Health education in rural communities with locally produced and locally relevant multimedia content

Molapo, Maletšabisa; Marsden, Gary

doi:10.1145/2442882.2442913

Cited by 16 publications

(6 citation statements)

References 5 publications

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“…While education videos are less personal, they are more accessible. Educational videos promise to reach a wider audience, including those living in hard-to-reach rural areas [17,22]. Educational videos are customizable, and information can be translated into various languages to increase accessibility further [15].…”

Section: Discussionmentioning

confidence: 99%

Using the Health Belief Model to Assess the Impact of Latent Tuberculosis Infection Health Education Video Towards Screening Adoption in Foreign-Born Persons Living in California

Ojukwu,

Stimatze

2024

Preprint

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Background Tuberculosis (TB) disproportionately affects foreign-born persons from TB-endemic countries. Previous studies demonstrated that educational interventions effectively increased knowledge, perception, and latent tuberculosis infection (LTBI) screening in at-risk people. Given the high prevalence of LTBI and active TB cases and the large proportion of foreign-born individuals with low LTBI awareness residing in California, this study sought to evaluate the impact of video-based LTBI education in this population. Methods We evaluated the impact of a 5-minute LTBI educational video on participants using Health Belief Model (HBM) constructs using a pre- and post-test design. We enrolled 84 participants during the study period. Participants identified as (54%) women and 45% men, with 54.48 mean age, and participants identified as Asian (48%), White (37%), Hispanic/Latinx (13%), and Black/African American or Native Hawaiian/Pacific Islander (2%). Participants first completed the pre-survey, which consisted of the HBM LTBI Survey, followed by a demographic survey. Participants then watched the educational intervention video followed by the post-survey, which consisted of the HBM LTBI Survey. Results To assess the changes in HBM constructs, we ran six paired-sample t-tests and found a significant increase in perceived susceptibility, t(83) = 8.82, p < .001, perceived severity, t(83) = 2.06, p < .04, perceived benefits, t(83) = 3.33, p < .001 and behavioral intention, t(82) = 3.99, p < .001 with a significant decrease in perceived barriers, t(83) = -3.38, p < .001. To analyze the impact of the HBM constructs on behavioral intentions, we ran a multiple linear regression. Overall, the HBM accounted significantly in variance for behavioral intentions to engage in screening, F(5, 77) = 14.81, p < 0.001; with perceived susceptibility, t(81) = 2.64, p = 0.01, perceived severity t(81) = 2.69, p = 0.009, and self-efficacy t(81) = 3.05, p = 0.003 significantly predicting behavioral intentions for LTBI screening. Conclusions This project demonstrates the efficacy of health education videos in promoting awareness and screening for LTBI. The authors recommend using health educational videos in communities and healthcare facilities to create more knowledge, awareness, and engagement in LTBI screening.

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Section: Discussionmentioning

confidence: 99%

Using the Health Belief Model to Assess the Impact of Latent Tuberculosis Infection Health Education Video Towards Screening Adoption in Foreign-Born Persons Living in California

Ojukwu,

Stimatze

2024

Preprint

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“…The ASHAs receive 23 days of training in the first year, followed by 12 days of training in every subsequent year to keep them updated with the knowledge and skills needed to effectively perform their roles and responsibilities. Previous studies have identified many challenges in the training of ASHAs, such as lack of regular refresher training [ 32 ], shortage of competent trainers, insufficient funds, and use of obsolete health information [ 33 ]. The training programs have mostly been didactic-based and had limitations in the engagement of participants [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

A mixed methods evaluation of the impact of ECHO® telementoring model for capacity building of community health workers in India

