Evaluation of a pamphlet on visceral leishmaniasis as a tool for providing disease information to healthcare professionals and laypersons
Although educational materials are frequently produced and used as part of control programs in Brazil, little is known about the efficacy of this type of information. This study evaluated the potential for disseminating information on visceral leishmaniasis using a pamphlet. The sample consisted of...
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| Published in: | Cadernos de saúde pública Vol. 21; no. 2; pp. 606 - 621 |
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Brazil
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
01-04-2005
Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
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| Abstract | Although educational materials are frequently produced and used as part of control programs in Brazil, little is known about the efficacy of this type of information. This study evaluated the potential for disseminating information on visceral leishmaniasis using a pamphlet. The sample consisted of 551 healthcare workers and 379 laypeople from a metropolitan area located in southeast Brazil. Both before and after reading the pamphlet, subjects completed a multiple-choice questionnaire. Overall baseline knowledge of the disease was estimated by the proportion of correct answers before reading the pamphlet. Although specific knowledge among zoonosis control workers was higher (90.0% on average), overall baseline knowledge of the disease varied from 45.0% to 77.0%. After reading the pamphlet, the levels increased to 71.0% and 96.0%, respectively. Before reading, the lowest proportion of correct answers in all groups related to the disease symptoms. Analysis of incorrect answers showed that visceral leishmaniasis is mainly confused with leptospirosis. The increased proportion of correct answers after reading the pamphlet is evidence of its potential as an educational tool. |
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| AbstractList | Although educational materials are frequently produced and used as part of control programs in Brazil, little is known about the efficacy of this type of information. This study evaluated the potential for disseminating information on visceral leishmaniasis using a pamphlet. The sample consisted of 551 healthcare workers and 379 laypeople from a metropolitan area located in southeast Brazil. Both before and after reading the pamphlet, subjects completed a multiple-choice questionnaire. Overall baseline knowledge of the disease was estimated by the proportion of correct answers before reading the pamphlet. Although specific knowledge among zoonosis control workers was higher (90.0% on average), overall baseline knowledge of the disease varied from 45.0% to 77.0%. After reading the pamphlet, the levels increased to 71.0% and 96.0%, respectively. Before reading, the lowest proportion of correct answers in all groups related to the disease symptoms. Analysis of incorrect answers showed that visceral leishmaniasis is mainly confused with leptospirosis. The increased proportion of correct answers after reading the pamphlet is evidence of its potential as an educational tool. Although educational materials are frequently produced and used as part of control programs in Brazil, little is known about the efficacy of this type of information. This study evaluated the potential for disseminating information on visceral leishmaniasis using a pamphlet. The sample consisted of 551 healthcare workers and 379 laypeople from a metropolitan area located in southeast Brazil. Both before and after reading the pamphlet, subjects completed a multiple-choice questionnaire. Overall baseline knowledge of the disease was estimated by the proportion of correct answers before reading the pamphlet. Although specific knowledge among zoonosis control workers was higher (90.0% on average), overall baseline knowledge of the disease varied from 45.0% to 77.0%. After reading the pamphlet, the levels increased to 71.0% and 96.0%, respectively. Before reading, the lowest proportion of correct answers in all groups related to the disease symptoms. Analysis of incorrect answers showed that visceral leishmaniasis is mainly confused with leptospirosis. The increased proportion of correct answers after reading the pamphlet is evidence of its potential as an educational tool. No Brasil, embora materiais educativos sejam freqüentemente produzidos como parte de programas de controle de doenças, muito pouco se sabe a respeito da eficácia desse tipo de informação. Neste estudo, o potencial informativo de um folheto sobre a leishmaniose visceral foi avaliado em amostra de 551 profissionais de saúde e 379 indivíduos da população de dois municípios da Região Metropolitana de Belo Horizonte, Minas Gerais, Brasil. Utilizou-se questionário com sete