Significant Increase In Awareness Research Articles

The effect of participatory action research on HPV primary preventive measures among in-school adolescents in Benue State, Nigeria

BackgroundIndividuals with a higher level of awareness and knowledge of HPV are more likely to dispel misconceptions about HPV and reduce their likelihood of engaging in risky sexual behavior. Behavioural change can be achieved through interventions such as participatory action research (PAR), which has been applied in various contexts. Few studies have reported on the use of PAR in Nigeria. This study aims to utilise PAR as an intervention to increase HPV awareness, improve knowledge of HPV infection, and promote behavioural change for HPV prevention among young adolescents in Benue State, Nigeria.MethodsThe study design uses a school-based, pre-post intervention approach with a cross-sectional component. Study participants are young adolescents aged 10–19 years in selected co-educational secondary schools in three local government areas (LGAs) spread across the three senatorial zones in Benue State, Nigeria. Two-stage sampling was used to select the LGAs and schools, and the sample size was computed using the before and after implementation with some prior information from a previous study. Data on sociodemographic characteristics, HPV awareness and knowledge of infection and prevention, prevention practices, and willingness for HPV vaccination were obtained with a self-administered semi-structured questionnaire adapted from the Vaccination and HPV Knowledge (THinK) survey. The HPV Knowledge survey (New Zealand) was utilized to collect information from students at baseline and post-implementation after PAR intervention. The Wilcoxon Signed Test (WST) was used to investigate the significance of the median differences before and after the intervention. A p-value less than 0.05 or 0.001 was considered significant.ResultsA total of 548 adolescents were sampled before the intervention. After the intervention, the sample size decreased to 503, reflecting an 8% attrition rate. PAR effectively increased HPV awareness among the participants from 80.9% before the intervention to 99.8% afterward. The PAR led to a significant change in knowledge of HPV infection and primary prevention and an increase in perception of HPV primary prevention. decrease in misconceptions and risky sexual behaviours, increase in HIV screening tests, and increase in the willingness of participants to uptake the HPV vaccine. Among the measures of risky sexual behaviours was a decreased perception that having more than one sexual partner is not a risk factor for HPV after the PAR intervention. The number of participants in sexual relationships decreased from 84 (16.7%) at baseline to 37 (7.4%) post-implementation. The PAR also led to a decrease in the number of participants who reported having STDs. The Wilcoxon Signed test was further disaggregated based on sex (male and female), school funding type (public and private), and school class level (junior and senior).ConclusionsPAR led to a significant increase in awareness and knowledge of HPV, knowledge of different aspects of HPV infection, and willingness to uptake the HPV vaccine. Additionally, the study has provided evidence that PAR interventions can be a viable tool in delaying sexual initiation and reducing sexual behavioural tendencies, especially in high-risk groups.

Tackling child criminal exploitation (CCE): an arts-based approach

ABSTRACT This article discusses the efficacy of a freely available arts-based intervention used to tackle Child Criminal Exploitation. A digital, interactive story (Cold Chips & Money) was used in school and youth settings in Hampshire, England with 1,451 young people aged 11–13 in 2021 as part of a project of the same name. Its use has continued since. I was and continue to be the Project Lead and oversaw the development of the story, the supporting resources and the evaluation framework. I worked with a project facilitator and evaluator throughout. Cold Chips & Money was designed to help students understand, recognise and manage external influence and pressure. The story and supporting resources which included a lesson plan and access to the project evaluation lead, enable professionals to have conversations with young people about how they can keep themselves safe, as well as how they can support one another to resist unwanted attention that might lead to exploitation. The resources relate directly to the PSHE Association Key Stage 3 Core Theme Relationships: Social Influence section R42–47. The development and use of the resources was planned to complement multi-agency work on Child Criminal Exploitation and County Lines and had input from multiple professionals. Project evaluation evidenced a significant increase in awareness of county lines, and the issues surrounding it. Teachers stated that the interactive storytelling format was effective at and provided the opportunity to facilitate in-depth dialogue around the cause and effect of the decisions we make.

