Effect of an E-Educational Poster on Improving the Knowledge, Attitude, and Practice on the Proper Use of Face Masks among School Students

Introduction: Two spread methods of Covid-19, namely airborne and respiratory droplets, can be prevented by proper use of face masks. However, it has been reported an inadequate knowledge attitude and practice of proper use of face masks among school students. Therefore, the knowledge, attitude, and practice of school students should be improved. Different approaches are used to improve knowledge, attitude, and practice. However, e-posters are rare, and the effect of e-posters on improving the knowledge, attitude, and practice of school students on the proper use of face masks has not been studied. Objectives: The objective of this study was to determine the effect of an e-educational poster on knowledge, attitude, and practice of the proper use of face masks among school students. Method: This study was conducted as a pre-test and post-test design. The sample was 364 grade 11 students of the Gampaha educational division, Sri Lanka. Data were collected using self-administered questionnaires distributed pre and post to the interventional e-education poster. Data analyses were conducted by using SPSS Software. Results: Results show no significant demographic difference (p = 0.446) between the pre and post-test groups. A significant increase was observed between the pre and post-test mean scores of knowledge (p ≤ 0.05), attitude (p ≤ 0.05), and practice (p ≤ 0.05) on the proper use of face masks. In pre-group knowledge (p = 0.155), attitude (p = 0.258) and practice (p = 0.211) shows no significant difference due to gender. Also post group knowledge (p = 0.079), attitude (p = 0.835) and practice (p = 0.435) shows no significant difference due to gender. Conclusions: The results suggest that e-educational posters may be useful to improve the knowledge, attitude, and practice on the proper use of face masks among school students. The improvement of knowledge, attitude, and practice on the proper use of face masks by e-educational posters among school students occurs irrespective of gender.

Effect of Intermittent Pneumatic Compression on Functional Level and Quality of Life in Community-Dwelling Older Adults with Limited Ambulation Due to Leg Pain: A Randomized Controlled Trial

Background and Purpose: Walking difficulties are defined as any reduction in speed, balance, or change of gait, causing limited ambulation. These difficulties are a common problem in older adults and may greatly affect their quality of life (QOL) and restrict their personal independence and participation. This study aimed to determine the effect of intermittent pneumatic compression (IPC) on lower leg pain, walking capacity, functional mobility, ankle range of motion (AROM), and QOL of community-dwelling older people with walking difficulties. Methods: In this randomized controlled trial, 34 eligible participants with self-reported lower limb pain and limited ambulation were randomized either to the intermittent pneumatic compression intervention group (IPCIG) or static compression control group (SCCG). The IPCIG and SCCG were trained to receive IPC and SC respectively for both lower legs and instructed to continue the application independently at home for 15 minutes per session, 2 sessions a day, 7 days per week for 4 weeks independently at the home. Outcome measures of lower leg pain, AROM, walking capacity, and functional mobility were assessed at baseline and at the first, second, third, and fourth weeks after randomization. Quality of life was assessed at baseline and immediately after the intervention. Results and Discussion: IPCIG showed a more significant improvement compared to the SCCG at the post-interventional stage for QOL and all the subscales. The findings show that “80% improved QOL” is 53% higher with the application of IPC than with SC for 4 weeks. The IPCIG showed a more significant improvement in the 6-minute walk test (6 MWT) at the third and fourth weeks compared to the SCCG. A pairwise comparison of mean values of 6 MWT over 4 weeks within the IPCIG showed a significant difference between all the weeks. Pairwise comparisons between groups at each time point showed that the IPCIG showed a more significant improvement in the timed up and go (TUG) test at the third and fourth weeks compared to the SCCG. Pairwise comparison of mean values of TUG test within the IPCIG showed a significant difference over 4 weeks, except between the second and third weeks, fourth week, and third and fourth weeks. The IPCIG showed a more significant improvement in lower leg pain between all weeks except the first week compared to the SCCG. Pairwise comparison of mean values of lower leg pain over 4 weeks within the IPCIG showed a significant difference among all weekly outcomes except between 1 and 2 weeks. The IPCIG showed a more significant improvement in left and right ankle dorsiflexion ROM at the third and fourth weeks compared to the SCCG. Conclusions: The IPC was effective in reducing lower leg pain and increasing the AROM and improving the walking capacity, functional mobility level, and QOL of community-dwelling older people with walking disabilities. Walking disability in old age is a common condition requiring physical therapy. Intermittent pneumatic compression can be used as a physical therapy modality for this patient group.