scholarly journals Readiness of Accredited Social Health Activist Workers for Tobacco Cessation Counseling after a Brief Intervention in Odisha, India: A Quasi-experimental Study

2017 ◽  
Vol 18 (9) ◽  
pp. 759-764
Author(s):  
KNV Sudhakar ◽  
PV Krishnam Raju ◽  
Jugajyothi Pathi ◽  
J Avinash ◽  
Vinay Sureshan ◽  
...  

ABSTRACT Aim The aim of the study was (1) to explore the baseline beliefs and practices of accredited social health activist (ASHA) workers of Khurda district of Orissa with respect to tobacco cessation and (2) to assess whether a brief intervention will be effective in improving the beliefs and practices of ASHA workers. The results of this study could be utilized by policy makers for framing important strategies for tobacco cessation in rural areas utilizing ASHA workers. Materials and methods A quasi-experimental study (before and after comparison) was performed in Khurda district of Orissa to find out whether a brief intervention could improve the beliefs and practices of ASHA workers related to antitobacco counseling in rural areas. A 14-item structured, interviewer-administered questionnaire, written in English (translated in Odiya), was used. The final sample size was estimated as 135. Data were entered into Statistical Package for the Social Sciences (version 21) for analysis. Results All the mean belief items, practice items, degree of preparedness, and interest in training scores of study population increased significantly from baseline to postintervention. The study population showed a statistically significant improvement in postintervention composite belief and composite practices score. Conclusion The majority of ASHA workers had positive beliefs and favorable practices after attending a brief intervention toward smoking cessation in their community. After attending the intervention, nearly half of the respondents felt either somewhat or very well prepared for tobacco cessation. Most of them showed their interest toward getting further training in the field. Clinical significance Training programs and regular tobacco cessation activities should be planned in the primary health-care delivery system of India. How to cite this article Sudhakar KNV, Pathi J, Avinash J, Raju PVK, Sureshan V, Vidya KC. Readiness of Accredited Social Health Activist Workers for Tobacco Cessation Counseling after a Brief Intervention in Odisha, India: A Quasi-experimental Study. J Contemp Dent Pract 2017;18(9):759-764.

2019 ◽  
Vol 3 (1) ◽  
pp. 17-26
Author(s):  
Toeenfi Febrian Suzerli ◽  
Heffi Alberida ◽  
Relsas Yogica

Learning science in SMPN 1 Padang has been running pretty well in accordance with the curriculum of 2013. However, there are still shortcomings in the aspect of attitude. Such as low self-care among others, mutual esteem is very low when friends come forward, attitudes tend to be selfish and apathetic attitude towards the environment, resulting in low competence of the social attitudes of learners. One of the ways that teachers can do is to implement cooperative learning model Numbered Head Together (NHT). This study aims to determine the effect of cooperative learning model Numbered Head Together (NHT) the competence of the social attitudes of students of class VII SMPN 1 Padang. This study was an experimental study with a quasi-experimental methods (quasi-experimental). The study population was the students of class VII SMPN 1 Padang. Sampling was done by purposive sampling with learners VII.D class as the control class and the class as a class experiment VII.E. The instrument used is the observation sheet attitude competence of learners. The result shows that there are improvement of students social attitude competence after using NHT in class VII SMPN 1 Padang. Factors include are discussed.


2012 ◽  
Vol 20 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Eliana Louzada Petito ◽  
Afonso Celso Pinto Nazário ◽  
Simone Elias Martinelli ◽  
Gil Facina ◽  
Maria Gaby Rivero De Gutiérrez

The aim of this study was to evaluate the effectiveness of an exercise program for the recuperation of the range of motion (ROM) of the shoulder. This is a quasi-experimental study developed at the Mastology Outpatient Clinic of the Federal University of São Paulo - Brazil, from August 2006 to June 2008, with 64 breast cancer patients undergoing surgery. The intervention consisted of: preoperative evaluation of the ROM, verbal and written guidance, demonstration and implementation of the exercises and revaluation at the outpatient follow-up appointments until the 105th postoperative day (PO). From the 7th PO a significant increase was observed in the ROM, which continued until the 105th PO. The minimum time for recovery was 105 days for the women undergoing mastectomy, and 75 days for those undergoing quadrantectomy. There was satisfactory adherence of 78.6% of the women. The domicile program was effective for the recovery of ROM in the study population, benefiting women who can not attend a presential program.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Marion Tharrey ◽  
Ashby Sachs ◽  
Marlène Perignon ◽  
Chantal Simon ◽  
Caroline Mejean ◽  
...  