Collaborative Educational Study on Traditional Medicine and Biodiversity Conservation within UNESCO Biosphere Reserve

We investigated the potential synergies between Ayurveda and Kampo within the context of biodiversity conservation in Mt. Hakusan Biosphere Reserve, to elucidate the linkages between traditional medicinal practices and conservation efforts. Methodology: 20 Indian students with backgrounds in Ayurveda and Nature Conservation from The University of Trans-Disciplinary Health Sciences and Technology (TDU) participated in an educational program at Mt. Hakusan Biosphere Reserve in Japan, facilitated by Kanazawa University. The program included lectures, fieldwork, and interactive sessions comparing Ayurveda with Kampo to explore connections with biodiversity conservation. Data were collected through pre- and post-program surveys to assess participants' awareness levels and perceptions, alongside qualitative methods such as participant observations. Results: Findings indicate a significant increase in awareness about UNESCO Biosphere Reserves among participants following the educational intervention. Students perceived the program positively and expressed interest in further research within Biosphere Reserves. However, some respondents reported only marginal increases in awareness, suggesting potential areas for program improvement. Conclusions: The study underscores the potential for cross-cultural collaboration in advancing traditional medicine and biodiversity conservation. Positive participant responses highlight the efficacy of educational programs in fostering awareness and interest in sustainable healthcare practices, with implications for future research and educational initiatives. Keywords: Ayurveda, Kampo, Traditional Medicine, Biodiversity Conservation, Biosphere Reserve, Cross-cultural collaboration

Evaluation of a pre-post quasi-experimental educational intervention on breast cancer awareness among pharmacy professionals in Karachi, Pakistan.

Cancer, particularly breast cancer, is a major contributor to mortality and a significant impediment to life expectancy. In 2020, breast cancer accounted for 11.7% of all cancer cases and caused approximately 685,000 deaths worldwide, surpassing lung cancer in prevalence. The study aims to evaluate the impact of an educational intervention on breast cancer awareness among pharmacy students by comparing their understanding before and after the program. A pre-post quasi-experimental study was designed to assess knowledge and awareness of breast cancer, breast self-examination (BSE) practices, and attitudes toward breast cancer among female university students in Karachi, Pakistan. Participants completed a pre-session questionnaire, attended an awareness workshop and video tutorial, and then completed a post-session questionnaire 2 weeks later. Of 1,200 participants, 1,015 of them completed both the pre- and post-intervention questionnaires. Key demographic features included 83.9% of the participants being in the 18-24 age group, 26.8% being married, and only 14.2% having a family history of breast cancer. Before the intervention, 60.7% of the participants were not involved in regular breast self-exams due to a lack of awareness. Post-intervention results showed a significant increase in awareness, with 35.9% rising to 94.9%. The use of screening methods increased from 46.7 to 94.8%. Knowledge of breast cancer improved from 51.2 to 96.7%, and the general perception rose from 48.2 to 93.4%. Attitudes toward self-examination also shifted positively, indicating a significant change in perception. The study concludes the baseline knowledge of breast cancer among female students was inadequate but improved significantly from over 40% to over 90% following the educational intervention. The intervention positively influenced the general perception and attitudes toward breast cancer. These findings highlight the need for regular educational sessions to enhance awareness, improve healthcare outcomes, and reduce mortality rates, particularly in developing countries.

