Increase In Level Of Knowledge Research Articles

Knowledge, Behaviours, and Attitudes of Family Physicians and Residents About Autism Spectrum Disorder in Turkey: A Descriptive Cross-Sectional Study.

Autism Spectrum Disorder (ASD) is a growing social health issue. Primary healthcare institutions are where children most commonly seek help, and family physicians in primary care play a crucial role in early ASD detection. This study aims to assess the knowledge level, behaviours, and attitudes of family physicians and family medicine residents across Turkey, identify factors affecting their knowledge, and raise awareness among physicians. This descriptive cross-sectional study was conducted between March and June 2022, with the participation of family medicine specialists, residents, and practicing physicians in Turkey. A 50-question survey was administered face-to-face and digitally. The survey comprised 31 questions on sociodemographic information, factors influencing knowledge, attitudes and behaviours about ASD. The second part included a 19-question "Knowledge about childhood autism among health workers" (KCAHW) questionnaire. The study included 392 physicians with a mean age of 32.8 ± 7.9; 60.7% were women. Among the participants, 50.3% were family medicine residents, 21.7% were family medicine specialists, 17.0% were family physicians and 11.0% were contracted family medicine residents. The physicians' mean KCAHW score was 14.1 ± 2.6. Screening for ASD and following ASD were significantly associated with the perception of knowledge level (p = 0.004; p = 0.028, respectively). A statistically significant relationship was found between paediatric rotation, education about ASD, patient follow-ups and the KCAHW scores. Moreover, 98.2% of physicians believed children with ASD should receive special education, while 79.6% thought ASD carried a social stigma, and 52% believed an ASD diagnosis could lead to discrimination. The study found that participants lacked knowledge about comorbidities with ASD, atypical presentations of ASD, and guiding individuals with ASD. However, having a paediatric rotation, receiving ASD training and following up on children with ASD were associated with increased knowledge levels. Screening for and following up on children with ASD also boosted physicians' self-confidence.

Information Service “My Cancer Navigator” to Support Shared Decision-Making: An Online Survey Among Patients with Cancer and Their Caregivers

The personalized information service My Cancer Navigator (MCN) answers therapy-related questions of patients with cancer and their caregivers, to address information needs and contribute to shared decision-making (SDM). An explorative and descriptive cross-sectional study using online surveys was conducted to assess whether users perceived a change in factors contributing to SDM after using the service. Of 253 invited MCN users, 109 (43.1%) filled out the survey (64.2% patients and 35.8% caregivers). Most participants experienced a positive change in their emotional well-being (72.5%) and knowledge level (86.3%). The majority (68.5%) of patients reported being able to cope better with their disease while 76.4% of caregivers felt more able to support the patient throughout the disease process. Discussing treatment preferences and making decisions with health-care professionals (HCPs) became easier for 48.5% and 44.0% of patients, respectively. Of all participants, 52.0% reported a change in disease management. These findings suggest that most participants perceived MCN as impactful. The service facilitated the implementation of SDM from the patient perspective by improving communication with HCPs, increasing knowledge level, improving emotional well-being, and helping them cope better with the disease. Further research should explore how this type of service can be integrated in the care pathway.

Effect of web-based education for empowering mothers regarding pediatric fever management.

In pediatric care, mothers' confidence concerning their knowledge, practice, and attitude in managing fevers is crucial. Web-based educational platforms offer a convenient and accessible means to empower mothers in this regard. This study aimed to evaluate the effect of web-based education for empowering mothers regarding pediatric fever management. In this study, a quasi-experimental design was utilized. The study was conducted in Assiut University Children Hospital at the emergency unit. A random sample of one hundred mothers was included in the study. Measures included a structured questionnaire of demographic characteristics of the mothers, personal and medical characteristics of children, as well as mothers' knowledge, practices, and attitudes concerning pediatric fever management. The study found significant differences in mothers' knowledge and practices (P=0.001) regarding pediatric fever management, except for choosing the correct antipyretic type (P=0.244). Mothers also showed significant differences in attitudes (P=0.001) toward fever management, except for mothers using antipyretic when the child has a fever and takes fewer fluids (P=0.080), the child has a fever, and a skin rash (P=0.077). Also, when the child had a fever and was crying unstoppably (P=0.133) in pre-and post-tests. The web-based education program has significantly boosted mothers' empowerment, resulting in increased knowledge level, positive attitudes, and improved practices across various aspects of pediatric fever management. Healthcare providers can leverage web-based educational resources to educate and empower mothers in pediatric fever management, promoting better health practices and outcomes for children.

