Development and Evaluation of a Web-based Education Program on Appropriate Antibiotic Use in Korean Adolescents

청소년의 올바른 항생제 사용을 위한 웹 기반 교육프로그램 개발 및 평가

  • Kim, So-Sun (College of Nursing, Yonsei University, The Nursing Policy Research Institute, Yonsei University) ;
  • Cheon, Joo-Young (The Nursing Policy Research Institute, Yonsei University) ;
  • Kwon, In-Sook (Ewha Womans University High School) ;
  • Cho, Yoon-Mi (National Council of the Green Consumers Network) ;
  • Moon, Seong-Mi (Department of Nursing, College of Medicine, University of Ulsan)
  • 김소선 (연세대학교 간호대학, 연세대학교 간호정책연구소) ;
  • 천주영 (연세대학교 간호정책연구소) ;
  • 권인숙 (이화여자대학교 사범대학 부속 이화.금란고등학교) ;
  • 조윤미 (녹색소비자연대) ;
  • 문성미 (울산대학교 간호학과)
  • Received : 2011.03.14
  • Accepted : 2011.08.17
  • Published : 2011.08.31

Abstract

Purpose: This study was done to develop a web-based education program on appropriate antibiotic use and test the effects of the program on knowledge and attitudes towards antibiotic use in Korean adolescents. Methods: The web-based education program was developed through an extensive literature review and professional advisory meetings including technical assistance from a web-based education programmer and content experts. A convenience sample of 851 students from middle and high schools participated in the assessment of effects of the program. Knowledge and attitudes of the students towards antibiotic use and satisfaction with the web-based education program were measured. Descriptive statistics and paired t-test were used to analyze the data. Results: There were significant improvements in knowledge and attitudes towards antibiotic use following self-learning via the web-based education program in both middle and high school students. High school students demonstrated higher scores in knowledge and attitudes than middle school students. Conclusion: The results of this study indicate that this web-based education program on appropriate antibiotic use is a convenient and effective medium for self-learning in adolescents. Therefore the web-based program should be put into wide use as an effective and convenient teaching method for health education in secondary schools.

