Feasibility study of an intervention program to enhance self-confidence of kindergarten teachers who deal with radiation-related health concerns from parents with young children

Abstract

Background Following the Fukushima Daiichi Nuclear Power Station accident in March 2011, radiation anxiety was high among residents in affected areas. Enhancing radiation-related health literacy is effective in reducing radiation anxiety. This feasibility study aimed to examine a novel intervention program to enhance the self-confidence of kindergarten teachers who deal with radiation-related health concerns from parents in order to determine the feasibility of conducting a future randomized controlled trial. Methods Teachers and administrative staff of two private kindergartens in Fukushima City and members of Media Doctor Japan (a research group for enhancing the quality of health news reporting in Japan) were recruited for study participation. Participants were randomly assigned to intervention and control groups. The intervention group participated in the intervention program, comprised of lectures, group discussions, and presentations. The control group received the same written materials used in the intervention program. The primary outcome of this study was feasibility, assessed via four questions concerning program acceptability and described without quantitative analysis. Secondary outcomes were self-confidence concerning parent consultation (1 question, 4-point Likert scale), radiation-related health knowledge (5 question quiz, 1 point for each correct answer, score: 0–5), and health literacy (assessment developed by Ishilawa, et al., score: 1–5) assessed numerically before and after the intervention. Means and standard deviations of outcomes before and after the intervention and their changes in both groups were reported with groups of participants (kindergartens and the Media Doctor Research Japan) reported separately. No quantitative analyses were performed for secondary outcomes. Results Five and six kindergarten workers and seven and seven Media Doctor Japan members participated in the intervention and control groups, respectively. Reported acceptability was generally positive, and only one participant gave a negative response regarding program usefulness. Improved self-confidence was found in kindergarten employee participants. Radiation-related health knowledge was higher after the intervention in both kindergarten teachers and Media Doctor Japan members. The amount of change was higher in the intervention group than in the control group. Conclusions The intervention program enhanced self-confidence in kindergarten employees. The feasibility of the intervention program for a larger randomized controlled trial was ascertained. Time to conduct lectures and group discussions should be increased to further enhance health literacy. Trial registrations UMIN000042527 [University Hospital Medical Information Network (UMIN) Center] registered on November 25, 2020.

Effectiveness of an Intervention Program to Enhance the Self-Confidence of Kindergarten Teachers Dealing with Radiation-Related Health Concerns from Parents of Young Children: A Quasi-Experimental Study

“…The feasibility of the intervention’s acceptability, recruitment, and delivery has been tested previously. 17…”

“…To calculate the effect size, we used a standard deviation of 0.7 for the pre- and post-intervention difference in the “confidence” value (the result of the feasibility study conducted by the applicants) and a difference of 0.7 to be detected. 17 According to the calculations, the required sample size was approximately 17 participants in 1 group and 34 in total for the 2 groups.…”

“…Notably, a previous study ascertained that the intervention program was acceptable and feasible regarding the participants’ acceptance of the program. 17 This study aimed to examine the effectiveness of the intervention program in enhancing the self-confidence of kindergarten teachers who deal with radiation-related health concerns of parents.…”