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Fulltext Qualitative assessment of knowledge, attitude and practice of oncologists about precision medicine in cancer patients- study from Lahore, Pakistan

Naaem R, Hashmi FK, Yaqub S, Mohamed Noor DA

PLoS One, 2024;19(4):e0299010.
PMID: 38578776 DOI: 10.1371/journal.pone.0299010

BACKGROUND: Precision medicine (PM) is in great progressive stages in the West and allows healthcare practitioners (HCPs) to give treatment according to the patient's genetic findings, physiological and environmental characteristics. PM is a relatively new treatment approach in Pakistan Therefore, it is important to investigate the level of awareness, attitude, and challenges faced by oncology physicians while practicing PM for various therapies, especially cancer treatment.
OBJECTIVES: The present study aims to explore the level of awareness, attitude, and practice of PM in Pakistan along with the challenges faced by the oncologists for the treatment of cancer using the PM approach.
METHODS: Phenomenology-based qualitative approach was used. Face-to-face in-depth interviews were conducted using the purposive sampling approach among oncologists in Lahore, Pakistan. The data were analyzed using thematic content analysis to identify themes and sub-themes.
RESULTS: Out of 14 physicians interviewed 11 were aware of PM. They were keen on training to hone their skills and agreed on providing PM. Oncologists believed PM was expensive and given to affluent patients only. Other impeding factors include cost, lack of knowledge, and drug unavailability.
CONCLUSIONS: Despite basic knowledge and will to practice, resource and cost constraints were marked as significant barriers. Additional training programs and inclusion into the curriculum may help to pave the way to PM implementation in the future. In addition, health authorities and policymakers need to ensure a cheaper PM treatment can be made available for all cancer patients.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Evaluation of Knowledge, Protection, and Participation of Medical Students in Facing Recurrent Waves of the COVID-19 Pandemic

Lam TY, Rajandram R, Seevalingam KK, Kuppusamy S

Asia Pac J Public Health, 2024 May;36(4):402-406.
PMID: 38666469 DOI: 10.1177/10105395241249458
Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Knowledge, attitude and practice of B.Sc. Pharmacy students about antibiotics in Trinidad and Tobago

Ahmad A, Khan MU, Patel I, Maharaj S, Pandey S, Dhingra S

J Res Pharm Pract, 2015 Jan-Mar;4(1):37-41.
PMID: 25710049 DOI: 10.4103/2279-042X.150057

OBJECTIVE: The aim of this study was to assess the knowledge, attitude and practice of B.Sc. Pharmacy students about usage and resistance of antibiotics in Trinidad and Tobago.
METHODS: This was a cross-sectional questionnaire-based study involving B.Sc. Pharmacy students. The questionnaire was divided into five components including Demographics data, knowledge about antibiotic use, attitude toward antibiotic use and resistance, self-antibiotic usage and possible causes of antibiotic resistance. Data were analyzed by employing Mann-Whitney and Chi-square tests using SPSS version 20.
FINDINGS: The response rate was 83.07%. The results showed good knowledge of antibiotic use among students. The overall attitude of pharmacy students was poor. About 75% of participants rarely use antibiotics, whereas self-decision was the major reason of antibiotic use (40.7%) and main source of information was retail pharmacist (42.6%). Common cold and flu is a major problem for which antibiotics were mainly utilized by pharmacy students (35.2%).
CONCLUSION: The study showed good knowledge of pharmacy students regarding antibiotic usage. However, students' attitude towards antibiotic use was poor. The study recommends future studies to be conducted with interventional design to improve knowledge and attitude of pharmacy students about antibiotic use and resistance.
KEYWORDS: Antibiotics; Trinidad and Tobago; knowledge; pharmacy students; resistance

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext A qualitative exploration of Malaysian doctors' perceptions towards complementary and alternative medicines (CAM) [Abstract]

Farooqui M, Othman CN, Hassali AA, Saleem F, Ul Haq N, Sadeeqa S

Value Health, 2014 Nov;17(7):A789.
PMID: 27202944 DOI: 10.1016/j.jval.2014.08.425