Panda,

Lahoti,

Mishra

et al. 2024

Hum Resour Health

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Introduction India has the largest cohort of community health workers with one million Accredited Social Health Activists (ASHAs). ASHAs play vital role in providing health education and promoting accessible health care services in the community. Despite their potential to improve the health status of people, they remain largely underutilized because of their limited knowledge and skills. Considering this gap, Extension for Community Healthcare Outcomes (ECHO)® India, in collaboration with the National Health System Resource Centre (NHSRC), implemented a 15-h (over 6 months) refresher training for ASHAs using a telementoring interface. The present study intends to assess the impact of the training program for improving the knowledge and skills of ASHA workers. Methods We conducted a pre–post quasi-experimental study using a convergent parallel mixed-method approach. The quantitative survey (n = 490) assessed learning competence, performance, and satisfaction of the ASHAs. In addition to the above, in-depth interviews with ASHAs (n = 12) and key informant interviews with other stakeholders (n = 9) examined the experience and practical applications of the training. Inferences from the quantitative and qualitative approaches were integrated during the reporting stage and presented using an adapted Moore’s Expanded Outcomes Framework. Results There was a statistically significant improvement in learning (p = 0.038) and competence (p = 0.01) after attending the training. Participants were satisfied with the opportunity provided by the teleECHO™ sessions to upgrade their knowledge. However, internet connectivity, duration and number of participants in the sessions were identified as areas that needed improvement for future training programs. An improvement in confidence to communicate more effectively with the community was reported. Positive changes in the attitudes of ASHAs towards patient and community members were also reported after attending the training. The peer-to-peer learning through case-based discussion approach helped ensure that the training was relevant to the needs and work of the ASHAs. Conclusions The ECHO Model ™ was found effective in improving and updating the knowledge and skills of ASHAs across different geographies in India. Efforts directed towards knowledge upgradation of ASHAs are crucial for strengthening the health system at the community level. The findings of this study can be used to guide future training programs. Trial registration The study has been registered at the Clinical Trials Registry, India (CTRI/2021/10/037189) dated 08/10/2021.

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“…In many rural areas, health center staff attempt to spread information and awareness through a proper plan for health education (13). Health education is recognized as one of the most important approaches to eliminate knowledge gaps under the turbulent conditions of social opportunities in rural communities.…”

Section: Capacity-buildingmentioning

confidence: 99%

Effectiveness of a Human Capacity-building Initiative on Improving the Health of Rural Communities

Moghaddam¹,

Aghamohammadi²,

Habibi

et al. 2021

Preprint

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Background: Given the major role of capacity building in improving the health of rural communities and due to the lack of studies performed on this issue, we aimed to investigate the effectiveness of educational and capacity building intervention on staff communication, job motivation skills, educational performance, and knowledge and behavior of health house clients in Ardabil city’s rural communities.Methods: The pretest-posttest nonequivalent control group design was conducted. In this study, convenience sampling was performed and a total of 220 health care recipients and 108 staff were surveyed in both interventional and control groups. The intervention was designed based on four approaches for capacity building introduced by Crisp et al. Data were collected using three questionnaires including knowledge and practice about healthy lifestyle, communication skills self-assessment, and Wright's job motivation. All statistical analyses were fulfilled using IBM SPSS Statistics software.Results: At the end of the study; the mean scores of knowledge and practice of referrals to health centers about a healthy lifestyle and communication skills and job motivation of healthcare worker increased statistically in the intervention group compared to the baseline (p< 0.05), but changes in these variables were not significant in the control group (p>0.05). Following 3 months of intervention, there were significant differences among the study groups (p< 0.05).Conclusion: Capacity building comprehensive interventions can help in identifying rural community health needs, increasing knowledge and practice of rural communities' residents about health issues, promoting health workers empowerment, and improving health workers' motivation.

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Health education in rural communities with locally produced and locally relevant multimedia content

Cited by 16 publications

References 5 publications

Using the Health Belief Model to Assess the Impact of Latent Tuberculosis Infection Health Education Video Towards Screening Adoption in Foreign-Born Persons Living in California

Using the Health Belief Model to Assess the Impact of Latent Tuberculosis Infection Health Education Video Towards Screening Adoption in Foreign-Born Persons Living in California

A mixed methods evaluation of the impact of ECHO® telementoring model for capacity building of community health workers in India

Effectiveness of a Human Capacity-building Initiative on Improving the Health of Rural Communities

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