Impact of Educational Interventions on Obesity Awareness and Weight Management Among Urban Women in Salem Municipal Corporation, Tamil Nadu: A Quasi-Experimental Study

ABSTRACT Introduction: A study assessed women’s knowledge of obesity and weight loss management in Southern India. Materials and methods: The study used a quasi-experimental design, with two urban areas selected for control and study groups. Biographic data were collected through SIS, and pre and post-tests were conducted using a SSAKQ and an Interventional Module. Results: Results showed high obesity prevalence among women, with BMI (68%, 74%) and high-risk category waist circumference (91%, 93%). The study found a significant difference in knowledge levels between the control and study groups, with the interventional module being effective in increasing knowledge levels.

In-Person and Video-Based Education: Do They Affect Pressure Injury Knowledge in Nursing?

To determine how training on the nursing care of pressure injuries (PIs) affects knowledge levels and satisfaction. This study was semiexperimental, conducted in the form of a pretest and posttest in one group of 105 nurses working in a training and research hospital. The training took place in person and via video. All nurses included in the study group first received in-person training in 15-person groups followed by weekly video training for 4 consecutive weeks. Before training, investigators assessed the nurses' PI knowledge using the Nurses' Knowledge Level Assessment for PI Care (NKLAPIC; pretest). After the in-person module (posttest 1) and video-based module (posttest 2), investigators provided the NKLAPIC again. The independent-sample test, one-way analysis of variance, repeated-test-measures analysis of variance, Bonferroni test, and pairwise comparisons were used in data analysis. Mean NKLAPIC scores were 47.71 ± 13.5 (out of 100 points) at pretraining, 68.5 ± 12.32 after the in-person training, and peaked at 72.38 ± 4.74 after video-based training (P < .001). Video-based training appeared to lead to a larger increase in knowledge levels than in-person training alone (P < .001). Further, although the average satisfaction score given to the in-person training was 3.97 ± 0.93, the same score for the online training was 4.12 ± 0.95 (P > .05). Outcomes suggest that in-person training and video-based training regarding PI care improve the knowledge levels of nurses.

Before and After Covid-19: What Has Changed in HIV Knowledge Level?

The most essential way to prevent the transmission of Human Immunodeficiency Virus (HIV), one of the most important communicable diseases, is to enhance public knowledge. Our study aimed to assess whether there were any changes in HIV knowledge following the onset of the Covid-19 pandemic. In Turkey, information stands were established in Izmir on 1 December 2017 and in public locations in both Istanbul and Izmir on 1 December 2021 to providing education the public about HIV/AIDS. Prior to the educational intervention, a voluntary information survey was administered to 618 people aged 18 and older (149 pre-pandemic and 469 post-pandemic) The questionnaire consisted of seven questions designed to assess participants' knowledge about HIV. Participants were stratified by gender, marital status, and educational status, and responses were compared before and after the pandemic. Patient characteristics were reported as n (percentage) or mean ± SD (standard deviation) for categorical and continuous variables, respectively. Nominal variables were reported as percentages and compared using two-tailed Chi-square or Fisher's test, where appropriate. A p-value of less than 0.05 was considered statistically significant. Comparing responses to all questions, the correct response rates before and after the pandemic were 57.62% and 73.77%, respectively. The rates for these questions were as follows: 59.29% and 79.63% for females, 47.31% and 78.57% for males; 48.78% and 75.47% for married individuals, 52.08% and 80.89% for single individuals; 39.38% and 56.43% for primary school graduates, 58.13% and 72.24% for secondary school graduates, 52.16% and 85.11% for university graduates, and 41.56% and 83.44% for master's degrees. Compared to the pre-pandemic period, the level of HIV knowledge of the participants increased in the post-pandemic period. The increase in knowledge levels was more significant in men than in women and in single individuals than in married individuals. The greatest difference in terms of education status was observed among those with a master's degree or higher.

