Long-Term Impact of Single Epilepsy Training on Knowledge, Attitude and Practices: Comparison of Trained and Untrained Rwandan Community Health Workers

Objectives: To close the epilepsy treatment gap and reduce related stigma, eradication of misconceptions is importantIn 2014, Community Health Workers (CHWs) from Musanze (Northern Rwanda) were trained on different aspects of epilepsy. This study compared knowledge, attitude and practices (KAPs) tow...

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Autores principales:	Peter Dedeken, Stephen N. Muhumuza, Fidele Sebera, Josiane Umwiringirwa, Leopold Bitunguhari, Hans Tierens, Dirk E. Teuwen, Paul A. J. M. Boon
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	epilepsy knowledge attitude practices community health workers training Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/216f58ce09834784b158db484601b0ab
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spelling	oai:doaj.org-article:216f58ce09834784b158db484601b0ab2021-11-18T07:47:40ZLong-Term Impact of Single Epilepsy Training on Knowledge, Attitude and Practices: Comparison of Trained and Untrained Rwandan Community Health Workers1661-856410.3389/ijph.2021.645598https://doaj.org/article/216f58ce09834784b158db484601b0ab2021-11-01T00:00:00Zhttps://www.ssph-journal.org/articles/10.3389/ijph.2021.645598/fullhttps://doaj.org/toc/1661-8564Objectives: To close the epilepsy treatment gap and reduce related stigma, eradication of misconceptions is importantIn 2014, Community Health Workers (CHWs) from Musanze (Northern Rwanda) were trained on different aspects of epilepsy. This study compared knowledge, attitude and practices (KAPs) towards epilepsy of trained CHWs 3 years after training, to untrained CHWs from Rwamagana (Eastern Rwanda).Methods: An epilepsy KAP questionnaire was administered to 96 trained and 103 untrained CHWs. Demographic and intergroup KAP differences were analysed by response frequencies. A multivariate analyses was performed based on desired and undesired response categories.Results: Epilepsy awareness was high in both groups, with better knowledge levels in trained CHWs. Negative attitudes were lowest in trained CHWs, yet 17% still reported misconceptions. Multivariate analysis demonstrated the impact of the training, irrespective of age, gender and educational level. Knowing someone with epilepsy significantly induced more desired attitudes.Conclusion: Despite demographic differences between trained and untrained CHWs, a single epilepsy training resulted in significant improvement of desired KAPs after 3 years. Nation-wide CHW training programs with focus on training-resistant items, e.g., attitudes, are recommended.Peter DedekenPeter DedekenPeter DedekenStephen N. MuhumuzaStephen N. MuhumuzaFidele SeberaFidele SeberaFidele SeberaJosiane UmwiringirwaLeopold BitunguhariHans TierensDirk E. TeuwenDirk E. TeuwenPaul A. J. M. BoonFrontiers Media S.A.articleepilepsyknowledgeattitudepracticescommunity health workerstrainingPublic aspects of medicineRA1-1270ENInternational Journal of Public Health, Vol 66 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	epilepsy knowledge attitude practices community health workers training Public aspects of medicine RA1-1270
spellingShingle	epilepsy knowledge attitude practices community health workers training Public aspects of medicine RA1-1270 Peter Dedeken Peter Dedeken Peter Dedeken Stephen N. Muhumuza Stephen N. Muhumuza Fidele Sebera Fidele Sebera Fidele Sebera Josiane Umwiringirwa Leopold Bitunguhari Hans Tierens Dirk E. Teuwen Dirk E. Teuwen Paul A. J. M. Boon Long-Term Impact of Single Epilepsy Training on Knowledge, Attitude and Practices: Comparison of Trained and Untrained Rwandan Community Health Workers
description	Objectives: To close the epilepsy treatment gap and reduce related stigma, eradication of misconceptions is importantIn 2014, Community Health Workers (CHWs) from Musanze (Northern Rwanda) were trained on different aspects of epilepsy. This study compared knowledge, attitude and practices (KAPs) towards epilepsy of trained CHWs 3 years after training, to untrained CHWs from Rwamagana (Eastern Rwanda).Methods: An epilepsy KAP questionnaire was administered to 96 trained and 103 untrained CHWs. Demographic and intergroup KAP differences were analysed by response frequencies. A multivariate analyses was performed based on desired and undesired response categories.Results: Epilepsy awareness was high in both groups, with better knowledge levels in trained CHWs. Negative attitudes were lowest in trained CHWs, yet 17% still reported misconceptions. Multivariate analysis demonstrated the impact of the training, irrespective of age, gender and educational level. Knowing someone with epilepsy significantly induced more desired attitudes.Conclusion: Despite demographic differences between trained and untrained CHWs, a single epilepsy training resulted in significant improvement of desired KAPs after 3 years. Nation-wide CHW training programs with focus on training-resistant items, e.g., attitudes, are recommended.
format	article
author	Peter Dedeken Peter Dedeken Peter Dedeken Stephen N. Muhumuza Stephen N. Muhumuza Fidele Sebera Fidele Sebera Fidele Sebera Josiane Umwiringirwa Leopold Bitunguhari Hans Tierens Dirk E. Teuwen Dirk E. Teuwen Paul A. J. M. Boon
author_facet	Peter Dedeken Peter Dedeken Peter Dedeken Stephen N. Muhumuza Stephen N. Muhumuza Fidele Sebera Fidele Sebera Fidele Sebera Josiane Umwiringirwa Leopold Bitunguhari Hans Tierens Dirk E. Teuwen Dirk E. Teuwen Paul A. J. M. Boon
author_sort	Peter Dedeken
title	Long-Term Impact of Single Epilepsy Training on Knowledge, Attitude and Practices: Comparison of Trained and Untrained Rwandan Community Health Workers
title_short	Long-Term Impact of Single Epilepsy Training on Knowledge, Attitude and Practices: Comparison of Trained and Untrained Rwandan Community Health Workers
title_full	Long-Term Impact of Single Epilepsy Training on Knowledge, Attitude and Practices: Comparison of Trained and Untrained Rwandan Community Health Workers
title_fullStr	Long-Term Impact of Single Epilepsy Training on Knowledge, Attitude and Practices: Comparison of Trained and Untrained Rwandan Community Health Workers
title_full_unstemmed	Long-Term Impact of Single Epilepsy Training on Knowledge, Attitude and Practices: Comparison of Trained and Untrained Rwandan Community Health Workers
title_sort	long-term impact of single epilepsy training on knowledge, attitude and practices: comparison of trained and untrained rwandan community health workers
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/216f58ce09834784b158db484601b0ab
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Long-Term Impact of Single Epilepsy Training on Knowledge, Attitude and Practices: Comparison of Trained and Untrained Rwandan Community Health Workers

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