The Effectiveness of Dengue Health Education with Field Experience on Knowledge Self-efficacy and Behavior among Elementary School Students

Abstract

Background: Generally dengue health education is not sufficient to change student’s behavior to do preventive practices Enhance field experience in it can be a solution to solve this problem However until now few studies explored the effectiveness of enhancing field experience in dengue health education for elementary school students toward knowledge self-efficacy and behavior to do dengue prevention Purpose: The aim of this study was to examine the effectiveness of dengue health education with field experience on knowledge self-efficacy and behavior among elementary school students Method: An experimental design with two groups with pretest-posttest and 1-month follow-up was conducted among six public elementary schools in Bali Indonesia These six schools were randomly sampling from 17 schools in Panjer and Sesetan areas and randomly assigned to experimental (EG) and comparison (CG) groups using computer software (random org) for randomization The students in EG received dengue health education through lecturing session and field experience and students in CG only received lecturing session A total of 299 fifth-grade students in both groups (153 in EG and 146 in CG) completed this study All primary outcomes student’s knowledge self-efficacy and behavior to do dengue prevention were collected using a self-develop questionnaire For analysis paired t-test and RM-ANOVA were used to measure the effect of intervention over the time (within the group) Meanwhile ANCOVA was used to measure the differences of intervention effects between the groups Results: From within-group analysis it was found that after the intervention mean score for student’s knowledge and self-efficacy in both groups were significantly increased (p < 01) For behavior result showed that one-month after the intervention student’s mean score in EG was non-significantly increase (t= -1 74 p= 08) while students in CG showed a significantly decreased (t= 2 37 p= 02) However when compared it between two groups students in EG had significantly higher mean scores of self-efficacy (F = 6 47 p <01 95% CI 0 83 to 6 48) and behavior (F = 22 1 p <0 01 95% CI 0 39 to 0 95) to do dengue prevention than student in CG Conclusion: Enhance field experience in dengue health education compared to lecturing session alone has a positive impact especially for self-efficacy and behaviour Accordingly this study suggests that provide field experience while delivering dengue health education for elementary school students is needed to influence student’s participation to do dengue prevention

Date of Award	2018 Feb 13
Original language	English
Supervisor	Mei-Chih Huang (Supervisor)