Viral Hepatitis Training for Laboratory Workers: Addressing the Unaddressed

Aims: The aim of the study was to assess the current Knowledge, Attitude and Practice (KAP) of laboratory technicians about viral hepatitis and to assess the effect of one day training on knowledge levels of the participants. Study Design: Pre-post design. Place and Duration of Study: Institute of Liver and Biliary Sciences New Delhi and October 2018 to September 2019. Methodology: A one-day training program titled “Hepatitis Induction Program” on viral hepatitis for laboratory technicians was conducted. The participants were provided theoretical as well as demonstrative and hands-on training about diagnostic management and prevention of viral hepatitis among laboratory technicians. An online link for KAP and Pre-post knowledge assessment questionnaire consisting 49 (KAP) questions was shared with all registered participants. Same knowledge questionnaire consisting 25 questions was shared with the participants after training. One mark was allotted for each correct response. The data was analysed using IBM-SPSS version-21. Independent samples t-test was used to assess the mean knowledge score across various demographic factors and the paired t-test was used to assess the improvement in knowledge post training. Pearson correlation coefficient was used to establish relationship between KAP score. The statistical significance was considered at 0.05. Results: A total of 151 laboratory technicians were trained in 5 one day trainings and data for KAP and pre-post assessment data was available for all 151 participants. Correlation coefficient between knowledge, attitude and practice score stated a positive correlation between knowledge and attitude (r=0.36 P<0.001), knowledge and practice (r=0.192, P<0.001), attitude and practice (r=0.425, P<0.001). Also, Mean difference between pre and post knowledge score was 3.12 which was statistically significant (P<0.001).There was no significant association observed between pre-post knowledge score and demographic characteristics. Conclusion: The study was able to reflect the significant effect of one-day training regarding diagnostic management and prevention of viral hepatitis on knowledge level of the laboratory workers. The present training program can also be up scaled and help in educating the lab technicians on various health-related topics across the country as authors have found lack of studies or training programs of this kind for the laboratory workers.

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Physicians as viral hepatitis advocates: empowerment through education

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20212106 ◽

2021 ◽

Vol 8 (6) ◽

pp. 819

Author(s):

Aayushi Rastogi ◽

Sabin Syed ◽

Ekta Gupta ◽

Akanksha Bansal ◽

Mohit Varshney ◽

...

Keyword(s):

Viral Hepatitis ◽

Training Program ◽

Knowledge Score ◽

T Test ◽

Induction Program ◽

Attitude And Practice ◽

Post Test ◽

Health Related ◽

Cellular Carcinoma ◽

Knowledge Attitude And Practice

Background: Viral hepatitis is the most serious infections due to its asymptomatic nature for a long period and complications like liver cirrhosis and hepato cellular carcinoma. Also, available literatures suggest low vaccination status, poor to moderate knowledge about prevention and management of viral hepatitis. Moving forward, physicians can act as advocates in disseminating the correct knowledge about prevention and transmission of viral hepatitis. With this background one-day training program for physicians was conceptualised under project PRAKASH to educate and empower them about prevention and management of viral hepatitis.Methods: A pre-post study design was undertaken among the physicians who registered themselves for hepatitis induction program. An online link to the knowledge, attitude and practice (KAP) questionnaire consisted of 59 questions of knowledge (35 questions), attitude (12 questions) and practice (12 questions) along with demographic variables was shared with the registered participants. Same knowledge questions were asked during post-test. Paired-t-test and Independent samples t-test were used in analysis using statistical package for the social sciences (SPSS) v-21. Level of significance was taken at p<0.05.Results: A total of 204 clinicians were trained over five training and pre-post was available for 170 participants. The mean knowledge, attitude and practice scores were found to be 25.11±4.85, 50.17±6.86, 20.18±3.90 out of total score of 35, 60 and 24 respectively. Post knowledge score had increased significantly when compared with pre-score. Pre-knowledge score was found significant with experience level.Conclusions: Overall, study observed significant improvement of knowledge among physicians which can be attributable to training program and this program can be up scaled and help in empowering the physicians on various health-related topics across the country.