Objectives: The study aims to assess doctors’ perceptions towards Complementary and Alternative Medicines (CAM) in their medical practice, factors that affect the referral of CAM and suggestions to improve CAM in medical practice.
Methods: A qualitative research approach was adopted to gain a better understanding of the current perceptions and practice held by doctors’ within their medical professions. In order to gain a wide perspective of the issue, eleven doctors were purposively selected who were working in academics, hospitals and in the community health clinics. Participants were interviewed using a semi-structured interview guide. A saturation point was reached after the 10th interview, and no new information emerged with the subsequent interviews. All interviews were transcribed verbatim and analyzed by means of a standard content analysis framework.
Results: The doctors expressed a range of views on CAM that can be divided into two major themes: doctors’ knowledge and understanding towards CAM and doctors’ viewpoint on CAM in their professional practice. A key factor which affected doctor’s perspectives on CAM was the lack of scientific evidences. The attitudes on CAM were basically shaped based on their personal CAM use rather than knowledge gained during an academic course. Lack of knowledge on CAM was also attributing to the doctors’ reluctance in CAM discussion with their patients. Though addition of CAM courses into the medical curriculum was proposed by some of the doctors; the practical implication was criticized as some found medical curriculum heavily packed with the biomedical courses.
Conclusions: Majority of the doctors in this study were skeptical and uncertain about CAM due to lack of scientific evidence. Doctor-patient communication on CAM can only be improved when doctors’ knowledge on CAM can be improved by providing necessary training on CAM.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Osteoporosis: are healthcare professionals missing an opportunity

Khan YH, Mallhi TH, Sarriff A, Khan AH

Springerplus, 2013;2:463.
PMID: 24083110 DOI: 10.1186/2193-1801-2-463

OBJECTIVES: The objective of the current study is to analyze different approaches of pharmacists and general practitioners towards availability and use of osteoporosis prescreening tools and to find out reasons that explain non utilization of such tools in clinical practice.
SETTINGS: Among General practitioners and Community pharmacists in Pulau Penang, Malaysia.
METHODOLOGY: An explorative cross sectional study was carried out using convenience sampling approach. A pre-validated self- administered questionnaire was used to carry out the study. A total of 170 healthcare professionals participated in study.
MAIN OUTCOME: Evaluation of awareness, use and opinions of healthcare professionals regarding osteoporosis prescreening tools.
RESULTS: Response rate of study was 56%. The mean age of the participants was 39.00 + 7.89 years. Less than one third of participants were familiar with term prescreening tools or Clinical decision rules. The only osteoporosis prescreening tool that was recognized and used by majority of participants was FRAX. Participants agreed that low level of awareness regarding availability of prescreening tools poses hindrance in utilization of such tools in clinical practice. Majority of participants showed willingness to gain information and use such tools in future.
CONCLUSIONS: The results of our study demonstrate an urgent need of implementation of osteoporosis prescreening tools educational and awareness programs among healthcare professionals.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Illness perception among hypertensive patients in primary care centre UKMMC

Norfazilah A, Samuel A, Law PT, Ainaa AA, Nurul Ain Z, Syahnaz MH, et al.

Malays Fam Physician, 2013;8(3):19-25.
PMID: 25893053 MyJurnal

Hypertension is one of the chronic diseases with a rising trend globally, including Malaysia. Patients' own perception of their illness is a strong factor that determines their health-seeking behaviour. The objective of this study was to evaluate the illness perception of hypertensive patients and the associated factors.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Osteoporosis awareness among primary care physicians in Malaysia

Das Gupta E, Goh EM, Gun SC, Hussein H, Shahril NS, Yeap SS, et al.

