Community health worker training for infant hearing health: Effectiveness of distance learning

Araújo, Eliene Silva; Alvarenga, Kátia de Freitas; Urnau, Daniele; Pagnossin, Débora Frizzo; Wen, Chao

doi:10.3109/14992027.2013.791029

Cited by 13 publications

(19 citation statements)

References 14 publications

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“…The initial search yielded 674 articles, which reduced to 420 after removal of duplicates (see online supplementary table 3). After screening of abstracts, 356 studies were excluded and after full-text review a further 30, leaving 38 studies that met the inclusion criteria 21 22 30–65. Further details are in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow chart (figure 1).…”

Section: Resultsmentioning

confidence: 99%

The role of community health workers in addressing the global burden of ear disease and hearing loss: a systematic scoping review of the literature

et al. 2019

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IntroductionCommunity health workers (CHWs) have the potential to improve access to ear and hearing services for people across low-income or middle-income countries, remote, underserved, or resource-poor areas of the world. We performed a systematic scoping review to identify evidence on how CHWs are currently deployed in the prevention, screening, diagnosis, treatment and management of ear disease and hearing loss; methods to train and support CHWs in this context; and cost-effectiveness of CHWs.MethodsWe performed a systematic search of the literature from September 1978 to 18 March 2018 from 11 major databases and the grey literature.ResultsWe identified 38 original studies that met the inclusion criteria, taking place across South Asia (n=13), Oceania (n=7), North America (n=7), South America (n=6) and Africa (n=5). 23 studies showed CHWs can increase community participation in screening. They can conduct screening using whispered voice tests, noisemakers for neonatal screening, automated audiological tests and otoscopy. Eight studies focused specifically on the evaluation of programmes to train CHWs, and three provided a general programme description. Three studies documented a role of CHWs in the treatment of ear disease or hearing loss, such as performing ear washouts, instillation of topical antibiotics or fitting of hearing aids. Only one study provided an indepth cost-utility analysis regarding the use of CHWs to conduct hearing screening, and no studies commented on the role of CHWs in the prevention of hearing loss.ConclusionCHWs have been employed in diverse ways to address the global burden of ear disease and hearing loss. Future research needs to explore the role of CHWs in preventative strategies, identify optimum methods to train and support CHWs, and explore their cost-effectiveness.

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Section: Resultsmentioning

confidence: 99%

The role of community health workers in addressing the global burden of ear disease and hearing loss: a systematic scoping review of the literature

et al. 2019

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“…Distance activities using interactive Tele-education was the second step. Interactive Tele-education is the optimization of technological resources and education designed to foster interactivity and maintain the interest of the student 1 . The educational material used in this step was a Cybertutor in thematic genetic syndromes 21 .…”

Section: Discussionmentioning

confidence: 99%

Telegenetics: application of a tele-education program in genetic syndromes for Brazilian students

2014

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With the high occurrence of genetic anomalies in Brazil and the manifestations of communication disorders associated with these conditions, the development of educative actions that comprise these illnesses can bring unique benefits in the identification and appropriate treatment of these clinical pictures. Objective The aim of this study was to develop and analyze an educational program in genetic syndromes for elementary students applied in two Brazilian states, using an Interactive Tele-education model.Material and Methods The study was carried out in 4 schools: two in the state of São Paulo, Southeast Region, Brazil, and two in the state of Amazonas, North Region, Brazil. Forty-five students, both genders, aged between 13 and 14 years, of the 9th grade of the basic education of both public and private system, were divided into two groups: 21 of São Paulo Group (SPG) and 24 of Amazonas Group (AMG). The educational program lasted about 3 months and was divided into two stages including both classroom and distance activities on genetic syndromes. The classroom activity was carried out separately in each school, with expository lessons, graphs and audiovisual contents. In the activity at a distance the educational content was presented to students by means of the Interactive Tele-education model. In this stage, the students had access a Cybertutor, using the Young Doctor Project methodology. In order to measure the effectiveness of the educational program, the Problem Situation Questionnaire (PSQ) and the Web Site Motivational Analysis Checklist adapted (FPM) were used.Results The program developed was effective for knowledge acquisition in 80% of the groups. FPM showed a high satisfaction index from the participants in relation to the Interactive Tele-education, evaluating the program as "awesome course". No statistically significant differences between the groups regarding type of school or state were observed.Conclusion Thus, the Tele-Education Program can be used as a tool for educational purposes in genetic syndromes of other populations, in several regions of Brazil.

