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Linhares FMP, Abreu WJCD, Melo PDOC, Mendes RCMG, Silva TAD, Gusmão TLAD, Guedes TG. Effectiveness of educational interventions in knowledge, attitude, and practice for preventing respiratory infections: a systematic review and meta-analysis. Rev Bras Enferm 2022; 75:e20210522. [PMID: 35352787 DOI: 10.1590/0034-7167-2021-0522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Accepted: 11/25/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to demonstrate the effectiveness of educational interventions in knowledge, attitude and practice for preventing respiratory infections in adults and older adults. METHODS this is a systematic review carried out in 11 databases. Primary studies, without language and time restrictions, of the randomized, non-randomized and before-and-after clinical trial type, were selected. The risk of bias was assessed by two independent researchers, and the methodological quality was generated by the Grading of Recommendations, Assessment, Development and Evaluation. RESULTS the intervention effectiveness was evidenced in seven studies. The results of the random effects meta-analysis show that there is a statistically significant difference between knowledge about preventing respiratory diseases, with an OR of 2.82 (95%CI 1.70 to 4.69) for the occurrence of events represented by improved knowledge. CONCLUSIONS most studies show the effectiveness of educational interventions, which was determined through the Knowledge, Attitude and Practice survey.
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Goni MD, Naing NN, Hasan H, Wan-Arfah N, Deris ZZ, Arifin WN, Baaba AA, Adam BM, Arshad MR. Effectiveness of a Novel Smartphone Health Education Intervention in Enhancing Knowledge, Attitudes, and Practices for the Prevention of Respiratory Tract Infections Among Private Hajj Pilgrims From Malaysia. Front Public Health 2021; 9:594204. [PMID: 34277530 PMCID: PMC8280351 DOI: 10.3389/fpubh.2021.594204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Accepted: 06/07/2021] [Indexed: 11/13/2022] Open
Abstract
This study was aimed to develop and evaluate the efficacy of a health education program for increasing knowledge, changing attitudes, and promoting prevention practices to reduce the incidence of RTIs among Malaysian Hajj pilgrims. A quasi-experimental study was done among 130 Hajj pilgrims attending Hajj orientation course organized by a private Hajj tour companies. Hajj pilgrims assigned to intervention group (n = 65) and control group (n = 65). Data were collected baseline and after return from Hajj using a validated questionnaire. Mixed design repeated measure ANOVA was used to analyse the effect of group, time, and group-time interaction on the dependent variables. There was a significant improvement in knowledge, attitude and practice scores in the intervention group compared to the control group. Based on the findings of the interaction of time and group, there was a significant statistical difference for post intervention for knowledge (p = 0.005), attitude (p = 0.041), and practice (p = 0.002). The newly-established health education intervention smartphone application was effective in improving KAP toward RTIs prevention among pilgrims.
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Affiliation(s)
- Mohammed Dauda Goni
- Department of Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, George Town, Malaysia.,Faculty of Veterinary Medicine, Universiti Malaysia Kelantan, City Campus, Kota Bharu, Malaysia
| | - Nyi Nyi Naing
- Faculty of Medicine, Medical Campus, Universiti Sultan Zainal Abidin, Kuala Terengganu, Malaysia
| | - Habsah Hasan
- Department of Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, George Town, Malaysia
| | - Nadiah Wan-Arfah
- Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Terengganu, Malaysia
| | - Zakuan Zainy Deris
- Department of Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, George Town, Malaysia
| | - Wan Nor Arifin
- Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian, Malaysia
| | - Aisha Abubakar Baaba
- Centre for Language Studies and Generic Development, Universiti Malaysia Kelantan, Kota Baharu, Malaysia
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McDonagh MS, Peterson K, Winthrop K, Cantor A, Lazur BH, Buckley DI. Interventions to reduce inappropriate prescribing of antibiotics for acute respiratory tract infections: summary and update of a systematic review. J Int Med Res 2018; 46:3337-3357. [PMID: 29962311 PMCID: PMC6134646 DOI: 10.1177/0300060518782519] [Citation(s) in RCA: 56] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Objective Antibiotic overuse contributes to antibiotic resistance and adverse
consequences. Acute respiratory tract infections (RTIs) are the most common
reason for antibiotic prescribing in primary care, but such infections often
do not require antibiotics. We summarized and updated a previously performed
systematic review of interventions to reduce inappropriate use of
antibiotics for acute RTIs. Methods To update the review, we searched MEDLINE®, the Cochrane Library (until
January 2018), and reference lists. Two reviewers selected the studies,
extracted the study data, and assessed the quality and strength of
evidence. Results Twenty-six interventions were evaluated in 95 mostly fair-quality studies.