Strengthening anthrax outbreak response and preparedness: simulation and stakeholder education in Namisindwa district, Uganda

BackgroundAnthrax is a zoonotic disease caused by Bacillus anthracis that poses a significant threat to both human health and livestock. Effective preparedness and response to anthrax outbreak at the district level is essential to mitigate the devastating impact of the disease to humans and animals. The current diseaae surveillance in animals and humans uses two different infrastructure systems with online platform supported by established diagnostic facilities. The differences in surveillance systems affect timely outbreak response especially for zoonotic diseases like anthrax. We therefore aimed to assess the feasibility of implementing a simulation exercise for a potential anthrax outbreak in a local government setting and to raise the suspicion index of different district stakeholders for a potential anthrax outbreak in Namisindwa District, Uganda.MethodsWe conducted a field-based simulation exercise and a health education intervention using quantitative data collection methods. The study participants mainly members of the District Taskforce (DTF) were purposively selected given their role(s) in disease surveillance and response at the sub-national level. We combined 26 variables (all dichotomized) assessing knowledge on anthrax and knowledge on appropriate outbreak response measures into an additive composite index. We then dichotomized overall score based on the 80% blooms cutoff i.e. we considered those scoring at least 80% to have high knowledge, otherwise low. We then assessed the factors associated with knowledge using binary logistic regression with time as a proxy for the intervention effect. Odds ratios (ORs) and 95% Confidence intervals (95%CI) have been reported.ResultsThe overall district readiness score was 35.0% (24/69) and was deficient in the following domains: coordination and resource mobilization (5/16), surveillance (5/11), laboratory capacity (3/10), case management (4/7), risk communications (4/12), and control measures (4/13). The overall community readiness score was 7 out of 32 (22.0%). We noted poor scores of readiness in all domains except for case management (2/2). The knowledge training did not have an effect on the overall readiness score, but improved specific domains such as control measures. Instead tertiary education was the only independent predictor of higher knowledge on anthrax and how to respond to it (OR = 1.57, 95% CI = 1.07–2.31). Training did not have a significant association with overall knowledge improvement but had an effect on several individual knowledge aspects.ConclusionWe found that the district’s preparedness to respond to a potential anthrax outbreak was inadequate, especially in coordination and mobilisation, surveillance, case management, risk communication and control measures. The health education training intervention showed increased knowledge levels compared to the pre-test and post-test an indicator that the health education sessions could increase the index of suspicion. The low preparedness underscores the urgency to strengthen anthrax preparedness in the district and could have implications for other districts. We deduce that trainings of a similar nature conducted regularly and extensively would have better effects. This study’s insights are valuable for improving anthrax readiness and safeguarding public and animal health in similar settings.

Efficacy of decision aid delivery modes in prostate cancer screening: umbrella review and network meta-analysis.

