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Effects of online palliative care training on knowledge, attitude and satisfaction of primary care physicians
Marta Pelayo, Diego Cebrián, Almudena Areosa, Yolanda Agra, Juan Izquierdo, Félix Buendía
BMC Family Practice , 2011, DOI: 10.1186/1471-2296-12-37
Abstract: The authors have developed an on-line educational model for palliative care which has been applied to primary care physicians in order to measure its effectiveness regarding knowledge, attitude towards palliative care, and physician's satisfaction in comparison with a control group.The effectiveness evaluation at 18 months and the impact on the quality of life of patients managed by the physicians, and the main caregiver's satisfaction will be addressed in a different paper.Randomized controlled educational trial to compared, on a first stage, the knowledge and attitude of primary care physicians regarding palliative care for advanced cancer patients, as well as satisfaction in those who followed an on-line palliative care training program with tutorship, using a Moodle Platform vs. traditional education.169 physicians were included, 85 in the intervention group and 84 in the control group, of which five were excluded. Finally 82 participants per group were analyzed. There were significant differences in favor of the intervention group, in terms of knowledge (mean 4.6; CI 95%: 2.8 to 6.5 (p = 0.0001), scale range 0-33), confidence in symptom management (p = 0.02) and confidence in terms of communication (p = 0.038). Useful aspects were pointed out, as well as others to be improved in future applications. The satisfaction of the intervention group was high.The results of this study show that there was a significant increase of knowledge of 14%-20% and a significant increase in the perception of confidence in symptom management and communication in the intervention group in comparison with the control group that received traditional methods of education in palliative care or no educational activity at all. The overall satisfaction with the intervention was good-very good for most participants.This on-line educational model seems a useful tool for palliative care training in primary care physicians who have a high opinion about the integration of palliative care within
Knowledge, Attitude And Practice Of Pregnant Women About Benefits And Doses Of Folic Acid Consumption During Pregnancy
Safdarian L,Adineh M
Tehran University Medical Journal , 2004,
Abstract: Background: The aim of this study was to assess the knowledge, attitude and practice of pregnant women about benefits and doses of folic acid consumption during pregnancy. Materials and Methods: A simple randomized study has been done with 300 pregnant women in (Mahdied, Shohada, Shariati) hospital. Women were asked about their information and about consumption of folic acid in order to prevent nural tube defect and reasons for not taking it. Results: There were 300 women, 150 (50%) had been recommended before to consume folic acid but only 46 (31%) of them used it during pregnancy. There were 37 (12%) who aware about taking it. Conclusion: Although 50% of women had been recommended to consume of folic acid, less than 50% of the women who were surveyed have been taking it. Strategies are required to increase folate intake among pregnant women and inform of the benefits of folate supplementation by the health eduction.
Food Sanitation Knowledge, Attitude, and Behavior for the University Restaurants Employees  [PDF]
Wen-Hwa Ko
Food and Nutrition Sciences (FNS) , 2011, DOI: 10.4236/fns.2011.27102
Abstract: The purpose of this study was to discuss the food sanitation knowledge, attitude, and behavior for the employees of university restaurants, and furthermore, to explain the interrelations of these various were occurring at school. A questionnaire survey procedure was used. Each two constructs of food sanitation attitude and behavior were analyzed by factor analysis. Data was analyzed by description, Pearson’s correlation and multiple regression analysis. The correctness rate toward the whole sanitation knowledge of trials was 70%. The overall attitude toward food sanitation was prone to positive and the attitude of employee self-responsibility was superior to the attitude of food sanitation practice. The sanitary guiding behavior was better than the sanitary habit behavior; and there was a significant relationship indicated through Pearson correlation analysis among three various. The sanitation knowledge and sanitation attitude showed a 42.6% predictive power to behavior, the attitude was mediated between knowledge and behavior. The university restaurant employees shared a more pessimistic view toward the benefits of training and the institutions could establish a committee for monitoring food nutrition and sanitation. It provides valuable information for development employees training while seeking to raise school restaurant food safety levels.
