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Article: Improving older adults' knowledge and practice of preventive measures through a telephone health education during the SARS epidemic in Hong Kong: A pilot study

TitleImproving older adults' knowledge and practice of preventive measures through a telephone health education during the SARS epidemic in Hong Kong: A pilot study
Authors
KeywordsHealth education
Older adults
Severe Acute Respiratory Syndrome (SARS)
Telephone intervention
Issue Date2007
PublisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/ijnurstu
Citation
International Journal Of Nursing Studies, 2007, v. 44 n. 7, p. 1120-1127 How to Cite?
AbstractBackground: The outbreak of severe acute respiratory syndrome (SARS) in Hong Kong posed many challenges for health promotion activities among a group of older adults with low socio-economic status (SES). With concerns that this vulnerable group could be at higher risk of contracting the disease or spreading it to others, the implementation of health promotion activities appropriate to this group was considered to be essential during the epidemic. Objectives: To assess the effectiveness of delivering a telephone health education programme dealing with anxiety levels, and knowledge and practice of measures to prevent transmission of SARS among a group of older adults with low SES. Design: Pretest/posttest design. Settings: Subjects were recruited from registered members of a government subsidized social service center in Hong Kong and living in low-cost housing estates. Participants: The eligibility criteria were: (1) aged 55 or above; (2) able to speak Cantonese; (3) no hearing impairment, and (4) reachable by telephone. Of the 295 eligible subjects, 122 older adults completed the whole study. Methods: The interviewers approached all eligible subjects by telephone during the period of 15-25 May 2003. After obtaining the participants' verbal consent, the interviewer collected baseline data by use of a questionnaire and implemented a health education programme. A follow-up telephone call was made a week later using the same questionnaire. Results: The level of anxiety was lowered (t=3.28, p<0.001), and knowledge regarding the transmission routes of droplets (p<0.001) and urine and feaces (p<0.01) were improved after the intervention. Although statistical significant difference was found in the practice of identified preventive measures before and after intervention, influence on behavioral changes needed further exploration. Conclusion: The telephone health education seemed to be effective in relieving anxiety and improving knowledge of the main transmission routes of SARS in this group, but not the practice of preventing SARS. Telephone contact appears to be a practical way of providing health education to vulnerable groups when face-to-face measure is not feasible and may be useful in raising health awareness during future outbreaks of emerging infections. © 2006 Elsevier Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/88264
ISSN
2015 Impact Factor: 3.561
2015 SCImago Journal Rankings: 1.526
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, SSCen_HK
dc.contributor.authorSo, WKWen_HK
dc.contributor.authorWong, DCNen_HK
dc.contributor.authorLee, ACKen_HK
dc.contributor.authorTiwari, Aen_HK
dc.date.accessioned2010-09-06T09:41:01Z-
dc.date.available2010-09-06T09:41:01Z-
dc.date.issued2007en_HK
dc.identifier.citationInternational Journal Of Nursing Studies, 2007, v. 44 n. 7, p. 1120-1127en_HK
dc.identifier.issn0020-7489en_HK
dc.identifier.urihttp://hdl.handle.net/10722/88264-
dc.description.abstractBackground: The outbreak of severe acute respiratory syndrome (SARS) in Hong Kong posed many challenges for health promotion activities among a group of older adults with low socio-economic status (SES). With concerns that this vulnerable group could be at higher risk of contracting the disease or spreading it to others, the implementation of health promotion activities appropriate to this group was considered to be essential during the epidemic. Objectives: To assess the effectiveness of delivering a telephone health education programme dealing with anxiety levels, and knowledge and practice of measures to prevent transmission of SARS among a group of older adults with low SES. Design: Pretest/posttest design. Settings: Subjects were recruited from registered members of a government subsidized social service center in Hong Kong and living in low-cost housing estates. Participants: The eligibility criteria were: (1) aged 55 or above; (2) able to speak Cantonese; (3) no hearing impairment, and (4) reachable by telephone. Of the 295 eligible subjects, 122 older adults completed the whole study. Methods: The interviewers approached all eligible subjects by telephone during the period of 15-25 May 2003. After obtaining the participants' verbal consent, the interviewer collected baseline data by use of a questionnaire and implemented a health education programme. A follow-up telephone call was made a week later using the same questionnaire. Results: The level of anxiety was lowered (t=3.28, p<0.001), and knowledge regarding the transmission routes of droplets (p<0.001) and urine and feaces (p<0.01) were improved after the intervention. Although statistical significant difference was found in the practice of identified preventive measures before and after intervention, influence on behavioral changes needed further exploration. Conclusion: The telephone health education seemed to be effective in relieving anxiety and improving knowledge of the main transmission routes of SARS in this group, but not the practice of preventing SARS. Telephone contact appears to be a practical way of providing health education to vulnerable groups when face-to-face measure is not feasible and may be useful in raising health awareness during future outbreaks of emerging infections. © 2006 Elsevier Ltd. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/ijnurstuen_HK
dc.relation.ispartofInternational Journal of Nursing Studiesen_HK
dc.subjectHealth educationen_HK
dc.subjectOlder adultsen_HK
dc.subjectSevere Acute Respiratory Syndrome (SARS)en_HK
dc.subjectTelephone interventionen_HK
dc.titleImproving older adults' knowledge and practice of preventive measures through a telephone health education during the SARS epidemic in Hong Kong: A pilot studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0020-7489&volume=44&issue=7&spage=1120&epage=1127&date=2007&atitle=Improving+older+adults’+knowledge+and+practice+of+preventive+measures+through+a+telephone+health+education+during+the+SARS+epidemic+in+Hong+Kong:+a+pilot+studyen_HK
dc.identifier.emailChan, SSC: scsophia@hku.hken_HK
dc.identifier.emailSo, WKW: wkwso@hku.hken_HK
dc.identifier.emailLee, ACK: acklee@hku.hken_HK
dc.identifier.emailTiwari, A: tiwari@hku.hken_HK
dc.identifier.authorityChan, SSC=rp00423en_HK
dc.identifier.authoritySo, WKW=rp00442en_HK
dc.identifier.authorityLee, ACK=rp00463en_HK
dc.identifier.authorityTiwari, A=rp00441en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.ijnurstu.2006.04.019en_HK
dc.identifier.pmid16857203-
dc.identifier.scopuseid_2-s2.0-34547503864en_HK
dc.identifier.hkuros132769en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-34547503864&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume44en_HK
dc.identifier.issue7en_HK
dc.identifier.spage1120en_HK
dc.identifier.epage1127en_HK
dc.identifier.isiWOS:000249253500006-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridChan, SSC=7404255378en_HK
dc.identifier.scopusauthoridSo, WKW=7004974026en_HK
dc.identifier.scopusauthoridWong, DCN=24391473100en_HK
dc.identifier.scopusauthoridLee, ACK=21834051800en_HK
dc.identifier.scopusauthoridTiwari, A=7101772273en_HK

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