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“…The analysis of studies related to the retention of information transmitted to patients in other areas of health [8][9][10][11][12][13][14][15][16][17][18][19][20] as well as in Audiologia 21,22 , showed loss of the information provided by health professionals and that, some patients evoked erroneous information regarding their health condition.…”

Section: Discussionmentioning

confidence: 99%

“…Initially, this material was adapted to the Brazilian reality and validated, and later, used in a classroomtraining program 14 . In subsequent studies, the effectiveness of different interactive tele-education tools such as videoconference 15 , Cybertutor 16 and CD-ROM 17 was analyzed in subsequent studies. In the analysis of the results, the methodology used in these studies was the comparison of the participants´ performance through a questionnaire administered in the pre and immediate post-training moments, which showed retention of information in the short term, with a significant difference in general knowledge in both assessment moments.…”

Section: Introductionmentioning

confidence: 99%

Capacitação de agentes comunitários de saúde na área de saúde auditiva infantil: retenção da informação recebida

et al. 2015

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OBJETIVO:verificar a retenção das informações sobre saúde auditiva infantil por agentes comunitários de saúde que participaram de um curso de capacitação.MÉTODOS:participaram do estudo 24 agentes comunitários de saúde que haviam sido capacitados por meio de um Cybertutor, sistema de ensino baseado na web. O conteúdo programático desta capacitação envolveu informações que versaram desde a prevenção à reabilitação da deficiência auditiva. Imediatamente após a capacitação, os agentes comunitários de saúde responderam um questionário de múltipla escolha contendo 20 questões, divididas em domínios (1: conceitos gerais; 2: tipo, prevenção e causas da deficiência auditiva; 3: técnicas de detecção e identificação da deficiência auditiva; 4: aspectos gerais da deficiência auditiva). Os agentes comunitários de saúde responderam novamente o questionário decorridos 15 meses da capacitação. O nível de retenção das informações foi analisado comparando o desempenho nos dois momentos por meio do teste de Wilcoxon e adotando-se nível de significância de 5%.RESULTADOS:houve uma redução significante (p=0,03) em percentual, do conhecimento geral dos agentes comunitários de saúde sobre saúde auditiva infantil (73,5±8,4/66,7±12,5). Na análise por domínios foi possível constatar uma piora nos domínios 1(76,4±14,7/58,3±22,5), 2 (72,9±30,3/64,6±19,4) e 3 (69,4±14,5/68,8±17,2), sendo significante para o domínio 1 (p=0,012). No que se refere ao domínio 4, observou-se discreta melhora (76,0±11,6/78,1±11,2).CONCLUSÃO:houve redução significante, em percentual, do conhecimento geral dos agentes comunitários de saúde sobre saúde auditiva infantil, demonstrando a importância da educação continuada para estes profissionais.

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Community health worker training for infant hearing health: Effectiveness of distance learning

Abstract: The CHWs' training in infant hearing health using an interactive tele-educational tool was effective, as the CHW demonstrated significant short-term information retention and applied such data in hypothetical situations representative of their daily activities.

Cited by 13 publications

References 14 publications

The role of community health workers in addressing the global burden of ear disease and hearing loss: a systematic scoping review of the literature

The role of community health workers in addressing the global burden of ear disease and hearing loss: a systematic scoping review of the literature

Telegenetics: application of a tele-education program in genetic syndromes for Brazilian students

Capacitação de agentes comunitários de saúde na área de saúde auditiva infantil: retenção da informação recebida

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