EXCLI J, 2013;12:521-2.
PMID: 27034635
Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Impact of sexual health course on Malaysian university students

Low WY

Med J Malaysia, 2004 Oct;59(4):443-9.
PMID: 15779575 MyJurnal

A sexual health course was offered and taught by academic staff from the Faculty of Medicine, University of Malaya during semester II of every year as a university elective course to other university students apart from medical students. The course covered a wide range of topics: adolescent sexuality, family planning and pregnancy, violence against women, alternative sexual behavior, physiology of sex, sex and the disabled, gender bias in sexuality, relationship and marriage, sexual dysfunctions, clarification of sexual attitudes and STDs and AIDS. The Sexual Knowledge and Attitude Test (SKAT-II) was used to measure students' pre- and post-course scores on sexual knowledge and attitudes. Fifty-four students who completed both the pre- and post-course tests showed a significant change in sexual knowledge and their attitudes towards sexual myths and autoeroticism. Sexual knowledge was also positively correlated with age, heterosexual relations, autoeroticism and sexual myths scores. However, sexual knowledge is negatively related to religiosity and the influence of religious beliefs on one's attitudes towards sexual matters. This study showed that the sexual health course offered does have a positive impact in increasing one's knowledge and changing one's attitudes towards sexual issues.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Association between knowledge and medication adherence in patients with type 2 diabetes mellitus in Pakistan. [Abstract]

Nazir SU, Hassali MA, Saleem F, Bashir S, Aljadhey H

Value Health, 2015 Nov;18(7):A613.
PMID: 26533439 DOI: 10.1016/j.jval.2015.09.2128

Objectives: Diabetes mellitus is a serious health problem. Medication adherence is a key determinant of therapeutic success in patients with diabetes mellitus. The purpose of this study was to assess medication adherence and its potential association with diabetes related knowledge in patients with type 2 diabetes mellitus.
Methods: This study was carried out at the outpatient clinics of a public sector teaching hospital in Sargodha, Pakistan. Besides demographic and disease-related questions, previously validated questionnaires, Morisky Medication Adherence Scale and Michigan diabetes knowledge test was used to assess the medication adherence and diabetes related knowledge, respectively. Descriptive statistics were used to determine the demographic and disease characteristics of the patients while Spearman rank correlation was employed to measure the association between medication adherence and knowledge.
Results: Three hundred and ninety two patients were interviewed. Out of 392 patients, 245 (62.5%) of the patients had average knowledge about diabetes while 282 (71.9 %) were categorized as poor adherent. Only 13 patients (3.3 %) were considered as good adherent in the study. The correlation coefficient between total scores of knowledge and total medication adherence score was 0.036 (p< 0.05), indicating a weak correlation between knowledge scores and adherence level.
Conclusions: Knowledge of diabetes mellitus among these patients was average; however, adherence to drug therapy was also poor. Patients’ knowledge about diabetes had positive association with medication adherence. Improving diabetes knowledge of people can result in better adherence, which may result in better control of diabetes.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Knowledge, attitude and practice among healthcare staffs in the Emergency Department, Hospital Universiti Sains Malaysia towards Rape Victims In One Stop Crisis Centre (OSCC)

Chew KS, Noredelina MN, Ida ZZ

Med J Malaysia, 2015 Jun;70(3):162-8.
PMID: 26248779 MyJurnal

INTRODUCTION: Aimed at providing integrated multi-level crisis intervention to women experiencing violence such as rape, One Stop Crisis Centre (OSCC) in Malaysia is often located in the emergency department. Hence, it is imperative that emergency department healthcare providers possess adequate knowledge and acceptable attitudes and practices to ensure the smooth running of an efficient OSCC work process.

METHOD: To study the knowledge, attitude and practice of rape management in OSCC among four groups of healthcare providers in the emergency department [i.e., the emergency medicine doctors (EDs), the staff nurses (SNs), the medical assistants (MAs) and the hospital attendants (HAs)], a selfadministered questionnaire in the form of Likert scale was conducted from January to October 2013. Correct or favourable responses were scored appropriately.

