Author:
Alidosti Masoumeh,Shahnazi Hossein,Heidari Zahra,Zamani-Alavijeh Fereshteh
Abstract
Abstract
Background
Cutaneous leishmaniasis (CL) has social and psychological effects on different groups, especially adolescents and young girls in 98 countries of the world, in addition to the economic burden. Therefore, it is necessary to apply effective methods for CL prevention. In this study, educational messages were designed based on Extended Parallel Process Model in both forms of animation and game, whose effect on the cutaneous leishmaniasis prevention behaviors was evaluated in adolescent female students.
Methods
This experimental study was carried out from January to September 2021 on 275 adolescent female students in Isfahan province, Iran. Cluster sampling method was used, and then the students were randomly divided into three groups, namely animation education, game education, and control groups. The educational intervention was performed with two new media in the form of animation and games. The data collected before and two months after the education through a valid and reliable researcher-made questionnaire were analyzed in SPSS24 software using statistical tests of ANOVA, Chi-square, paired t and analysis of covariance (ANCOVA).
Results
The mean age of the participants was 14.07 ± 0.94. The mean scores of behavior in the animation group (60.60 ± 23.00), the game group (61.70 ± 22.05), and the control group (66.13 ± 24.62) were not significantly different prior to the education. However, after the education, there was a significant difference between the animation (80.66 ± 17.62) and game groups (82.58 ± 19.07) and the control group (69.79 ± 23.29) (P < 0.001). The mean scores of model constructs following the intervention (susceptibility, severity, response efficacy, and perceived self-efficacy) significantly increased in the animation and game groups compared to that in the control group (P < 0.05).
Conclusion
The results showed that if educational programs contain a combination of threat and efficiency messages, CL-preventive behaviors in adolescents increase. Providing similar educational content with both game and animation methods indicated that both methods had an almost same effect. Although animation production is more costly, it has the advantage of being used in periods and for other adolescents.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference36 articles.
1. Cardoso DT, De SDC, De CVN, Geiger SM. Identification of priority areas for surveillance of cutaneous leishmaniasis using spatial analysis approaches in Southeastern Brazil. BMC Infect Dis. 2019;19(318):1–11.
2. Zare M, Rezaianzadeh A, Tabatabaee H, Aliakbarpoor M, Faramarzi H, Ebrahimi M. Spatiotemporal clustering of cutaneous leishmaniasis in Fars province. Iran Asian Pac J Trop Biomed. 2017;7(10):862–9. Available from: https://doi.org/10.1016/j.apjtb.2017.09.011.
3. Charrahy Z, Reza M, Mohammad E, Shirzadi R, Ahmad A, Yavar A, et al. Climate change and its effect on the vulnerability to zoonotic cutaneous leishmaniasis in Iran. Transbound Emerg Dis. 2021;2019(February):1–15.
4. Ghatee MA, Haghdoost AA, Kooreshnia F, Kanannejad Z, Parisaie Z, Karamian M, et al. Role of environmental, climatic risk factors and livestock animals on the occurrence of cutaneous leishmaniasis in newly emerging focus in Iran. J Infection Public Health. 2018;11(3):425–33. Available from: https://doi.org/10.1016/j.jiph.2017.12.004.
5. Jajarmi H, Gholian-Aval M, Pourtaher A, Esmaily H, Hosseini SH, Rajabzadeh R, et al. Predic ti ng the Preven ti ve Behaviors of Cutaneous Leishmaniasis in families with Children Under 10 Years, Applied the Precede Model. Iranian J Health Educ Promotion Vol. 2022;9(4):360–71.