Changing perception and improving knowledge of leprosy: An intervention study in Uttar Pradesh, India.

<h4>Introduction</h4>Since ancient times leprosy has had a negative perception, resulting in stigmatization. To improve the lives of persons affected by leprosy, these negative perceptions need to change. The aim of this study is to evaluate interventions to change perceptions and improv...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Anna T van 't Noordende, Suchitra Lisam, Vivek Singh, Atif Sadiq, Ashok Agarwal, Duane C Hinders, Jan Hendrik Richardus, Wim H van Brakel, Ida J Korfage
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/22c9e544311c4cee8b7cd75af6b75f1f
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:22c9e544311c4cee8b7cd75af6b75f1f
record_format	dspace
spelling	oai:doaj.org-article:22c9e544311c4cee8b7cd75af6b75f1f2021-12-02T20:23:37ZChanging perception and improving knowledge of leprosy: An intervention study in Uttar Pradesh, India.1935-27271935-273510.1371/journal.pntd.0009654https://doaj.org/article/22c9e544311c4cee8b7cd75af6b75f1f2021-08-01T00:00:00Zhttps://doi.org/10.1371/journal.pntd.0009654https://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Introduction</h4>Since ancient times leprosy has had a negative perception, resulting in stigmatization. To improve the lives of persons affected by leprosy, these negative perceptions need to change. The aim of this study is to evaluate interventions to change perceptions and improve knowledge of leprosy.<h4>Methodology/principal findings</h4>We conducted a pre-post intervention study in Fatehpur and Chandauli districts, Uttar Pradesh, India. Based on six steps of quality intervention development (6SQuID) two interventions were designed: (1) posters that provided information about leprosy and challenged misconceptions, and (2) meetings with persons affected by leprosy, community members and influential people in the community. The effect of the interventions was evaluated in a mixed-methods design; in-depth interviews, focus group discussions, and questionnaires containing a knowledge measure (KAP), two perception measures (EMIC-CSS, SDS) and an intervention evaluation tool. 1067 participants were included in Survey 1 and 843 in Survey 2. The interventions were effective in increasing knowledge of all participant groups, and in changing community and personal attitudes of close contacts and community members (changes of 19%, 24% and 13% on the maximum KAP, EMIC-CSS and SDS scores respectively, p<0.05). In Survey 1, 13% of participants had adequate knowledge of leprosy versus 53% in Survey 2. Responses showed stigmatizing community attitudes in 86% (Survey 1) and 61% (Survey 2) of participants and negative personal attitudes in 37% (Survey 1) and 19% (Survey 2). The number of posters seen was associated with KAP, EMIC-CSS and SDS scores in Survey 2 (p<0.001). In addition, during eight post-intervention focus group discussions and 48 interviews many participants indicated that the perception of leprosy in the community had changed.<h4>Conclusions/significance</h4>Contextualized posters and community meetings were effective in changing the perception of leprosy and in increasing leprosy-related knowledge. We recommend studying the long-term effect of the interventions, also on behavior.Anna T van 't NoordendeSuchitra LisamVivek SinghAtif SadiqAshok AgarwalDuane C HindersJan Hendrik RichardusWim H van BrakelIda J KorfagePublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 15, Iss 8, p e0009654 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
spellingShingle	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Anna T van 't Noordende Suchitra Lisam Vivek Singh Atif Sadiq Ashok Agarwal Duane C Hinders Jan Hendrik Richardus Wim H van Brakel Ida J Korfage Changing perception and improving knowledge of leprosy: An intervention study in Uttar Pradesh, India.
