Assessing changes in knowledge, attitudes, and intentions to use family planning after watching documentary and drama health education films: a qualitative study.
Assessing changes in knowledge, attitudes, and intentions to use family planning after watching documentary and drama health education films: a qualitative study.
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DOI：
10.1186/s12978-022-01370-5
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发表时间：
2022-03-12
影响因子：
3.4
通讯作者：
Willcox M
中科院分区：
文献类型：
--
作者：
Mubangizi V;Plastow J;Nakaggwa F;Nahabwe H;Natukunda S;Atim F;Mawere B;Laughton M;Muller I;Owokuhaisa J;Coates S;Chambers I;Goodhart C;Willcox M
关于戏剧或纪录片在改变人们对计划生育的知识、信念、态度和行为方面的效果的文献很少。本研究旨在比较和评估基于纪录片和戏剧的健康促进电影的可接受性，以及它们对计划生育知识、态度和使用意愿的影响。我们采用以人为本的方法，制作了关于避孕植入物的纪录片和戏剧短片。在与乌干达四个不同地区（布温迪/卡农古、瓦卢库巴/金贾、坎帕拉和姆巴拉拉）23岁以下的年轻妇女、23岁以上的妇女、育龄男子和保健工作者进行的重点小组讨论中，对这些方案的可接受性进行了评估。焦点小组讨论的成绩单进行了分析，使用主题分析，以产生主题和审查的关键问题。我们评估了观看电影后知识，态度和使用计划生育的意图的变化。开展了16个重点小组，150人参加。参与者说，这部纪录片提高了他们的知识，并解决了他们对副作用，神话和植入物插入的恐惧。这部戏剧改善了他们对植入物的态度，并鼓励他们与伴侣讨论计划生育问题。纪录片和剧情片的最终版本同样受到喜爱。观看一部关于避孕植入物的纪录短片，使知识发生了积极的变化，而一部短剧则改善了与伴侣讨论植入物的态度和意图。戏剧和纪录片有互补的特点，大多数与会者都想看。乌干达每年有数千名妇女和儿童死于与怀孕和分娩有关的问题。这些死亡中约有20%可以通过更好地使用避孕措施来避免。许多妇女不愿意开始避孕，因为她们担心避孕的副作用，而且她们需要丈夫的同意。本研究旨在探讨健康教育影片是否能解决这些恐惧，并比较纪录短片与剧情短片。在当地人民的参与下，我们用两种当地语言制作了两部健康教育影片（一部纪录片和一部戏剧）。电影的目的是：（1）消除避孕方面的一些神话;（2）鼓励男子与妻子一起至少参加一次产前检查;（3）与卫生工作者讨论他们是否愿意在分娩后采取计划生育方法。我们向乌干达四个截然不同地区的当地妇女、男子和卫生工作者重点群体播放了这些影片。参加焦点小组的人讨论了他们对电影的反应，他们是否从中学到了什么，他们对计划生育的态度是否因此改变，以及他们是否打算与伴侣讨论这一问题。观看一部关于避孕植入物的纪录短片提高了知识，而戏剧短片则提高了与伴侣讨论植入物的态度和意愿。纪录片和戏剧各有优势，大多数与会者都想看。
There is a paucity of literature on the effectiveness of drama or documentary films in changing knowledge, beliefs, attitudes, and behavior of people towards family planning. This study aimed to compare and assess the acceptability of health promotion films based on documentary or drama, and their effect on knowledge, attitudes, and intention to use family planning. We developed short documentary and drama films about contraceptive implants, using the person-based approach. Their acceptability was assessed in focus group discussions with younger women below 23 years, women over 23 years, men of reproductive age, and health workers in four different areas of Uganda (Bwindi/Kanungu, Walukuba/Jinja, Kampala, and Mbarara). Transcripts of the focus group discussions were analyzed using thematic analysis, to generate themes and examine the key issues. We assessed changes in knowledge, attitudes, and intentions to use family planning after watching the films. Sixteen focus groups with 150 participants were carried out. Participants said that the documentary improved their knowledge and addressed their fears about side effects, myths, and implant insertion. The drama improved their attitudes towards the implant and encouraged them to discuss family planning with their partner. The final versions of the documentary and the drama films were equally liked. Viewing a short documentary on the contraceptive implant led to positive changes in knowledge, while a short drama improved attitudes and intentions to discuss the implant with their partner. The drama and documentary have complementary features, and most participants wanted to see both. Thousands of women and children in Uganda die every year due to problems related to pregnancy and childbirth. About 20% of these deaths are avoidable by better use of contraception. Many women are reluctant to begin contraception because of fears and myths about side-effects, and because they need the agreement of their husbands. The aim of this research was to study whether health education films could address these fears, and to compare a short documentary with a short drama film. We produced two health education films (a documentary and a drama) in two local languages with the involvement of local people. Films aimed to (1) dispel some myths on contraception, (2) encourage men to attend at least one antenatal clinic with their wives, and (3) discuss with a health worker whether they would like a method of family planning after the delivery. We showed these films to focus groups of local women, men and health workers in four contrasting areas of Uganda. The people taking part in the focus groups discussed their reactions to the films, whether they had learned anything from them, whether their attitudes towards family planning had changed as a result, and whether they intended to discuss this with their partner. Viewing a short documentary on the contraceptive implant improved knowledge, and short drama films improved attitudes and intentions to discuss the implant with their partner. The documentary and drama had different advantages, and most participants wanted to see both.
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DOI：
10.1016/j.sapharm.2015.04.002
发表时间：
2016-01-01
影响因子：
3.9
作者：
Cadogan, Cathal A.;Ryan, Cristin;Hughes, Carmel
通讯作者：
Hughes, Carmel
影响因子：
3.9
作者：
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影响因子：
4.6
作者：
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Kiene SM
DOI：
10.1363/43e4117
发表时间：
2017-06-01
影响因子：
4.4
作者：
Benson A;Calhoun LM;Corroon M;Lance P;O'Hara R;Otsola J;Speizer IS;Winston J
通讯作者：
Winston J
影响因子：
1.5
作者：
Fotso JC;Cleland J;Mberu B;Mutua M;Elungata P
通讯作者：
Elungata P