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首页> 外文期刊>BMC research notes >Development and testing of Schisto and Ladders?, an innovative health educational game for control of schistosomiasis in schoolchildren
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Development and testing of Schisto and Ladders?, an innovative health educational game for control of schistosomiasis in schoolchildren

机译：开发和测试“ Schisto and Ladders？”，一种创新的健康教育游戏，可控制小学生血吸虫病

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BackgroundSchistosomiasis remains a public health problem in many regions of the world, including Nigeria. Current control strategy involves mass drug administration with praziquantel to the endemic population. To complement and sustain on-going preventive chemotherapy, we developed a health educational game named Schisto and Ladders? and tested its potential for the control of schistosomiasis among schoolchildren living in Imala-Odo, a highly endemic community near Abeokuta, Nigeria. MethodsOne hundred school children were randomly selected and divided into intervention and control groups through balloting. Their knowledge, attitudes and practices (KAP) concerning schistosomiasis transmission, control and prevention were assessed using structured questionnaires. Schisto and Ladders? game were given to the intervention group and the popular Snake and Ladders? game to the control group. Both games were played for 2 months under the supervision of their class teachers. A post-KAP assessment was carried out in both groups, including focus group discussions (FGDs) to investigate knowledge and the impact of the games. ResultsKnowledge about urinary schistosomiasis and its transmission significantly improved (P?=?0.000) in the intervention group (68.0%) compared to the control group (8.0%). FGDs showed that the frequency of visits to dam water also significantly reduced (P?=?0.048) in the intervention group (18.0%) compared to the control group (40.0%). There was a significant increase in knowledge regarding risk behaviours, prevention and control of schistosomiasis among the intervention group, but no new knowledge gained in the control group. ConclusionsThis study demonstrates the potential of the health education game Schisto and Ladders? for teaching basic health education and promoting behavioural changes among schoolchildren in endemic communities.
机译：背景技术血吸虫病仍然是世界许多地区（包括尼日利亚）的公共卫生问题。当前的控制策略涉及对吡喹酮对当地人群进行大规模药物管理。为了补充和维持正在进行的预防性化疗，我们开发了一个名为Schisto and Ladders？的健康教育游戏。并测试了其在居住于尼日利亚阿贝库塔附近的高度流行社区Imala-Odo的学童中控制血吸虫病的潜力。方法随机抽取100名小学生，通过抽签分为干预组和对照组。使用结构化调查表评估了他们关于血吸虫病传播，控制和预防的知识，态度和实践（KAP）。血吸虫和梯子？游戏被提供给干预小组和流行的“蛇和梯子”？游戏到对照组。这两场比赛在班主任的指导下进行了两个月。两组均进行了KAP后评估，包括焦点小组讨论（FGD），以调查知识和游戏的影响。结果干预组（68.0％）对尿道血吸虫病及其传播的知识明显高于对照组（8.0％）（P≥0.000）。 FGDs显示干预组（18.0％）的水坝探访频率也显着降低（P = 0.048），而对照组（40.0％）。在干预组中，有关危险行为，血吸虫病的预防和控制的知识显着增加，但在对照组中没有获得新的知识。结论这项研究证明了健康教育游戏Schisto and Ladders？的潜力。进行基础健康教育和促进流行社区中小学生的行为改变。

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