skip to main content

Improvement of Patients’ Knowledge, Attitude, and Practice on Tuberculosis Treatment Using Video and Leaflet

Dameria Dameria  -  Departement of Health Promotion, Faculty of Public Health, Universitas Prima Indonesia, Indonesia
*Victor Trismanjaya Hulu  -  Departement of Epidemiology, Faculty of Public Health, Universitas Prima Indonesia, Indonesia
Santy Deasy Siregar  -  Departement of Occupational Safety and Health, Faculty of Public Health, Universitas Prima Indonesia, Indonesia
Putranto Manalu  -  Departement of Health Management, Faculty of Public Health, Universitas Prima Indonesia, Indonesia
Frans Judea Samosir  -  Departement of Health Promotion, Faculty of Public Health, Universitas Prima Indonesia, Indonesia
Fadilah Ummul Choiriyah Rambe  -  Departement of Health Promotion, Faculty of Public Health, Universitas Prima Indonesia, Indonesia
Nadilla Hasibuan  -  Departement of Health Promotion, Faculty of Public Health, Universitas Prima Indonesia, Indonesia
Open Access Copyright (c) 2023 Jurnal Promosi Kesehatan Indonesia

Citation Format:
Abstract

Background: The effectiveness of Tuberculosis (TB) treatment outcomes for patients is currently suboptimal, posing a significant challenge to comprehensive efforts aimed at eradicating the disease. To address this problem, several studies have proposed that the implementation of health education initiatives have the potential to enhance treatment adherence and behavior of patients. Therefore, this study aims to assess the efficacy of health education programs using video and leaflet modalities.

Method: This was a quasi-experimental study with a non-randomized pretest-posttest control group design. The sample population consisted of 85 TB patients at the Kenanga Health Center, Tegal Sari Mandala II, Medan Denai District, Medan City in 2022. Furthermore, the samples size was obtained using a purposive sampling method, involving 64 patients, which were evenly divided into two groups, namely intervention and control. The controls and intervention groups were educated using leaflet and video media, respectively. Pre-test and post-test were given to all the participants using the same instrument. A post-test was administered on the twenty-fifth day, where the materials were the same as those used at the pre-test stage. The data collected in this study were analyzed using the Wilcoxon, Mann-Whitney, and N-Gain tests.

Results: There were significant differences between knowledges, attitudes, and practices of the participants before and after being given the interventions. Furthermore, knowledges, attitudes, and practices scores increased after the interventions were administered. Based on the results, health education using video (N-Gain score of 76.82) improved behavior of TB patients compared to the use of leaflet (N-Gain score of 49.74). After being educated, people with TB were expected to exhibit higher treatment adherence and adoption of healthy lifestyles.

Fulltext View|Download
Keywords: tuberculosis; video; leaflet; behavior

Article Metrics:

  1. Matteelli A, Rendon A, Tiberi S, Al-Abri S, Voniatis C, Carvalho ACC, et al. Tuberculosis elimination: where are we now? Eur Respir Rev. 2018;27(148):1-15
  2. Silva S, Arinaminpathy N, Atun R, Goosby E, Reid M. Economic impact of tuberculosis mortality in 120 countries and the cost of not achieving the Sustainable Development Goals tuberculosis targets: a full-income analysis. Lancet Glob Heal. 2021;9(10):1372–9
  3. Chai Q, Zhang Y, Liu CH. Mycobacterium tuberculosis: An Adaptable Pathogen Associated With Multiple Human Diseases. Front Cell Infect Microbiol. 2018;15(8):158
  4. World Health Organization. Global tuberculosis report 2017. Geneva: World Health Organization; 2017
  5. Chakaya J, Khan M, Ntoumi F, Aklillu E, Fatima R, Mwaba P, et al. Global Tuberculosis Report 2020 – Reflections on the Global TB burden, treatment and prevention efforts. Int J Infect Dis. 2021;113(Suppl 1):S7–12
  6. Kemenkes RI. Riset Kesehatan Dasar 2018 (2018 Basic Health Research). Jakarta; 2018
  7. World Health Organization. Global Tuberculosis Report. Geneva; 2015
  8. Muluye AB, Kebamo S, Teklie T, Alemkere G. Poor treatment outcomes and its determinants among tuberculosis patients in selected health facilities in East Wollega, Western Ethiopia. PLoS One. 2018;13(10):1-15
  9. Gao J, Ma Y, Du J, Zhu G, Tan S, Fu Y, et al. Later emergence of acquired drug resistance and its effect on treatment outcome in patients treated with Standard Short-Course Chemotherapy for tuberculosis. BMC Pulm Med. 2016;16(26):1-9
  10. Boonsarngsuk V, Mangkang K, Santanirand P. Prevalence and risk factors of drug-resistant extrapulmonary tuberculosis. Clin Respir J. 2018;12(6):2101–9
  11. Lange C, Abubakar I, Alffenaar J-WC, Bothamley G, Caminero JA, Carvalho ACC, et al. Management of patients with multidrug-resistant/extensively drug-resistant tuberculosis in Europe: a TBNET consensus statement. Eur Respir J. 2014;44(1):23–63
  12. Seung KJ, Keshavjee S, Rich ML. Multidrug-Resistant Tuberculosis and Extensively Drug-Resistant Tuberculosis. Cold Spring Harb Perspect Med. 2015;5(9):1-20
  13. World Health Organization. WHO End TB Strategy [Internet]. Geneva: World Health Organization; 2015. Available from: https://www.who.int/tb/post2015_strategy/en/
  14. Park K. Park’s Textbook of Preventive and Social Medicine. 24th ed. Jabalpur: Banarsidas Bhanot; 2016
  15. Suwankeeree W, Picheansathian W. Strategies to promote adherence to treatment by pulmonary tuberculosis patients. Int J Evid Based Healthc. 2014;12(1):3–16
  16. Negandhi H, Tiwari R, Sharma A, Nair R, Zodpey S, Reddy Allam R, et al. Rapid assessment of facilitators and barriers related to the acceptance, challenges and community perception of daily regimen for treating tuberculosis in India. Glob Health Action. 2017;10(1):1-10
  17. Du G, Li C, Liu Y, Tu F, Yang R, Li R, et al. Study on the Influencing Factors of Knowledge, Attitudes and Practice About Tuberculosis Among Freshmen in Jiangsu, China: A Cross-Sectional Study. Infect Drug Resist. 2022;15:1235–45
  18. Desale A, Ali I, Esmael A, Yaregal Z, Desta K, Agonafir M. Assessment of Patients’ Knowledge, Attitude, and Practice Regarding Pulmonary Tuberculosis in Eastern Amhara Regional State, Ethiopia: Cross-Sectional Study. Am J Trop Med Hyg. 2013;88(4):785–8
  19. Harstad I, Raen AR, Selseng S, Sagvik E. Knowledge, attitudes and practices on tuberculosis among screened immigrants in Norway. A cross-sectional study. J Clin Tuberc Other Mycobact Dis. 2022;28:1-7
  20. Datiko DG, Habte D, Jerene D, Suarez P. Knowledge, attitudes, and practices related to TB among the general population of Ethiopia: Findings from a national cross-sectional survey. PLoS One. 2019;14(10):1-16
  21. Bashorun AO, Linda C, Omoleke S, Kendall L, Donkor SD, Kinteh M-A, et al. Knowledge, attitude and practice towards tuberculosis in Gambia: a nation-wide cross-sectional survey. BMC Public Health. 2020;20(1):1566
  22. Idris NA, Zakaria R, Muhamad R, Nik Husain NR, Ishak A, Wan Mohammad WMZ. The Effectiveness of Tuberculosis Education Programme in Kelantan, Malaysia on Knowledge, Attitude, Practice and Stigma Towards Tuberculosis among Adolescents. Malaysian J Med Sci. 2020;27(6):102–14