Abstract Background Despite an increasing number of studies highlighting the health benefits of community gardening, the literature is limited by cross-sectional designs. The “JArDinS” quasi-experimental study aimed to assess the impact of community garden participation on the adoption of more sustainable lifestyles among French adults. Methods Individuals entering a community garden in Montpellier (France) in 2018 (n = 66) were compared with pairwise matched individuals with no experience in community gardening (n = 66). Nutritional quality, environmental impact and cost of monthly household food supplies, level of physical activity measured by accelerometers, as well as mental and social well-being, sensitivity to food waste, and connection with nature were evaluated at baseline (t0) and 12 months later (t1) to explore sustainability of lifestyles in social/health, environmental and economic dimensions. Linear mixed models were used to determine the independent effect of community gardening on investigated lifestyles components. In-depth interviews were conducted at t1 with 15 gardeners to better understand changes that may have occurred in gardeners’ lives during the first year of gardening. Results At t0, gardeners had lower education level, lower BMI and their household reported lower percentage of meals consumed outside of the home compared to non-gardeners (p <  0.05). Participating in the community garden had no significant impact, in spite of sufficient statistical power, on fruit and vegetables supplies (main outcome), nor on physical activity parameters, nor on others of the social/health, environmental and economic lifestyles components investigated. Qualitative interviews suggested the existence of pre-established health and environmental consciousness in some gardeners and revealed several barriers to the participation such as lack of time, lack of gardening knowledge, physical difficulty of gardening, health problems and conflicts with other gardeners. Conclusions The health benefits of community gardening previously reported by cross-sectional studies might be confounded by selection bias. The JArDinS study highlights the need to identify solutions to overcome barriers related to community garden participation when designing relevant public health interventions for the promotion of sustainable lifestyles. Trial registration The study was registered at clinicaltrials.gov as NCT03694782. Date of registration: 3rd October 2018, retrospectively registered.


2016 ◽  
Vol 37 (11) ◽  
pp. 1323-1330 ◽  
Author(s):  
Elise M. Martin ◽  
Dana Russell ◽  
Zachary Rubin ◽  
Romney Humphries ◽  
Tristan R. Grogan ◽  
...  

OBJECTIVETo evaluate the impact of discontinuation of contact precautions (CP) for methicillin-resistantStaphylococcus aureus(MRSA) and vancomycin-resistantEnterococcus(VRE) and expansion of chlorhexidine gluconate (CHG) use on the health system.DESIGNRetrospective, nonrandomized, observational, quasi-experimental study.SETTINGTwo California hospitals.PARTICIPANTSInpatients.METHODSWe compared hospital-wide laboratory-identified clinical culture rates (as a marker of healthcare-associated infections) 1 year before and after routine CP for endemic MRSA and VRE were discontinued and CHG bathing was expanded to all units. Culture data from patients and cost data on material utilization were collected. Nursing time spent donning personal protective equipment was assessed and quantified using time-driven activity-based costing.RESULTSAverage positive culture rates before and after discontinuing CP were 0.40 and 0.32 cultures/100 admissions for MRSA (P=.09), and 0.48 and 0.40 cultures/100 admissions for VRE (P=.14). When combining isolation gown and CHG costs, the health system saved $643,776 in 1 year. Before the change, 28.5% intensive care unit and 19% medicine/surgery beds were on CP for MRSA/VRE. On the basis of average room entries and donning time, estimated nursing time spent donning personal protective equipment for MRSA/VRE before the change was 45,277 hours/year (estimated cost, $4.6 million).CONCLUSIONDiscontinuing routine CP for endemic MRSA and VRE did not result in increased rates of MRSA or VRE after 1 year. With cost savings on materials, decreased healthcare worker time, and no concomitant increase in possible infections, elimination of routine CP may add substantial value to inpatient care delivery.Infect Control Hosp Epidemiol2016;1–8


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