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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/54843
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dc.creatorAndrea Beatonpt_BR
dc.creatorl. Barrospt_BR
dc.creatorCraig Sablept_BR
dc.creatorB.r. Nascimentopt_BR
dc.creatorMaria do Carmo Pereira Nunespt_BR
dc.creatorK.b. Oliveirapt_BR
dc.creatorAntônio Luiz Pinho Ribeiropt_BR
dc.creatorC.m. Oliveirapt_BR
dc.creatorGraziela Chequerpt_BR
dc.creatorV.m. Rezendept_BR
dc.creatora. Lauarpt_BR
dc.creatorA.l.m. Costapt_BR
dc.date.accessioned2023-06-12T20:30:50Z-
dc.date.available2023-06-12T20:30:50Z-
dc.date.issued2016-06-
dc.citation.volume11pt_BR
dc.citation.spagee174pt_BR
dc.identifier.doi10.1016/j.gheart.2016.03.613pt_BR
dc.identifier.issn22118160pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/54843-
dc.description.resumoIntroduction: Rheumatic Heart Disease (RHD) remains an important cause of morbidity and mortality in Brazil and other low- and middle-income countries (LMIC). Lack of public awareness of the causes and prevention of RHD limit the efficacy of primary and secondaryprevention programs. Objectives: To evaluate the efficacy of knowledge transfer that results from a structured public-school educational program on RHD. Methods: A prospective, cohort study was conducted over 8 months (9/2014-4/2015) in 6 randomly selected low-income public schools in Belo Horizonte, Brazil. All enrolled and present students received education. A nurse and an imaging technician utilized 2 custom educational curriculums, targeting children in grades 6 - 11 (aged 11-17). Pre-tests, taken immediately prior to educational curriculum queried students’ knowledge of the causes, prevention, diagnosis, and treatment of RHD. Post-tests, 1-3 weeks following education assessed the efficacy of knowledge transfer and retention. Results: Education was delivered to 3700 students. Of these, 1176 were randomly selected to participate in pre- and post-testing including 404 (34%) in 6th/7th grades (G1), 511 (44%) in 8th/9th (G2), and 261 (22%) of in 10th/11th grades (G3). The mean interval between pre and post-tests was 1010 days. Prior to the intervention, general knowledge regarding RHD was universally low (median score 46.7%, 40.0-60.0). Children in higher grades (G3) knew more about RHD than those in lower grades (60% vs. 43.3% G1/46.7% G2), p<0.001.Children showed significant gains in the post-test, raising the median score by 20% (60%, 40.0-73.3). Again, children in higher grades showed higher overall scores (73.3%, 60.0-80.0 G3; 60%, 40.0-73.3 G2; 53.3%, 33.3-66.7 G1), p<0.001. However, the percent increase was similar between groups (6.9% G1, 7.9% G2, 8.5% G3), p¼0.53. Conclusion: School-based RHD education resulted in consistent but modest gains in knowledge. Novel educational techniques and use of technology to engage young learners may lead to improved knowledge gains and retention. Further studies are needed to determine if increased knowledge leads to behavioral changes that could decrease theburden of RHD in LMIC.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofGlobal Heart-
dc.rightsAcesso Abertopt_BR
dc.subjectRheumatic Heart Diseasept_BR
dc.subjectBrazilpt_BR
dc.subjectMiddle countriespt_BR
dc.subject.otherCardiopatia Reumáticapt_BR
dc.subject.otherBrasilpt_BR
dc.subject.otherPaíses em Desenvolvimentopt_BR
dc.titleSchool-based health education intervention to increase knowledge on rheumatic heart disease: the provar studypt_BR
dc.title.alternativeSchool-based health education intervention to increase knowledge on rheumatic heart disease: the provar studypt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.sciencedirect.com/science/article/pii/S2211816016306135pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-7539-4994pt_BR
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