Background: Inadequate knowledge, negative attitudes towards people living with HIV/AIDS and risky practices are related to the spread of HIV infection. This study aimed to explore and test associations between knowledge, attitude and AIDS prevention behavior among students in Kham Mouane Technical-Vocation College, Lao People’s Democratic Republic. Methods: A cross-sectional, self-report questionnaire study was conducted in May 2018. Pearson's Chi-squared test and binary logistic regression was used to test the association between variables. Results: Of 939 participants, it was found that: 61.6% were women; the mean age was 20.7 years (range 18-28 years); 40.2% lived in the college dormitory; >80% drank alcoholic beverages; 31.9% drank until slightly intoxicated; 13.7% drank until drunk; and the average drinking rate was 1-2 times a month (50%). Knowledge levels about the route of HIV transmission and how it can be controlled were poor. Misunderstood issues included: HIV transmission can be controlled by having a single partner and using condoms while having sex was correctly understood by only 22.8%; 72% incorrectly reported that HIV can be transmitted through a mosquito bite; and 48.2% believed incorrectly that drinking alcohol can disinfect HIV. Attitudes towards HIV were at a moderate level: the participants believed that infected persons should not reveal themselves in public, at work or college, and that requesting a boyfriend use a condom showed mistrust. HIV prevention practices were reported at a better level: reducing opportunity for sex by not cohabiting or staying privately with a lover and wearing condoms regularly during sexual intercourse, although more than 70% still drank alcohol when visiting nightclubs, associated with an increased likelihood of unprotected sex. Conclusions: Public and community stakeholders need to design HIV prevention classes suited to college environments to improve students’ knowledge, attitudes and risky behavior practices related to HIV.
Objective: To test the effect of a text-message and infographic to promote smokers quit smoking. Methods: A randomized control trial was conducted in two provinces of northeast Thailand. Three hundred and ninety-six participants were allocated to either a text-message and infographic group or a control group. We assessed the primary outcome by self-reported 7-day point prevalence smoking abstinence. Multiple logistic regression was used to test the effect of quitting smoking. Results: At 3-month follow-up, lost to follow-up 16 participants, 380 participants were included for analysis. The difference in the rate of quitting smoking between the intervention and control groups was not found a statistical significance (17.8% versus 11.6%). However, we found a statistically significant difference in the number of cigarettes smokes (the difference:-1.74; 95%CI:-2.63,-0.84). Conclusion: No effect of text message and infographic for help smokers to quit smoking. However, the intervention showed a decrease in the number of cigarettes smoked.
This paper mainly studies the smartphone application for health vigilance in elderly adults, based on geographic information system (GIS) for village health volunteers (OSOMO in Thai) to monitor elderly’s health. Eight areas from 4 provinces of 7th health territory (Roi Et, Khon Kaen, Maha Sarakham, and Kalasin) were employed for research. The smartphone application called “OSOMO Prompt” was created for both iPhone (iOS) and Android devices for 1,246 OSOMOs. The comparison results of the difference of mean scores of knowledge of before and after using the “OSOMO Prompt” smartphone application, showed that the trial group, 240 elderly participants had the mean scores after smartphone application use of 1.69, higher than before use smartphone application. The results also indicated a statistically significant difference (p-value < .001) at 95%, confidence interval between 2.15–1.22. In conclusion, the “OSOMO Prompt” smartphone application was proved as a tool for village health volunteers to make health decision for the elderly persons. Moreover, the system was easy to use and could improve the quality of the elderly’s healthcare.
The magnanimous functionalities and flexibility of smartphone device make them well suited for collecting field data, especially for the local healthcare professional. This paper describes the results of the acceptability and feasibilityfor community health workers (CHWs) after using smartphone application called ‘OSOMO prompt’ app. The results indicated that the comparison of means of one sample t-test responses to the questions on the perceived usefulness and perceived ease of use of ‘OSOMO prompt’ app. The CHWs found that the high average scores of using the ‘OSOMO prompt’ app were useful in their job (mean=3.97±.68) and easy to use (Mean=3.95±.62). The app also had high score point of improving the quality of CHWs work, easy to do CHWs job, clearly and stability app while all items of perceived usefulness and perceived ease of use were statistical significantly (p-value <.001). In conclusion, challenging of smartphone ‘OSOMO prompt’ app was feasible and acceptable to CHWs.
Health care for older persons is important for their well-being. In Thailand, village health volunteers (VHVs) play a crucial role in communicating between the older persons and health care professionals. Traditionally, they record and submit a monthly report as papers. This project was aimed to design a geographical information system (GIS)-based mobile application for health care in older persons in rural community by the VHVs. As a part of the analysis, design, development, implementation, and evaluation (ADDIE) model, health information obtained from 8,348 older persons and 1,125 VHVs living in rural community were analyzed and used for the for iPhone (iOS) and Android devices, and web browser. In summary, this mobile application allows the VHVs locate the older person’s addresses and communicate with health care staff online in time-saving manner.
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