Post on 17-Apr-2021
EFFECTIVENESS OF TRAINING OCCUPATIONAL THERAPY AND
PHYSIOTHERAPY INTERNS IN LEPROSY
Mrinmoy Karmakar
The Leprosy Mission Trust, India
Need for training –High leprosy endemic area
–Lack of specialized leprosy training in Kolkata/State
–Lack of adequate knowledge about leprosy among the physiotherapy
and occupational therapy students.
2
Objective • To assess the knowledge about leprosy before and after training in “Clinical and
Surgical Leprosy” of interns in Occupational Therapy and Physiotherapy at The
Leprosy Mission Kolkata, India during the period June 2012 to February 2013
• The study was carried out at The Leprosy Mission referral hospital, Kolkata which
has been involved in training more than 650 participants from various medical
professionals in 2012 (e.g. doctors, therapist, and nurses, etc.).
3
Materials and Methods
42 intern in
OT & PT
• Pre-test • Training on “Clinical and surgical leprosy” for 15 days.
• Didactic • Practical
demonstration and
• Hands on training
• Post Test • Feedback
regarding training.
4
• ANATOMY • INVOLVEMENT IN
LEPROSY • MANAGEMENT OF
COMPLICATIONS
CLINICAL FEATURES
MEDICAL TREATMENT
REACTIONS & NEURITIS
• ANATOMY OF HAND AND FOOT
• IMPAIRMENT • ULCERS • POP SPLINTS
TOPICS COVERED (1/2)
Clinical
Leprosy
Eye in
Leprosy POID
5
• SPLINTS • PRE AND POST
OPERATIVE ASSESSMENT AND MANAGEMENT
• PRACTICALS
• TENDON TRANSFERS
• FLAPS
• PODIATRY • FOOTWEAR • PRACTICALS
TOPICS COVERED (2/2)
RCS Hand
Therapy Podiatry
6
PRE TEST SECTIONS POST TEST
MAX MIN MIN MAX
10.50 1.00 CLINICAL LEPROSY 8.50 19.50
6.00 0.00 EYE IN LEPROSY 0.00 8.50
18.00 4.00 POID 8.00 23.00
7.00 .50 RCS 3.00 19.00
12.50 2.00 HAND THERAPY 6.00 18.00
6.00 0.00 PODIATRY 0.00 11.00
48.00 15.00 TOTAL 29.00 95.50
8
RESULTS
0
10
20
30
40
50
60
70
80
CLINICAL (19.5) EYE (8.5) POID (23) RCS(20) OT & HANDTHERAPY(18)
PODIATRY(11) TOTAL
Pretest and Post test scores
Pre test score
9
CHANGE IN SCORES AFTER TRAINING
10
POST TRAINING – PRE TRAINING Mean
Sig. (2-tailed)
CLINICAL LEPROSY 10.1 .000
EYE IN LEPROSY 4.8 .000
POID 7.7 .000
RECONSTRUCTIVE SURGERY 9.4 .000
HAND THERAPY 6.8 .000
PODIATRY 5.2 .000
TOTAL 44.0 .000
Paired t-test was used to analyze the results of the pre-test and post-test
scores of each section. There is a significant difference between the pre-
test and post-test scores in all the sections (p-value=.000).
FEEDBACK ANALYSIS
QUESTIONS Strongly Agree Agree Disagree
Strongly
Disagree
New Knowledge and ideas communicated 64% 36%
Felt that my personal learning objectives were met 64% 36%
The training has equipped me with enhanced
knowledge, understanding and/or skills 36% 64%
The training covered everything I had expected it to 50% 43% 7%
I will use the new learning, skills, ideas and knowledge.
36% 64%
11
Strongly agree Agree Disagree Strongly Disagree
I believe that the new learning and knowledge I have will improve my performance at work
43% 57%
I feel that the course was conducted well (e.g. engaging form of training delivery, length of course, professionalism of trainers, good venue)?
57% 43%
Knowledge about leprosy 86% 14%
12
Feedback from the trainee showed that most of them agreed that they had
developed new skills and gained new knowledge and will be using the
newly learnt skills in their practice.
The trainees also underwent a change of attitude towards leprosy affected
people and were able to shred their fear and treat leprosy patients like any
other disease.
13
CONCLUSIONS
There was statistically significant improvement in all aspects of the leprosy
training among the interns.
The knowledge of the professional can be improved and the attitude
towards leprosy can be changed.
14
Conclusions
Though training has improved the knowledge regarding leprosy among
interns of OT and PT but questions arise about how much the interns will
be able to retain in their clinical practice in view of the decreasing
numbers of leprosy patients they will be seeing .
A long term follow may be done to find out how much the trainees have
retained and how useful the training is.
15
16