STRATEGY FOR IMPROVING ECOTOURISM BRANDING THROUGH MANGROVE BATIK IN BLIMBING MALANG

This community service activity aims to help ecotourism business actors to increase visits through destination branding strategies. The problem faced by ecotourism business players is that business income has barely developed, especially after the pandemic. One of the Micro, Small and Medium Enterprise sectors affected is hand-written batik. This assistance and training was provided to the Malang Mangrove Batik MSME Group, which consists of 40 members of Batik entrepreneurs throughout Malang City Regency. The lack of visitors and purchasing power which is still only starting to increase after the pandemic also has an impact on the income of MSMEs. Apart from that, several problems with mangrove tourism are caused by not optimal social media branding, lack of cooperation from local communities for branding, lack of information on tourist destinations in mass media, lack of massive campaigns on social media, lack of understanding of the potential and uniqueness of mangrove tourism, etc. have a mangrove tourism promotion strategy plan. This activity seeks to restore income for MSMEs through a destination branding strategy for mangrove batik ecotourism. One of the efforts made is branding mangrove batik. This activity includes 5 stages starting from market analysis, brand identity, brand launch and introduction, brand implementation, and monitoring/evaluation. The results of branding activities show a significant increase in awareness of mangrove batik both in terms of brand, engagement and market segmentation.

Three-year questionnaire study on human papillomavirus vaccination targeting new female college school students: Follow-up to a 2021 report to reveal the impact of a policy change in Japan.

The purpose of this study was to examine the trend in human papillomavirus (HPV) vaccination rates in Japan before and after a policy change in 2022, involving resumption of active recommendation and start of catch-up vaccination. From 2021 to 2023, a web-based questionnaire survey was administered to newly enrolled female college students in Yokohama, Japan. The questionnaire included items such as age, HPV vaccination status, HPV vaccine awareness, and awareness of catch-up vaccination. We compared knowledge about the HPV vaccine and cervical cancer in 2021 and 2023, before and after resumption of the national vaccination program. The HPV vaccination rates were 5.4% in 2021, 7.5% in 2022, and 35.3% in 2023, with a significant upward trend (p < 0.001). A similar upward trend was observed for HPV vaccine awareness (p < 0.001). Comparing 2022 and 2023 after the start of catch-up vaccination, there was no significant difference in awareness of catch-up vaccination (p = 0.669), but there was a significant increase in awareness of free vaccination tickets (p < 0.001). After resumption of the national vaccination program with adoption of the catch-up vaccination program, there was no difference in knowledge of cervical cancer, but there was a difference in knowledge of the HPV vaccine. Although the HPV vaccination rate has increased after the policy change, it has not recovered to the level before the suspension of active recommendation. It is important for healthcare providers and school educators to actively communicate the safety and effectiveness of the HPV vaccine.

Increasing Public Knowledge About Hypertension as an Effort to Prevent Hypertension Complications (Stroke)

Hypertension is a health disorder that causes an increase in blood pressure. Hypertension can cause serious complications in the form of stroke. These significant complications can be life threatening and even death. Stroke is a global health problem with more than 15 million people annually experiencing this condition worldwide. This study was conducted on 30 individuals who visited the Pagar Jati Community Health Center, using the accidental sampling method, to explore the contribution of community participation in increasing awareness about hypertension and promoting preventive behavior. Through outreach activities and public campaigns, community participation has succeeded in increasing understanding of the importance of regular health check-ups by checking blood pressure and consuming foods with balanced nutrition, including low salt, thereby preventing hypertension. Evaluating the effectiveness of the community service program using a questionnaire showed an increase from 70% at the pretest stage to 93% at the posttest stage. This reflects a significant increase in awareness, knowledge and preventive measures against complications of hypertension, such as stroke, in the community areas served by health community center (Puskesmas) Pagar Jati. Collaboration between health workers, local government, educational institutions and the community is the key to the success of this program. Although challenges remain such as limited access and inequality of information, community service has proven to be an effective tool in strengthening the community response to hypertension and advancing overall community health.