  23. Poortaghi S, Raiesifar A, Bozorgzad P, Golzari SEJ, Parvizy S, Rafii F. Evolutionary concept analysis of health seeking behavior in nursing: a systematic review. BMC Health Serv Res. 2015;15(1):523
  24. Mckellar K, Sillence E. Teenagers, Sexual Health Information and the Digital Age. Academic Press; 2020
  25. Jadgal K, NakhaeiMoghadam T, AlizadehSeiouki H, Zareban I, SharifiRad J. Impact of Educational Intervention on Patients Behavior with Smear-positive Pulmonary Tuberculosis: A Study Using the Health Belief Model. Mater Socio Medica. 2015;27(4):229
  26. Parwati NM, Bakta IM, Januraga PP, Wirawan IMA. A Health Belief Model-Based Motivational Interviewing for Medication Adherence and Treatment Success in Pulmonary Tuberculosis Patients. Int J Environ Res Public Health. 2021;18(24):13238
  27. Tola HH, Shojaeizadeh D, Tol A, Garmaroudi G, Yekaninejad MS, Kebede A, et al. Psychological and Educational Intervention to Improve Tuberculosis Treatment Adherence in Ethiopia Based on Health Belief Model: A Cluster Randomized Control Trial. PLoS One. 2016;11(5):e0155147
  28. Yang Q, Wu Z, Xie Y, Xiao X, Wu J, Sang T, et al. The impact of health education videos on general public’s mental health and behavior during COVID-19. Glob Heal Res Policy. 2021;6(1):37
  29. Nagaraj K, Prithviraj R, Ramesh RM, Maheswaran R, Narasimhaiah S, Akshaya KM. Effectiveness of Health Education Video in Improving Treatment Adherence among Patients with Tuberculosis: An Interventional Study from Bengaluru, India. J Tuberc Res. 2019;7(3):159–69
  30. Lucya V, Nuryanti Y. The Effect of a Health Education Video on Self-Efficacy in Preventing Transmission of Tuberculosis. In: The International Virtual Conference on Nursing. KnE Life Sciences; 2022
  31. Sustersic M, Jeannet E, Cozon-Rein L, Maréchaux F, Genty C, Foote A, et al. Impact of Information Leaflets on Behavior of Patients with Gastroenteritis or Tonsillitis: A Cluster Randomized Trial in French Primary Care. J Gen Intern Med. 2013;28(1):25–31
  32. Guix-Comellas EM, Rozas-Quesada L, Morín-Fraile V, Estrada-Masllorens JM, Galimany-Masclans J, Sancho-Agredano R, et al. Educational Measure for Promoting Adherence to Treatment for Tuberculosis. Procedia - Soc Behav Sci. 2017;237:705–9
  33. Pribadi BA. Desain dan Pengembangan Program Pelatihan Berbasis Kompetensi. Jakarta: Prenada Media Group; 2014
  34. Brame CJ. Effective Educational Videos: Principles and Guidelines for Maximizing Student Learning from Video Content. CBE—Life Sci Educ. 2016;15(4):es6
  35. Kim S, Kim S. Analysis of the Impact of Health Beliefs and Resource Factors on Preventive Behaviors against the COVID-19 Pandemic. Int J Environ Res Public Health. 2020;17(22):8666
  36. World Health Organization. Health Education: Theoretical Concepts, Effective Strategies and Core Competencies. Geneva: World Health Organization; 2012
  37. Mahmud S, Mohsin M, Irfan SH, Muyeed A, Islam A. Knowledge, attitude, practices, and determinants of them toward tuberculosis among social media users in Bangladesh: A cross-sectional study. PLoS One. 2022;17(10):e0275344
  38. Horton KC, MacPherson P, Houben RMGJ, White RG, Corbett EL. Sex Differences in Tuberculosis Burden and Notifications in Low- and Middle-Income Countries: A Systematic Review and Meta-analysis. PLOS Med. 2016;13(9):e1002119
  39. Noviyani A, Nopsopon T, Pongpirul K. Variation of tuberculosis prevalence across diagnostic approaches and geographical areas of Indonesia. PLoS One. 2021;16(10)
  40. Nhamoyebonde S, Leslie A. Biological Differences Between the Sexes and Susceptibility to Tuberculosis. J Infect Dis. 2014;209(suppl 3):100–6
  41. Imtiaz S, Shield KD, Roerecke M, Samokhvalov A V., Lönnroth K, Rehm J. Alcohol consumption as a risk factor for tuberculosis: meta-analyses and burden of disease. Eur Respir J. 2017;50(1):1700216
  42. Byng-Maddick R, Noursadeghi M. Does tuberculosis threaten our ageing populations? BMC Infect Dis. 2016;16(1):119
  43. Caraux-Paz P, Diamantis S, de Wazières B, Gallien S. Tuberculosis in the Elderly. J Clin Med. 2021;10(24):5888
