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Improving older adults’ knowledge and practice of preventive measures through a telephone health education during the SARS epidemic in Hong Kong: A pilot study

Identifieur interne : 001098 ( Pmc/Curation ); précédent : 001097; suivant : 001099

Improving older adults’ knowledge and practice of preventive measures through a telephone health education during the SARS epidemic in Hong Kong: A pilot study

Auteurs : Sophia S. C. Chan ; Winnie K. W. So ; David C. N. Wong ; Angel C. K. Lee ; Agnes Tiwari

Source :

RBID : PMC:7094290

Abstract

Background

The outbreak of severe acute respiratory syndrome (SARS) in Hong Kong posed many challenges for health promotion activities among a group of older adults with low socio-economic status (SES). With concerns that this vulnerable group could be at higher risk of contracting the disease or spreading it to others, the implementation of health promotion activities appropriate to this group was considered to be essential during the epidemic.

Objectives

To assess the effectiveness of delivering a telephone health education programme dealing with anxiety levels, and knowledge and practice of measures to prevent transmission of SARS among a group of older adults with low SES.

Design

Pretest/posttest design.

Settings

Subjects were recruited from registered members of a government subsidized social service center in Hong Kong and living in low-cost housing estates.

Participants

The eligibility criteria were: (1) aged 55 or above; (2) able to speak Cantonese; (3) no hearing impairment, and (4) reachable by telephone. Of the 295 eligible subjects, 122 older adults completed the whole study.

Methods

The interviewers approached all eligible subjects by telephone during the period of 15–25 May 2003. After obtaining the participants’ verbal consent, the interviewer collected baseline data by use of a questionnaire and implemented a health education programme. A follow-up telephone call was made a week later using the same questionnaire.

Results

The level of anxiety was lowered (t=3.28, p<0.001), and knowledge regarding the transmission routes of droplets (p<0.001) and urine and feaces (p<0.01) were improved after the intervention. Although statistical significant difference was found in the practice of identified preventive measures before and after intervention, influence on behavioral changes needed further exploration.

Conclusion

The telephone health education seemed to be effective in relieving anxiety and improving knowledge of the main transmission routes of SARS in this group, but not the practice of preventing SARS. Telephone contact appears to be a practical way of providing health education to vulnerable groups when face-to-face measure is not feasible and may be useful in raising health awareness during future outbreaks of emerging infections.


Url:
DOI: 10.1016/j.ijnurstu.2006.04.019
PubMed: 16857203
PubMed Central: 7094290