Education of Clean and Healthy Living Behaviors for Students of UPT SPF SD Negeri 101900 Lubuk Pakam

Clean and Healthy Living Behavior (PHBS) is behavior that is implemented in daily life based on initiatives originating from learning outcomes so that it can change individuals or groups so that they can play an active role in their health in society. School-age children are children who are in childhood, which is clearly in contrast to adulthood. During childhood, there are generally many health problems that are critical in determining the quality of a child's health in the future. Community service is the key to efforts to spread knowledge about PHBS. This community service was carried out for elementary school students in grades 4, 5, and 6 at SD Negeri 101900 Lubuk Pakam, as many as 100 people. This activity will play a role in raising students' awareness of implementing PHBS behavior and infectious disease prevention behavior at school. This activity is held through counseling, and public campaigns, where PkM will be able to increase understanding about washing hands before and after carrying out activities, brushing teeth, not littering, and not snacking carelessly. Evaluation of this activity is carried out through review activities by asking questions to elementary school students. The results of this PkM show that there has been a significant increase in awareness, knowledge, and prevention efforts in implementing PHBS at SD Negeri 101900 Lubuk Pakam. It is hoped that students will remain consistent in implementing PHBS in their daily activities.

PEARR tool training and implementation: building awareness of violence and human trafficking in a hospital system.

Health professionals have an opportunity to assist patients who are experiencing many types of violence, including human trafficking; however, current approaches are often not person-centered. The Provide privacy, Educate, Ask, Respect and Respond (PEARR) Tool, a recognized screening tool in the U.S., is a structured conversation guide for health professionals on how to provide trauma-sensitive assistance to patients who may be experiencing such violence, including human trafficking. This is the first study to evaluate the PEARR Tool and its use in hospital settings. A U.S.-based health system adopted the PEARR Tool as part of its Abuse, Neglect, and Violence policy and procedure. To support successful adoption, the health system also developed educational modules on human trafficking and trauma-informed approaches to patient care, including a module on the PEARR steps. In October 2020 and June 2021, a voluntary "PEARR Tool Training and Implementation Survey" was distributed to emergency department staff in three hospitals. The survey consisted of 22 questions: eight demographic and occupation related questions; five questions related to the education provided to staff; and, nine questions related to the use of the PEARR Tool in identifying and assisting patients. The overall findings demonstrate a general increase in awareness about the prevalence of human trafficking, as well as a significant increase in awareness about the implementation of the PEARR Tool. However, the findings demonstrate that most respondents were not utilizing the PEARR Tool between October 2020 and June 2021. Most reported that the reason for this was because they had not suspected any of their patients to be victims of abuse, neglect, or violence, including human trafficking. Of those that had utilized the PEARR Tool, there was a marked increase in staff that reported its usefulness and ease of access when caring for patients. The COVID-19 pandemic posed many challenges during this study, including delays in staff education, changes in education format and delivery, and strains on staff. Initial data regarding the use of the PEARR Tool is promising; and additional research is recommended.

A community-based intervention study for enhancing Hausa women's knowledge about maternal healthcare services

BackgroundThis study focuses on enhancing the knowledge of maternal healthcare services among the Hausa community, recognizing the community's unique characteristics that may act as barriers to accessing such services. MethodsEmploying a quasi-experimental design with pre-test and post-test measurements, the study randomly assigned 166 participants into intervention and control groups. Data were collected through semi-structured interviews and teaching guides used as intervention tools. Statistical analyses using SPSS version 22 included Independent T tests, and results were presented through frequencies, percentages, and bar charts. ResultsThe post-test results in the intervention group demonstrated a significant increase in awareness of maternal healthcare services, with 96.3 % of participants being aware compared to 55.4 % in the pre-test. The mean knowledge score also exhibited improvement, rising from 2.1±2.1 in the pre-test to 5.4±1.6 in the post-test. In the control group, knowledge increased from 57.8 % pre-intervention to 63.0 %, but a significant portion (61.4 %) scored below the 50th percentile, indicating poor knowledge. ConclusionThe study concludes that health education effectively improved understanding and awareness of maternal healthcare services among participants. These findings underscore the potential of targeted interventions to address knowledge gaps and improve access to maternal healthcare services within the Hausa community.

