Abstract
Background: Radiation protection literacy (RPL) is a cognitive and social skill that determines the motivation and ability of individuals to gain access, understand, and use information in ways that promote and maintain good radiation protection. RPL will enable the protection of people and the environment from the harmful effects of ionizing radiation. In addition, about 19.7% of worldwide average radiation dose is due to medical use of radiation. In Malaysia, the number of x-ray examinations has increased by 19.02 per cent from 805,122 (2015) to 958,230 (2017); hence healthcare workers are at potential risk for occupational radiation hazards. A study in 2018 regarding radiation protection among government healthcare workers in Negeri Sembilan showed that the scores on knowledge were marginal. Thus, proper training in radiation protection is pertinent to ensure safety and health at work and preserve patient safety.
Objectives: This study aims to develop, implement and evaluate the effect of an educational intervention module based on Protection Motivation Theory (PMT) on the knowledge of radiation protection among radiation workers in government healthcare facilities, Negeri Sembilan and Malacca.
Methodology: This is a single-blind, parallel randomized control trial study involving 158 radiation workers from the Department of Health Negeri Sembilan and Malacca. The sample size required was 79 in intervention and 79 in control groups. A questionnaire about knowledge regarding radiation protection was distributed among the respondents at the baseline. An educational intervention based on Protection Motivation Theory on radiation protection was introduced to the intervention group. The median knowledge level score was analyzed at one month and three months post-intervention. The data analysis was carried out using SPSS version 25.0. Data for respondents were analyzed as per-protocol analysis and based on the intention-to-treat principle. Mann- Whitney U tests, Chi-square tests and multivariate analysis of the Generalized Linear Mixed Model were used in the statistical analysis. Results: The response rate was 95.2% at baseline. In the intervention group, the median score of knowledge of radiation protection increased significantly from baseline to 1-month and 3 months after intervention (35 (IQR 8), 41 (IQR 4), 40 (IQR 4), p<0.001), respectively. Knowledge score on radiation protection at 1-month follow up was statistically significantly higher in intervention group (Mdn = 41) than in control group (Mdn = 37)
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-O-54.pdf
- https://apcph.cphm.my/events/oral-session-5-ballroom-B/
BibTeX (Download)
@proceedings{APCPH2022-O-54, title = {The Effectiveness of Health Education Module on Radiation Protection Literacy among Healthcare Workers in Malaysia}, author = {Khairul Anuar Abdullah and Ahmad Azuhairi Ariffin and Anita Abd Rahman and Rusdi Abd Rahman and Ruzita Mustaffa and Zuraida Mohamed and Noor Aizam Mohd Said and Hayati Kadir and Ahmad Iqmer Nashriq Mohd Nazan}, url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-O-54.pdf https://apcph.cphm.my/events/oral-session-5-ballroom-B/}, year = {2022}, date = {2022-08-01}, urldate = {2022-08-02}, issue = {7}, abstract = {Background: Radiation protection literacy (RPL) is a cognitive and social skill that determines the motivation and ability of individuals to gain access, understand, and use information in ways that promote and maintain good radiation protection. RPL will enable the protection of people and the environment from the harmful effects of ionizing radiation. In addition, about 19.7% of worldwide average radiation dose is due to medical use of radiation. In Malaysia, the number of x-ray examinations has increased by 19.02 per cent from 805,122 (2015) to 958,230 (2017); hence healthcare workers are at potential risk for occupational radiation hazards. A study in 2018 regarding radiation protection among government healthcare workers in Negeri Sembilan showed that the scores on knowledge were marginal. Thus, proper training in radiation protection is pertinent to ensure safety and health at work and preserve patient safety. Objectives: This study aims to develop, implement and evaluate the effect of an educational intervention module based on Protection Motivation Theory (PMT) on the knowledge of radiation protection among radiation workers in government healthcare facilities, Negeri Sembilan and Malacca. Methodology: This is a single-blind, parallel randomized control trial study involving 158 radiation workers from the Department of Health Negeri Sembilan and Malacca. The sample size required was 79 in intervention and 79 in control groups. A questionnaire about knowledge regarding radiation protection was distributed among the respondents at the baseline. An educational intervention based on Protection Motivation Theory on radiation protection was introduced to the intervention group. The median knowledge level score was analyzed at one month and three months post-intervention. The data analysis was carried out using SPSS version 25.0. Data for respondents were analyzed as per-protocol analysis and based on the intention-to-treat principle. Mann- Whitney U tests, Chi-square tests and multivariate analysis of the Generalized Linear Mixed Model were used in the statistical analysis. Results: The response rate was 95.2% at baseline. In the intervention group, the median score of knowledge of radiation protection increased significantly from baseline to 1-month and 3 months after intervention (35 (IQR 8), 41 (IQR 4), 40 (IQR 4), p\<0.001), respectively. Knowledge score on radiation protection at 1-month follow up was statistically significantly higher in intervention group (Mdn = 41) than in control group (Mdn = 37)}, howpublished = {published online at https://apcph.cphm.my}, note = {Type: ORAL PRESENTATION; Organisation: Jabatan Kesihatan Negeri Melaka, Kementerian Kesihatan Malaysia; Jabatan Kesihatan Negeri Sembilan, Kementerian Kesihatan Malaysia; Jabatan Kesihatan Komuniti, Fakulti Perubatan dan Sains Kesihatan, Universiti Putra Malaysia}, keywords = {healthcare worker, Knowledge, Literacy, Radiation, Radiation Protection}, pubstate = {published}, tppubtype = {proceedings} }