Gurushanth Keerthi, Sunny Sumsum P, Raghavan Shubhasini A, Thakur Harshita, Majumder Bhargabi Paul, Srinivasan Pavithra, Thomas Anela, Chandrashekhar Pavitra, Topajiche Satyajit, Krishnakumar Keerthi, Gurudath Shubha, Patrick Sanjana, Linzbouy Lynette, Edith A Kripa Adlene, Jha Shikha, Srivatsa G, Shetty Anupama, Suresh Amritha, Kuriakose Moni Abraham, Birur Praveen N
Department of Oral Medicine and Radiology, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka India.
Integrated Head and Neck Oncology Program, Mazumdar Shaw Medical Foundation, A Narayana Health City, Bommasandra Industrial Area, Bengaluru, Karnataka India.
J Maxillofac Oral Surg. 2024 Aug;23(4):816-823. doi: 10.1007/s12663-024-02198-1. Epub 2024 May 18.
Oral cancer is significantly high in India, and screening is an effective approach to downstage the disease. Educating Community Health Workers (CHWs) on early oral cancer detection is an effective step toward reducing the burden and serves as a first step toward facilitating the transfer of knowledge. Therefore, the purpose of this hands-on education was to equip CHWs with insight on the advanced diagnostics, preventive techniques, and innovations for the early detection of oral cancer.
A total of 178 participants were trained in two groups: Group 1 received training for screening and primary prevention, while group 2 received training on updates in recent diagnostic adjuncts and innovations, AI-enabled point-of-care diagnostics, and essential patient care in management of Oral Potentially Malignant Disorders (OPMDs). Pre- and post-assessment questionnaires were used to evaluate the participants.
The knowledge assessment scores between the pre- and post-tests showed a statistically significant difference ( < 0.001), with rise in mean score of 3.99 from baseline. Six months following training, knowledge retention revealed a statistically significant difference ( < 0.001) in the participants' ability to recall the information.
A well-structured training module can create awareness, impart knowledge and upskill the CHWs for early detection of oral cancer. Retraining of CHWs is required for knowledge retention post-training.
口腔癌在印度的发病率显著较高,筛查是使疾病降期的有效方法。对社区卫生工作者(CHWs)进行早期口腔癌检测方面的教育是减轻负担的有效举措,也是促进知识传播的第一步。因此,本次实践教育的目的是让社区卫生工作者深入了解口腔癌的先进诊断方法、预防技术以及早期检测的创新手段。
共有178名参与者分为两组接受培训:第1组接受筛查和一级预防培训,而第2组接受近期诊断辅助手段和创新、人工智能即时诊断以及口腔潜在恶性疾病(OPMDs)管理中的基本患者护理方面的最新进展培训。使用培训前和培训后的调查问卷对参与者进行评估。
培训前和培训后的知识评估得分显示出统计学上的显著差异(<0.001),平均得分从基线提高了3.99。培训六个月后,知识保留情况显示参与者回忆信息的能力存在统计学上的显著差异(<0.001)。
一个结构完善的培训模块可以提高意识、传授知识并提升社区卫生工作者早期检测口腔癌的技能。培训后需要对社区卫生工作者进行再培训以保持知识。