Students' Awareness of Religious Moderation: An Examination of the Effectiveness of Group Format Intelligent Character Education (PKC-KO).

In the realm of education, fostering a moderate character is closely tied to the selection of effective strategies. The precision in executing these strategies plays a crucial role in instilling values successfully. The article aims to assess the effectiveness of group-based intelligent character education services (PKC-KO) in improving madrasah students' awareness of religious moderation. The study utilizes an experimental design with a Non-Equivalent Control Group, focusing on Class X students from Madrasah Aliyah Negeri 1 EastLampung, using Purposive Sampling. A Likert scale-based assessment is employed, and the data is analyzed using statistical tools such as the Wilcoxon Signed Ranks Test and Kolmogorov-Smirnov 2 Independent Samples with the assistance of SPSS. Overall, the research findings reveal the success of group-based intelligent character education programs in enhancing madrasah students' awareness of religious moderation. There is a notable disparity in the students' awareness of religious moderation before and after receiving PKC-KO in the experimental group. In contrast, the control group, without such educational intervention, did not experience a significant increase in awareness. The study underscores that PKC-KO imparts principles of religious moderation, encouraging students to maintain a balanced perspective, avoid extremism, practice tolerance towards diverse religious backgrounds, dispel stereotypes, develop positive interpersonal skills, and contribute to societal peace by respecting religious distinctions. This research holds educational implications, emphasizing the potential of PKC-KO-based programs for cultivating awareness of religious moderation among madrasah students. The study suggests that implementing PKC-KO can significantly impact students' perspectives on religious moderation, promoting a more harmonious and tolerant society.

Pharmacological Management of Postoperative Delirium

Postoperative delirium (POD) is a complex disorder with significant implications for health and well-being. Over the last few years, there has been a significant increase in awareness of the pathophysiological processes, the different clinical forms and the prevention of POD. It is known that POD develops when anaesthetic- and surgery-related precipitating factors coincide with the patient's predisposing vulnerability. Consequently, assessing the preoperative physical, cognitive, psychological, social and resilience capabilities of patients scheduled for surgery is critical to assessing overall risk and determining optimal preoperative, intraoperative and postoperative management, particularly as pharmacological treatment options remain limited. For treatment, non-pharmacological measures remain in the foreground, pharmacological therapy is only used for severe symptoms, and should be symptom-oriented and low-dosed. There is no drug that is suitable for delirium treatment alone.

A mixed methods evaluation of a mentalising education programme for the community pharmacy workforce in Denmark – A promising way forward to deliver patient-centred counselling

Background: This article presents the results of the evaluation of a mentalising education programme for staff at community pharmacies as to whether it had made counselling more patient-centred. Methods: A mixed-methods design was chosen, combined with Kirkpatrick’s four levels of evaluation. Twenty-eight participants from 11 community pharmacies participated. Data comprised qualitative reports at the end of the programme and measurements of Level of Emotional Awareness, Job Satisfaction, and Course Experience questionnaires. Results: The qualitative evaluation revealed three themes: “Awareness of emotions and communication skills is an important element when mentalising is the goal”, “It’s far more than a dispensing situation – I now tune into the patient”, “I don’t have to hide behind the screen any longer”. The quantitative evaluation showed a significant increase in awareness of mental states, improvement in job satisfaction, and satisfaction with the programme. Conclusion: The results show promise in supporting the pharmacy workforce to adopt a patient-centred approach during counselling.