Abida Sultana
The Professional Medical Journal , 2001,
Abstract: OBJECTIVES: To assess the knowledge, attitude and practice of people about malaria in a semiurban area near Rawalpindi and Islamabad. DESIGN: Descriptive Cross Sectional Study.SETTING: A cross sectional survey was conducted in a semi urban area of model village Humaknear Rawalpindi and Islamabad. METHOD: Universal questionnaire was used to assess theknowledge, attitude and practices about malaria. The head of family (Male or Female) was interviewed bystructured Questionnaire. RESULTS: In 85% of respondents opinion malaria is a dangerous disease and97% were in favor of protective measures against malaria. Regarding the protective measures 56% were infavor of mosquito net. By the use of mosquito net or repellent 98% of respondents attitude was preventionagainst the mosquito bite. 93% respondents answered that they would like to know about details of malariaproblem. Regarding the practices 72% of respondents, family members suffered from malaria during thepast. 70% of respondents, recognized the malaria on their own by recognizing signs and symptoms ofmalaria, and doctor diagnosed 5%. 70% were planning protection from mosquito bite and 5% were doingself-medication. During malaria season 32% were taking Chemoprophylaxis. 66% were planning tosafeguard their family from mosquito bite and 40% were using mosquito nets. 30% of respondents wereusing mosquito repellents when they were going out of home. Those who were using chemical mat 68%were using regularly and 32% were occasional user. CONCLUSION: The study explores that there is needfor more accurate knowledge transmission from media and health workers and effective health educationprograms and energetic malaria control and eradication steps.
The Professional Medical Journal , 2011,
Abstract: Objective: The study explores attitudes and knowledge of mothers Thalassaemia Major children. Design: Cross sectionalstudy. Setting: Thalassaemia center Military Hospital Rawalpindi. Period: The study was conducted from the 1st to the 30th August, 2011.Subjects and Methods: Fifty mothers were interviewed about the frequency of their child’s blood transfusion and thalassaemia relatedcomplications, as well as their educational status, the education status of their husband, monthly household income, attitudes and knowledge about premarital screening, antenatal testing, and genetic inheritance of thalassaemia and complications resulting from multiple transfusions. Results: Mean age of thalassaemia patients was 9.5±5.5 years and 29(58%) were males and 21( 42%) were females. Mean transfusion was 1.6±0.7 per month. Majority (52%) had stunted growth. 58 % of mothers were aware that premarital counseling could prevent disease. 60 % were aware that antenatal testing is available, and 40 % had undergone CVS for antenatal testing. Awareness about inheritance and hazards of blood transfusion was directly linked to maternal and paternal education (P values 0.08 and 0.05 respectively). Majority 30 (60 %) of mothers, irrespective of educational status, agreed that premarital screening should be mandatory. Conclusion: To improve patient awareness, instructional videos and audio lectures should be added to pamphlets already in circulation. Additional Facilities for premarital screening andcounseling should be made available.
Knowledge and attitude: important components in diabetes education
Rodrigues, Flávia Fernanda Luchetti;Zanetti, Maria Lúcia;Santos, Manoel Ant?nio dos;Martins, Tatiane Aparecida;Sousa, Valmi D.;Teixeira, Carla Regina de Sousa;
Revista Latino-Americana de Enfermagem , 2009, DOI: 10.1590/S0104-11692009000400006
Abstract: this descriptive cross-sectional study was conducted from march to november 2007 at a research and community services center of a brazilian university. it aimed to explore the knowledge and attitude of people with diabetes mellitus who were attending a diabetes self-care education program. the sample was composed of 82 adults with diabetes mellitus. data were collected through the portuguese versions of the diabetes knowledge questionnaire (dkn-a) and the diabetes attitude questionnaire (att-19). results revealed that 78.05% of the participants obtained scores higher than eight on knowledge about diabetes, which indicates they have knowledge and understand the disease. scores on attitude ranged from 25 to 71 suggesting difficulty in coping with the disease. we conclude that although participants obtained a good score on knowledge, their attitude did not change so as to more adequately cope with the disease.
Reviews of Progress , 2013,
Abstract: Objectives:This study was conducted to assess the knowledge and attitude of practicing nurses onmedication administration and medication errors.Materials and Methods:A questionnaire assessing knowledge on medication errors and attitude of the stafftowards medication errors was distributed to 170 nurses working in Gulf Medical CollegeHospital, Ajman.Analyses were made by appropriate statistical test procedures.Results:In the present study, 67.1% possessed the qualification of GNM (explain) and the remainingwere graduates. Twenty one questions were asked to elicit the knowledge regarding medicationerrors. Mean knowledge score was 15.1±2.6 among participants with graduate level educationwhereas it was 14.2±2.8 for those with GNM as education level.