RESULTS: Out of the 159 participants invited, 110 responded (69.2% response rate). As all data sets in the Knowledge, Attitude and Practice sections are non-parametric, Kruskal- Wallis test was performed. Homogeneity of variance was verified using non-parametric Levene test. In all three sections, there are statistically significant differences in scores obtained among the four groups of healthcare providers with H(3) = 16.0, p<0.001 for Knowledge, H(3) = 27.1, p<0.001 for Attitude and H(3) = 15.8, p<0.001 for Practice sections. Generally, the SNs obtained the highest mean rank score in the knowledge and practice sections but the EDs obtained the highest mean rank score in the attitude section. Some of the responses implied that our healthcare providers have the victim-blaming tendency that can negatively impact the victims.

CONCLUSION: Healthcare providers must not only have adequate knowledge but also the non-judgemental attitude towards victims in OSCC.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Use of contraceptives in three south-east Asian countries

Lun KC

Asia Oceania J Obstet Gynaecol, 1983 Jun;9(2):185-92.
PMID: 6615332 DOI: 10.1111/j.1447-0756.1983.tb00620.x

Use of contraceptives by some selected characteristics was studied for married women in the reproductive age range (MWRA) in three south‐east Asian countries. The data were obtained from each country's national family planning/fertility survey conducted around the mid‐seventies. Only the gross relationship between each of the selected characteristics and contraceptive use was compared. The proportion of MWRA using contraceptives for Singapore was almost twice as high as the corresponding proportions for Peninsular Malaysia and Thailand. The pattern of contraceptive use was largely similar for Thailand and Malaysia but different from Singapore. The differences were largely attributed to the absence of a large rural population in Singapore, the apparently greater tendency of women in Singapore to use reversible contraceptive methods for birth spacing and the easier access by women to family planning information and services, particularly sterilisation, than in Peninsular Malaysia and Thailand.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Knowledge, attitude, and practice of self-wound management among patients with diabetic foot ulcer (DFU) in Pahang. [Abstract]

Saidi S

International Medical Journal Malaysia, 2017;16(11):1-1.
MyJurnal

Introduction: A survey in 2011 reported that the prevalence of diabetes in Malaysia is 20.8% (2.8 million people) and 88% have uncontrolled diabetes. Diabetic foot ulcer (DFU) is one of the common diabetes complications in Malaysia that leads to other devastated situation including infection, amputation and death. In Pahang, 95% of the patients have uncontrolled diabetes and 50% of them suffered from DFU. Self-wound management is an important element in reducing the risk of further complications of DFU. However, little is known on the patients' understanding of diabetes and their practice of self wound management. This study aimed to understand the knowledge, attitude and practice of self-wound management among patients with diabetic ulcer in Pahang.
Materials and method: A quantitative, cross-sectional study was conducted in a tertiary hospital in Pahang involving 100 participants. Participants were recruited using purposive sampling from April 2017 until May 2017. Participants' knowledge, attitude and practice of self-wound management were measured using self-administered questionnaires. Additionally, the data on socio-demographic was gathered. The data was computed into SPSS and analyzed using descriptive and inferential statistics.
Results: Out of 100 participants, 95% of them had good knowledge on diabetes and DFU, 84% had a positive attitude towards self-wound management and 56% perceived good practices of self-wound management. However, a chi-square test between knowledge on diabetes and DFU and practice of self-wound management found no significant interaction (p > 0.05). Meanwhile, there was a significant interaction between attitude and practice of self-wound management (p < 0.05).
Conclusion: Good knowledge on diabetes and DFU do not determine the patients’ practice of self-wound management. However, positive attitude towards self-wound management would contribute to the practice and willingness of the patients to selfmanage their foot ulcer wound at home.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Knowledge and awareness regarding osteoporosis among multi ethnic people attending the orthopaedic clinic at Universiti Kebangsaan Malaysia Medical Centre

Zaris SNABSM, Ahmad MSB, Mohamed SZB, Shuid ANB, Mohamed INB, Mokhtar SAB

Malaysian Journal of Public Health Medicine, 2016;16(3):166-175.