questões de múltipla escolha, antes e imediatamente após a leitura do material. O conhecimento inicial sobre a doença foi estimado pela proporção de respostas corretas antes da leitura do folheto. Entre os agentes de zoonoses, 90,0% em média responderam corretamente às questões, nas outras categorias, a variação foi de 45,0% a 77,0%, elevando-se para 71,0% a 96,0%, após a leitura. A questão com menor percentual de acertos, antes da leitura, foi a relacionada aos sintomas da doença. Entre as respostas incorretas verificou-se que a leishmaniose visceral é principalmente confundida com a leptospirose. Após a leitura, o número elevado de respostas corretas mostrou que o potencial de transmissão da informação do folheto foi adequado. |
| Author | Schall, Virgínia Rabello, Ana Luz, Zélia Maria Profeta da |
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| Keywords | Folhetos Questionário Visceral Leishmaniasis Health Personnel Questionnaires Leishmaniose Visceral Pamphlets Pessoal de Saúde |
| Language | English |
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| References | Costa CHN (ref3) 1990; 24 Luz ZMP (ref5) 2001; 34 Schall V (ref14) 1995; 90 Mott KE (ref1) 1990; 68 Gama MEA (ref12) 1998; 14 Desjeux P (ref2) 1990; 77 Werneck GL (ref10) 2002; 83 Levéfre F (ref11) 1981; 23 Jerônimo SM (ref4) 1994; 88 Schall V (ref6) 2001; 96 Boruchovitch E (ref8) 2003; 51 (ref13) 1990 Luz ZMP (ref7) 2003; 19 Wijeyaratne PM (ref9) 1994; 56 Werneck, GL; Rodrigues, Jr. L; Santos, MV; Araújo, ISM; Lima, SS; Gomes, RBB; et, al 2002; 83 Mott, KE; Desjeux, P; Moncayo, A; Ranque, P; Raadt, P 1990; 68 Schall, V; Diniz, MCP 2001; 96 Desjeux, P 1990; 77 Luz, ZMP; Nacif, DP; Rabello, A; Schall, V 2003; 19 1990 Boruchovitch, E; Schall, V. 2003; 51 Costa, CHN; Pereira, HF; Araújo, MV 1990; 24 Levéfre, F 1981; 23 Jerônimo, SM; Oliveira, RM; McCkay, S; Costa, RM; Sweet, J; Nascimento, ET 1994; 88 Gama, MEA; Barbosa, JS; Pires, B; Cunha, AKB; Freitas, AR; Ribeiro, IR 1998; 14 Wijeyaratne, PM; Arsenault, J; Murphy, CJ 1994; 56 Luz, ZMP; Pimenta, DN; Cabral, ALLV; Fiúza, VOP; Rabello, A 2001; 34 Schall, V 1995; 90 |
| References_xml | – volume: 19 start-page: 561 year: 2003 ident: ref7 article-title: Evaluation of informative materials on leishmaniasis distributed in Brazil: criteria and basis for the production and improvement of health education materials publication-title: Cad Saúde Pública doi: 10.1590/S0102-311X2003000200023 contributor: fullname: Luz ZMP – volume: 51 start-page: 12 year: 2003 ident: ref8 article-title: Questionnaires in health education research. Advantages and disadvantages of open-ended questions publication-title: Implications for health research methodology. Ciênc Cult contributor: fullname: Boruchovitch E – volume: 24 start-page: 361 year: 1990 ident: ref3 article-title: Epidemia de leishmaniose visceral no estado do Piauí, Brasil, 1980-1986 publication-title: Rev Saúde Pública doi: 10.1590/S0034-89101990000500003 contributor: fullname: Costa CHN – year: 1990 ident: ref13 – volume: 56 start-page: 349 issn: 0001-706X year: 1994 ident: ref9 article-title: Endemic disease and development: the leishmaniasis publication-title: Acta Trop doi: 10.1016/0001-706X(94)90106-6 contributor: fullname: Wijeyaratne PM – volume: 88 start-page: 386 issn: 0035-9203 year: 1994 ident: ref4 article-title: An urban outbreak of visceral leishmaniasis in Natal, Brazil publication-title: Trans R Soc Trop Med Hyg doi: 10.1016/0035-9203(94)90393-X contributor: fullname: Jerônimo SM – volume: 68 start-page: 691 issn: 0042-9686 year: 1990 ident: ref1 article-title: Parasitic diseases and urban development publication-title: Bull World Health Organ contributor: fullname: Mott KE – volume: 77 start-page: 365 issn: 0049-8114 year: 1990 ident: ref2 article-title: Urbanization: an increasing risk factor for leishmaniasis publication-title: Wkly Epidemiol Rec contributor: fullname: Desjeux P – volume: 23 start-page: 233 issn: 0036-4665 year: 1981 ident: ref11 article-title: Análise semiológica do cartaz educativo "o ciclo da esquistossomose" publication-title: Rev Inst Med Trop São Paulo contributor: fullname: Levéfre F – volume: 90 start-page: 229 issn: 0074-0276 year: 1995 ident: ref14 article-title: Health education, public information and communication in schistosomiasis control in Brazil: a brief retrospective and perspectives publication-title: Mem Inst Oswaldo Cruz doi: 10.1590/S0074-02761995000200018 contributor: fullname: Schall V – volume: 83 start-page: 13 issn: 0001-706X year: 2002 ident: ref10 article-title: The burden of Leishmania chagasi infection during an urban outbreak of visceral leishmaniasis in Brazil publication-title: Acta Trop doi: 10.1016/S0001-706X(02)00058-X contributor: fullname: Werneck GL – volume: 34 start-page: 249 issn: 0037-8682 year: 2001 ident: ref5 article-title: A urbanização das leishmanioses e a baixa resolutividade diagnóstica