna-Lotta Irewall ◽  
Anders Ulvenstam ◽  
Anna Graipe ◽  
Joachim Ögren ◽  
Thomas Mooe

AbstractEnhanced follow-up is needed to improve the results of secondary preventive care in patients with established cardiovascular disease. We examined the effect of long-term, nurse-based, secondary preventive follow-up by telephone on the recurrence of cardiovascular events. Open, randomised, controlled trial with two parallel groups. Between 1 January 2010 and 31 December 2014, consecutive patients (n = 1890) admitted to hospital due to stroke, transient ischaemic attack (TIA), or acute coronary syndrome (ACS) were included. Participants were randomised (1:1) to nurse-based telephone follow-up (intervention, n = 944) or usual care (control, n = 946) and followed until 31 December 2017. The primary endpoint was a composite of stroke, myocardial infarction, cardiac revascularisation, and cardiovascular death. The individual components of the primary endpoint, TIA, and all-cause mortality were analysed as secondary endpoints. The assessment of outcome events was blinded to study group assignment. After a mean follow-up of 4.5 years, 22.7% (n = 214) of patients in the intervention group and 27.1% (n = 256) in the control group reached the primary composite endpoint (HR 0.81, 95% CI 0.68–0.97; ARR 4.4%, 95% CI 0.5–8.3). Secondary endpoints did not differ significantly between groups. Nurse-based secondary preventive follow-up by telephone reduced the recurrence of cardiovascular events during long-term follow-up.



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