The impact of antimicrobial resistance awareness interventions involving schoolchildren, development of an animation and parents engagements: a pilot study.

The impact of antimicrobial resistance awareness interventions involving schoolchildren, development of an animation and parents engagements: a pilot study.
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DOI:
10.1186/s13756-022-01062-6
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发表时间:
2022-02-04
影响因子:
5.5
通讯作者:
Gyansa-Luterrodt M
Gyansa-Luterrodt M
中科院分区:
医学2区
文献类型:
--
作者:
Appiah B;Asamoah-Akuoko L;Samman E;Koduah A;Kretchy IA;Ludu JY;Odonkor G;Nam SH;Gyansa-Luterrodt M

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抗生素耐药性(AMR)是一个全球性的健康挑战,特别是在消费者广泛使用抗生素的低收入和中等收入国家,导致抗生素滥用。然而,撒哈拉以南非洲主要缺乏让学龄儿童家长参与的AMR教育干预措施。本研究旨在评估AMR动画和学龄儿童对家长AMR知识、态度和信念的影响。 加纳城市特马11-15岁学童的家长观看并讨论了AMR动画,该动画是根据学童的热门故事和图画设计的。来自两所学校的孩子首先参与AMR课程,一所学校使用讲故事,另一所学校使用绘画,没有一所学校作为对照。然后,孩子们被要求与父母讨论这些课程。对随机选择的儿童的父母进行基线调查,以评估AMR知识,态度和信念,然后让学生和家长参与,并立即在家长参与观看和讨论动画。McNemar和t检验用于评估AMR知识、态度和信念的变化。 参加动画活动的父母,以及在讲故事干预学校的学生,在基线和终点之间,对“抗生素可以治愈任何感染”的认识有显著提高(p = 0.021,χ2 = 0.711; 88% vs 50%)。然而,这些父母在基线和终点之间关于“抗生素不会杀死我们的好细菌”的陈述的得分也有统计学显著降低(p = 0.021,χ2 = 1.042; 71.4% vs 40%)。在绘画学校的孩子的父母中,任何陈述都没有显着的影响。然而,结合陈述作为综合得分的t检验结果显示,只有参与讲故事干预(p = 0.043)或绘画干预(p = 0.019)的儿童的父母之间的态度结构存在统计学显著差异。在知识和信念结构方面没有统计学显著变化。 这项研究表明,干预措施涉及学童与家长的参与和AMR动画可以影响家长的AMR态度。干预也可能对父母的AMR知识产生积极或消极的影响。可能需要修改干预措施以应对AMR。在线版本包含补充材料,可通过10.1186/s13756-022-01062-6获得。
Antimicrobial resistance (AMR) is a global health challenge, particularly in low- and middle-income countries where antibiotics are widely available to consumers, leading to their misuse. However, AMR educational interventions for engaging parents of schoolchildren are mainly lacking in Sub-Saharan Africa. This study aimed to assess the potential of AMR animation and schoolchildren in influencing parents’ AMR knowledge, attitudes, and beliefs. Parents of schoolchildren aged 11–15 years in Tema, a city in Ghana, watched and discussed an AMR animation designed with ideas from the schoolchildren’s top stories and picture drawings. The children from two schools were first engaged with AMR lessons, with one school using storytelling, the other school using picture drawing, and none serving as a control. The children were then asked to discuss the lessons with their parents. Baseline surveys of parents of randomly selected children were conducted to assess AMR knowledge, attitudes and beliefs before engaging the students and parents, and immediately after the parents participated in viewing and discussing the animation. McNemar and t-tests were used to assess changes in AMR knowledge, attitudes and beliefs. Parents who participated in the animation event, and whose schoolchildren were in the storytelling intervention school had significantly improved knowledge regarding the statement “Antibiotics will cure any infection” (p = 0.021, χ2 = 0.711; 88% vs 50%) between baseline and endline. However, these parents also had statistically significant decreased scores regarding the statement “Antibiotics do not kill our good bacteria” (p = 0.021, χ2 = 1.042; 71.4% vs 40%) between baseline and endline. There was no significant effect on any statement among parents whose children were in the picture drawing school. However, t-test results combining the statements as composite scores showed statistically significant difference in only the attitude construct among parents whose children participated in storytelling intervention (p = 0.043) or picture drawing intervention (p = 0.019). There were no statistically significant changes in knowledge and beliefs constructs. This study shows that interventions involving schoolchildren with parents engagements and AMR animation could influence parents’ AMR attitudes. The intervention could also positively or negatively impact parents’ AMR knowledge. Modifications of the interventions may be needed for tackling AMR. The online version contains supplementary material available at 10.1186/s13756-022-01062-6.
DOI: 10.2147/idr.s88725
发表时间: 2015-01-01
影响因子: 3.9
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影响因子: 3.7
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