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PMC:7094290

Le document en format XML

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<title>Background</title>
<p>The outbreak of severe acute respiratory syndrome (SARS) in Hong Kong posed many challenges for health promotion activities among a group of older adults with low socio-economic status (SES). With concerns that this vulnerable group could be at higher risk of contracting the disease or spreading it to others, the implementation of health promotion activities appropriate to this group was considered to be essential during the epidemic.</p>
</sec>
<sec>
<title>Objectives</title>
<p>To assess the effectiveness of delivering a telephone health education programme dealing with anxiety levels, and knowledge and practice of measures to prevent transmission of SARS among a group of older adults with low SES.</p>
</sec>
<sec>
<title>Design</title>
<p>Pretest/posttest design.</p>
</sec>
<sec>
<title>Settings</title>
<p>Subjects were recruited from registered members of a government subsidized social service center in Hong Kong and living in low-cost housing estates.</p>
</sec>
<sec>
<title>Participants</title>
<p>The eligibility criteria were: (1) aged 55 or above; (2) able to speak Cantonese; (3) no hearing impairment, and (4) reachable by telephone. Of the 295 eligible subjects, 122 older adults completed the whole study.</p>
</sec>
<sec>
<title>Methods</title>
<p>The interviewers approached all eligible subjects by telephone during the period of 15–25 May 2003. After obtaining the participants’ verbal consent, the interviewer collected baseline data by use of a questionnaire and implemented a health education programme. A follow-up telephone call was made a week later using the same questionnaire.</p>
</sec>
<sec>
<title>Results</title>
<p>The level of anxiety was lowered (
<italic>t</italic>
=3.28,
<italic>p</italic>
<0.001), and knowledge regarding the transmission routes of droplets (
<italic>p</italic>
<0.001) and urine and feaces (
<italic>p</italic>
<0.01) were improved after the intervention. Although statistical significant difference was found in the practice of identified preventive measures before and after intervention, influence on behavioral changes needed further exploration.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>The telephone health education seemed to be effective in relieving anxiety and improving knowledge of the main transmission routes of SARS in this group, but not the practice of preventing SARS. Telephone contact appears to be a practical way of providing health education to vulnerable groups when face-to-face measure is not feasible and may be useful in raising health awareness during future outbreaks of emerging infections.</p>
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<journal-meta>
<journal-id journal-id-type="nlm-ta">Int J Nurs Stud</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Nurs Stud</journal-id>
<journal-title-group>
<journal-title>International Journal of Nursing Studies</journal-title>
</journal-title-group>
<issn pub-type="ppub">0020-7489</issn>
<issn pub-type="epub">1873-491X</issn>
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<publisher-name>Elsevier Ltd.</publisher-name>
</publisher>
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<article-id pub-id-type="pmid">16857203</article-id>
<article-id pub-id-type="pmc">7094290</article-id>
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<article-title>Improving older adults’ knowledge and practice of preventive measures through a telephone health education during the SARS epidemic in Hong Kong: A pilot study</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Chan</surname>
<given-names>Sophia S.C.</given-names>
</name>
<email>nssophia@hkucc.hku.hk</email>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>So</surname>
<given-names>Winnie K.W.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wong</surname>
<given-names>David C.N.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Angel C.K.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tiwari</surname>
<given-names>Agnes</given-names>
</name>
</contrib>
</contrib-group>
<aff>Department of Nursing Studies, The University of Hong Kong, Hong Kong SAR, China</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Corresponding author. Tel.: +852 2819 2622; fax: +852 2872 6079.
<email>nssophia@hkucc.hku.hk</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>20</day>
<month>7</month>
<year>2006</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub">
<month>9</month>
<year>2007</year>
</pub-date>
<pub-date pub-type="epub">
<day>20</day>
<month>7</month>
<year>2006</year>
</pub-date>
<volume>44</volume>
<issue>7</issue>
<fpage>1120</fpage>
<lpage>1127</lpage>
<history>
<date date-type="received">
<day>16</day>
<month>11</month>
<year>2005</year>
</date>
<date date-type="rev-recd">
<day>14</day>
<month>4</month>
<year>2006</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>4</month>
<year>2006</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2006 Elsevier Ltd. All rights reserved.</copyright-statement>
<copyright-year>2006</copyright-year>
<copyright-holder>Elsevier Ltd</copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Background</title>
<p>The outbreak of severe acute respiratory syndrome (SARS) in Hong Kong posed many challenges for health promotion activities among a group of older adults with low socio-economic status (SES). With concerns that this vulnerable group could be at higher risk of contracting the disease or spreading it to others, the implementation of health promotion activities appropriate to this group was considered to be essential during the epidemic.</p>
</sec>
<sec>
<title>Objectives</title>
<p>To assess the effectiveness of delivering a telephone health education programme dealing with anxiety levels, and knowledge and practice of measures to prevent transmission of SARS among a group of older adults with low SES.</p>
</sec>
<sec>
<title>Design</title>
<p>Pretest/posttest design.</p>
</sec>
<sec>
<title>Settings</title>
<p>Subjects were recruited from registered members of a government subsidized social service center in Hong Kong and living in low-cost housing estates.</p>
</sec>
<sec>
<title>Participants</title>
<p>The eligibility criteria were: (1) aged 55 or above; (2) able to speak Cantonese; (3) no hearing impairment, and (4) reachable by telephone. Of the 295 eligible subjects, 122 older adults completed the whole study.</p>
</sec>
<sec>
<title>Methods</title>
<p>The interviewers approached all eligible subjects by telephone during the period of 15–25 May 2003. After obtaining the participants’ verbal consent, the interviewer collected baseline data by use of a questionnaire and implemented a health education programme. A follow-up telephone call was made a week later using the same questionnaire.</p>
</sec>
<sec>
<title>Results</title>
<p>The level of anxiety was lowered (
<italic>t</italic>
=3.28,
<italic>p</italic>
<0.001), and knowledge regarding the transmission routes of droplets (
<italic>p</italic>
<0.001) and urine and feaces (
<italic>p</italic>
<0.01) were improved after the intervention. Although statistical significant difference was found in the practice of identified preventive measures before and after intervention, influence on behavioral changes needed further exploration.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>The telephone health education seemed to be effective in relieving anxiety and improving knowledge of the main transmission routes of SARS in this group, but not the practice of preventing SARS. Telephone contact appears to be a practical way of providing health education to vulnerable groups when face-to-face measure is not feasible and may be useful in raising health awareness during future outbreaks of emerging infections.</p>
</sec>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>Older adults</kwd>
<kwd>Health education</kwd>
<kwd>Severe Acute Respiratory Syndrome (SARS)</kwd>
<kwd>Telephone intervention</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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