To review and compare the efficacy of different delivery modes of decision aids (DAs), including computer-based, print-based, multimedia-based, video-based, and website-based on decision-making outcomes for prostate cancer screening compared to usual care (UC) and among the delivery modes. PubMed, the Excerpta Medica dataBASE (EMBASE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Google Advanced Search, and Turning Research Into Practice (TRIP) Database were systematically searched from inception to August 2023. The primary outcomes were knowledge level, knowledge scores, participation in shared decision-making (SDM), decisional conflict, and preference for SDM participation. Secondary outcomes were the proportion of subjects who underwent screening (actual screening utilisation) and the proportion of subjects who intended to be screened (intention to undergo screening). Network and pairwise meta-analyses were performed using random-effects models. Seven systematic reviews were included. Network meta-analysis found that multimedia (relative risk [RR] 1.51, 95% confidence interval [CI] 1.02-2.24), print (RR 1.82, 95% CI 1.23-2.69), and website-based (RR 1.99, 95% CI 1.32-3.01) DAs significantly increased participation in SDM compared to the computer-based DA. There was a significant reduction in the actual screening utilisation in the computer DA arm compared to the other delivery modes. No significant differences between all delivery modes were noted on knowledge levels, knowledge scores, decisional conflict, preference for SDM participation, and intention to undergo screening. The highest mean surface under the cumulative ranking curve for all primary outcomes showed that website-based was the most effective delivery mode, followed by print-based DA. The pairwise meta-analysis showed a significant increase in participants' knowledge level, knowledge scores, a reduced intention to undergo screening and actual screening utilisation compared to UC. The findings suggest that different types of DAs have varying levels of effectiveness in increasing knowledge level, knowledge scores, participation in SDM, and influencing screening behaviours. While website-based DA appeared the most effective, employing the print-based DA could be a practical solution in settings with limited resources.

Sexual and reproductive health: level of knowledge and source of information in adolescence.

To date, there is a lack of a structured national plan of sexual education in Italy, with large interregional differences and poor uniformity in the promotion and learning of sexual health. The aim of this study was to evaluate the level of knowledge on sexuality and reproductive function among adolescents before and after a sexual education program, considering gender differences in the results. A longitudinal and interventional study was conducted on high school students. Six sessions for each class were carried out by a multidisciplinary team. Anonymous questionnaires were administered to investigate basic knowledge of human sexuality and reproduction before and after intervention. Participants were high school students who completed the questionnaires. Outcomes included pre and posttest answers on the knowledge questionnaire in study population. We obtained data from 842 high school students (mean ± SD age, 16.11 ± 1.74years). The main informative sources on sexuality were social media in 37.9% of participants; family, school, and scientific material were the main source in 15.1%, 5.2%, and 4.4%, respectively. A total score of 12.6 ± 3.4 (range, 1-20) was obtained on the knowledge questionnaire; specifically, the score was higher in females than males (12.8 ± 3.4 vs 11.9 ± 3.4, P = .0001). In males and females, a statistically significant increase in level of knowledge was found after the multidisciplinary intervention (14.5 ± 3.6, P = .0001). The lack of sexual education programs in schools in Italy compels adolescents to refer to frequently unreliable sources, such as social media and peers, contributing to misinformation and adoption of risky sexual behaviors. This study is based on a large sample size and highlights the importance of sexual education programs. The main limitations are a greater representation of the female population and the inclusive nature of the school (ie, an artistic school), attracting students who identify with sexual minorities. Adolescents have limited knowledge about sexuality and reproduction, with a notable gender disparity; sexual education programs in schools, providing information from sexuality experts, led to a substantial increase in knowledge and a reduction in the gender gap.

Education on Adolescent Reproductive Health at MTsS Thawalib Pesantren Padang

Adolescents are faced with many problems related to reproductive health, so adolescents need to know to be able to face these challenges. However, the knowledge of adolescents in Indonesia is still low, especially in terms of ways to protect themselves against reproductive health risks, such as preventing unwanted pregnancies, sexually transmitted infections, and AIDS. The provision of education needs to be done to address adolescent reproductive health problems. Educational activities related to reproductive health at MTsS Pesantren Thawalib Padang have never been conducted. The students MTsS are the right target group to be able to provide information related to reproductive health. The objective of this service activity is to enhance students' understanding of reproductive health, enabling them to cultivate a positive and responsible approach when addressing the sexual and reproductive changes that transpire within them. The approach employed involves student outreach and the placement of informative posters in their dormitories. The augmentation in students' knowledge was assessed using a questionnaire consisting of 15 questions before and after the activity. Data analysis was conducted through a paired sample t-test, a statistical method that compares the means of two related groups to determine if there is a significant difference between them. After the activity was carried out, there was an increase in the average level of knowledge before (pre-test), 40.63 to 49.76 after (post-test), providing education with a p-value of 0.000. It can be concluded that there is an increase in knowledge after adolescent reproductive health education. It is hoped that students can access reproductive health information from the posters displayed on the dormitory walls.