  44. Imam F, Sharma M, Obaid Al-Harbi N, Rashid Khan M, Qamar W, Iqbal M, et al. The possible impact of socioeconomic, income, and educational status on adverse effects of drug and their therapeutic episodes in patients targeted with a combination of tuberculosis interventions. Saudi J Biol Sci. 2021;28(4):2041–8
  45. Krawiecka D. Unemployment in TB Patients – Ten-Year Observation at Regional Center of Pulmonology in Bydgoszcz, Poland. Med Sci Monit. 2014;20:2125–31
  46. Bisallah CI, Rampal L, Lye M-S, Mohd Sidik S, Ibrahim N, Iliyasu Z, et al. Effectiveness of health education intervention in improving knowledge, attitude, and practices regarding Tuberculosis among HIV patients in General Hospital Minna, Nigeria – A randomized control trial. PLoS One. 2018;13(2):e0192276
  47. Taherian A, Akhlaghi M, Sadat Hosseiniun Z, Shahrestanaki E, Tiyuri A, Sahebkar M. Investigating the effect of education on knowledge and practice in preventing tuberculosis in eastern Iran. Int J Heal Promot Educ. 2020;58(2):83–91
  48. Yanti B, Heriansyah T, Riyan M. Penyuluhan Dengan Media Audio Visual dan Metode Ceramah Dapat Meningkatkan Pencegahan Tuberkulosis. J Ilmu Kesehat. 2022;18(3):171–9
  49. Siregar PA, Ashar YK, Hasibuan RRA, Nasution F, Hayati F, Susanti N. Improvement of Knowledge and Attitudes on Tuberculosis Patients with Poster Calendar and Leaflet. J Heal Educ. 2021;6(1):39–46
  50. Kigozi NG, Heunis JC, Engelbrecht MC, Janse Van Rensburg AP, Van Rensburg HCJD. Tuberculosis knowledge, attitudes and practices of patients at primary health care facilities in a South African metropolitan: Research towards improved health education. BMC Public Health. 2017;17(1):1–8
  51. Cloninger CR, Cloninger KM. People Create Health: Effective Health Promotion is a Creative Process. Int J Pers Cent Med. 2013;3(2):114–22
  52. Mullan B, Novoradovskaya E. Habit Mechanisms and Behavioural Complexity. In: The Psychology of Habit [Internet]. Cham: Springer International Publishing; 2018. p. 71–90. Available from: http://link.springer.com/10.1007/978-3-319-97529-0_5
  53. Orbell S, Verplanken B. Changing Behavior Using Habit Theory. In: The Handbook of Behavior Change [Internet]. Cambridge University Press; 2020. p. 178–92. Available from: https://www.cambridge.org/core/product/identifier/9781108677318%23CN-bp-13/type/book_part
  54. Saei M, Valadi S, Karimi K, Khammarnia M. The role of mass media communication in public health: The impact of Islamic Republic of Iran broadcasting health channel on health literacy and health behaviors. Med J Islam Repub Iran. 2021;35(1)
  55. Triana W, Fitriani S, Susilawati E. Effectiveness of Health Promotion Through Video Media and Leaflets About Early Detection of Cervical Cancer Using the Visual Inspection Method of Acetic Acid (IVA) at Talang Banjar Community Health Center Jambi City 2020. In: 3rd Green Development International Conference (GDIC 2020). Atlantis Press; 2021. p. 446–51
  56. Prawesti I, Haryanti F, Lusmilasari L. Effect of Health Education Using Video and Brochure on Maternal Health Literacy. Belitung Nurs J. 2018;4(6):612–8
  57. Yunanda R, Gumilang L, Martini N, Elba F, Susanti AI. Effectiveness of health education using video in improving knowledge and attitude among adolescent girls. Ber Kedokt Masy. 2019;35(9)
  58. Tuong W, Larsen ER, Armstrong AW. Videos to influence: a systematic review of effectiveness of video-based education in modifying health behaviors. J Behav Med. 2014;37(2):218–33
  59. Abu Abed M, Himmel W, Vormfelde S, Koschack J. Video-assisted patient education to modify behavior: A systematic review. Patient Educ Couns. 2014;97(1):16–22

Last update:

  1. Enhancing Knowledge and Attitudes Towards Malaria and Dengue Through Video Education: A Comparative Study in Taiwan and Indonesia

    Farindira Vesti Rahmasari, Titih Huriah, Falasifah Ani Yuniarti, Ika Setyawati, Suratini, Sukamta, S.N.A.M. Kanafiah, M.M. Tjale, J.A.V. Matas, M.F. Kamarudin, M.U. Hanif, Z. Rozaki, H. Basha, M. Shaikh, N. Caroko, A. Zaki. E3S Web of Conferences, 570 , 2024. doi: 10.1051/e3sconf/202457002002

Last update: 2024-11-21 10:00:17

No citation recorded.