TY - JOUR
KW - First line health care
AU - Yap FB
AU - Kiung ST
AB - Editor's abstract:
Background: Family Medicine Specialists (FMS) plays a pivotal role in the detection of leprosy in primary care. This study determines the knowledge and confidence among FMS in Malaysia.
Method: Pre-intervention questionnaire were conducted followed by a 3 days educational intervention. Post-intervention questionnaire were conducted again 2 months thereafter. The questionnaire assessed knowledge and confidence in the diagnosis and management of leprosy.
Results: The mean total marks for the pre-intervention knowledge questionnaires was 35.4 out of 50 and the mean confidence was 4.0 out of 10 for diagnosis and 3.3 out of 10 for management. Knowledge improved 24.0% post-intervention (p<0.001). Knowledge on pathogenesis and clinical features improved the most with 38.5% and 32.4% respectively whereas knowledge on leprosy reactions improved the least with only 15.1%. The confidence level improved 85% to 7.4 for diagnosis and 118.2% to 7.2 for management post-intervention (p<0.001). FMS with more experience, seeing more than 5 patients in their working life, had better confidence pre-intervention but it became insignificant post-intervention.
Conclusion: Knowledge of FMS was good but their confidence was low pre-intervention. They improved significantly post-intervention. It is hoped that the improvement can allow for earlier detection of leprosy to prevent clinical and epidemiological sequelae.
BT - Journal of Dermatology & Dermatologic Surgery
DO - 10.1016/j.jdds.2015.11.005
IS - (online Dec. 5)
J2 - Journal of Dermatology & Dermatologic Surgery
LA - eng
M3 - Accepted manuscript
N2 - Editor's abstract:
Background: Family Medicine Specialists (FMS) plays a pivotal role in the detection of leprosy in primary care. This study determines the knowledge and confidence among FMS in Malaysia.
Method: Pre-intervention questionnaire were conducted followed by a 3 days educational intervention. Post-intervention questionnaire were conducted again 2 months thereafter. The questionnaire assessed knowledge and confidence in the diagnosis and management of leprosy.
Results: The mean total marks for the pre-intervention knowledge questionnaires was 35.4 out of 50 and the mean confidence was 4.0 out of 10 for diagnosis and 3.3 out of 10 for management. Knowledge improved 24.0% post-intervention (p<0.001). Knowledge on pathogenesis and clinical features improved the most with 38.5% and 32.4% respectively whereas knowledge on leprosy reactions improved the least with only 15.1%. The confidence level improved 85% to 7.4 for diagnosis and 118.2% to 7.2 for management post-intervention (p<0.001). FMS with more experience, seeing more than 5 patients in their working life, had better confidence pre-intervention but it became insignificant post-intervention.
Conclusion: Knowledge of FMS was good but their confidence was low pre-intervention. They improved significantly post-intervention. It is hoped that the improvement can allow for earlier detection of leprosy to prevent clinical and epidemiological sequelae.
PY - 2015
T2 - Journal of Dermatology & Dermatologic Surgery
TI - Knowledge and Confidence in the diagnosis and management of leprosy among Family Medicine Specialists in Malaysia.
UR - http://www.sciencedirect.com/science/article/pii/S2352241015000614
SN - 23522410
ER -