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Capacity building of healthcare workers: Key step towards elimination of viral hepatitis in developing countries

PLoS ONE ◽

10.1371/journal.pone.0253539 ◽

2021 ◽

Vol 16 (6) ◽

pp. e0253539

Author(s):

Aayushi Rastogi ◽

Sapna Chauhan ◽

Archana Ramalingam ◽

Madhavi Verma ◽

Seena Babu ◽

...

Keyword(s):

Impact Assessment ◽

Viral Hepatitis ◽

Training Program ◽

Healthcare Workers ◽

Knowledge Score ◽

Attitude And Practice ◽

Post Test ◽

Assessment Survey ◽

The One ◽

Knowledge Attitude And Practice

Background Lack of awareness about viral hepatitis (VH) potentially predisposes the healthcare workers (HCWs) to a higher risk of infection and may in turn increase the risk of transmission of the infection to their families and in the community. Thus, combating VH, requires adequate and updated training to the HCWs. With this objective, Project PRAKASH designed a meticulously planned training program, aimed to assess the effect of a one-day training on VH among in-service nurses. Methods and material The content and schedule of scientific sessions of the training program were decided by subject experts to improve knowledge, attitude and practice(KAP) related to VH among in-service nurses. A 54-item questionnaire divided into four domains: Transmission and Risk Factors; Prevention; Treatment; Pathophysiology and Disease Progression were used to assess the KAP related to VH. The questionnaire consisted of four sections: demographic details, knowledge(30-items), attitude(12-items) and practice(12-itmes) with a total score of 30, 60 and 24 respectively in each section. The pre-post knowledge assessment was done and impact assessment survey was undertaken among the participants who completed six months post-training period. Paired-t-test was used to assess the effect of training on knowledge using SPSSv-22. Results A total of 5253 HCWs were trained through 32 one-day trainings, however data for 4474 HCWs was included in final pre-post knowledge analysis after removing the missing/incomplete data. Mean age of participants was 33.7±8.4 with median experience of 8(IQR: 3–13). Mean improvement in knowledge score was found to be significant (p<0.001) with mean knowledge score of 19.3±4.4 in pre-test and 25.7±3.9 in the post-test out of 30. Impact assessment survey suggested change in attitude and practice of HCWs. Conclusion The one-day training programs helped the in-service nurses to enhance their knowledge related to viral hepatitis. The study provided a roadmap to combating viral hepatitis through health education among HCWs about viral hepatitis.

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Enhancing the health coverage in India by empowering the corona warriors through educational intervention

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20212325 ◽

2021 ◽

Author(s):

Aayushi Rastogi ◽

Sabin Syed ◽

Tarika Sharma ◽

Sarita Ahwal ◽

Karthik Ponnappan T. ◽

...

Keyword(s):

Training Program ◽

Healthcare Workers ◽

Geographical Location ◽

Knowledge Score ◽

Demographic Variables ◽

Health Coverage ◽

Attitude And Practice ◽

Before And After ◽

Location Type ◽

Knowledge Attitude And Practice

Background: The aim of the study was to assess the effect of the training program on knowledge, attitude and practice (KAP) related to prevention and management of COVID-19.Methods: A pre-post study was conducted among healthcare workers (HCWs) attending ten-days online training program from 29 April to 30 November, 2020. A 37-item questionnaire assessing knowledge (26-items), attitude (6-items) and practice (5-itmes) was administered to the participants before and after the training program. Total score of knowledge, attitude and practice (KAP) was 27, 12 and 20 respectively. Paired t test was used to assess the effect of training on KAP. Association of pre-training KAP with demographic variables was performed using SPSSv-22.Results: A total of 1428 HCWs were trained across 25 states through nine trainings; however, the data was analysed for only 1167 HCWs (response rate: 82%). Mean age of participants was 30.96±6.62 years and 77.29% were females. Mean KAP scores in pre-training were found to be 17.46±3.24 out of 27, 9.94±1.56 out of 12 and 19.01±1.76 out of 20 respectively which significantly increased to 21.28±3.65, 10.35±1.48 and 19.37±1.49 after attending training program. Pre-knowledge score was found to be associated with age, years of experience, geographical location, type of facility, presence of COVID-19 related facilities in the place of working.Conclusions: Comprehensively designed training program enhanced the knowledge about prevention and management of COVID-19 in HCWs and also motivated them to maintain an optimistic attitude and good practices while managing the patients.