Effect of a targeted health education program on nurses’ awareness about postpartum depression

BackgroundPostpartum depression (PPD) is a prevalent mental health disorder that affects women after giving birth. It seriously harms the mother–child bond. As nurses' expertise can have a significant impact on women after childbirth, this study aimed to compare the knowledge of nurses at the Maternity Hospital of Ain Shams University (ASU) before and after the implementation of an educational program regarding PPD.MethodsA pre-and post-quasi-experimental study was conducted among 63 nurses at ASU Maternity Hospital. A self-administered questionnaire was used to evaluate nurses' knowledge of PPD symptoms, diagnosis, risk factors, treatment, and consequences before and one month following an educational program that comprised PowerPoint, posters, and videos.ResultsThe mean age of nurses was 23.17 ± 1.45. About 76% had previously heard of PPD, and the most frequent sources of their information were nursing studies followed by conferences. After the intervention, there was a significant improvement in the knowledge score regarding PPD symptoms and diagnosis, with a mean score of 7.23 ± 1.32 compared to 6.13 ± 1.97 before the intervention. The knowledge score of PPD risk factors showed a considerable improvement, with a mean score of 11.52 ± 1.49 as compared to 9.69 ± 1.94 previously. There was a significant improvement in the knowledge scores regarding PPD treatment and consequences. Overall, the PPD total knowledge score of nurses improved significantly after the intervention, from 19.56 ± 3.49 to 23.2 ± 2.5 (p-value < 0.001).ConclusionThis study demonstrates the positive impact of a targeted health education program on enhancing nurses’ awareness about PPD. The program effectively increased knowledge levels among participating nurses, empowering them with essential skills to recognize, assess, and respond to PPD in their clinical practice. The improvement in awareness signifies the importance of implementing focused educational interventions to enhance nurses’ ability to identify this critical maternal mental health issue.ImplicationsBeyond the direct effect of this study on nurses' awareness, it has wider implications for patient care, healthcare policies, professional development, interdisciplinary collaboration, and public health awareness related to PPD.Trial registrationIt was registered on clinicaltrials.gov with identifier number NCT06424496.

164 Is it time to rethink the communication of physical activity messages with adolescents? Findings from the Active School Flag programme

Abstract Purpose The Active School Flag (ASF) is a multi-stage, multi-component, whole-of-school physical activity (PA) programme in Ireland. This study assessed health literacy, PA knowledge, beliefs about consequences of PA and programme awareness among ASF secondary school students. Survey findings prompted an inquiry with ASF programme implementers to explore the communication of PA in the school. Methods Seventeen schools were invited to take part. Five schools took part in the survey (Nov 2021) assessing health literacy, knowledge and beliefs about consequences of PA, and programme awareness. Multiple linear regression was used to determine the factors influencing adolescents’ health literacy, 484 students were included in the analysis. Programme implementers from the 17 schools were invited to a focus group at the end of the year (May 2022). Ten schools engaged in the process aiming to understand how PA messages were communicated in the schools. Data were analysed using thematic analysis. Results Comparisons between gender(s) showed significant differences for health literacy (p = .002), PA knowledge (p = .021) and beliefs about consequences (p = .007). No significant differences were found for school stage i.e. junior vs senior. The overall model significantly predicted health literacy, F(5, 478) = 56.08, p = &amp;lt;.001. Significant predictors included knowledge of PA (B= .869, p&amp;lt;.001) and beliefs about the consequences (B = 2.34, p&amp;lt;.001). Gender, year group and designated-disadvantage status were not significant predictors of health literacy. Findings described the manner in which PA messages are communicated in relation to the i) types of communication, ii) the content of the messages, and iii) the mode of delivery. However, disparities between schools highlighted the lack of a clear communication plan. Conclusions Low levels of PA knowledge, its’ consequences and health literacy among adolescents in the ASF programme warranted further exploration into the methods used to communicate PA messages in ASF schools. The methods used to communicate PA in Irish secondary schools, varied and a clear communication plan was missing. Further research is needed to improve the communication of PA messages with adolescents and increase levels of knowledge, awareness and health literacy. Support/funding source Mayo Education Centre and the Irish Research Council Government of Ireland Postgraduate Scholarship.