Competency on transgender health issues among medical professionals before and after the medical conference on transgender physiology

Introduction and Aim: Transgender healthcare has emerged as an area of medicine that has been in the blind spot of most physicians for the last century. Medical professionals in India have been equally unaware of the health needs of the transgender community. The aim of the present study was to assess the competency and awareness regarding transgender health and related issues among medical professionals. Methodology: A questionnaire was framed to assess awareness on social and medical issues faced by the transgender community containing 40 questions in yes or no format. 126 doctors filled the questionnaires and 58 of the respondents later attended a conference on Transgender health. Similar questionnaire was used to assess the improvement in knowledge after the conference. Results: The result of the questionnaire score was analysed in percentage. The average percentage score of the initial 126 respondents was 51.58. Pre-conference percentage score was 51.33 and the post-conference was 61.67 among the 58 conference attendees, showing a significant increase in awareness after being exposed to an educational session. Conclusion: There is a need for large-scale awareness programs and the implementation of trans-inclusive medical curriculum to improve the competency of medical professionals.

Antiracist Curriculum Implementation for Pediatric Residents.

Racism has been recognized as a public health crisis, with calls for greater focus on antiracism in medical training. We sought to evaluate a longitudinal antiracist curriculum among pediatric residents. In 2020-2021, we delivered seven educational sessions to pediatric trainees in a single residency program. We administered pre-/post-surveys to assess changes in awareness of structural racism, knowledge of health inequities, antiracist clinical skills, and individual/institutional advocacy behaviors. Awareness was measured with 27 Likert-type items spanning five conceptual domains (schools, healthcare, justice system, employment, and housing/transportation). We evaluated knowledge with 18 true/false or multiple-choice questions. Participants indicated comfort with clinical skills using 13 Likert-type items drawn from national toolkits and policy statements. Individual/institutional advocacy behaviors were measured with 14 items from the Antiracism Behavioral Inventory. McNemar or paired Wilcoxon signed-rank tests compared measures before and after implementation. Out of 121 residents, 79 (65%) completed pre-surveys, 47 (39%) completed post-surveys, and 37 (31%) were eligible for matching across responses. 78% of respondents were female and 68% identified as White. We found significant increases in awareness across several conceptual domains (schools: p = 0.03; healthcare: p = 0.004; employment: p = 0.003; housing/transportation: p = 0.02). Mean knowledge score increased after implementation (p = 0.03). Self-reported clinical skills improved significantly (p < 0.001). Individual advocacy behaviors increased (p < 0.001); there were no changes in institutional advocacy. We demonstrate improvements in several educational constructs with a novel antiracist curriculum. Efforts to scale and sustain this work are ongoing, and additional teaching and evaluation methodologies may be incorporated in the future.

Discharge Navigator: Implementation and Cross-Sectional Evaluation of a Digital Decision Tool for Social Resources upon Emergency Department Discharge

IntroductionMany patients have unaddressed social needs that significantly impact their health, yet navigating the landscape of available resources and eligibility requirements is complex for both patients and clinicians.MethodsUsing an iterative design-thinking approach, our multidisciplinary team built, tested, and deployed a digital decision tool called “Discharge Navigator” (edrive.ucsf.edu/dcnav) that helps emergency clinicians identify targeted social resources for patients upon discharge from the acute care setting. The tool uses each patient’s clinical and demographic information to tailor recommended community resources, providing the clinician with action items, pandemic restrictions, and patient handouts for relevant resources in five languages. We implemented two modules at our urban, academic, Level I trauma center.ResultsOver the 10-week period following product launch, between 4–81 on-shift emergency clinicians used our tool each week. Anonymously surveyed clinicians (n = 53) reported a significant increase in awareness of homelessness resources (33% pre to 70% post, P<0.0001) and substance use resources (17% to 65%, P<0.0001); confidence in accessing resources (22% to 74%, P<0.0001); knowledge of eligibility criteria (13% to 75%, P<0.0001); and ability to refer patients always or most of the time (11% to 43%, P<0.0001). The average likelihood to recommend the tool was 7.8 of 10.ConclusionOur design process and low-cost tool may be replicated at other institutions to improve knowledge and referrals to local community resources.