description	<h4>Introduction</h4>Since ancient times leprosy has had a negative perception, resulting in stigmatization. To improve the lives of persons affected by leprosy, these negative perceptions need to change. The aim of this study is to evaluate interventions to change perceptions and improve knowledge of leprosy.<h4>Methodology/principal findings</h4>We conducted a pre-post intervention study in Fatehpur and Chandauli districts, Uttar Pradesh, India. Based on six steps of quality intervention development (6SQuID) two interventions were designed: (1) posters that provided information about leprosy and challenged misconceptions, and (2) meetings with persons affected by leprosy, community members and influential people in the community. The effect of the interventions was evaluated in a mixed-methods design; in-depth interviews, focus group discussions, and questionnaires containing a knowledge measure (KAP), two perception measures (EMIC-CSS, SDS) and an intervention evaluation tool. 1067 participants were included in Survey 1 and 843 in Survey 2. The interventions were effective in increasing knowledge of all participant groups, and in changing community and personal attitudes of close contacts and community members (changes of 19%, 24% and 13% on the maximum KAP, EMIC-CSS and SDS scores respectively, p<0.05). In Survey 1, 13% of participants had adequate knowledge of leprosy versus 53% in Survey 2. Responses showed stigmatizing community attitudes in 86% (Survey 1) and 61% (Survey 2) of participants and negative personal attitudes in 37% (Survey 1) and 19% (Survey 2). The number of posters seen was associated with KAP, EMIC-CSS and SDS scores in Survey 2 (p<0.001). In addition, during eight post-intervention focus group discussions and 48 interviews many participants indicated that the perception of leprosy in the community had changed.<h4>Conclusions/significance</h4>Contextualized posters and community meetings were effective in changing the perception of leprosy and in increasing leprosy-related knowledge. We recommend studying the long-term effect of the interventions, also on behavior.
format	article
author	Anna T van 't Noordende Suchitra Lisam Vivek Singh Atif Sadiq Ashok Agarwal Duane C Hinders Jan Hendrik Richardus Wim H van Brakel Ida J Korfage
author_facet	Anna T van 't Noordende Suchitra Lisam Vivek Singh Atif Sadiq Ashok Agarwal Duane C Hinders Jan Hendrik Richardus Wim H van Brakel Ida J Korfage
author_sort	Anna T van 't Noordende
title	Changing perception and improving knowledge of leprosy: An intervention study in Uttar Pradesh, India.
title_short	Changing perception and improving knowledge of leprosy: An intervention study in Uttar Pradesh, India.
title_full	Changing perception and improving knowledge of leprosy: An intervention study in Uttar Pradesh, India.
title_fullStr	Changing perception and improving knowledge of leprosy: An intervention study in Uttar Pradesh, India.
title_full_unstemmed	Changing perception and improving knowledge of leprosy: An intervention study in Uttar Pradesh, India.
title_sort	changing perception and improving knowledge of leprosy: an intervention study in uttar pradesh, india.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/22c9e544311c4cee8b7cd75af6b75f1f
work_keys_str_mv	AT annatvantnoordende changingperceptionandimprovingknowledgeofleprosyaninterventionstudyinuttarpradeshindia AT suchitralisam changingperceptionandimprovingknowledgeofleprosyaninterventionstudyinuttarpradeshindia AT viveksingh changingperceptionandimprovingknowledgeofleprosyaninterventionstudyinuttarpradeshindia AT atifsadiq changingperceptionandimprovingknowledgeofleprosyaninterventionstudyinuttarpradeshindia AT ashokagarwal changingperceptionandimprovingknowledgeofleprosyaninterventionstudyinuttarpradeshindia AT duanechinders changingperceptionandimprovingknowledgeofleprosyaninterventionstudyinuttarpradeshindia AT janhendrikrichardus changingperceptionandimprovingknowledgeofleprosyaninterventionstudyinuttarpradeshindia AT wimhvanbrakel changingperceptionandimprovingknowledgeofleprosyaninterventionstudyinuttarpradeshindia AT idajkorfage changingperceptionandimprovingknowledgeofleprosyaninterventionstudyinuttarpradeshindia
_version_	1718374095585804288

Changing perception and improving knowledge of leprosy: An intervention study in Uttar Pradesh, India.

Ejemplares similares