Effects of a Rational Antibiotic Use Literacy Promotion Program on Rational Antibiotic Use Literacy in Village Health Volunteers

Authors

  • Nayada Thanakijtummakul Faculty of Nursing, Payap University, Chiangmai, Thailand
  • Pimpaka Panyoyai Faculty of Nursing, Payap University, Chiangmai, Thailand
  • Sirakarn Chantachaloempong Faculty of Nursing, Payap University, Chiangmai, Thailand

DOI:

https://doi.org/10.60099/jtnmc.v39i03.268691

Keywords:

health literacy, antibiotic use literacy, village health volunteers

Abstract

Introduction Village Health Volunteers (VHVs) are health professionals playing crucial roles in developing community health. Previous studies have shown that VHVs have limited antibiotic use literacy and behaviors. Therefore, promoting rational antibiotic use literacy for VHVs can help them to manage their own health and provide proper advice to the community. 

Objective To investigate the effects of a rational antibiotic use literacy promotion program on rational antibiotic use literacy in VHVs 

Design A quasi-experimental study with two-group, pre and post-test design 

Methodology The participants included 70 VHVs working for two health-promoting hospitals in a province of the northern region. Purposive sampling was used to select participants based on the inclusion criteria. The two sub-districts were randomly assigned into experimental and control groups, with 35 participants per group. The control group received usual care, while the experimental group received usual care and a 14-week rational antibiotic use literacy promotion program. Research instruments consisted of two parts: 1) a rational antibiotic use literacy promotion program and a manual on rational antibiotic use, and 2) questionnaires on personal data and rational antibiotic use literacy. The rational antibiotic use literacy questionnaire was validated, resulting in a content validity index of .93 and Cronbach›s Alpha coefficient of .80 for reliability. Personal data were analyzed using descriptive statistics. Paired t-test was used for within-group comparisons, and the Independent t-test was used for between-group comparisons of rational antibiotic use literacy. 

Results Most of the participants were female, with a mean age falling in adulthood. There were no significant differences in demographic data between the control and experimental groups. After participating in the program, the experimental group had rational antibiotic use literacy (M = 170.86, SD = 6.86) significantly higher than before the program (M = 132.83, SD = 16.00, t = -13.610, p < .001) and higher than the control group (M = 136.49, SD = 12.36, t = -14.382, p < .001). 

Recommendation The rational antibiotic use literacy promotion program effectively improved literacy among VHVs. This program can serve as a guideline for promoting desirable behaviors related to rational antibiotic use in VHVs. Thus, activities that promote literacy about rational antibiotic use should be continuously provided for them.

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References

Jongtrakul P. Rational drug use (RDU) to patient safety. Nonthaburi: Healthcare Quality Assurance Institute (Public Organization); 0152. (in Thai)

Iwata K, Fukuchi T, Hirai M, Yoshimura K, Kanatani Y. Prevalence of inappropriate antibiotic prescriptions after the great east Japan earthquake. Medicine. 2017; 96(15):e6625. Available from: https://doi.org/10.1097/md.0000000000006625 PMID:28403114

Saleem Z, Saeed H, Hassali MA, Godman B, Asif U, Yousaf M, et al. Pattern of inappropriate antibiotic use among hospitalized patients in Pakistan: a Longitudinal surveillance and implications. Antimicrob Resist Infect Control. 2019; 8:188. Available from: https://doi.org/10.1186%2Fs13756-019-0649-5 PMID: 31768252

Zhao H, Wei L, Li H, Zhang M, Cao B, Bian J, Zhan S. Appropriateness of antibiotic prescriptions in ambulatory care in China: a nationwide descriptive database study. Lancet Infect Dis. 2021;21(6):847-57. Available from: https://doi.org/10.1016/s1473-3099(20)30596-x PMID: 33515511

Phumart P, Phodha T, Thamlikitkul V, Riewpaiboon A, Prakongsai P, Limwattananon S. Health and economic impacts of antimicrobial resistant infections in Thailand: a preliminary study. Journal of Health Systems Research. 2012;06-253:)3(6. Available from: https://kb.hsri.or.th/dspace/handle/11228/3699 (in Thai)

Sumpradit N, Hunnangkul S, Phumart P, Prakongsai P. A survey of the antibiotic control and surveillance system and measures in promoting rational use of antibiotics: preliminary results. Journal of Health Systems Research. 2012;6(3):361-73. (in Thai)

National Statistical Office. The 2023 health and welfare survey. Available from: https://www.nso.go.th/nsoweb/storage/survey_detail/2023/20230929131150_21377.pdf (in Thai)

Khoka A. Antibiotics and antibiotic resistance. Journal of Medicine and Health Sciences. 2020;27(2): 125-39. Available from: https://he01.tci-thaijo.org/index.php/jmhs/article/view/244782/166171 (in Thai)

Ministry of Public Health; Ministry of Agriculture and Cooperatives. Thailand’s national strategic plan on antimicrobial resistance 2017-2021. Available from: http://narst.dmsc.moph.go.th/documentation/AMR%20strategy%202560-2564.pdf (in Thai)

Ronnarong K, Cheawchanwattana A. Knowledge of antibiotic use in upper respiratory infection, acute diarrhea, and fresh traumatic wound of village health volunteers in Chaiyaphum Province. Thai Journal of Pharmacy Practice. 2021;13(3):693-703. (in Thai)

