Abstract
BackgroundCutaneous leishmaniasis (CL) is endemic in 98 countries, and 350 million people are at risk of the disease worldwide. In endemic areas, conducting educational interventions is necessary to change preventive behaviors of CL. This study aimed to investigate the effect of an educational intervention based on the BASNEF model on CL preventive behavior in students.MethodsThe present quasi-experimental study examined 80 students living in endemic areas of leishmaniasis in Isfahan province, Iran based on the BASNEF model. The required data were collected twice before and two months after the educational intervention based on a questionnaire whose validity and reliability had been already proven in other studies. The intervention was performed in three educational sessions for the students in the intervention group and 1 educational session for teachers and parents. Data were analyzed by SPSS (VER26) using the chi-square test, independent t-test, analysis of covariance (ANCOVA), and Paired t-test.ResultsAfter intervention, the mean scores of Knowledge (P < 0.001), attitude (P = 0.02), subjective norms (P = 0.04), behavioral intention (P < 0.001), and behavior (P = 0.02) indicated significant differences between the intervention and control groups, but an increase in mean scores of enabling factors was not significant (P = 0. 93).ConclusionsProviding students with the educational intervention based on the BASNEF model improve their ability to the extent that they transmit these educations to their family members, which would be effective in preventing and controlling CL in leishmaniasis-prone areas.Trial registrationName: Iranian Registry of Clinical Trials. Registration number: IRCT20201024049131N1. Registration date: 2020–11-20. Registration timing: prospective.
Highlights
Cutaneous leishmaniasis (CL) is endemic in 98 countries, and 350 million people are at risk of the disease worldwide
Study design and sampling The present quasi-experimental study examined 84 male first-grade high school students living in the eastern Isfahan in Iran, as an endemic region of leishmaniasis in Isfahan province, from January 2021 to May 2021
Learning about the reservoir and vectors of the disease, resting place, and time of mosquito bites, the role of body cover, insect repellent pen, insecticide spray, and characteristics of window net and suitable mosquito netting for preventing CL
Summary
Cutaneous leishmaniasis (CL) is endemic in 98 countries, and 350 million people are at risk of the disease worldwide. The disease is endemic in more than 98 countries [2], and 12 million people are infected with the disease worldwide, 350 million people are at risk [3,4,5,6,7], and every. In Iran, CL is an important disease that is endemic in 18 provinces [13].In this country, more than 22,000 cases of leishmaniasis are being annually reported 80% of which are zoonotic CL [14]; the true number of infected cases is always 4 to 5 times more than the reported and recorded cases because of fear of treatment, and spontaneous improvement in patients, [15]
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