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Effect of a Mobile Application intervention on Knowledge, Attitude and Practice Related to Healthy Marriage among Youth in Iran

10.21203/rs.2.22698/v1 ◽

2020 ◽

Author(s):

Sahebjan Torkian ◽

Firoozeh Mostafavi ◽

Asiyeh Pirzadeh

Keyword(s):

Intervention Group ◽

Skills Training ◽

Mobile App ◽

T Test ◽

Validity And Reliability ◽

Educational Models ◽

Attitude And Practice ◽

Quasi Experimental ◽

The Mean ◽

Knowledge Attitude And Practice

Abstract Background:Pre-marriage counseling coupled with enriching the couple's relationships skills can lead to better relationships. New approaches and programs are being developed today to improve youth skills. Mobile app education is one of the new educational models in this field. The purpose of this study was to determine the effectiveness of mobile app intervention on knowledge, attitude and practice of youth for healthy marriage.Methods: This quasi-experimental study was conducted in 2019 on 88 young people (44 couples) who were selected by convenience sampling from youth referred to the premarital counseling center of Falavarjan city (Isfahan). At first, the pre-marriage skills training and counseling app was designed and produced, then this app was installed on the intervention group's cellphone. Data were collected using questionnaire based on the content of the app and its validity and reliability were confirmed. Data were analyzed using SPSS (20) and paired t-test and independent t-test were applied. Results:The mean (SD) of couples' age was 21.11 (5.06) years. The results showed that after installation of educational consulting app in the intervention group, the mean score of knowledge (P = 0.001), attitude (P = 0.001), and practice (P = 0.001) after intervention were significantly higher than before the intervention. Conclusion: The results of the study showed that using mobile-based educational and counseling app increases couples' knowledge, attitude and practice in pre-marital education. Therefore, it is recommended that this type of education (mobile app) be used to promote pre-marriage education classes.

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Workshop and package education intervention to knowledge, attitude and practice of ICU nurses on the use of physical restraints

Journal of Complementary and Integrative Medicine ◽

10.1515/jcim-2019-0065 ◽

2020 ◽

Vol 17 (1) ◽

Author(s):

Mohammad Khajeh ◽

Milad Bazghaleh ◽

Yaser Tabarraie ◽

Reza Mohammadpourhodki ◽

Mohsen Koushan

Keyword(s):

Knowledge Score ◽

Training Data ◽

Training Methods ◽

Physical Restraints ◽

Significance Level ◽

Attitude And Practice ◽

Educational Package ◽

Significant Difference ◽

And Performance ◽

Knowledge Attitude And Practice

AbstractBackgroundThe purpose of this study was to compare the effect of the two training methods: educational workshop and electronic package on the knowledge, attitude and practice of nurses in intensive care units (ICUs).Materials and MethodsIn this experimental study, 64 nurses working in ICU at Imam Hossein and Bahar Hospitals in 2017 in Shahroud were randomly selected into two groups of training: workshops and educational package. At first, knowledge, attitude and performance of the two groups were measured and then 2 weeks after the post-test training. Data were analyzed by Fisher exact, Wilcoxon, independent t-test, Mann–Whitney test with a significance level ≤0.05.ResultsA significant difference was found between knowledge score in the workshop (10.40 ± 1.41) and educational package (11.25 ± 0.95) (p=0.007). However, No significant difference was found between the nurses attitude in the workshop group (28.59 ± 2.74) and the trained by educational package (28.25 ± 2.85) (p=0.617). Also, no significant difference was found between the mean practice scores in two groups (p=0/143).ConclusionThe results of this study indicated that the educational package was more effective than the workshop on improving the level of knowledge of nurses about physical restriction, but both methods increased the attitude and practice of nurses.

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Self-Management Status in Patients with Diabetes and Disease Control Indicators in Lamerd City, Iran

Jundishapur Journal of Chronic Disease Care ◽

10.5812/jjcdc.99992 ◽

2020 ◽

Vol 9 (2) ◽

Author(s):

Fereidoun Jahangir ◽

Esmaeil Kavi ◽

Behnam Masmouei ◽

Mohammad-Rafi Bazrafshan ◽

Hamed Delam ◽

...

