Impact of a pharmacist-directed educational program on the long-term knowledge and use of folic acid among college women: a 12-month follow-up study.
Impact of a pharmacist-directed educational program on the long-term knowledge and use of folic acid among college women: a 12-month follow-up study.
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DOI：
10.4321/s1886-36552012000200007
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发表时间：
2012-04
期刊：
影响因子：
--
通讯作者：
Dipietro NA
中科院分区：
文献类型：
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作者：
Murphy BL;Dipietro NA
很少有研究调查教育干预对参与者长期了解和使用叶酸预防神经管缺陷（NTD）的影响。这项试点研究的目的是评估知识和行为的变化，在一个样本的大学女生一年后，这样的计划。一所住宿学院的女学生自愿参加了这次活动，并向校园社区宣传这是一次妇女健康研讨会。参与者在30分钟的口头陈述之前和之后立即完成了一项多项选择测试，评估叶酸和NTD的知识以及多种维生素的使用频率。通过电子邮件或邮件发送3条提醒信息后，在干预后1个月和12个月重新评估知识和多种维生素使用情况。32名女大学生参加了教育干预; 27人（84%）完成了12个月的后测试。在12个月时，关于高叶酸食物（p=0.023）、脊柱完整（p=0.011）和2个关于NTD预防的问题（p=0.044）的知识相对于基线仍有统计学显著增加。与基线相比，对叶酸推荐日摄入量（p=0.817）和仅从饮食中获得足够叶酸的困难（p=0.617）的了解增加无统计学意义。定期使用多种维生素（每周≥4次）与基线相比无统计学显著性增加（p=0.592）。尽管令人鼓舞的是，这些妇女保留了在项目期间学到的大部分信息，但似乎在1个月时看到的复合维生素使用的变化在12个月时并不持续。建议进一步研究更大的大学女生群体。
Few studies have examined the impact of educational interventions on participants’ long-term knowledge and use of folic acid for prevention of neural tube defects (NTD). The objective of this pilot study was to evaluate changes in knowledge and behaviors in a sample of college women one year after such a program. Female students of a residential college campus voluntarily attended the event, which was advertised to the campus community as a women’s health seminar. Participants completed a multiple-choice test assessing knowledge of folic acid and NTD and frequency of multivitamin use before and immediately after a 30-minute oral presentation. Following 3 reminder messages sent via email or mail, knowledge and multivitamin use were re-assessed 1-month and 12-months post-intervention. Thirty-two college women participated in the educational intervention; 27 (84%) completed the 12-month post-test. At 12 months, statistically significant increases in knowledge from baseline remained for questions pertaining to food high in folic acid (p=0.023); completion of spinal column (p=0.011); and 2 questions on NTD prevention (p=0.044). Increases in knowledge regarding recommended daily allowance of folic acid (p=0.817) and difficulty in receiving adequate folic acid from diet alone (p=0.617) were not statistically significant from baseline. Regular multivitamin use (≥4 times per week) was not statistically significantly increased from baseline (p=0.592). Although it was encouraging that the women retained much of the information learned during the program, it appears that the changes in multivitamin use seen at 1-month were not sustained at 12-months. Further study with larger groups of college women is recommended.