JOURNAL

PRESENTATION

SUBMITTED TO; SUBMITTED BY;

MR. VINAY GAWALI MR. ANKUSH R. KULAT
ASSOC. PROFESSOR MSC 1ST YEAR
KNC, SEWAGRAM KNC, SEWAGRAM
EFFECTIVENESS OF VIDEO ASSISTED TEACHING ON KNOWLEDGE REGARDING
PREVENTION OF DENGUE FEVER AMONG ADOLESCENT
ABSTRACT:
Background: During current pandemic, health care workers (HCWs), found to be a
vulnerable group for experiencing psychological and psychiatric difficulties owing to direct
or indirect involvement with COVID-19 patients. This study was organized to measure
perceived stress and coping styles among HCWs of a tertiary care hospital in Lucknow,
Uttar Pradesh.
Methods: A cross-sectional, online self-reported questionnaire-based study was conducted
among HCWs. Cohen’s perceived stress scale, and Brief COPE were used. Data were
analyzed using descriptive statistics and multiple regression analysis.
Results: A total of 298 HCWs responded; most of them perceived a Moderate Stress
(63.8%) followed by Low Stress (24.2%) and high stress (12.1%). In terms of severity of
perceived stress and coping styles there were significant differences based on gender,
marital status, family type, occupation and work status regarding COVID duties. Age and
gender predicted perceived stress. Perceived stress also predicted suicidal thoughts but not
mania and psychotic symptoms.
Conclusion: A substantial proportion of HCWs perceive moderate to elevated levels of
stress during the pandemic which varies based on their gender, family type, marital status,
occupation, and work status. Hence, there is a need for routine screening and interventions
for HCWs at an early stage before they perform duties as frontline

INTRODUCTION:
Dengue fever is an acute infectious life threatening mosquito born disease, transmitted
through Aedesaegypti mosquito. Characterized by episodes of ‘saddle back’ fever, muscle
and joint pain accompanied by an initial erythema and terminal rash of varying morphology.
It is also called as break bone fever or Dandy fever, occurs more frequently during rainy
seasons i.e., in the month of june to September.
This disease is mainly affect to the children below 15years of age, where 90%
reported cases are below the age of 15years. Over the past 10 to 15years next to diarrheal
disease and acute respiratory disease dengue fever has become a leading cause of
hospitalization and deaths among children in South East Asia region. The estimated number
of annual dengue fever cases is between 20 to 30 million and Dengue hemorrhagic cases are
about 2,00,000. The first evidence of dengue fever was reported at Vellore district in
Tamilnadu. The first dengue hemorrhagic fever outbreak was found in Calcutta(West
Bengal).
Recently, rural areas of Wardhadisctict(central Maharashtra) had an outbreak of
dengue viral illness. 499 patient age of 0-12 year admitted to a tertiary care hospital of
Mahatma Gandhi institute of medical sciences, Sewagram WardhafromAug 2004 to 2005
were investigated for dengue infection.
 In India around20 million cases get infected annually. According to 2010 census
incidence of dengue fever cases are as follow, in Delhi-3297 with 5 deaths, Kerala-2274 with
15 death, Gujarat-1273, Tamilnadu-843 with 4 deaths, Maharashtra-788 with 6 deaths, and
Andrapradesh-377 cases, Karnataka-843 with 4 deaths. In Bijapur two children died due to
dengue fever and 34 suspected cases have been reported. In that 19cases from
BasavanBhagewadi, 9cases from Sindagi and 6 cases from Bijapurtaluka.
In the absence of specific treatment and vaccine for dengue fever, only a vector controlis an
important measure to control of dengue infection. And also there isaaneed to develop a
vaccination on comparison with other communicable disease, which has become challenge
for researcgers, and there is a need to educate the community in regard of prevention and
control with view to reduce the burden on society and Health Care Delivery System.
Material and Methods:
A interventional research approach and quasi experimental one group pretest and posttest
research design was used in this study. The study was conducted in the selected schools of
Wardha district during year 2015 to 2016. The population of the study was adolescents who
were fulfilling the inclusion criteria. The sampling technique used was non-probability
convenience sampling. The sample size was 100. The study was approved by the institutional
ethical committee and the study was conducted in accordance with the ethical guidelines. In
inclusioncriteria of the study are adolescent those who are willing to participate in the study,
available at the period of data collection, those who are in the age group of 15 to 18 years and
both male and female adolescents. We exclude adolescents who are already attended the class
on dengue fever, adolescent parents working in health department, adolescents suffering with
any severe illness. A structured questionnaire was used to collect the data.
RESULTS:
Major Findings:
The above figure shows in pre test of adolescents were having poor level of
knowledgescore, 66% of them had average and 23% of them good level of knowledge score,
and 0% of them had excellent level of knowledge score. The minimum score was 3 and the
maximum score was 14, the mean score was 8.26_ 2.52 with a mean percentage score of 41.3
In post test 24% of adolescents had good level of knowledge score and 76% had excellent
level of knowledge score. The minimum score was 12 and the maximum score was 20, the
mean score was 16.86 with a mean percentage score of 84.3.
After assessing pre test and post test it shows that after video assisted teaching there was
increase in post test knowledge score.
The above table findings shows the pretest and post test knowledge scores of adolescents
regarding post test knowledge scores of adolescents regarding prevention of dengue fever.
Mean, standard deviation and mean percentage score values are compared and student’s
paired test is applied at 5% level of significance. The tabulated value for n=100 i.e. 99
degrees of freedom was 1.98. The calculated values was 28.4 for overall knowledge score.
The calculated ‘t’ value are much higher than the tabulated value at 5% level of significance
which is statistically acceptable level of significance. In addition the calculated ‘p’ value was
0.00 less than 0.05, which is ideal for any population. Hence it is statistically interpreted that
video assisted teaching on knowledge regarding prevention of dengue fever was effective.
Thus the H1 is accepted. There was no significant association between demographic variables
except the mother education of adolescents.