Impact of being a relative of a patient with epilepsy on the association of attitudes toward epilepsy and disease knowledge levels

ObjectiveThe social prognosis for individuals with epilepsy is often poorer than their clinical prognosis, highlighting the significant influence of social factors on the progression of the disease. Relatives of patients with epilepsy (RPEs) generally have more positive attitudes towards epilepsy compared to the general population. This study aimed to examine the effect of being an RPE on the relationship between attitudes toward epilepsy and levels of disease knowledge. MethodsThis cross-sectional analytical study included 217 adult participants, comprising 93 RPEs and 124 controls (non-RPEs), selected through convenience sampling. Data were collected via face-to-face interviews using a questionnaire that included sections on socio-demographic characteristics, the Epilepsy Knowledge Scale, and the Public Attitudes Toward Epilepsy (PATE) Scale. Path analysis was conducted using the Maximum Likelihood method. Due to the non-normal distribution of exogenous variables, the robust Huber/White/sandwich estimator method was used to calculate confidence intervals and fit indices. ResultsThe mean age of the participants was 34.7 ± 11.5 years, with 128 (59.0 %) being female. RPEs scored an average of 26.8 ± 9.9 on the PATE Scale, which was significantly lower than the average score of 29.7 ± 11.0 for non-RPEs (p = 0.047). Path analysis indicated that being an RPE indirectly fosters a positive attitude through increased knowledge levels. While the direct effect of being an RPE on attitudes was not statistically significant, the indirect effect mediated by knowledge was significant. SignificanceThis study highlights that the level of knowledge about epilepsy, a key predictor of positive attitudes, remains important even among RPEs. In kinship contexts where neurobiological and psychosocial factors are at play, the primary determinant of attitudes toward epilepsy is still the level of knowledge about the condition. Consequently, focusing on increasing knowledge about epilepsy should be the main strategy to promote positive attitudes, providing a more promising avenue for future research and interventions.

Relationship between Level of Knowledge and 5 moment Hand Hygiene Practice among Assistant Healthcare in Malaysia Teaching Hospital.

Hand hygiene is a handwashing method that significantly lowers the likelihood of pathogens (dangerous germs) on the hands. While assistant healthcare workers are part of the healthcare team, they always deal with patients' care but did not get proper training like nurses or doctors before becoming assistant healthcare This study is to assess the relationship between level of knowledge and five moments hand hygiene practice among assistants healthcare in one of the teaching hospitals in Malaysia. A cross-sectional research methodology was used; 154 Assistants healthcarewere chosen using random number generators after the sample size was calculated. The Knowledge, Attitude, and Practice on Hand Hygiene questionnaire used was adopted from WHO publications. The ANOVA revealed a significant effect of Level of Knowledge on Level of Practice (F(1, 152) = 3.416, p = 0.006). Specifically, for each unit increase in Level of Knowledge, Level of Practice increased by 57.725 units (β = 57.725, p = 0.006). These findings emphasise the need for targeted interventions and training programmes aimed at bridging the knowledge-practice divide and eventually raising hand hygiene compliance in the medical setting

Health literacy as a predictor of cardiovascular disease risk factor knowledge level among women in Turkey: A community-based cross-sectional study.

