Effects of a health educational intervention on malaria knowledge, motivation, and behavioural skills: a randomized controlled trial
Abstract Background The levels of insecticide-treated net use among pregnant women and uptake of intermittent preventive treatment in pregnancy, have been sub-optimal in Nigeria. Previous studies have reported positive correlations between knowledge, attitude and practice of malaria preventive measu...
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ftdoajarticles:oai:doaj.org/article:48c322d5966649b2b9562876c457cb51 2023-05-15T15:18:30+02:00 Effects of a health educational intervention on malaria knowledge, motivation, and behavioural skills: a randomized controlled trial Ahmed Dahiru Balami Salmiah Md Said Nor Afiah Mohd Zulkefli Norsa’adah Bachok Bala Audu 2019-02-01T00:00:00Z https://doi.org/10.1186/s12936-019-2676-3 https://doaj.org/article/48c322d5966649b2b9562876c457cb51 EN eng BMC http://link.springer.com/article/10.1186/s12936-019-2676-3 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-019-2676-3 1475-2875 https://doaj.org/article/48c322d5966649b2b9562876c457cb51 Malaria Journal, Vol 18, Iss 1, Pp 1-14 (2019) Randomized controlled trial Health education Pregnant women Knowledge Motivation Behavioral skills Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2019 ftdoajarticles https://doi.org/10.1186/s12936-019-2676-3 2022-12-31T10:05:53Z Abstract Background The levels of insecticide-treated net use among pregnant women and uptake of intermittent preventive treatment in pregnancy, have been sub-optimal in Nigeria. Previous studies have reported positive correlations between knowledge, attitude and practice of malaria preventive measures. It has also been reported that information and motivation, act through a mediator (behavioural skills), to cause a health behaviour change. The aim of this study was as such to develop, implement, and assess the effects of a health educational intervention based on the information–motivation–behavioural skills (IMB) model on the levels of knowledge, motivation, and behavioural skills for ITN use and IPTp uptake among pregnant women in a hospital in north-eastern Nigeria. Methods This was a randomized controlled parallel-group trial in which 372 antenatal care attendees were randomly assigned to either an intervention or control group after collecting baseline data using a structured questionnaire. The intervention group received a 4-h health education on malaria, guided by a module developed based on the IMB theory, while the control group received health education on breastfeeding for a similar duration and by the same facilitator. Follow-up data were subsequently collected at 2 months and at 4 months post-intervention using the same questionnaire. The generalized linear mixed models analysis was used to determine the between-group and within-group effects of the intervention. The intention-to-treat analysis was used after missing data had been replaced. This was followed by a sensitivity analysis, where the analyses were repeated without replacing the missing values. Results The intervention was significant in achieving a 12.75% (p < 0.001), 8.55% (p < 0.001), and 6.350% (p < 0.001) higher total knowledge, motivation, and behavioural skills scores respectively, for the intervention group over the control group. The sensitivity analysis revealed no great differences in the effect sizes, even when ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 18 1 |
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topic |
Randomized controlled trial Health education Pregnant women Knowledge Motivation Behavioral skills Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Randomized controlled trial Health education Pregnant women Knowledge Motivation Behavioral skills Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Ahmed Dahiru Balami Salmiah Md Said Nor Afiah Mohd Zulkefli Norsa’adah Bachok Bala Audu Effects of a health educational intervention on malaria knowledge, motivation, and behavioural skills: a randomized controlled trial |
topic_facet |
Randomized controlled trial Health education Pregnant women Knowledge Motivation Behavioral skills Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background The levels of insecticide-treated net use among pregnant women and uptake of intermittent preventive treatment in pregnancy, have been sub-optimal in Nigeria. Previous studies have reported positive correlations between knowledge, attitude and practice of malaria preventive measures. It has also been reported that information and motivation, act through a mediator (behavioural skills), to cause a health behaviour change. The aim of this study was as such to develop, implement, and assess the effects of a health educational intervention based on the information–motivation–behavioural skills (IMB) model on the levels of knowledge, motivation, and behavioural skills for ITN use and IPTp uptake among pregnant women in a hospital in north-eastern Nigeria. Methods This was a randomized controlled parallel-group trial in which 372 antenatal care attendees were randomly assigned to either an intervention or control group after collecting baseline data using a structured questionnaire. The intervention group received a 4-h health education on malaria, guided by a module developed based on the IMB theory, while the control group received health education on breastfeeding for a similar duration and by the same facilitator. Follow-up data were subsequently collected at 2 months and at 4 months post-intervention using the same questionnaire. The generalized linear mixed models analysis was used to determine the between-group and within-group effects of the intervention. The intention-to-treat analysis was used after missing data had been replaced. This was followed by a sensitivity analysis, where the analyses were repeated without replacing the missing values. Results The intervention was significant in achieving a 12.75% (p < 0.001), 8.55% (p < 0.001), and 6.350% (p < 0.001) higher total knowledge, motivation, and behavioural skills scores respectively, for the intervention group over the control group. The sensitivity analysis revealed no great differences in the effect sizes, even when ... |
format |
Article in Journal/Newspaper |
author |
Ahmed Dahiru Balami Salmiah Md Said Nor Afiah Mohd Zulkefli Norsa’adah Bachok Bala Audu |
author_facet |
Ahmed Dahiru Balami Salmiah Md Said Nor Afiah Mohd Zulkefli Norsa’adah Bachok Bala Audu |
author_sort |
Ahmed Dahiru Balami |
title |
Effects of a health educational intervention on malaria knowledge, motivation, and behavioural skills: a randomized controlled trial |
title_short |
Effects of a health educational intervention on malaria knowledge, motivation, and behavioural skills: a randomized controlled trial |
title_full |
Effects of a health educational intervention on malaria knowledge, motivation, and behavioural skills: a randomized controlled trial |
title_fullStr |
Effects of a health educational intervention on malaria knowledge, motivation, and behavioural skills: a randomized controlled trial |
title_full_unstemmed |
Effects of a health educational intervention on malaria knowledge, motivation, and behavioural skills: a randomized controlled trial |
title_sort |
effects of a health educational intervention on malaria knowledge, motivation, and behavioural skills: a randomized controlled trial |
publisher |
BMC |
publishDate |
2019 |
url |
https://doi.org/10.1186/s12936-019-2676-3 https://doaj.org/article/48c322d5966649b2b9562876c457cb51 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 18, Iss 1, Pp 1-14 (2019) |
op_relation |
http://link.springer.com/article/10.1186/s12936-019-2676-3 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-019-2676-3 1475-2875 https://doaj.org/article/48c322d5966649b2b9562876c457cb51 |
op_doi |
https://doi.org/10.1186/s12936-019-2676-3 |
container_title |
Malaria Journal |
container_volume |
18 |
container_issue |
1 |
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1766348688554196992 |