International Health, Public Health Graduate Program, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Cluster of Public Health Science, Faculty of Medicine, Universitas Islam Indonesia, Yogyakarta, Indonesia.
PLoS One. 2020 May 29;15(5):e0233267. doi: 10.1371/journal.pone.0233267. eCollection 2020.
The primary objective of this study was to determine the effect of a training intervention in overall improvement in students' (santris) knowledge, behavior, and outcome.
A mixed-methods exploratory sequential design was applied. First, qualitative data were collected from three focus group discussions with 20 supervisors and one in-depth interview with school principal to explore current hygiene practices. The information was then used to develop training intervention using either video, poster, and leaflet. To measure the effect, a stepped wedge cluster design with pre- and post-test analyses was conducted. A total of 452 junior high school santris in one Islamic boarding school were non-randomly allocated to either three intervention groups. Outcome measures were knowledge, personal behavior, and room hygiene. Codes and categories were produced in the qualitative analysis, while paired t-tests and Wilcoxon rank tests test were used in the quantitative analysis.
The qualitative study identified poor practices on personal and room hygiene among the santris and proposed a training intervention. Overall, there was a significant increase in knowledge and personal behavior after the intervention (7.22 ± 1.34 pre-intervention to 7.70 ± 0.74 post-intervention and 9.75 ± 2.98 pre-intervention to 12.16 ± 2.12 post-intervention, respectively, p < 0.001). Room hygiene was significantly improved among boys and those who received leaflets.
Having developed a specific training materials, school-based hygiene training intervention improved knowledge and personal behavior. Its effect on room hygiene particularly for female santris needs further strengthening of the intervention in this Islamic boarding school setting.
本研究的主要目的是确定培训干预对学生（ santris ）知识、行为和结果的整体改善效果。
采用混合方法探索性序贯设计。首先，通过与 20 名主管进行的三次焦点小组讨论和与学校校长进行的一次深入访谈，收集了关于当前卫生实践的定性数据，以探索当前的卫生实践。然后，使用视频、海报和传单开发了培训干预措施。为了测量效果，采用了带有预测试和后测试分析的逐步楔形聚类设计。一所伊斯兰寄宿学校的 452 名初中 santris 被非随机分配到三个干预组之一。结果测量是知识、个人行为和房间卫生。定性分析中产生了代码和类别，而定量分析中使用了配对 t 检验和 Wilcoxon 秩检验。
定性研究发现 santris 个人和房间卫生习惯较差，并提出了培训干预措施。总体而言，干预后知识和个人行为有显著提高（干预前 7.22 ± 1.34，干预后 7.70 ± 0.74；干预前 9.75 ± 2.98，干预后 12.16 ± 2.12，均 p <0.001）。男孩和收到传单的学生的房间卫生得到了显著改善。
制定了特定的培训材料后，基于学校的卫生培训干预措施提高了知识和个人行为。需要进一步加强干预措施，以改善该伊斯兰寄宿学校中女 santris 的房间卫生状况。