While more common in men globally, heart diseases also rank as the leading cause of death among women. This study aimed to examine the relationship between Turkish women's level of knowledge about cardiovascular disease (CVD) risk factors and their health literacy. Data for this descriptive and cross-sectional study were collected online by using Health Literacy Scale and CVD risk factor knowledge level scale from October 2022, to May 2023. The study sample consisted of 409 women. It was found that the total score average of the women on the CVD risk factor knowledge level was 20.65 ± 4.72 and the Health Literacy Scale was 107.06 ± 16.01. There was a moderate, significantly positive correlation between CVD knowledge levels and health literacy (r = .548, P = .000). It was found that women with high health literacy also had increased knowledge levels. Furthermore, all health literacy dimensions of access to information (P < .001), understanding information (P < .001), appraisal/evaluation (P < .001), and implementation (P < .001) were detected as the predictors of CVD risk factor knowledge levels. Factors such as educational level and economic status significantly influenced scores on both scales (P < .05). The study's findings highlight the challenges encountered by women with low socioeconomic status in accessing accurate information. It may be recommended that nurses provide health education and consultancy services to these women on the prevention and management of cardiovascular diseases. Also, public education programs should consider socioeconomic and educational levels, focusing on women who encounter difficulties accessing information.

Enhancing Farm Family Nutrition: the Influence of Nutri-garden Implementation on Knowledge and Dietary Habits

Nutritional security must be addressed by ensuring the availability and accessibility of nutrient-rich foods at the household level. Nutri gardens offer a practical solution and play a significant role in providing a nutritious diet at the household level, thereby reducing nutrition insecurity and the burden of malnutrition. This study aimed to promote nutrition security and education among farm families by providing training, Nutri garden kits, and nutrition counseling. Thirty farm families from Rangareddy, Telangana state, were selected for the study. Data was collected using questionnaires and the 24-hour recall method. Nutrient adequacy was analyzed according to NIN (National Institute of Nutrition) standards. Results indicated that the implementation of kitchen gardens has led to substantial benefits for families, including improved food consumption and financial savings. There was a noticeable increase in the consumption of nutritious foods such as green leafy vegetables, fruits, and other vegetables, contributing positively to dietary diversity. Additionally, participants reported saving money by consuming homegrown foods. Furthermore, there was a significant increase in knowledge levels among farm women, suggesting that the adoption of Nutri gardens had a positive and significant impact on enhancing participants’ knowledge and awareness regarding nutrition gardening practices. While some of the participants indicated that balancing household responsibilities, agricultural work, and other commitments were the challenges faced by them to dedicate to Nutri garden maintenance.These findings of the study underscore the vital role of Nutri gardens in promoting both nutritional well-being and economic resilience within households.

Evaluation of telemedicine for contraceptive counseling given to pregnant women during the COVID-19 pandemic: A randomized controlled trial

In this study, we aimed to evaluate the impact of telemedicine for contraceptive counseling on knowledge levels and satisfaction with Family Planning Services. We collected data from 77 third-trimester pregnant women using a personal information form, Family Planning Knowledge Questionnaire, and the Satisfaction with Family Planning Services Scale and compared the data using chi-square test, Fisher’s exact chi-square test, t-test for independent and dependent groups and Mann-Whitney U analysis. The experimental group participants (n = 37) received two informative video visits for contraceptive counseling, while the women in the control group (n = 40) received routine face-to-face Family Planning Services at their primary health care center. Participants in the experimental group showed a greater increase in knowledge levels and higher satisfaction with Family Planning Services than those in the control group (p < 0.05). In conclusion, we determined that telemedicine for contraceptive counseling is a promising option even beyond the pandemic.