Keyword(s):

Waist Circumference ◽

Disease Control ◽

Correlation Coefficient ◽

Pearson Correlation ◽

T Test ◽

The Self ◽

Self Management ◽

Pearson Correlation Coefficient ◽

Cross Sectional ◽

The Mean

Background: Diabetes is a global epidemic with serious complication and there is a clear need for paying special attention to self-management as the cornerstone to optimal control of the disease. Objectives: This study aimed to assess the self-management status and its correlation to disease control indicators in people with diabetes. Methods: In a descriptive cross-sectional study, 220 patients were selected from the list of the referred patients available in Lamerd public health network from December 2014 to June 2015. In the first step, data about demographic information and disease control were collected from the patients’ records. In the second step, the self-management status of each patient was assessed by the Diabetes Self-Management Questionnaire developed by Schmitt et al. To analyze the data, independent sample t-test and Pearson correlation coefficient were used. Results: The mean age of the male and female participants was 56.43 ± 13.50 and 56.46 ± 10.49 years old, respectively. The mean duration of the disease was 6.67 ± 4.72 years for men and 7.07 ± 5.30 years for women. Twenty-one (25.9%) men and 60 (43.7%) women had a history of smoking. The results of the Pearson correlation coefficient showed that there was an inverse and statistically significant relationship between diabetes self-management status and weight, body mass index (BMI), waist circumference, glucose tolerance test (GTT), LDL, and cholesterol. The results of the t-test did not show significant differences between the level of HbA1C (HbA1C7) and self-management scores of the patients (P > 0.05). Conclusions: Patients with better self-management status were in a better disease control condition with respect to weight, BMI, waist circumference, GTT, LDL, and cholesterol levels. Special attention to the control and management of LDL, cholesterol, HbA1C, BMI, and blood pressure levels is recommended in planning for these patients.

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Assessment of knowledge, attitude and practice of Pakistani population about the risk factors, causes, complications and management of diabetes mellitus

Journal of the Pakistan Medical Association ◽

10.47391/jpma.434 ◽

2020 ◽

pp. 1-12

Author(s):

Muhammad Sajid Hamid Akash ◽

Kanwal Rehman ◽

Komal Jabeen ◽

Fareeha Fiayyaz ◽

Shakila Sabir ◽

...

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Family History ◽

Urban Areas ◽

Knowledge Score ◽

Key Words Complications ◽

Family History Of Diabetes ◽

Pakistani Population ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Abstract Objective: To compare the knowledge, attitude and practice regarding diabetes mellitus among diabetics and non-diabetics. Methods: The cross-sectional study was conducted at the Government College University, Faisalabad, Pakistan, from December 2017 to April 2018, and comprised subjects recruited randomly from different cities of Punjab, Pakistan. Data was collected using a predesigned structured questionnaire regarding socio-demographic characteristics, general knowledge about diabetes, perception regarding indication, risk factors, diagnosis, and complications, and practices followed for treatment and management of diabetes. Results: Of the 2,000 subjects, 972(48.6%) had family history of diabetes, 1338(66.9%) were living in urban areas, 1068(53.4%) were university graduates, 804(40.2%) were employed and 1152(57.6%) belonged to socio-economically balanced families. Composite knowledge score was significantly associated with age and socio-economic status (p<0.05). A highly significant association was observed regarding family history (p<0.001), level of education (p<0.0001) and occupation (p<0.001) with composite knowledge score. Conclusion: The knowledge level about diabetes was seen to be average. Key Words: Complications of diabetes mellitus, Diabetes knowledge, Management of diabetes mellitus, Pakistani population, Questionnaire. Continuous...

