Hussein Khadra, Shanley Ryan, Schleiss Mark R
University of Minnesota Medical School, 420 Delaware Street SE, Minneapolis, MN 55454, USA.
Biostatistics Core, University of Minnesota Clinical and Translational Science Institute, 717 Delaware Street SE, Minneapolis, MN 55414, USA.
Discov Soc Sci Health. 2024;4(1). doi: 10.1007/s44155-024-00070-8. Epub 2024 Mar 26.
Congenital cytomegalovirus (cCMV) disproportionately impacts black and multiracial infants. While there have been strides made to address this health disparity, strategies to increase awareness and knowledge of cCMV have not been investigated in a Somali community.
Two survey study strategies (in-person and online), consisting of a pre-survey test, educational intervention, and a post-survey, were designed to gauge knowledge and perceptions about cCMV among Somali women aged 18 to 40 years old.
96 respondents partook in the online module, and 15 in the in-person event. On recruitment, < 45% of women were aware of cCMV. Following the pre-intervention survey, educational modules were conducted, and the survey repeated. For statistical comparisons, a point was assigned for each correct survey query, and the mean of correct responses tabulated for pre- and post-surveys. In the online intervention, mean scores changed from 55 to 87% (paired -test, p = 0.001), whereas in the in-person intervention, mean scores changed from 65 to 87% (paired -test, p = 0.007), demonstrating enhanced cCMV awareness upon completion of both interventions. Using multiple linear regression, the expected post-test score was 2% (95% CI [- 8%, 12%]) higher for the online module compared to the in-person module, adjusting for pre-test score.
Both interventions were successful in enhancing knowledge about cCMV in this population, although there was no evidence either intervention was substantially better than the other. Educational efforts will be critical in enhancing the trust required to facilitate diagnostic evaluation and treatment of newborns identified with cCMV in this high-risk population.
先天性巨细胞病毒（cCMV）对黑人和多种族婴儿的影响尤为严重。尽管在解决这一健康差距方面已取得进展，但尚未在索马里社区对提高cCMV意识和知识的策略进行调查。
设计了两种调查研究策略（面对面和在线），包括预调查测试、教育干预和后调查，以评估18至40岁索马里女性对cCMV的知识和认知。
96名受访者参与了在线模块，15名参与了面对面活动。在招募时，不到45%的女性知晓cCMV。在干预前调查之后，进行了教育模块，并重复进行调查。为了进行统计比较，为每个正确的调查问题分配一分，并将预调查和后调查的正确回答平均值制成表格。在在线干预中，平均得分从55%变为87%（配对t检验，p = 0.001），而在面对面干预中，平均得分从65%变为87%（配对t检验，p = 0.007），表明两种干预完成后cCMV意识均有所提高。使用多元线性回归，调整预测试得分后，在线模块的预期后测试得分比面对面模块高2%（95%置信区间[-8%，12%]）。
两种干预在提高该人群对cCMV的认识方面均取得成功，尽管没有证据表明一种干预比另一种有显著优势。教育努力对于增强在这个高危人群中促进对确诊为cCMV的新生儿进行诊断评估和治疗所需的信任至关重要。