SELF-CARE ACTIVITY PREVENT COMPLICATION DIABETIC PATIENT IN PUSKESMAS SITOPENG CIREBON

Background: Diabetic foot ulcer (DFU) is responsible for approximately 85% of all amputations performed in individuals with diabetes. Providing education and physical exercise based on Self-care Activities (SCA) aims to prevent complications in type 2 diabetes mellitus (DM) patients at Sitopeng Health Center. Self-care Activities (SCA) in diabetes entail actions individuals take to manage the condition, including examination and prevention. Objective: The objective was to enhance the knowledge and skills of patients in preventing and minimizing complications of type 2 DM, particularly diabetic foot wounds, through education on physical exercises based on Self-care Activities (SCA). Method: Direct education commences with administering a pre-test questionnaire to assess patient knowledge, followed by material presentation, blood pressure checks, blood glucose monitoring, and instruction on physical exercises based on Self-care Activities (SCA) for type 2 DM patients. Finally, a post-test questionnaire (DKQ-24) is administered. Results: Following participation in the community service, 85% of the participants experienced an increase in knowledge level and demonstrated proficiency in foot exercise skills. Conclusion: Type 2 DM patients in the Sitopeng Health Center catchment area exhibit improved knowledge and skills after engaging in community service activities, reflecting effective collaboration between service and educational institutions.

THE PILOT STUDY OF THE CLIL LESSONS IN CHEMISTRY AND BIOLOGY FOR LOWER SECONDARY SCHOOLS

In recent years, CLIL technology has been widely used around the world as a tool for studying various disciplines. However, there is a significant lack of its applications in chemistry and biology lessons. This method improves the study of chemical and biological terms and concepts, contributing to the improvement of communication abilities. Therefore, this study aimed to develop and pilot study the CLIL lessons in chemistry and biology based on a subject-language integrated approach for 7-8 grades. The experiment was conducted at Lyceum-Internet from 1.03-14.04.2023. The study developed CLIL lessons on the following topics: «Movement», «Coordination and regulation», «Human body», «Oxides», and «Chemical bonds» for students of grades 7-8. The lessons developed by the authors were successfully used in chemistry and biology classes, as evidenced by an increase in the academic level of knowledge of the experimental group in chemistry and biology. In addition, a questionnaire was conducted after the experiment to determine the students’ attitudes towards CLIL lessons. The study found that the students enjoy working in CLIL lessons, which has a positive effect on the acquisition of knowledge in the subjects.

Edukasi Diet Diabetes Puasa untuk Mengendalikan Gula Darah Saat Menjalankan Puasa Ramadhan

Background: Fasting during Ramadan could have negative effects on individuals with Type 2 Diabetes Mellitus (T2DM), as it would lead to hypoglycemia or hyperglycemia. Non-compliance with the recommended diet during fasting is one of the factors that can trigger these conditions. Knowledge about the appropriate diet plays a crucial role in successfully adhering to the diet. Objective: The aim of this study is to assess the effect of providing T2DM education during Ramadan fasting on knowledge and fasting blood glucose levels. Method: This study is an experimental research conducted using a randomized controlled trial design with a pretest-posttest control group design. The participants of this study were T2DM patients from Tlogosari Kulon Community Health Center and Kedungmundu Community Health Center who were enrolled in the Prolanis program and did not have any complications related to kidney failure or stroke. A total of 46 participants were divided into a treatment group and a control group. The treatment group received nutritional education on managing their diet while fasting during Ramadan. This education was provided one week prior to the start of Ramadan fasting. Data collection included assessing knowledge, food intake, nutritional status, and fasting blood glucose levels before and after Ramadan fasting. The collected data will be analyzed using univariate analysis to describe the research data and to test the impact of nutrition education on knowledge and fasting blood glucose levels levels. The independent t-test with a significance level of α=0.05 will be used for this analysis.Result: There was a significant difference before and after being given nutrition education in intervention group on increasing knowledge levels in the intervention group (p=0.029) also lowering the blood glucose levels (p = 0.000). Providing education to the intervention group increased the knowledge score from 68.56 +12.81 to 79.26+9.47. There was an increase in knowledge leves by 10.70+3.34 in the intervention group. Nutritioneducation also reduced fasting blood glucose levels in intervention gropus from 177.78 + 79.61 to 141.35 + 43.78. There was a lowering in the blood glucose levels by -36.43 + 71.89 in the intervention group.Conclusion: There is a relationship between fasting ramadhan diabetes education with knowledge and blood glucose levels.