Abstract P2-11-04: Participation in a breast cancer prevention clinic before and after implementation of the Affordable Care Act

Abstract Background: Secondary prevention can serve to maintain patients’ long-term health and avoid the costs of chronic disease. At the Preventive Care Program for Women’s Cancer Clinic at UAB (UABPC), multidisciplinary staff provide women at increased risk for breast cancer specialized preventive care via comprehensive risk assessment with resultant recommendations for screening and management strategies. In 2011, several provisions of the Affordable Care Act (ACA) eliminated cost sharing of basic women’s preventive screening programs for patients with non-grandfathered health insurance plans. This increased affordability and accessibility of care for millions of Americans and increased awareness of racial disparities in preventive care. In this study, we examined the potential influence of these provisions on increasing total and minority patient participation in specialized preventive services in the UABPC. Methods: Patients seen in this clinic were consented and data was collected to understand use of preventative services. 2003-2011 was designated as the pre-ACA enactment period and 2011-2019 as the post-ACA enactment period. We further subdivided the patient's first participation in the clinic into 4-year periods to more closely assess trends in total and minority patient participation as a function of ACA implementation. Patients’ age, race, first clinic date, and socioeconomic status (SES) were considered for their impact on uptake of services pre- and post-ACA. Results: Between 2003 and 2019, 2,786 patients were entered into this database. The mean age at first visit was 46.28. 84.3% were White, 13.4% were Black and 2.3% were Asian, Hispanic, Native American, Unknown or of other racial origin. 623 (22.36%) patients were first seen during pre-ACA enactment and 2,163 (77.63%) patients were first seen during post-ACA enactment. From 2003-2011, minority patients comprised 6.4% of clinic patients and between 2011-2019 minority clinic patients nearly tripled to comprise 18.6% of all patients seen. We conducted an overall Chi- Square analysis of patients seen in this clinic by race pre- and post-ACA, demonstrating a significant increase in total and minority patients with a p value&amp;lt;.0001. An overall Chi-Square analysis of patients by race among the aforementioned 4-year time-periods also demonstrated a significant increase in patients between 2007-2011 and 2011-2015 with a p value&amp;lt;.0001. A two-sample t-test determined that the decrease in mean age seen between pre- and post-ACA enactment was not statistically significant. Conclusions: We demonstrate a change in overall uptake of our clinic’s preventive services and specifically changes to the racial makeup of the patient population following the implementation of the ACA. The resultant reduced cost sharing for women’s preventive screening and federal advancement of the Offices of Minority Health are plausible factors in the statistically significant increase in awareness of preventive services and increase in total and minority patient enrollment within the UABPC. These meaningful results underscore the value of federal programs focused on decreasing racial disparities in healthcare and increasing access to preventive care for women at increased risk of breast cancer. Future studies will be needed to determine the specific underlying causes and effects to ensure the greatest impact of future policy changes. Pre-ACA (N)Post-ACA (N)Race2003-20072007-20112011-20152015-2019White202381856904Black1424155181Asian, Hispanic, Native American, Unknown or Other022839 Citation Format: Jiliian Tinglin, Andrew Crouse, Helen Krontiras. Participation in a breast cancer prevention clinic before and after implementation of the Affordable Care Act [abstract]. In: Proceedings of the 2021 San Antonio Breast Cancer Symposium; 2021 Dec 7-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2022;82(4 Suppl):Abstract nr P2-11-04.

Effects of a Digital Game-Based Course in Building Adolescents' Knowledge and Social-Emotional Competencies.