Malaysia is a multi-ethnic country with an osteoporosis prevalence of 24.1% in 2005. Only few study reported on osteoporosis awareness. Aim of this study was to investigate the awareness and knowledge regarding osteoporosis among persons attending orthopaedic clinic at Universiti Kebangsaan Malaysia (UKM) Medical Centre, Kuala Lumpur. A total of 368 participants (male and female) aged 20 years old or older, was assessed using the Osteoporosis Questionnaire (OPQ). The mean total OPQ score was 1.7 (SD ± 3.08; range -5 to 9; maximum possible score 20). Subjects with family history of osteoporosis and high education level were found to have significantly higher OPQ scores (p<0.05). However, there was no significant difference (p>0.05) with respect to different age groups, gender, ethnicities, and menopausal status. The main source of osteoporosis knowledge was magazine/newspaper (45.9%). An overall low score indicates that new strategies to increase awareness of osteoporosis among the public is urgently required.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Knowledge of osteoporosis among primary care doctors in Malaysia. [Abstract]

Das Gupta E, Goh EML, Gun SC, Hussein H, Shahril NS, Yeap SS

APLAR Journal of Rheumatology, 2006;9 Suppl 1:A53.

Background: In the ageing population, osteoporosis (OP) is becoming an increasingly common medical condition. Effective interventions are available that should enable clinicians to limit the magnitude of the burden but this will require the proper knowledge of OP and its management. Objective: To explore family physicians' perceptions of OP and to identify their educational needs in this area.
Method: Self administered questionnaires about OP knowledge and management were distributed to attendees of Rheumatology Workshops for primary care physicians between March and November 2005, in Malaysia.
Results: A total of 134 primary care physicians participated in this survey comprising 53% private practitioners, 44% government doctors, 2.2% from academic institutions and 0.7% not stated. The majority 73 (54.4%) had practiced for more than 10 years, 29 (21.6%) under 5 years and 32 (23.9%) between 5 and 10 years. 127 (94.4%) of them saw patients with osteoporosis. Those who had qualified for over 10 years were more likely to treat OP (p = 0.012). 82% felt that osteoporosis was under-diagnosed whereas 14.9% thought it was over diagnosed. This was not related to specialty or years qualified. Regarding the reasons for under-diagnosis of osteoporosis, 71% stated that they had no access to DXA screening, 74% had no access to heel ultrasound, 66% felt the disease was asymptomatic, 37% felt that investigations were costly and only 11% perceived the problem as a lack of referral for specialist opinion. Majority of respondents recognized the risk factors for OP such as increasing age (93%), post menopausal state (90%), positive family history (70%) and a previous low trauma fracture (65%). 7% were not sure how to further investigate a case of OP. For all categories of bone density, under 50% would advise changes in life-style measures. For osteopenia, 65.7% recommended calcium, 54.5% activated vitamin D products. For OP, 79.1% would use bisphosphonates, 50% calcium. In established OP, 80.6% would use bisphosphonates, 44% calcium. Usage of HRT and SERMs ranged between 20% and 30% in all categories. 63% were aware of the Malaysian Clinical Practice Guidelines on Osteoporosis. 22% would not refer to a specialist, whereas 50.4% would refer severe cases only. Almost all (98%) requested for further continuing medical education on OP.
Conclusions: In this study, the majority of primary care physicians had a reasonable working knowledge of the management of OP. However, 71% had no access to DXA. Therefore, awareness needs to be supplemented by adequate facilities to further improve the management of OP in the community.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext HIV/AIDS knowledge level among undergraduate health science students in a private university, Malaysia

