Educational Video for Infant Diarrhea Prevention: Randomized Clinical Trial
Keywords:Health Education; Child health; Diarrhea; Infantile., Health Education, Child health, Diarrhea, Infantile.
Introduction: Diarrhea is a major cause of illness in children under five years of age and, along with pneumonia, is a major cause of child mortality. Through behavioral influence on the occurrence of diarrhea, health education is an important facilitator for empowering individuals, families and communities, contributing to the promotion of health and, consequently, to reduce cases of childhood diarrhea. Therefore, this study aimed to evaluate the effect of the educational video "Infant Diarrhea: you are able to prevent" on mothers of children under five years of age, according to the aspects related to the care of children's health and the occurrence of infant diarrhea. Methods: Randomized clinical trial, conducted in Fortaleza, CearÃ¡, Brazil, with 133 mothers of children under five years of age, with 70 allocated in the comparison group and 63 in the intervention group. Data collection took place from April to June 2013, in two moments: the first in the Unit of Primary Health Care and the second by telephone after two months. Results: The groups were similar in all sociodemographic aspects analyzed (p>0.196). Moreover, there was no statistically significant association between the occurrence of infant diarrhea and the characteristics related to the care of children's health. The chance for occurrence of diarrhea showed up higher in the comparison group (RC>1) with respect to four of the variables: exclusive breastfeeding, bottle-feeding, how they clean the bottle and if they boil / scald other utensils used in the childâ€™s diet. Conclusion: The educational video was effective in promoting the adoption of healthy habits by the mothers and reducing chances of occurrence of infant diarrhea. It is essential that health professionals get to know the mentioned video and that this one guide the practice of these professionals in preventing infant diarrhea and empowering of mothers, so that they are able to also prevent the occurrence of this disease in their children.
Mamo, A. and Hailu, A. Assessment of Prevalence and Related Factors of Diarrheal Diseases among Under-Five Yearâ€™s Children in Debrebirehan Referral Hospital, Debrebirehan Town, North Shoa Zone, Amhara Region, Ethiopia. Open Access Library Journal. 2014;1:1-14.
World Health Organization (WHO). Ending Preventable Child Deaths from Pneumonia and Diarrhoea by 2025: The integrated Global Action Plan for Pneumonia and Diarrhoea (GAPPD). Geneva: WHO; 2013.
Paz, M.G.A., Almeida, M.F. and Gunther, W.M.R. Diarrhea in children and sanitation and housing conditions in periurban areas in the city of Guarulhos, SP. Rev. bras. Epidemiol. 2012;15:188-97.
Bener, A., Ehlayel, M.S. and Abdulrahman, H.M. Exclusive breast feeding and prevention ofdiarrheal diseases. A study in Qatar. Rev. Bras. SaÃºde Matern. Infant. 2011;11: 83-7.
Atencio, R., Bracho, A., Porto, L., Callejas, D., Costa, L., Monsalve, F. et al. SÃndrome diarreico por rotavirus en niÃ±os menores de 5 aÃ±os inmunizados y no de la ciudad de Maracaibo, estado Zulia, Venezuela. Kasmera, 2013;41: 59-68
Porcy, C., Ferro, T.A.F., Monteiro, S.G., Menezes, R.A.O., Barbosa, F.H.F. and Monteiro Neto, V. Epidemiologia da doenÃ§a diarreica associada Ã s Escherichia coli diarreiogÃªnicas em crianÃ§as residentes em uma Ã¡rea alagada de MacapÃ¡ â€“ AmapÃ¡, Brasil. CiÃªncia Equatorial. 2013;3:57-68.
Agustina, R., Sari, T.P., Satroamidjojo, S., Bovee-Oudenhoven, I.M.J., Feskens, E.J.M. and Kok, F.J. Association of food-hygiene practices and diarrhea prevalence among Indonesian young children from low socioeconomic urban areas. BMC Public Health. 2013;13:1-12.
Cervera, D.P.P., Parreira, B.D.M. and Goulart, B.F. Health education: perception of primary health care nurses in Uberaba, Minas Gerais State. CiÃªnc. saÃºde coletiva. 2011;16:1547-54.
Caruso, B., Stephenson, R. and Leon, J.S. Maternal behavior and experience, care access, and agency as determinants of child diarrhoea in Bolivia. Rev. Panam Salud Publica. 2010;28:429-39.
Moraes, A.F. Cultural diversity in health-related videos. Interface. 2008;12:811-22.
