Development of an educational cartoon to prevent worm infections in Chinese schoolchildren
Development of an educational cartoon to prevent worm infections in Chinese schoolchildren
复制标题
DOI：
10.1186/2049-9957-2-29
复制
发表时间：
2013-01-01
影响因子：
8.1
通讯作者：
Gray, Darren J.
中科院分区：
文献类型：
--
作者：
Bieri, Franziska A.;Yuan, Li-Ping;Gray, Darren J.
背景：全球有超过20亿人感染，土壤传播蠕虫（STH）是最广泛的感染。到目前为止，控制STH的努力主要依靠反复的大量给药（MDA），这并不能防止再次感染。需要更多的公共卫生措施，包括新的健康教育工具，以更持久地综合控制STH。我们描述了针对中国学童STH感染的教育卡通视频（魔法眼镜）的开发及其在中国的试点测试。我们采用了广泛的社区混合方法，包括从目标群体（9-10岁学童）和主要举报人（如教师、医生和家长）收集意见，以确定研究地区潜在的STH感染风险，并为漫画制定关键信息。教育漫画的发展经历了形成性研究、制作、试点测试和修订三个主要步骤。结果：大多数成人和50%左右的小学生了解蛔虫感染，但对其传播、预防和治疗的认识较差。在研究地区的观察结果显示，不卫生的饮食习惯，例如食用未经清洗的生水果，或在先前用人类粪便施肥的菜园里玩耍，会造成严重的STH感染风险。结论：在视频制作之前，评估目标人群的智力、情感、社会和文化背景是至关重要的，以便将卡通的关键信息融入日常生活中。总的来说，我们的卡通发展战略及其纳入健康教育包证明是成功的，我们根据我们在中国的经验总结了对未来教育视频发展的建议。
Background: With more than two billion people infected worldwide, soil-transmitted helminths (STH) are the most widespread infections. To date, STH control efforts rely predominantly on recurrent mass drug administration (MDA), which does not prevent reinfection. Additional public health measures including novel health educational tools are required for more sustained integrated control of STH. We describe the development of an educational cartoon video (The Magic Glasses) targeting STH infections in Chinese schoolchildren and its pilot testing in China.We applied an extensive community-based mixed methods approach involving input from the target group of 9-10 year old schoolchildren and key informants, such as teachers, doctors and parents, in order to identify potential STH infection risks in the study area and to formulate key messages for the cartoon. The development of the educational cartoon included three major steps: formative research, production, and pilot testing and revision.Results: We found that most adults and approximately 50% of the schoolchildren were aware of roundworm (Ascaris) infection, but knowledge of transmission, prevention and treatment of STH was poor. Observations in the study area showed that unhygienic food practices, such as eating raw and unwashed fruit or playing in vegetable gardens previously fertilised with human faeces, posed major STH infection risks.Conclusions: It was crucial to assess the intellectual, emotional, social and cultural background of the target population prior to video production in order to integrate the key messages of the cartoon into everyday situations. Overall, our strategy for the development of the cartoon and its incorporation into a health education package proved successful, and we provide a summary of recommendations for the development of future educational videos based on our experiences in China.