Watphimai S, Chanthapasa K, Areemit J. Opinions of doctors on the implementation of rational drug use policy: a case study of a province in Northeastern Region. Thai Journal of Pharmacy Practice. 2020;12(1): 114-27. (in Thai)

Kaewkhankhaeng W, Laoprasert† T, Khotchalai S, Kirivan S, Kosiyaporn H, Lekagul A, et al. Knowledge and awareness of antibiotic use and antimicrobial resistance: a survey in Fisheries Officers of Thailand. Journal of Health Systems Research. 2022;16(4): 505-22. Available from: https://kb.hsri.or.th/dspace/handle/11228/5791 (in Thai)

Thammatacharee N, Tomacha N, Pannarunothai S. Advocacy on rational drug use policy in Thailand. Journal of Health Systems Research. 2022;16(3): 281-88. (in Thai)

Thotet P. A Study of the Competency Development Model for village health volunteers 4.0 North Region, 2018. Journal of Human Society. 2022:34-44. (in Thai)

Rasiri S, Intarakumhang Na Rachasima S., Rasiri T. The role of Thai public health volunteers. Journal of Health Research and Development Nakhon Ratchasima Public Health Provincial Office. 2021;7(2):80-97. (in Thai)

Komwong D, Sangkhawat T. Factors affecting drug use behaviors of village health volunteers. Thai Pharmaceutical and Health Science Journal. 2012;7(3):121-6. Available from: https://ejournals.swu.ac.th/index.php/pharm/article/view/2969/2989 (in Thai)

Ngasangsai P, Sornseeyon P, Phattarabenjapol S. A case study of health literacy of village health volunteers. Isan Journal of Pharmaceutical Sciences. 2014; 9 Suppl:82-7. Available from: https://he01.tci-thaijo.org/index.php/IJPS/article/view/16320/14864 (inThai)

Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008; 67(12):2072-8. Available from: https://doi.org/10.1016/j.socscimed.2008.09.050 PMID: 18952344

Health Education Division, Department of Health Service Support Building, Ministry of Public Health. Health Education Program for health literacy on the rational use of medicines for village health volunteers and working people. (2562). Available from: http://203.157.7.66/linkHed/396 (in Thai)

Mostafa A, Abdelzaher A, Rashed S, AlKhawaga SI, Afifi SK, AbdelAlim S, et al. Is health literacy associated with antibiotic use, knowledge and awareness of antimicrobial resistance among non-medical university students in Egypt? A cross-sectional study. BMJ Open. 2021;11(3):e046453. Available from: https://doi.org/10.1136/bmjopen-2020-046453 PMID: 33649060

Frisch A, Camerini L, Diviani N, Schulz PJ. Defining and measuring health literacy: how can we profit from other literacy domains? Health Promotion International. Health Promotion International. 2011;27(1):117–126. Available from: https://doi.org/10.1093/heapro/dar043

Wattanakul S, Chidnayee S, Sasow P, Tariya D, Panwarin S, Nitirat P. Rational drug use literacy of village health volunteer. Boromarajonani College of Nursing, Uttaradit Journal. 2020;12(2):72-82. Available from: https://he01.tci-thaijo.org/index.php/unc/article/view/246592/167099 (in Thai)

Thato R. Nursing research: concepts to application. 4th ed. Bangkok: Chulalongkorn University; 2018. (in Thai)

Ministry of Public Health, Department of Health Service Support, Health Education Division. Strategies for promoting health literacy and health behavior. Bangkok: Samcharoen Phanich (Bangkok); 2018. (in Thai)

Burns N, Grove SK. The practice of nursing research: appraisal, synthesis, and generation of evidence. 6th ed. St. Louis (MO): Saunders; 2008.

Norasing M, Thanomphan S. Health literacy and health behavior in patients with uncontrolled blood sugar level or blood pressure: a case study of Nakornping Hospital, Chiang Mai. Journal of Nakornping Hospital. 2019;10(1):35-50. Available from: https://he01.tci-thaijo.org/index.php/jnkp/article/view/230076/164067 (in Thai)

Ponyon N. Health literacy and health behaviors in rational drug use among village health volunteers, Thatphanom District, Nakhon Pranom Province. Research and Development Health System Journal. 2023;16(3): 333-47. (in Thai)

Arahung R, Hoontrakul S, Roojanavech S. The effects of health literacy enhancement program on hypertensive prevention behavior of pre-hypertension risk group at a community in Nakhon Pathom Province. Royal Thai Navy Medical Journal. 2018;45(3):509-26. Available from: https://he01.tci-thaijo.org/index.php/nmdjournal/article/view/140049 (in Thai)

Puttapunyo S, Toontom N, Putthanachote N. Effectiveness of a health behavior development program on health literacy, weight loss behavior and weight of overweight personnel in Roi Et Hospital, Mueang District, Roi Et Province, Thailand. Journal of Nursing and Education. 2016;9(4):42-59. (in Thai)

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Published

2024-08-20

How to Cite

1.
Thanakijtummakul N, Panyoyai P, Chantachaloempong S. Effects of a Rational Antibiotic Use Literacy Promotion Program on Rational Antibiotic Use Literacy in Village Health Volunteers. J Thai Nurse midwife Counc [Internet]. 2024 Aug. 20 [cited 2024 Dec. 24];39(03):406-21. Available from: https://he02.tci-thaijo.org/index.php/TJONC/article/view/268691

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Research Articles