Journal of Research in Medical Sciences , 2002,
Abstract: In this study, knowledge, attitude and practice about mercury hygiene of dentist who have private offices in Isfahan were evaluated. This cross-sectional study was carried out in 2001-2002. One hundred and sixteen of dentists were selected by random sampling. Data were collected using a standard questionnaire. T-student test, Chi-square test, Fisher"s exact test and Spearman correlation test have been used to analyse data. It was shown that dentists knowledge about mercury hygiene was not acceptable. However the mean of their attitude score was more than scale mean and most of them had a positive attitude toward improvement of mercury hygiene in their offices. According to the results, dent ist"s practice, in this regard proved weak. There was no significant correlation between knowledge and practice and between attitude and practice (P > 0.05). In order to improve dentists" knowledge, training them is supposed. Because of no significant correlation between their knowledge and practice, surveillance seems necessary.
Tobacco Harm Knowledge and Attitude among Infertile Couples
Mahshid Aryanpur,Majid Tarahomi,Mohamad Mehdi Akhondi,Hooman Sadri Ardakani
Journal of Family and Reproductive Health , 2009,
Abstract: Objective: High prevalence of tobacco consumption in childbearing ages is an important topic of consideration as its ill effects have influences on fertility. Worldwide studies have shown that general knowledge on fertility issues is low. Aim of the current study was to assess tobacco harm knowledge and attitude in infertile couples referring to the Avicenna center."nMaterials and Methods: This was a cross-sectional study. All Avicenna fertility clinics' new patients with infertility complain between November of 2007 and February 2008 was included. Information was collected trough standard knowledge and attitude questionnaire. "nResults: Among 684 individuals (342 couples), the mean score of knowledge and attitude was 0.49±0.79 (from a total of 4), 19.1±2.70 (from a total of 24). The mean knowledge score among women and men was 0.44±0.73, 0.54±0.84, respectively. The mean of attitude score in women and men was 19.35±2.55, 18.85±2.82, respectively. Significant correlation between age, gender, education and tobacco experience with knowledge was not found. Yet, attitude was significantly more appropriate in women, the educated and inexperienced tobacco usage (P=0.001, P=0.001, P=0.03, respectively)."nConclusion: In the population studied, attitude was appropriate but level of knowledge was low and this suggests more steps should be taken to improve the knowledge.
The impact of role play and group discussion on the knowledge and attitude of interns of Jahrom Medical School about breaking bad news, 2009
Seyed Esmaeil Managheb,Najmatosadat Mosalanejad
Journal of Jahrom University of Medical Sciences , 2011,
Abstract: Introduction:Appropriate breaking bad news skills are essential to the practice of high quality medicine. This study was performed in order to assess the educational benefits of training on breaking bad news skills by role play versus group discussion methods.Material and Methods:This interventional double blind study was performed in 2009-2010 in Jahrom University of Medical Sciences. Determination of the sample size and sampling method was based on census. 30 interns were involved in this study. They were divided into two groups randomly. Their knowledge and attitude about breaking bad news skills were evaluated with valid and reliable questionnaires. Then, group one participated in group discussion workshop and the other group participated in the role play workshop. Their knowledge and attitude were re-evaluated after the course. The scores of pre-course and post- course of both groups were compared. The results were analyzed in SPSS 11.5 using t-test and paired t-test. Results:The mean score of knowledge and attitude of both groups before training were compared and the results showed that there was no significant difference between them (p=0.618 and p=0.329). The mean scores of knowledge of groups one and two before and after training were compared and there was a significant difference (P<0.0001). The mean scores of the attitude of groups one and two before and after training revealed a significant difference (p=0.001). The mean scores of the knowledge and attitude of groups one and two after training were compared and there was a significant difference (P<0.0001, P<0.0001).Conclusion:Although both methods were effective in producing significant changes in medical student’s knowledge and attitude, role playing was more effective.
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