Discussion:
The finding of the study was discussed with reference to the objective stated & with the
findings of the other study.
In present study shows that in pre test, 11% of adolescent were having poor level of
knowledge score, 66% of them had average and 23% of them good level of knowledge score,
and 0% of them had excellent knowledge score. The minimum score was 3 and the maximum
score was 14, the mean score was 8.26 with a mean percentage score of 41.3. In post test 245
of adolescents had good level of knowledge score and 76% had excellent level of knowledge
score. The minimum score was 12 and the maximum score was 20, the mean score was 16.86
with a mean percentage score of 84.3. After assessing pre test and post test it shows that
aftervideo assisted teaching there was increase in post test knowledge score.
A similar study regarding impact of education on parents on prevention of dengue
fever in selected urban slum. By random sampling technique 40 samples were taken for
research study, result shows that majority of respondents(82.5) had inadequate knowledge
regarding prevention of dengue fever in pretest; after education programme majority of
respondents had moderate and adequate knowledge regarding prevention of dengue fever.
Study reveals that compare with pretest knowledge (27.7) the posttest knowledge is
high(53.6).
A cross-sectional pilot study was conducted among people through convenience sampling,
a pre-tested and structured questionnaire was administered through a face-to-face unprompted
interview with 447 visitors. Knowledge was recorded on a scale of 1-3. About 89.9% of
individuals interviewed had heard of dengue fever. Sufficient knowledge about dengue was
found to be in 38.5% of the sample, with 66% of these in Aga Khan University Hospital and
33% in Civil Hospital Karachi. Literate individuals were relatively more well-informed about
dengue fever as compared to the illiterate people. Knowledge based upon preventive
measures was found to be predominantly focused towards prevention of mosquito
bites(78.3%) rather than eradication of mosquito population (17.3%). Use of anti-mosquito
spray was the most prevalent(48.15) preventive measure.
A similar study conducted on high school children selected through probability simple
random sampling. The data was collected using a pretest structured questionnaire. The
planned-teaching programme was administered at the end of the pre test. The post test was
carried out after 7 days, using the same tool as the pre-test. A total of 60 high school children
were included in the study. Analysis of data revealed pre test knowledge score was 28.25%.
Considering the level of knowledgeof high school students, a planned teaching programme
was administered. The post test knowledge score was 70.83%. Hence comparison in pre-test
knowledge score and post-test percentage of dengue and its prevention was approximately
42.58%. A significant association between age and post test knowledge was found. A
significant number of high school children had poor knowledge. So researcher felt the
awareness programmes regarding dengue fever and its prevention should be emphasized.
RECOMMENDATIONS:
A similar study can be replicated on large scale to generalize the findings.
A similar study can be conducted to find out the difference in the knowledge level of the staff
nurses on the basis of various institutional setting such as government and private setting.
A similar study can be conducted to find the knowledge level of the nursing students.
A similar study can be conducted to assess the effectiveness of video assisted teaching versus
self instructural module regarding prevention of dengue fever.
CONCLUSION:
Based on the analysis of finding of the study, the following inference was drawn. There was
evident increase in the knowledge scores in all the areas included in the study after
administration of the video assisted teaching. The actual gain score was significantly higher
in the prevention of dengue fever. Thus the video assisted teaching was effective and while
the gain in knowledge scores. A significant difference in means was found in knowledge
scores between pre-test & post-test. The mean post-test knowledge score was found to be
significantly higher than the mean pre-test knowledge scores.