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PERILAKU PENCEGAHAN DAN PENGENDALIAN HIPERTENSI : STUDI PENGETAHUAN, SIKAP, PERILAKU (PSP) DAN KESEHATAN LINGKUNGAN PADA WANITA PASCA MENOPAUSE DI KOTA BOGOR

Jurnal Ekologi Kesehatan ◽

10.22435/jek.17.3.666.182-196 ◽

2019 ◽

Vol 17 (3) ◽

pp. 182-196

Author(s):

Woro Riyadina ◽

Evi Martha ◽

Athena Anwar

Keyword(s):

Blood Pressure ◽

Water Quality ◽

Drinking Water ◽

Postmenopausal Women ◽

Prevention And Control ◽

T Test ◽

Behavioral Factors ◽

Attitude And Practice ◽

And Control ◽

Knowledge Attitude And Practice

ABSTRACT Half of the women (48%) had hypertension at the age of menopause and the majority of hypertension was uncontrolled. For hipertensive patients, behavioral factors (knowledge, attitude and practice) and environment related to the prevention and control of blood pressure. This study explored further from the research data " The Dynamics of Change in Body Mass Index and Blood Pressure in Postmenopausal Women in Bogor on 2011-2014, focus on knowledge, attitude and practice of preventing and controlling hypertension in Bogor City. Data collection was carried out with indepth interviews on key informants responsible for health program and Focus Group Discussion (FGD) for 4 groups of hypertensive and normotensive informants, respectively. The qualitiative data analyzed using theme analysis, triangulation was carried out for data validation. Analysis of drinking water quality data was done by independent t test. The majority of postmenopausal women were 55 years old and senior high school education. Most of them already have good knowledge and attitudes in the prevention and control of blood pressure, but are still lacking in practice. Aluminum and lead (Pb) contamination in drinking water has exceeded the standard value and has the potential to increase blood pressure. For hypertensive patient, health workers should have a strategy to increase the motivation to practice the prevention and control of blood pressure with various counseling methods that are more innovative and applicative to specific local potential and routine monitoring of drinking water sources to maintain good drinking water quality. Keywords: Hypertension, menopause, behavioral factors, control of blood pressure ABSTRAK Separuh wanita (48%) mengalami hipertensi saat memasuki usia menopause dan mayoritas hipertensi tidak terkontrol. Bagi penderita hipertensi, faktor perilaku dan lingkungan berhubungan dengan pencegahan dan pengontrolan tekanan darah. Penelitian ini adalah eskplorasi lebih lanjut dari data penelitian “Dinamika Perubahan Indeks Massa Tubuh dan Tekanan Darah pada Wanita Pasca Menopause di Kota Bogor, tahun 2011-2014 tentang Pengetahuan Sikap dan Perilaku (PSP) dan lingkungan wanita pasca menopause dalam mencegah dan mengendalikan hipertensi. Pengumpulan data PSP dilakukan dengan wawancara mendalam terhadap informan kunci penanggung jawab program kesehatan, dan Diskusi Kelompok Terpadu (DKT) pada 4 kelompok informan hipertensi dan 4 kelompok normotensi. Pengumpulan data lingkungan fisik dilakukan dengan observasi dan mengukur kualitas air dengan pemeriksaan parameter kimiawi air minum. Analisis data kualitatif menggunakan analisis tematik, sedangkan analisis data kualitas air minum dengan uji beda mean (independent t test). Hasil menunjukkan bahwa mayoritas wanita pasca menopause yang normotensi dan hipertensi berumur 55 tahun dan pendidikan SMA, sebagian besar sudah memiliki pengetahuan dan sikap yang baik dalam pencegahan dan pengontrolan tekanan darah, tetapi masih kurang dalam prakteknya. Cemaran aluminium dan timbal (Pb) dalam air minum sudah melebihi nilai baku mutu dan berpotensi meningkatkan tekanan darah. Disarankan bagi petugas kesehatan sebaiknya mempunyai strategi peningkatan motivasi praktek pencegahan dan pengontrolan tekanan darah dengan berbagai metode konseling yang lebih inovatif dan aplikatif berbasis potensi lokal spesifik dan monitoring rutin sumber air minum untuk menjaga kualitas air minum tetap baik. Kata kunci: Hipertensi, menopause, faktor perilaku, pengontrolan tekanan darah

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Knowledge, Attitude, and Practice toward COVID-19 among Healthy Population in the Philippines

Nurse Media Journal of Nursing ◽

10.14710/nmjn.v11i1.36067 ◽

2021 ◽

Vol 11 (1) ◽

pp. 61-70

Author(s):

Cyruz P. Tuppal ◽

Marina Magnolia G. Ninobla ◽

Mara Gerbabe D. Ruiz ◽

Richard D. Loresco ◽

Shanine Mae P. Tuppal ◽

...

