Culturally adapted training for community volunteers to improve their knowledge, attitude and practice regarding non-communicable diseases in Vietnam
Abstract Background The burden of non-communicable diseases is becoming unmanageable by primary healthcare facilities in low- and middle-income countries. Community-based approaches are promising for supporting healthcare facilities. In Vietnam, community health volunteers are trained in providing h...
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-024-17938-8 |
| _version_ | 1797272969508028416 |
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| author | Zinzi E. Pardoel Sijmen A. Reijneveld Robert Lensink Maarten J. Postma Nong Thi Thu Trang Poppy Walton Khin Hnin Swe Eti Poncorini Pamungkasari Jaap A.R. Koot Jeanet A. Landsman |
| author_facet | Zinzi E. Pardoel Sijmen A. Reijneveld Robert Lensink Maarten J. Postma Nong Thi Thu Trang Poppy Walton Khin Hnin Swe Eti Poncorini Pamungkasari Jaap A.R. Koot Jeanet A. Landsman |
| author_sort | Zinzi E. Pardoel |
| collection | DOAJ |
| description | Abstract Background The burden of non-communicable diseases is becoming unmanageable by primary healthcare facilities in low- and middle-income countries. Community-based approaches are promising for supporting healthcare facilities. In Vietnam, community health volunteers are trained in providing health promotion and screening in a culturally adapted training. This study aims to assess the change in knowledge, attitude and practice regarding NCD prevention and management after a culturally adapted training, and the potential mechanisms leading to this change. Methods The Knowledge Attitude and Practice survey was assessed before and after an initial training, and before and after a refresher training (n = 37). We used a focus group discussion with community health volunteers (n = 8) to map potential mechanisms of the training and applying learned knowledge in practice. Data were collected in the districts Le Chan and An Duong of Hai Phong, Vietnam, in November 2021 and May 2022. Results We found that knowledge increased after training (mean = 5.54, 95%-confidence interval = 4.35 to 6.74), whereas attitude and practice did not improve. Next, knowledge decreased over time (m=-12.27;-14.40 to -10.11) and did not fully recover after a refresher training (m=-1.78;-3.22 to -0.35). As potential mechanisms for change, we identified the use of varying learning methods, enough breaks, efficient coordination of time located for theory and practice, handout materials, large group size and difficulty in applying a digital application for screening results. Conclusion Culturally adapted trainings can improve knowledge among community health volunteers which is important for the support of primary healthcare in low- and middle-income countries. Using a digital screening application can be a barrier for the improvement of knowledge, attitude and practice and we suggest using an intergenerational or age-friendly approach, with the supervision of primary healthcare professionals. Future research on behavioral change should include additional components such as self-efficacy and interrelationships between individuals. |
| first_indexed | 2024-03-07T14:36:57Z |
| format | Article |
| id | doaj.art-7d1bf42a654d42de99caed61cc3a24ff |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-07T14:36:57Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-7d1bf42a654d42de99caed61cc3a24ff2024-03-05T20:36:24ZengBMCBMC Public Health1471-24582024-02-012411910.1186/s12889-024-17938-8Culturally adapted training for community volunteers to improve their knowledge, attitude and practice regarding non-communicable diseases in VietnamZinzi E. Pardoel0Sijmen A. Reijneveld1Robert Lensink2Maarten J. Postma3Nong Thi Thu Trang4Poppy Walton5Khin Hnin Swe6Eti Poncorini Pamungkasari7Jaap A.R. Koot8Jeanet A. Landsman9Department of Health Sciences, University of Groningen, University Medical Center GroningenDepartment of Health Sciences, University of Groningen, University Medical Center GroningenFaculty of Economics and Business, University of GroningenDepartment of Health Sciences, University of Groningen, University Medical Center GroningenHelpAge InternationalHelpAge InternationalHelpAge InternationalDepartment of Public Health, Faculty of Medicine, Universitas Sebelas MaretDepartment of Health Sciences, University of Groningen, University Medical Center GroningenDepartment of Health Sciences, University of Groningen, University Medical Center GroningenAbstract Background The burden of non-communicable diseases is becoming unmanageable by primary healthcare facilities in low- and middle-income countries. Community-based approaches are promising for supporting healthcare facilities. In Vietnam, community health volunteers are trained in providing health promotion and screening in a culturally adapted training. This study aims to assess the change in knowledge, attitude and practice regarding NCD prevention and management after a culturally adapted training, and the potential mechanisms leading to this change. Methods The Knowledge Attitude and Practice survey was assessed before and after an initial training, and before and after a refresher training (n = 37). We used a focus group discussion with community health volunteers (n = 8) to map potential mechanisms of the training and applying learned knowledge in practice. Data were collected in the districts Le Chan and An Duong of Hai Phong, Vietnam, in November 2021 and May 2022. Results We found that knowledge increased after training (mean = 5.54, 95%-confidence interval = 4.35 to 6.74), whereas attitude and practice did not improve. Next, knowledge decreased over time (m=-12.27;-14.40 to -10.11) and did not fully recover after a refresher training (m=-1.78;-3.22 to -0.35). As potential mechanisms for change, we identified the use of varying learning methods, enough breaks, efficient coordination of time located for theory and practice, handout materials, large group size and difficulty in applying a digital application for screening results. Conclusion Culturally adapted trainings can improve knowledge among community health volunteers which is important for the support of primary healthcare in low- and middle-income countries. Using a digital screening application can be a barrier for the improvement of knowledge, attitude and practice and we suggest using an intergenerational or age-friendly approach, with the supervision of primary healthcare professionals. Future research on behavioral change should include additional components such as self-efficacy and interrelationships between individuals.https://doi.org/10.1186/s12889-024-17938-8Community-based approachesKAP-surveyCommunity-health volunteersCommunity volunteer trainingNon-communicable diseasesCulturally adapted training |
| spellingShingle | Zinzi E. Pardoel Sijmen A. Reijneveld Robert Lensink Maarten J. Postma Nong Thi Thu Trang Poppy Walton Khin Hnin Swe Eti Poncorini Pamungkasari Jaap A.R. Koot Jeanet A. Landsman Culturally adapted training for community volunteers to improve their knowledge, attitude and practice regarding non-communicable diseases in Vietnam BMC Public Health Community-based approaches KAP-survey Community-health volunteers Community volunteer training Non-communicable diseases Culturally adapted training |
| title | Culturally adapted training for community volunteers to improve their knowledge, attitude and practice regarding non-communicable diseases in Vietnam |
| title_full | Culturally adapted training for community volunteers to improve their knowledge, attitude and practice regarding non-communicable diseases in Vietnam |
| title_fullStr | Culturally adapted training for community volunteers to improve their knowledge, attitude and practice regarding non-communicable diseases in Vietnam |
| title_full_unstemmed | Culturally adapted training for community volunteers to improve their knowledge, attitude and practice regarding non-communicable diseases in Vietnam |
| title_short | Culturally adapted training for community volunteers to improve their knowledge, attitude and practice regarding non-communicable diseases in Vietnam |
| title_sort | culturally adapted training for community volunteers to improve their knowledge attitude and practice regarding non communicable diseases in vietnam |
| topic | Community-based approaches KAP-survey Community-health volunteers Community volunteer training Non-communicable diseases Culturally adapted training |
| url | https://doi.org/10.1186/s12889-024-17938-8 |
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