The following four interventions had moderate-strength evidence of
improved/reduced antibiotic prescribing and low-strength evidence of no
adverse consequences: parent education (21% reduction, no increase return
visits), combined patient/clinician education (7% reduction, no change in
complications/satisfaction), procalcitonin testing for adults with RTIs of
the lower respiratory tract (12%–72% reduction, no increased adverse
consequences), and electronic decision support systems (24%–47% improvement
in appropriate prescribing, 5%–9% reduction, no increased
complications). Conclusions The best evidence supports use of specific educational interventions,
procalcitonin testing in adults, and electronic decision support to reduce
inappropriate antibiotic prescribing for acute RTIs without causing adverse
consequences.
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Affiliation(s)
- Marian S McDonagh
- 1 The Pacific Northwest Evidence-based Practice Center, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA
| | - Kim Peterson
- 1 The Pacific Northwest Evidence-based Practice Center, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA.,6 Evidence-based Synthesis Program (ESP) Coordinating Center, VA Portland Health Care System, Portland, OR, USA
| | - Kevin Winthrop
- 2 Division of Infectious Diseases, Oregon Health & Science University, Portland, OR, USA.,3 Department of Ophthalmology, Casey Eye Institute, Portland, OR, USA.,5 Department of Public Health & Preventive Medicine, Oregon Health & Science University, Portland, OR, USA
| | - Amy Cantor
- 1 The Pacific Northwest Evidence-based Practice Center, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA.,4 Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA
| | - Brittany H Lazur
- 1 The Pacific Northwest Evidence-based Practice Center, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA
| | - David I Buckley
- 1 The Pacific Northwest Evidence-based Practice Center, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA.,4 Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA.,5 Department of Public Health & Preventive Medicine, Oregon Health & Science University, Portland, OR, USA
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Postiaux G, Maffei P, Villiot-Danger JC, Dubus JC. [Respiratory physiotherapy in acute viral bronchiolitis in the newborn. Pro/con arguments]. Rev Mal Respir 2018; 35:403-415. [PMID: 29754840 DOI: 10.1016/j.rmr.2017.08.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Accepted: 09/30/2017] [Indexed: 11/30/2022]
Abstract
This article reports an exchange of unbiased arguments between Mr Guy Postiaux speaking in favour of respiratory physiotherapy in acute viral bronchiolitis in the newborn and Prof. Jean-Christoph Dubus arguing against. A review of the literature suggests that traditional methods of physiotherapy should be abandoned because they are not validated and because they have harmful side effects. The latest Cochrane revue (2016) suggests the use of slow expiration techniques that have some validated elements and cause no harmful side effects. Large multicentre studies should be undertaken to confirm or refute the results of the five studies in the Cochrane review. Their analysis would allow extraction of objective evidence for the efficacy of slow expiration techniques on the relief of bronchopulmonary obstruction and the reduction of the degree of severity in the short and medium term. Studies of the effect of ambulatory respiratory physiotherapy for bronchiolitis of a moderate degree not requiring hospitalisation are not available. An evaluation is needed which is based on the pathophysiology of multifactorial bronchial obstruction and on the physical signs, of which auscultation is the cornerstone.
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Affiliation(s)
- G Postiaux
- Groupe d'étude pluridisciplinaire stéthacoustique, services des soins intensifs, de médecine interne et de pédiatrie, grand hôpital de Charleroi (GHDC), 6000 Charleroi, Belgique.
| | - P Maffei
- Pôle de médecine physique et de réadaptation, hôpital de la Conception, Assistance publique des Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 5, France
| | | | - J-C Dubus
- Médecine infantile, pneumo-allergologie et CRCM & CNRS, URMITE 6236, Assistance publique-Hôpitaux de Marseille, 13385 Marseille cedex 5, France
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