The Effectiveness of Interactive Patient Education on Adherence to Leprosy Medications in an Ambulatory Care Setting Indonesia: A Randomized Control Trial (original) (raw)
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Public Health of Indonesia
Background: Leprosy is an infectious disease that can cause physical disability, as well as social, economic, and cultural problems. The prevalence of leprosy in Indonesia is still high.Objective: The purpose of this study was to determine patients’ behavioral factors that influence the incidence of leprosy.Methods: An ex-post-facto analysis with a case-control approach was used. The population of the study was the entire Brengkok Village community. The sampling technique is a fixed-disease sampling method, in which the all cases (34 persons) are clinically proven leprosy sufferers and the controls (34 persons) are the comparable neighbors of the sufferers. Data analysis was done using a chi-square test, and the risk of disease was measured by the odd ratio (OR).Results: Testing for differences between the case and the control group resulted in p = 0.000 for knowledge about the cause of leprosy, p = 0.005 for detecting an early sign of leprosy, p = 0.000 for knowledge about the tran...
Effect of Educational Program on Health Consequences of Patients with Leprosy
Evidence-Based Nursing Research, 2021
Context: Leprosy remains a leading cause of peripheral neuropathy and disability globally despite the extensive efforts to reduce the disease burden. It is associated with social stigma, and the patients sometimes suffer social discrimination because it often leads to visible physical deformities. Aim: The present study aimed to evaluate the effect of educational program on the health consequences of patients with leprosy. Methods: The study was conducted at outpatient clinics in Dermatology Hospital affiliated to the Ministry of Health and population. A quasi-experimental (pre/post-test) design was used on a purposive sample of 72 leprosy patients. Four tools were used to collect the data for this study: A structured interviewing questionnaire, a patients' reported practices checklist, an attitude assessment scale for patients with leprosy, and health consequences assessment questionnaire for patients with leprosy. Results: The current study reveals a significant improvement ...
Health Education Method on Leprosy Prevention: Integrative Review
Leprosy is still found mainly in lower-middle-income countries. Breaking the chain of leprosy transmission requires various ways, especially by increasing knowledge of leprosy prevention through health education. Although several studies have mentioned the effectiveness of health education, there is still uncertainty about the best method to use. Therefore, the review question should be answered: what forms of health education have been developed about Leprosy in the community? This review study complies with the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) version 2020. The search for relevant literature involved PubMed, ScienceDirect, ERIC, Cochrane, and ProQuest databases for the studies published in the 2000 to 2023 period with the inclusion criteria such as increasing knowledge, changing attitudes and behavior, and increasing positive stigma. The quality of the study was assessed using the Critical Appraisal Skills Program, and the Risk of Bias using the Cochrane RoB tool. Overall search on databases resulted in a total of 184,681 articles. Only six studies were eligible to be included in this review. Various educational methods were used in the eligible studies, including MH Mobile, the myth or truth on Leprosy game, posters, leaflets, community meetings, tele-education: the web, discussion lists, chats, activity diaries, iconographic 3D videos, classes on video streaming, video conference, case simulation, lecture, and the contact intervention (education, testimonies (direct contact), videos, and comics). All of the methods used had the potential to improve knowledge, attitude, and practice and reduce negative stigma regarding Leprosy. There is no method of health education superior to another on Leprosy prevention.
Knowledge and self-care practice of leprosy patients at ALERT Hospital, Ethiopia
Leprosy Review, 2019
Introduction: In addition to multi-drug treatment, patient self-care practice is crucial for the successful treatment of the disease. This study assessed the knowledge and self-care practices of leprosy patients at ALERT leprosy referral hospital in Ethiopia. Methods: A total of 424 leprosy patients were interviewed using pre-tested structured questionnaires. The questionnaires included core points such as sociodemographic characteristics, knowledge of leprosy and self-care practices. Bloom's cut off point was used to describe the knowledge and self-care practices of the respondents and statistical significance was assessed at 95% confidence interval with 5% of level of significance. Results: The knowledge score of the respondents was poor for 276 (65•1%) and good for 148 (34•9%). The level of knowledge varied significantly with respect to age group (p , 0•01), sex (p , 0•01), marital status (p ¼ 0•003), educational status (p , 0•01) and income (p , 0•01). About 77•4% of interviewed patients had poor self-care practices and only 22•6 of patients had a good self-care practice score (p , 0•01). Age (p ¼ 0•002), previous disability due to leprosy (p , 0•01), knowledge of leprosy (p ¼ 0•038) and income (P ¼ 0•028), were significantly associated with poor selfcare practice. Conclusion: Although leprosy treatment, disability prevention and rehabilitation programs have been run in the country for decades, poor leprosy self-care practice and poor leprosy knowledge has been confirmed in this study. Therefore, the leprosy program should re-visit its strategy and mode of delivery to improve the leprosy knowledge and leprosy self-care practices of patients.