Keyword(s):

Early Onset ◽

Preventive Measures ◽

Pearson Correlation ◽

The Philippines ◽

Healthy Population ◽

Cross Sectional ◽

Preventive Practices ◽

Attitude And Practice ◽

Profile Characteristics ◽

Knowledge Attitude And Practice

Background: COVID-19 pandemic has become a severe health threat to the Philippines and around the world. At the early onset of the pandemic, it is imperative to measure the knowledge, attitude, and practice (KAP) among healthy individuals to better understand the causes, transmission, and preventive measures. Purpose: This study aimed to identify the knowledge, attitude, and practice towards COVID-19 in a healthy Filipino population during the early onset of the pandemic outbreak.Methods: This cross-sectional rapid online and web-based survey was conducted among healthy Filipino population. A total of 1634 subjects participated via the Google survey link. Descriptive statistics were used to describe the respondents' profile characteristics and KAP scores. The One-Way ANOVA or independent sample t-test was used to measure KAP scores' differences when grouped according to respondents' profile characteristics. Pearson correlation was used to measure the relationship among the KAP scores. The data were all analyzed using the SPSS version 26.0. Results: The overall knowledge scores revealed 67.7%. Filipinos believed COVID-19 would finally be successfully controlled and confident that the Philippines can win the battle against the virus through preventive practices. KAP scores showed significant differences with age, sex (p<0.000), and place of residence (p<0.000), occupation (p<0.000), and marital status (p<0.000). A significant positive low correlation between knowledge and practice (r=0.076, p<0.01), attitude and practice (r=0.100, p<0.01).Conclusion: Albeit a low knowledge of COVID-19, healthy Filipino populations had a positive attitude and compliant with the preventive measures. This study hopes to contribute to the growing corpus of literature on COVID-19 to provide evidence-based information towards health promotion, illness prevention, and control of possible virus' spread.

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Knowledge, Attitude, and Practice about Food Hygiene and Safety among Food Catering Staff in Yazd

The Journal of Tolooebehdasht ◽

10.18502/tbj.v18i3.1444 ◽

2019 ◽

Author(s):

Ameneh Marzban ◽

Vahid Rahmanian ◽

Mehrnoosh Shirdeli ◽

Mehran Barzegaran

Keyword(s):

Food Supply ◽

Health Knowledge ◽

Pearson Correlation ◽

Personal Hygiene ◽

Food Hygiene ◽

Continuous Training ◽

Supply And Distribution ◽

Attitude And Practice ◽

Significant Difference ◽

Knowledge Attitude And Practice

Introduction: Observance of food hygiene and safety by the staff working in the food supply and distribution sector is one of the most important factors in prevention of foodborne diseases. However, considering the inadequate knowledge and inappropriate performance of the staff, we are faced with many epidemics of food poisoning. Therefore, this study was conducted to determine the knowledge, attitude, and practice of food supply and distribution companies in Yazd. Methods: This descriptive cross-sectional study was conducted among 126 employees working in 15 food catering centers in Yazd City in 2018. Census sampling method was applied to collect data by a researcher-made questionnaire. In this questionnaire, the items were about the participants' background demographic information, knowledge, attitude, and practice in the field of food health, which was designed according to previous studies. Data were analyzed using SPSS24, T-test, ANOVA, and Pearson correlation coefficient. Results: The employees' mean scores of knowledge, attitude, and practice were 10.08 ± 5.11, 24.31 ± 8.37 and 8.91 ± 6.50, respectively. A significant difference was observed between the mean and standard deviation of the participants' knowledge and education level (P = 0.00). Furthermore, a positive and significant correlation was observed between the participants' knowledge, attitude, and practice. Conclusion: It is necessary to provide individuals with practical and continuous training programs by experienced specialists. Moreover, food catering staff should be motivated to adhere to the principles of personal hygiene and food and their health knowledge should be updated.

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