Keywords

References

  1. Bauchner, H., Osganian, S., Smith, K., & Triant, R. (2001). Improving parent knowledge about antibiotics: a video intervention. Pediatrics, 108, 845-850. https://doi.org/10.1542/peds.108.4.845
  2. Borg, M. A., & Scicluna, E. A. (2002). Over-the-counter acquisition of antibiotics in Maltese general population. International Journal of Antimicrobial Agents, 20, 253-257. https://doi.org/10.1016/S0924-8579(02)00194-2
  3. Centers for Disease Control and Prevention. (2008). Get smart: know when antibiotics work. Retrieved December 1, 2008, from http://www.cdc.gov/getsmart/
  4. Fernandez Aleman J. L., Carrillo de Gea, J. M., & Rodriguez Mondejar, J. J. (2011). Effects of competitive computerassisted learning versus conventional teaching methods on the acquisition and retention of knowledge in medical surgical nursing students. Nurse Education Today, Manuscript submitted for publication.
  5. Finch, R. G., Metlay, J. P., Davey, P. G., & Baker, L. J. (2004). Educational interventions to improve antibiotic use in the community: report from the international forum on antibiotic resistance (IFAR) colloquium, 2002. The Lancet Infectious Disease, 4, 44-53. https://doi.org/10.1016/S1473-3099(03)00860-0
  6. Haltiwanger, K. A., Hayden, G. F., Weber, T., Evans, B. A., & Possner, A. B. (2001). Antibiotic-seeking behavior in college students: What do they really expect? Journal of American College Health, 50, 9-13. https://doi.org/10.1080/07448480109595705
  7. Huang, S. S., Rifas-Shiman, S. L., Kleinman, K., Kotch, J., Schiff, N., Stille, C. J., et al. (2007). Parental knowledge about antibiotic use: results of a cluster-randomized multicommunity intervention. Pediatrics, 119, 698-706. https://doi.org/10.1542/peds.2006-2600
  8. Kiang, K. M., Kieke, B. A., Como-Sabetti, K., Lynfield, R., Besser, R. E., & Belongia, E. A. (2005). Clinical knowledge and beliefs after statewide program to promote appropriate antimicrobial drug use. Emerging Infectious Diseases, 11, 904-911. https://doi.org/10.3201/eid1106.05144
  9. Kim, P., Sorcar, P., Um, S., Chung, H., & Lee, Y. S. (2009). Effects of episodic variations in web-based avian influenza education: influence of fear and humor on perception, comprehension, retention and behavior. Health Education Research, 24, 369-380. https://doi.org/10.1093/her/cyn031
  10. Kim, S. S., Moon, S., & Lee, E. S. (2009). Adolescents' knowledge and attitudes towards antibiotic use. Journal of Korean Academy of Fundamental Nursing, 16, 421-429.
  11. Korea Food & Drug Administration. (2004). Antibiotic use and related awareness of physician, pharmacist, and consumer (GOVP1200513279). Seoul.
  12. Korea Food & Drug Administration. (2007). Evaluation of the national antibiotic resistance campaigns and development of the educational materials for public campaign (GOVP1200815503). Seoul.
  13. Kwon, K., Hwang, I. G., Kwak, H. S., Park, J. S., Kim, M. G., Lee, G., et al. (2006). Administration of national antimicrobial resistance experts and public campaign activities. The Annual Report of KFDA, 9, 133-134.
  14. Lee, E. H., Moon, S., & Park, J. Y. (2010). Effects of an education program for AIDS prevention on knowledge and attitudes towards AIDS among male high school students in Seoul and Gyeonggi province. Journal of Korean Academy of Fundamental Nursing, 17, 200-208.
  15. Lee, J. K. (2002). The effect of an AIDS education program of nursing students on knowledge, attitudes, fear of contagion and nursing intention about AIDS. Journal of Korean Academy of Adult Nursing, 14, 5-14.
  16. Madle, G., Kostkova, P., Mani-Saada, J., Weinberg, J., & Williams, P. (2004). Changing public attitudes to antibiotics prescribing: can the internet help? Informatics in Primary Care, 12, 19-26.
  17. Madle, G., Kostkova, P., & Weinberg, J. (2009). Bugs and drugs on the Web: Changes in knowledge of users of a web-based education resource on antibiotic prescribing. Journal of Antimicrobial Chemotherapy, 63, 221-223. https://doi.org/10.1093/jac/dkn438
  18. McLean, R., Richards, B. H., & Wardman, J. I. (2007). The effect of Web 2.0 on the future of medical practice and education: Darwikinian evolution or folksonomic revolution? The Medical Journal of Australia, 187, 174-177.
  19. McNulty, C. A., Boyle, P., Nichols, T., Clappison, D. P., & Davey, P. (2006). Antimicrobial drugs in the home, United Kingdom. Emerging Infectious Disease, 12, 1523-1526. https://doi.org/10.3201/eid1210.051471
  20. McNulty, C. A., Boyle, P., Nichols, T., Clappison, P., & Davey, P. (2007). Don't wear me out-the public's knowledge of and attitudes to antibiotic use. Journal of Antimicrobial Chemotherapy, 59, 727-738. https://doi.org/10.1093/jac/dkl558
  21. Minen, M. T., Duquaine, D., Marx, M. A., & Weiss, D. (2010). A survey of knowledge, attitudes, and beliefs of medical students concerning antimicrobial use and resistance. Microbial Drug Resistance, 16, 285-289. https://doi.org/10.1089/mdr.2010.0009
  22. Nam, M. R. (2005). Effectiveness of web-based learning in basic nursing practice education-focusing on asepsis technique practice-. Journal of Korean Academy of Fundamental Nursing, 12, 290-297.
  23. Noh, J. H., Cho, Y. J., Nam, H. W., Kim, J. H., Kim, D. J., Yoo, H. S., et al. (2010). Web based comprehensive information system for self-management of diabetes mellitus. Diabetes Thechnology & Therapeutics, 12, 333-337. https://doi.org/10.1089/dia.2009.0122
  24. Okumura, J., Wakai, S., & Umenai, T. (2002). Drug utilisation and self-medication in rural communities in Vietnam. Social Science & Medicine, 54, 1875-1886. https://doi.org/10.1016/S0277-9536(01)00155-1
  25. Park, J., & Kim, J. S. (2011). Effects of spinal health educational programs for elementary school children. Journal for Specialist in Pediatric Nursing, 16, 121-129. https://doi.org/10.1111/j.1744-6155.2011.00278.x
  26. Taylor, J. A., Kwan-Gett, T. S. C., & McMahon, E. M. (2003). Effectiveness of an educational intervention in modifying parental attitudes about antibiotic usage in children. Pediatrics, 111, e548-554. https://doi.org/10.1542/peds.111.5.e548
  27. Taylor, J. A., Kwan-Gett, T. S. C., & McMahon, E. M. (2005). Effectiveness of a parental educational intervention in reducing antibiotic use in children: a randomized controlled trial. The Pediatric Infecious Disease Journal, 24, 489-493. https://doi.org/10.1097/01.inf.0000164706.91337.5d
  28. Wantland, D. J., Portillo, C. J., Holzemer, W. L., Slaughter, R., & McGhee, E. M. (2004). The effectiveness of Web-based vs. non-Web-based interventions: a meta-anaylsis of behavioral change outcomes. Journal of Medical Internet Research, 6, e40. https://doi.org/10.2196/jmir.6.4.e40
  29. Woo, G., Lee, D. H., Park, S. H., Kwak, H. S., Park, J. S., Koh, Y. H., et al. (2003). A publicity campaign for prevention of antimicrobial resistance. The Annual Report of KFDA, 7, 700.
  30. World Health Organization. (2001). WHO global strategy for containment of antimicrobial resistance. Switzerland: World Health Organization.