Leprosy orientation for final year medical students
Leprosy Review, 2023
An orientation in leprosy was undertaken for final year medical students by Schieffelin Institute of Health – Research, Leprosy Centre (SIH-RLC), Karigiri with the objective of transferring knowledge and skills related to the diagnosis and treatment of leprosy and its complications, so that these would be useful later when they have to deal with patients affected by leprosy, especially in the Primary Health Centres. The Leprosy orientation program was of one-day duration and was organised in three Government Medical Colleges every year between 2016 to 2018. Pre and post-test questionnaires were used to assess leprosy knowledge before and after the orientation. During the orientation the facilitators transferred knowledge and skills required for management of leprosy through interactive and practical sessions. Each participant was followed up two years later when a simple questionnaire was sent to them to assess the impact of the leprosy orientation in diagnosis and management of leprosy in their respective work areas. The questionnaire was sent as a link to the medical student’s mobile phones for their responses. The pre and post test scores showed significant improvements. This difference was statistically significant. The follow-up questionnaire showed that students who underwent this leprosy training were able to diagnose and treat leprosy in their work area. Leprosy orientation also helped them to identify and treat leprosy complications/or refer patients to appropriate centres for further management. Selective and targeted training of final year medical students helped to improve their knowledge and skills to diagnose and treat leprosy and its complications later in their work situations, especially in the Government Primary Health Centres (PHC).
Understanding non-compliance with WHO-multidrug therapy among leprosy patients in Assam, India
Journal of neurosciences in rural …, 2010
Objectives:The study was undertaken to assess the adherence to World Health Organization (WHO)-multidrug therapy (MDT) and its successful completion by the leprosy patients and the extent of such defaulting, its correlates and reasons.Design:Retrograde cohort analysis was conducted during the first quarter of 2007 from the cases registered for WHO-MDT treatment during 2002 to 2005 in Kamrup district of Assam, India.Results:A total of 254 leprosy cases reflected the treatment seeking behavior of registered cases during the study period. Majority of the cases were from urban areas and defaulter rate higher in urban areas. The study group consisted of 60.63% males and 39.37% females.. Both the compliance and default was higher in the age group of 16 to 30 years. Majority of defaulters (32.28%) had passed the high school leaving certificate examination had per capita monthly income between Rs 500 - 749 (30.71%) and belonged to social class IV (33.86%) and V (30.71%). Significant statistical association was found between gender, literacy status, per capita income per month and socioeconomic status with treatment outcome. On analysis for the reasons of defaulting treatment; majority (33.07%) defaulted treatment due to loss of occupational hours when they come for receiving drugs at health center, 25.98% defaulted due to adverse reactions of drugs and 18.11% feared social stigma among major causes.Conclusions:The causes of defaulting treatment were related to gender, educational status, income as well as social class, or some combination of these. Recommendations, on strategic interventions to obviate the cause for noncompliance, were presented.
Leprosy Review, 2020
Background: Lack of knowledge about leprosy exists even among medical practitioners around the world. This study was designed to assess the knowledge, attitude and treatment practice regarding leprosy among final year medical students and medical interns in southeast Nigeria. Methods: This was a comparative cross sectional study. All final year medical students and all medical interns in five tertiary health institutions in southeast Nigeria were included in the study. Information was obtained using pre-tested, self-administered, semi-structured questionnaires. Chi square test and multivariate analysis using binary logistic regression were used in the analysis. Significance was determined to be p < 0.05. Results: Of the 1045 respondents (interns 477, response rate: 81.1% and medical students 568, response rate: 97.2%), only 29.0% of medical interns and 24.7% of medical students had a good knowledge of leprosy. A positive attitude towards leprosy care was found in 49.9% and 38.4% of medical interns and students respectively. Clinical demonstration workshops on leprosy were attended by 24.5% and 25.7% of medical interns and students, respectively. Predictors of a good knowledge of leprosy included having attended a clinical demonstration on leprosy, (AOR = 2.9; 95% CI: 2.1-3.9). Predictors of a positive attitude included male gender, (AOR = 1.8; 95%
Effectiveness of Traditional Healers in Program to Control Leprosy in Nagan Raya District in Aceh
Dermatology research and practice, 2018
Aceh Province had the highest rate of leprosy in Indonesia; in 2014, 436 new Multibacillary cases were reported. Nagan Raya was the District in Aceh with the highest number of cases; new cases in 2015 comprised 26 with Paucibacillary (PB) and 21 with Multibacillary (MB) with a total of 4.26% with Grade II disability. The phenomena of handling and treatment by the people in Nagan Raya involve treatment by traditional healers, , to treat the leprosy, with treatments known as locally. The purpose of this study was to find out and to take steps to improve the effectiveness of the Tabib in controlling leprosy in Nagan Raya. The main object of this study, which used a quasi-experimental design, was to find out and to improve the treatment of leprosy patients by the Tabib who treat them there. Data was gathered using a questionnaire with an interview and the intervention was to provide training and a pocket book about leprosy and how to detect, control, and manage it there and the role tha...