Murthy Meena Kolar Sridara, Rajaram Prakashi, Mudiyanuru Kannappa Shetty, Marimuthu P, Govindappa Lakshmana, Dasgupta Madhuporna
Department of Mental Health Education, National Institute of Mental Health and Neurosciences, Bangalore, India.
Department of Psychiatric Social Work, National Institute of Mental Health and Neurosciences, Bangalore, India.
J Neurosci Rural Pract. 2019 Oct;10(4):625-630. doi: 10.1055/s-0039-3399473. Epub 2019 Dec 11.
Although epilepsy is a common disorder, it is highly stigmatized. Not only public but even teachers are not free from stigmatization and cultural barriers. Under this condition, children with epilepsy are more vulnerable for stigmatization, social isolation, lack of support, and psychological and emotional problems. At the same time, there is an immediate need of literature focusing on intervention studies to change the attitudes of school teachers and children. The study was conducted with the objectives to evaluate knowledge, attitude, and practices about epilepsy among school teachers and children; provide educational training program to teachers; and check the efficacy of training program imparted by teacher and trainer. Repeated measure of analysis of variance shows that knowledge ( = 1134.875, < 0.001), attitude ( = 2429.909, < 0.001), and practice ( = 2205.122, < 0.001) are significantly different between pre- and posttest indicated by Pillai's trace test. Similarly, from the Pillai's test knowledge ( = 49.317, < 0.001), attitude ( = 125.304, < 0.001) and practice ( = 178.697, < 0.001) are significantly different among the teachers, trainer imparted training group of children, and teachers imparted training group of children groups. It is seen that knowledge, attitude, and practice scores significantly differ between two time points and across three groups. Among all the groups, teachers imparted training group children had high level of practice. Inclusion of health education programs in the textbooks and health education schemes for teachers and school children is a crucial way to bring a change in their attitude, behavior, and practices.
尽管癫痫是一种常见疾病,但它却备受污名化。不仅公众如此,就连教师也未能免受污名化和文化障碍的影响。在这种情况下,癫痫患儿更容易受到污名化、社会孤立、缺乏支持以及心理和情感问题的困扰。与此同时,迫切需要专注于干预研究的文献,以改变学校教师和儿童的态度。该研究旨在评估学校教师和儿童对癫痫的知识、态度和实践;为教师提供教育培训项目;并检验教师和培训师所传授培训项目的效果。重复测量方差分析表明,皮莱迹检验显示前测和后测之间的知识(F = 1134.875,p < 0.001)、态度(F = 2429.909,p < 0.001)和实践(F = 2205.122,p < 0.001)存在显著差异。同样,通过皮莱检验可知,教师、培训师传授培训的儿童组以及教师传授培训的儿童组之间的知识(F = 49.317,p < 0.001)、态度(F = 125.304,p < 0.001)和实践(F = 178.697,p < 0.001)存在显著差异。可以看出,两个时间点以及三组之间的知识、态度和实践得分存在显著差异。在所有组中,教师传授培训的儿童组实践水平较高。在教科书以及针对教师和学童的健康教育计划中纳入健康教育项目,是改变他们态度、行为和实践的关键途径。