Evidence map›Paper›PMID 38310223›Full record

ArticleBMC public health2024

Culturally adapted training for community volunteers to improve their knowledge, attitude and practice regarding non-communicable diseases in Vietnam.

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

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Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Zinzi E PardoelDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, Groningen, 9700 RB, The Netherlands. z.e.pardoel@umcg.nl.
Sijmen A ReijneveldDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, Groningen, 9700 RB, The Netherlands.
Robert LensinkFaculty of Economics and Business, University of Groningen, Groningen, The Netherlands.
Maarten J PostmaDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, Groningen, 9700 RB, The Netherlands.
Nong Thi Thu TrangHelpAge International, Hanoi, Vietnam.
Poppy WaltonHelpAge International, Yangon, Myanmar.
Khin Hnin SweHelpAge International, Yangon, Myanmar.
Eti Poncorini PamungkasariDepartment of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Jaap A R KootDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, Groningen, 9700 RB, The Netherlands.
Jeanet A LandsmanDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, Groningen, 9700 RB, The Netherlands.

Funding

Horizon 2020 Framework Programme 825026
6 · The paper itself

Abstract

backgroundThe 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.

methodsThe 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.

resultsWe 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.

conclusionCulturally 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.

Indexed as

Health Knowledge, Attitudes, PracticeNoncommunicable DiseasesHealth PromotionHumansVietnamVolunteersCommunity-based approachesCommunity-health volunteersCommunity volunteer trainingCulturally adapted trainingKAP-surveyNon-communicable diseases

Identifiers

PMID38310223
PMCPMC10837994

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.