em municípios da Região Metropolitana de Belo Horizonte publication-title: Rev Soc Bras Med Trop doi: 10.1590/S0037-86822001000300004 contributor: fullname: Luz ZMP – volume: 96 start-page: 35 issn: 0074-0276 year: 2001 ident: ref6 article-title: Information and education in Schistosomiasis control: an analysis of the situation in the state of Minas Gerais, Brazil publication-title: Mem Inst Oswaldo Cruz doi: 10.1590/S0074-02762001000900005 contributor: fullname: Schall V – volume: 14 start-page: 381 year: 1998 ident: ref12 article-title: Avaliação do nível de conhecimento que populações residentes em áreas endêmicas têm sobre leishmaniose visceral, Estado do Maranhão, Brasil publication-title: Cad Saúde Pública doi: 10.1590/S0102-311X1998000200014 contributor: fullname: Gama MEA – volume: 19 start-page: 561 year: 2003 end-page: 9 article-title: Evaluation of informative materials on leishmaniasis distributed in Brazil: criteria and basis for the production and improvement of health education materials publication-title: Cad Saúde Pública contributor: fullname: Luz, ZMP; Nacif, DP; Rabello, A; Schall, V – volume: 68 start-page: 691 year: 1990 end-page: 8 article-title: Parasitic diseases and urban development publication-title: Bull World Health Organ contributor: fullname: Mott, KE; Desjeux, P; Moncayo, A; Ranque, P; Raadt, P – volume: 56 start-page: 349 year: 1994 end-page: 64 article-title: Endemic disease and development: the leishmaniasis publication-title: Acta Trop contributor: fullname: Wijeyaratne, PM; Arsenault, J; Murphy, CJ – volume: 14 start-page: 381 year: 1998 end-page: 90 article-title: Avaliação do nível de conhecimento que populações residentes em áreas endêmicas têm sobre leishmaniose visceral, Estado do Maranhão, Brasil publication-title: Cad Saúde Pública contributor: fullname: Gama, MEA; Barbosa, JS; Pires, B; Cunha, AKB; Freitas, AR; Ribeiro, IR – volume: 24 start-page: 361 year: 1990 end-page: 72 article-title: Epidemia de leishmaniose visceral no estado do Piauí, Brasil, 1980-1986 publication-title: Rev Saúde Pública contributor: fullname: Costa, CHN; Pereira, HF; Araújo, MV – volume: 51 start-page: 12 year: 2003 end-page: 6 article-title: Questionnaires in health education research. Advantages and disadvantages of open-ended questions publication-title: Implications for health research methodology. Ciênc Cult contributor: fullname: Boruchovitch, E; Schall, V. – year: 1990 publication-title: Control of the leishmaniases – volume: 90 start-page: 229 year: 1995 end-page: 34 article-title: Health education, public information and communication in schistosomiasis control in Brazil: a brief retrospective and perspectives publication-title: Mem Inst Oswaldo Cruz contributor: fullname: Schall, V – volume: 96 start-page: 35 year: 2001 end-page: 43 article-title: Information and education in Schistosomiasis control: an analysis of the situation in the state of Minas Gerais, Brazil publication-title: Mem Inst Oswaldo Cruz contributor: fullname: Schall, V; Diniz, MCP – volume: 77 start-page: 365 year: 1990 end-page: 70 article-title: Urbanization: an increasing risk factor for leishmaniasis publication-title: Wkly Epidemiol Rec contributor: fullname: Desjeux, P – volume: 23 start-page: 233 year: 1981 end-page: 43 article-title: Análise semiológica do cartaz educativo "o ciclo da esquistossomose" publication-title: Rev Inst Med Trop São Paulo contributor: fullname: Levéfre, F – volume: 88 start-page: 386 year: 1994 end-page: 88 article-title: An urban outbreak of visceral leishmaniasis in Natal, Brazil publication-title: Trans R Soc Trop Med Hyg contributor: fullname: Jerônimo, SM; Oliveira, RM; McCkay, S; Costa, RM; Sweet, J; Nascimento, ET – volume: 34 start-page: 249 year: 2001 end-page: 54 article-title: A urbanização das leishmanioses e a baixa resolutividade diagnóstica em municípios da Região Metropolitana de Belo Horizonte publication-title: Rev Soc Bras Med Trop contributor: fullname: Luz, ZMP; Pimenta, DN; Cabral, ALLV; Fiúza, VOP; Rabello, A – volume: 83 start-page: 13 year: 2002 end-page: 8 article-title: The burden of Leishmania chagasi infection during an urban outbreak of visceral leishmaniasis in Brazil publication-title: Acta Trop contributor: fullname: Werneck, GL; Rodrigues, Jr. L; Santos, MV; Araújo, ISM; Lima, SS; Gomes, RBB; et, al |
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| SubjectTerms | Brazil Female Folhetos Health Education - methods Health Knowledge, Attitudes, Practice Health Personnel Humans Leishmaniasis, Visceral - prevention & control Leishmaniose Visceral Male Pessoal de Saúde PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Questionário Surveys and Questionnaires |
| Title | Evaluation of a pamphlet on visceral leishmaniasis as a tool for providing disease information to healthcare professionals and laypersons |
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