International Leprosy Association - EFFECTIVENESS OF ... ... CLINICAL LEPROSY 10.1 .000 EYE IN...

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Transcript of International Leprosy Association - EFFECTIVENESS OF ... ... CLINICAL LEPROSY 10.1 .000 EYE IN...

  • 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 & HAND THERAPY(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%

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  •  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.

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  • 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.

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  • 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.

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