Effects of an educational comic book on epilepsy-related knowledge, attitudes and practices among schoolchildren in Madagascar
العنوان: | Effects of an educational comic book on epilepsy-related knowledge, attitudes and practices among schoolchildren in Madagascar |
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المؤلفون: | Pierre-Marie Preux, Farid Boumediene, Adeline Raharivelo, Pierre-Emile Bruand, Clotilde Vincent, Roger Marie Rafanomezantsoa, Mbolatiana Michèle Raharinivo, Sedera Aurélien Mioramalala, Arsène Ratsimbasoa |
المساهمون: | Neuroépidémiologie Tropicale (NET), Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM)-CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM), SANOFI Recherche, Université de Fianarantsoa, Service de l'Information Médicale et de l'Évaluation [CHU Limoges] (SIME), CHU Limoges, Laboratoire de Biostatistique et d'Informatique Médicale, Université de Limoges (UNILIM), Université d'Antananarivo |
المصدر: | Epilepsy Research Epilepsy Research, Elsevier, 2021, 176, pp.106737. ⟨10.1016/j.eplepsyres.2021.106737⟩ |
سنة النشر: | 2021 |
مصطلحات موضوعية: | Gerontology, medicine.medical_specialty, Health Knowledge, Attitudes, Practice, media_common.quotation_subject, education, 030231 tropical medicine, Stigma (botany), Disease, Comics, 03 medical and health sciences, Epilepsy, 0302 clinical medicine, Practices, Reading (process), Surveys and Questionnaires, medicine, Madagascar, Humans, 10. No inequality, Child, media_common, Aged, business.industry, 4. Education, Public health, Books, medicine.disease, 3. Good health, Rural school, Knowledge, Neurology, Attitudes, Comic book, Educational Status, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Neurology (clinical), Rural area, business, Psychology, 030217 neurology & neurosurgery |
الوصف: | International audience; Introduction: Epilepsy is a chronic disease of the brain that affects approximately 50 million people globally, with over 80 % of them living in low- and middle-income countries (LMICs). In Madagascar, as in most LMICs, one of the main obstacles to treatment is the stigma and discrimination experienced by patients. Beliefs and prejudices regarding this disease are common, especially among children. "Ao Tsara" is an educational comic book regarding epilepsy, which has been translated in Malagasy from a French version, and which objective is to raise awareness and fight epilepsy related stigma and discrimination. Comic books have indeed been used successfully to raise awareness and change behaviors in several areas of public health. Methods: We conducted a study to evaluate the effect of a single reading of this comic book on epilepsy related knowledge, attitudes and practices (KAP) in schoolchildren in Madagascar. This quasi-experimental study compared data collected before and immediately after reading "Ao Tsara". It was conducted both in a school in an urban area and in a school in a rural area. Results: We recruited 244 children with a mean age of 11.4 (±1.5) in this study. We noted a significant improvement in the global KAP score after reading the comic book, overall as well as both in the urban school and the rural school. Out of a maximum score of twenty, the global KAP score increased from 9.4 to 11.2 (p < 0.001). Although the increase in knowledge was reasonable (10.2-12.9, p < 0.001) and the corresponding subscore after reading the comic book was at a satisfactory level, that was not the case for attitudes & practices, where the sub-score despite a significant increase remained low (8.7-9.5 out of a maximum score of twenty, p < 0.001). The comic book was much appreciated by the children with more than 50.0 % giving it the top rating, and 66.4 % stating they had learned a lot from it. Conclusion: A single reading of the comic book has demonstrated a positive effect on the knowledge, attitudes and practices of primary school children in Madagascar. This educational tool, which was much enjoyed by the children, could be of great value to raise awareness about epilepsy in Madagascar. By targeting a slightly older age group and adjusting the reading approach, the outcomes could be optimized especially in terms of attitudes and practices. |
تدمد: | 1872-6844 0920-1211 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e2d5a7b5c108219a02457a7481052ac5 https://pubmed.ncbi.nlm.nih.gov/34419769 |
حقوق: | CLOSED |
رقم الأكسشن: | edsair.doi.dedup.....e2d5a7b5c108219a02457a7481052ac5 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 18726844 09201211 |
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