Objective: The purpose of this study was to investigate the efficacy of a digital game-based course to build domain knowledge and social emotional competencies of empathy and compassion in adolescents. Materials and Methods: The study used a digital game Bury me, my Love with an accompanying course which was administered to 201 participants between ages 13-18 across United Arab Emirates (UAE) and India. Standardized self-reports were used to score participants on measures of knowledge and attitudes, empathy, and compassion before and after the intervention. Mixed analyses of variance were conducted with 1 between-subjects factor (gender) and 1 within-subjects factor (time) to determine the impact of the intervention, followed by post hoc t-tests. Results: Increased effects of intervention were obtained for both knowledge and social emotional learning in both UAE and India. Specifically, there was a significant increase in awareness of migration and refugees in both India (P < 0.001) and UAE (P < 0.001). Interesting effects of gender were seen in which females in both countries showed increases in compassion from others (P < 0.05). Conclusion: This study opens a new window in game-based learning. The design of a structured course with learning outcomes that are centered around a digital game establishes its potential to create engaging and accessible solutions to simultaneously build domain knowledge and social-emotional competencies in adolescents.

Promising Interventions to Prevent Liver Cancer in Idaho.

The Idaho Comprehensive Cancer Control Program (ICCCP) collaborated with the Idaho Immunization Program (IIP) to plan and implement activities to increase knowledge and awareness of liver cancer prevention through tailored hepatitis B immunization messaging to the Idaho community and health care providers. In this article, we report findings from an evaluation of these activities. The two programs implemented liver cancer prevention activities between May 2017 and December 2017; strategies included a social media vaccination awareness campaign and health care provider education. Facebook Insights was used to report, and descriptive statistics were used to analyze, data from the social media campaign. Descriptive statistics were used to analyze data collected from a retrospective pre-post survey for the health care provider presentations and paired t-tests were conducted to detect differences between pre- and postexposure. For the social media campaign, ICCCP and IIP posted a total of 32 liver cancer and hepatitis B vaccination posts on their respective Facebook pages, which reached 42,804 unique users. For the health care provider presentations, there was a statistically significant increase in awareness, knowledge, ability, and intention among health care providers. Our evaluation serves as an example of how public health social media can reach consumers and how educating providers can raise awareness on the importance of hepatitis B vaccination as a means of preventing liver cancer.

Closing the knowledge gap in Malaysian pharmacists: a virtual Allergic Rhinitis Boot Camp initiative.

BackgroundIn primary care, general practitioners (GPs) and pharmacists are at the frontline to identify, classify and manage patients suffering from allergic rhinitis (AR). The Allergic Rhinitis and its impact on Asthma (ARIA) guidelines aid clinicians in disease management by providing evidence-based recommendations. A recently published ASEAN primary care survey demonstrated that the awareness of ARIA guidelines was high among GPs but notably lower in pharmacists. Hence, this study seeks to evaluate the effectiveness of a Boot Camp education initiative in bridging the unmet needs in pharmacist awareness and education.MethodsThe boot camp was organised as a virtual event. The participants answered the same questionnaire before (pre-assessment) and immediately after (post-assessment) the boot camp session. Statistical analysis was performed on the data paired between the pre- and post- assessments using SPSS v. 25.0 software.ResultsThe boot camp survey results showed that second-generation oral antihistamines and allergen avoidance are the most preferred options for AR treatment in pharmacy practice, irrespective of the disease severity. In both pre- and post-assessments, efficacy was ranked as the most important factor considered for choosing an antihistamine and which affects patient adherence. With the boot camp initiative, there was a statistically significant increase in awareness about the patient profiling tool (from 31.6% to 88.2%) and ARIA guidelines (from 40.4% to 91.2%) among the pharmacists (p<0.05). The proportion of pharmacists who were able to identify, classify and refer AR patients was significantly increased in post-assessment (p<0.05). Post the boot camp, among the proportion of pharmacists (91.2%) who were already aware of ARIA, a high percentage of them further agreed that ARIA guidelines were useful in identifying and treating patients with AR, as well as classifying AR, respectively (97.6%, 95.2%, and 93.5%).ConclusionsBased on improvements in knowledge and understanding of disease management post assessment, the Allergic Rhinitis Boot Camp initiative is effective and relevant to pharmacy practice. Outreach programs like this reiterate the emphasis on patient compliance and importance of utilizing ARIA guidelines in pharmacy practice that facilitates better management of AR in primary care.