Barbosa, R.M. and Bezerra, A.K. Validation of an educational video for the promotion of attachment between seropositive HIV mother and her child. Rev. bras. enferm. 2011;64:328-34 .
Banik P. A study to evaluate the effectiveness of video assisted teaching programm on knowledge and practice regarding prevention and home management of dehydration among the mothers of under five children in a selected rural area of Bangalore [dissertation]. Bangalore: Rajiv Gandhi University of Health Sciences; 2012.
Desta, B.F., Mohammed, H., Barry, D., Frew, A.H., Hepburn, K. and Claypoole, C. Use of Mobile Video Show for Community Behavior Change on Maternal and Newborn Health in Rural Ethiopia. J Midwifery Womens Health. 2014;59:S65-72.
Weinstein, P., Milgrom, P., Riedy, C.A., Mancl, L.A., Garson, G., Huebner, C.E. et al. Treatment fidelity of brief motivational interviewing and health education in a randomized clinical trial to promote dental attendance oflow-incomemothers and children: Community-Based Intergenerational Oral Health Study â€œBaby Smilesâ€. BMC Oral Health. 2014;14.
Joventino ES. ElaboraÃ§Ã£o e validaÃ§Ã£o de vÃdeo educativo para promoÃ§Ã£o da autoeficÃ¡cia materna na prevenÃ§Ã£o da diarreia infantil [tese]. Fortaleza: Departamento de Enfermagem; Universidade Federal do CearÃ¡; 2013.
Fortaleza, Secretaria Municipal de SaÃºde, CÃ©lula de VigilÃ¢ncia EpidemiolÃ³gica/CIEVS/SIMDA. Consolidado das notificaÃ§Ãµes de casos de diarreia aguda por Secretaria Executiva Regional. Fortaleza; 2013. Available in: <http://tc1.sms.fortaleza.ce.gov.br/simda/notifica/graficoSerano=2012&ser=&agravo=A09>. Accessed: 21 jan 2013.
Arango HG. BioestatÃstica: teÃ³rica e computacional. Rio de Janeiro: Guanabara Koogan; 2009.
Joventino ES. Desenvolvimento de escala para mensurar a autoeficÃ¡cia materna na prevenÃ§Ã£o da diarreia infantil [dissertaÃ§Ã£o]. Fortaleza: Departamento de Enfermagem; Universidade Federal do CearÃ¡; 2010.
Bandura, A. Self-efficacy: toward a unifying theory of behavioral change. Psychol. Rev. 1997;84:191-215.
Joventino, E.S., Penha, J.C., Ximenes, L.B., Castro, R.C.M.B., Gomes, A.L.A. and Almeida, P.C. Effect of educational video about maternal self-efficacy and occurrence of childhood diarrhea: randomized clinical trial. Indian Journal of Applied Research. 2015;5:688-92.
Melli, L.C.F.L. and Waldman, E.A. TendÃªncia temporal e desigualdades na mortalidade por diarreias em menores de 5 anos. Arch. Pediatr. Urug. 2011;82:39-46.
Sousa, G.R.S., Oliveira, E.A.R., Lima, L.H.O., Silva, A.K.A., Formiga, L.M.F. and Rocha, S.S. Profile of children with diarrhea in a public hospital. Rev Enferm UFPI. 2013;2:34-9.
Nascimento, L.A., Rodrigues, A., Joventino, E.S., Vieira, N.F.C., Pinheiro, P.N.C. and Ximenes, L.B. Validation of Educational Video to Promote Self-Efficacy in Preventing Childhood Diarrhea. Health. 2015;7:192-200.
Oliveira, J.F., Amaral, J.B., Oliveira, K.F. and GonÃ§alves, J.R.L. Evaluation of the impact of oral vaccine against human rotavirus in Brazil. REAS. 2014;3:107-15.
Arima, Y., Kaminsky, R.G., Montes, G.A.Ã., Casiano-ColÃ³n, A., Guthrie, B.L., DiGiacomo, R.F. and Jacobs, J. Nuevos y viejos agentes asociados a diarrea en niÃ±os en honduras. Rev. mÃ©d. hondur. 2011;79:58-64.
Liu, J. Maternal beliefs and behaviors in the prevention of childhood diarrhea in Dares Salaam, Tanzania [thesis].Program in Human Biology Honors Thesis; Stanford University; 2009.
Morgado, M.V., Pires, A. and Pinto, J.R. Self-efficacy in asthmatic children. Psic., SaÃºde & DoenÃ§as. 2000;1:121-28.
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