Amin S, Awang Z

Malaysian Journal of Medical Research, 2017;1(1):1-7.
MyJurnal

Globally, the spread of HIV/AIDS is a major public health challenge because of its pandemic magnitudes. Despite the fact that people of any age are susceptible to HIV, the younger population is more susceptible to be infected because of their lifestyle choices. The purpose of this study was to assess the extent of HIV/AIDS knowledge level among health science undergraduate university students as they play a primary role within the health care system of a country. A cross-sectional study was conducted by using a semi structured, self-administered, especially design questionnaire. Out of total one hundred fifty undergraduate university students, there were 96 males (64%) and 54 females (36%) with the age ranging from 19-25 years. All the students were able to write the acronym of HIV (100%) and AIDS (100%). Common routes of transmission and prevention measure were known by majority of the students. Students stated correctly regarding HIV/AIDS transmission from mother to child through pregnancy (18.02%), delivery (15.31%) and breast feeding (11.30%) which was very low level of knowledge. Most of the medical, dental and physiotherapy students had correct knowledge on high risk populace for HIV/AIDS; like singles, intravenous drug user, multiple sex partners and commercial sexual partner. Regarding the preventive measure as hand washing, use of facial mask and sexual abstinent was correctly mentioned by only 31.34%, 34.02% and 28.01% total students respectively. However other safety measure like condom use, effectiveness of condom use, screening of blood was widely known by the students. However, regarding the knowledge on treatment issue of HIV/AIDS, majority of the students (85.30%) correctly knew that HIV/AIDS was not curable, whereas only 15.31% and 20.01% correctly knew that the treatment was very expensive and available respectively. So, this study focus the educational endeavors that could be broadened to emphasis on its general knowledge on HIV/AIDS.
Study site: Medical, Dental and Physiotherapy Faculties at a private university college in Malaysia.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Development of parallel scales to measure HIV related stigma in Sabah

Ei KS, Shoesmith WD

Borneo Journal of Medical Sciences, 2016;10(1):19-29.
MyJurnal

In this study parallel scales were constructed to use to measure the levels of HIV-related stigma towards people living with HIV (PLHIV) in populations with different backgrounds in Sabah. The study also explored the components of stigma within the population. We found that there were three principle components of HIV related stigma: “Interpersonal distancing,” “Shame and blame,” and “Positive opinions about PLHIV”. The scales constructed showed adequate internal consistency (Cronbach’s Alpha of 0.69 to 0.85) in all samples. The medical students and people with more knowledge about HIV had significantly lower levels of all three factors of personal stigma. Regarding HIV-related knowledge, the non-medical university students and the rural community group were found to have poor knowledge of HIV transmission and prevention. This scale can be used by researchers or public health officials who wish to study HIV related stigma or to evaluate the impact of stigma interventions in the local context.
Study site: Universiti Malaysia Sabah; Rural Medical Education Centre, Sikuati, Kudat, Sabah, Malaysia

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Community pharmacists' knowledge, attitudes and practices towards oral healthcare and its management: A systematic review

Rajiah K, Lim WK, Madeline Teoh PL, Binti Mas'od MA, Lim WY, Poh Chou LL, et al.

Int J Clin Pract, 2021 Sep;75(9):e14096.
PMID: 33619786 DOI: 10.1111/ijcp.14096

BACKGROUND: Community pharmacists play a significant part in providing oral healthcare advice as there are significant connections between oral healthcare and body system healthcare.
OBJECTIVE: To systematically review the literature regarding the knowledge, attitudes and practice of community pharmacists in managing oral healthcare problems.
METHODS: A systematic review was conducted through Scopus, PubMed and Google Scholar databases. Studies regarding knowledge, attitudes and practice of management of dental care by community pharmacists between 1990 and 2019 were included.
RESULTS: Forest plot was performed to access knowledge, attitudes and practice of community pharmacist on oral healthcare. The results showed there were 44% of community pharmacists have a lack of knowledge on oral healthcare to provide an appropriate recommendation to patients with dental problems. Eighty-eight per cent of community pharmacists were willing to improve their knowledge of oral healthcare. There were 86% of them recognised that their role was significant in oral health. However, there were 59% of community pharmacists who had poor attitude in providing oral health information.
CONCLUSIONS: Community pharmacists were lacking knowledge on oral health mainly because of paucity in providing appropriate training courses. This has led to poor practices towards oral healthcare as they were unable to provide suitable products recommendations to the patients. This has led the community pharmacists into lack of attitudes in providing oral health information. However, most of the community pharmacists were conscious of their role in the oral healthcare system and were willing to improve their knowledge of oral healthcare.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Fulltext Vaccine hesitancy and the resurgence of vaccine preventable diseases: the way forward for Malaysia, a Southeast Asian country

