Effectiveness of a multicentre nasopharyngeal carcinoma awareness programme in Indonesia

Renske, Fles and Sagung R, Indrasari and Camelia, Herdini and Santi, Martini and Atoillah, Isfandiari and Achmad C, Romdhoni and Marlinda, Adham and Ika D, Mayangsari and Erik van, Werkhoven and Maarten A, Wildeman and Bambang, Hariwiyanto and Bambang, Hermani and Widodo Ario Kentjono, NIDN. 0006025003 and Sofia M, Haryana and Marjanka K, Schmidt and I Bing, Tan (2016) Effectiveness of a multicentre nasopharyngeal carcinoma awareness programme in Indonesia. BMJ OPEN.

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Official URL: http://bmjopen.bmj.com


Objective: To evaluate the effectiveness of a nasopharyngeal carcinoma (NPC) awareness programme on the short-term and long-term improvement of knowledge and referral of patients with NPC by primary healthcare centres (PHCCs) staff in Indonesia. Design: The NPC awareness programme consisted of 12 symposia including a Train-The-Trainer component, containing lectures about early symptoms and risk factors of NPC, practical examination and the referral system for NPC suspects. Before and after training participants completed a questionnaire. The Indonesian Doctors Association accredited all activities. Participants: 1 representative general practitioner (GP) from each PHCC attended an NPC awareness symposium. On the basis of the Train-The-Trainer principle, GPs received training material and were obligated to train their colleagues in the PHCC. Results: 703 GPs attended the symposia and trained 1349 staff members: 314 other GPs, 685 nurses and 350 midwives. After the training, respondents’ average score regarding the knowledge of NPC symptoms increased from 47 points (of the 100) to 74 points (p<0.001); this increase was similar between symposium and Train-The-Trainer component (p=0.88). At 1½ years after the training, this knowledge remained significantly increased at 59 points (p<0.001). Conclusions: The initial results of this NPC awareness programme indicate that the programme effectively increases NPC knowledge in the short and long term and therefore should be continued. Effects of the improved knowledge on the stage at diagnoses of the patients with NPC will still need to be scrutinised. This awareness programme can serve as a blueprint for other cancer types in Indonesia and for other developing countries.

Item Type: Article
Subjects: R Medicine
Divisions: 10. Fakultas Kesehatan Masyarakat
Sagung R, IndrasariUNSPECIFIED
Camelia, HerdiniUNSPECIFIED
Atoillah, IsfandiariUNSPECIFIED
Achmad C, RomdhoniUNSPECIFIED
Marlinda, AdhamUNSPECIFIED
Ika D, MayangsariUNSPECIFIED
Erik van, WerkhovenUNSPECIFIED
Maarten A, WildemanUNSPECIFIED
Bambang, HariwiyantoUNSPECIFIED
Bambang, HermaniUNSPECIFIED
Widodo Ario Kentjono, NIDN. 0006025003UNSPECIFIED
Marjanka K, SchmidtUNSPECIFIED
Depositing User: Tn Chusnul Chuluq
Date Deposited: 22 Oct 2017 22:40
Last Modified: 02 Apr 2018 23:17
URI: http://repository.unair.ac.id/id/eprint/64153
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