Wong LP, Wong PF, AbuBakar S

Hum Vaccin Immunother, 2020 07 02;16(7):1511-1520.
PMID: 31977285 DOI: 10.1080/21645515.2019.1706935

This study engaged health professionals in in-depth, semi-structured interviews to explore their opinions concerning the issues surrounding vaccine hesitancy in Malaysia and strategies to improve vaccination to stamp the rise of vaccine preventable diseases (VPDs). Opinions on how to address the resurgence of VPDs in the era of increasing vaccine hesitancy were obtained. Eight health professionals, including geriatricians, pediatricians, microbiologists, public health specialists, and family medicine specialists were interviewed. The influence of anti-vaccination propaganda, past-experience of adverse event following immunization (AEFI), perceived religious prohibition, a belief that traditional complementary and alternative medicine (TCAM) use is safer, pseudoscience beliefs, and anti-vaccine conspiracy theories were identified as reasons for refusing to vaccinate. The interplay of social, cultural and religious perspectives in influencing perceived religious prohibition, pseudoscience beliefs, and the use of TCAM contributing to vaccine refusal was found. Five broad themes emerged from the health professionals regarding strategies to address vaccine hesitancy, including establishing an electronic vaccination registry, increasing public awareness initiatives, providing feedback to the public on the findings of AEFI, training of front-line healthcare providers, and banning the dissemination of anti-vaccine information via social media. With regards to identifying strategies to address the resurgence of VPDs, mandatory vaccination received mixed opinions; many viewed supplementary immunization activity and the prevention of travel and migration of unvaccinated individuals as being necessary. In conclusion, the present study identified unique local cultural, traditional and religious beliefs that could contribute to vaccine hesitancy in addition to issues surrounding vaccination refusal similarly faced by other countries around the world. This information are important for the formulation of targeted intervention strategies to stamp vaccine hesitancy in Malaysia which are also a useful guide for other countries especially in the Southeast Asia region facing similar vaccine hesitancy issues.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Knowledge and practice of burn first aid among parents of under-age children

Halil MF, Ibrahim NM, Ahmad ZNBS, Che Hasan MK

Enferm Clin, 2021 04;31 Suppl 2:S100-S104.
PMID: 33849139 DOI: 10.1016/j.enfcli.2020.09.008

The objective of this study is to assess the level of knowledge and practice of burn first aid management among parents. A cross-sectional study was conducted among parents of under-age children in the Taman Desa Darul Naim area of Pasir Tumbuh, in Kelantan, Malaysia, using an adapted survey from Davies et al. Out of 80 respondents, 46.3% showed minimal knowledge of burn first aid, 47.5% had moderate knowledge, and 6.3% extensive knowledge. There was a significant relationship between the demographic data and the knowledge of burn first aid for gender (p=0.02), but no significant relationship between the level of knowledge and level of education (p=0.29) or age (p=0.09). The findings indicate that the level of knowledge of burn first aid is limited. Education for parents of under-age children, including demonstrations of burn first aid, is needed to promote safe action and prevent further injury in the community.

Matched MeSH terms: Health Knowledge, Attitudes, Practice
Knowledge and practice on medication adherence among Type II diabetes mellitus patients

Jamaludin TSS, Mohammad NM, Hassan M, Nurumal MS

Enferm Clin, 2021 04;31 Suppl 2:S372-S376.
PMID: 33849203 DOI: 10.1016/j.enfcli.2020.09.028

This study aimed to survey the level of knowledge and practice on medication adherence among Type II diabetes mellitus (DM) patients. A cross-sectional study was conducted with a total of 220 DM patients by using a convenience sampling method. It was found that 64.5% of studied participants have a high level of knowledge with good practice toward medication adherence. There was a significant association between sociodemographic characteristics with the level of knowledge and practice toward medication adherence. This study finding provides information to health care providers to improve their patient's care by playing their important role in promoting the importance of knowledge on medication adherence for a better quality of life to the DM patients. Not only a physician but also the nurse could enhance health education for their patient on medication adherence during the follow-up appointment.

Matched MeSH terms: Health Knowledge, Attitudes, Practice

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