knowledge

The Role of Written Education in Advancing Medication Storage Knowledge: Insights from a Malaysian Public Survey

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    Abstract

    Medicines for the treatment of acute and chronic diseases are often stored at home, which may lead to improper storage of medicines and various detrimental effects due to potency reduction. This study aimed to investigate baseline knowledge and the effect of education on the proper storage of medications among the public. Method: A cross-sectional study among 929 Malaysian adults was conducted. It employed both online and face-to-face survey distribution methods. Participants, aged 18 years and above, were recruited from diverse public settings including malls, train stations, and through social media platforms like WhatsApp and Facebook. Data collection involved a questionnaire covering demographic details, current medication storage practices, and knowledge assessment on proper storage methods. An intervention utilizing Ministry of Health guidelines on medication storage was conducted with 255 respondents. Results: The mean number of times a respondent visited a clinic/hospital was 3.4 ± 3.9 times a year, with 3.5 ± 4.5 medicines prescribed per year. Medicines that were usually stored at home were those used for fever (n=813, 87.5%), cream/ointments (n=711, 76.5%), as well as cough (n=625, 67.3%) and pain medications (n=597, 64.3%). Average baseline knowledge scores on medication storage were 7.57 ± 2.012 (maximum score=12, a higher score indicated better knowledge). A written education material was then introduced to 255 respondents. The post-education (n=255) knowledge score significantly increased to an average of 10.67 ± 0.949 (maximum score=12, a higher score indicated better knowledge) (t-test=0.328, p<0.001). Conclusion: Written educational materials were found to be beneficial in improving medication storage knowledge. Pharmacists should actively use written education materials during their practice to improve knowledge of medication storage among the public.

    Awareness and Knowledge of The Public on Facial Skin Care Products

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      Abstract

      Skincare encompasses a diverse range of products and procedures tailored to individual needs due to the varying skin types among people. The market is flooded with myriad products and not every product is suitable for everyone due to its content such as fragrances and preservatives which cause adverse reactions such as allergies and headaches. Additionally, the prevalence of counterfeit products has risen with the power of the Internet, reflecting the importance of equipping the public with the skills to select appropriate skincare products effectively. Objective: The purpose of this study was to determine the knowledge of the public on facial skincare products as well as their level of awareness regarding facial skincare products. Method: This is a quantitative cross-sectional study that involved the distribution of an online questionnaire via Google Forms from December 2022 to February 2023. The self-developed questionnaire consisted of three parts that collected information regarding participants’ sociodemographic, knowledge and awareness on facial skincare products which is then categorized according to Bloom’s cutoff. Results: Only 127 respondents (32.99%) scored more than 80% in Section B, indicating a high level of knowledge on facial skincare products while 205 respondents (53.25%) scored between 60% to 79% and 53 respondents (13.77%) scored less than 60%, indicating that they had moderate and low level of knowledge respectively. Meanwhile, 284 respondents (73.77%) had a high level of awareness on facial skincare products as they scored more than 80% in Section C while 87 respondents (22.60%) scored between 60% to 79% and 14 respondents (3.64%) scored less than 60%, indicating that they had moderate and low level of awareness respectively. Conclusion: The knowledge of the respondents regarding facial skincare products was moderate based on a mean score of 14.33 (71.65%) while their level of awareness was high based on a mean score of 23.38 (83.51%).

      Knowledge, Attitude and Practice Towards Diabetes Mellitus Among Diabetic Patients in Federal Territory of Labuan, Malaysia

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        Abstract

        In Malaysia, the prevalence of diabetes is highest in Western Pacific region affecting around 1 in every 5 adults. Diabetes management is often complex and diabetes knowledge, attitude and practice (KAP) are vital to make appropriate adjustments in daily lifestyles. Objective: The purpose of this study was to determine the level of KAP and its associated socio-demographic and disease-related factors among diabetes patients in Labuan Federal Territory, Malaysia. Methods: This cross-sectional study was conducted among 121 Type 2 diabetes mellitus (DM) patients in the Health Clinic of Labuan Federal Territory from November 2021 to January 2022. Patients ≥18 years old who can understand English or Malay and on regular treatment in the clinic were recruited via convenience sampling method to assess their KAP level via a validated self-administered KAP questionnaire. Results: On average, the participants have poor knowledge level, attitude level, yet good practice level towards diabetes. Significant moderate correlation was observed between knowledge and attitude (r=0.454; P<0.001), knowledge and practice (r=0.463; P<0.001) as well as attitude and practice (r=0.402; P<0.001). In addition, knowledge, attitude and practice towards DM are significantly associated with other variables such as educational level, monthly income, attended DM program and occupation. Conclusion: Diabetes patients in Labuan have poor knowledge towards DM, poor attitude towards DM and good DM practice. As diabetes education is paramount to better self-care among patients, diabetes programs that are suited to the local setting or culture is needed to empower patients with adequate knowledge for its management.

        Knowledge, Practices & Attitudes Towards Adverse Drug Reaction Reporting among Public Healthcare Professionals in West Pahang

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          Abstract

          Background: The World Health Organization identifies adverse drug reactions (ADRs) as unintentional and harmful reactions to drugs, which are among the leading causes of death in many nations. ADR under-reporting is a threat to pharmacovigilance. Objective: The objectives of this study were to evaluate the knowledge, practices & attitudes towards ADR reporting among public healthcare professionals and to determine factors that lead to underreporting of ADR in public health facilities (hospitals and clinics) in West Pahang, Malaysia. Methods: This was a cross-sectional, questionnaire-based observational study conducted in 2021 with respondents consisting of healthcare professionals from all hospitals and health clinics in West Pahang. Data was collected from March 2021 to April 2021 via a validated questionnaire. Results: A total of 400 questionnaires were distributed and 344 healthcare professionals took part in the study, with an 86% response rate. The majority of survey respondents selected positive responses in the area of knowledge and attitude, but not in the area of practice for ADR reporting. It was found that 95.3% of respondents had good knowledge, 11% had good practices and 52% had good attitudes towards ADR reporting. Over half of respondents (53.2%) believed that it is nearly impossible to conclude that a drug is the cause of a particular adverse event. Fifty percent of respondents believed they would be held accountable for the ADR which occurred once they reported it. The majority of the respondents (68%) thought that really serious ADRs were already documented when the drugs were marketed. Conclusion: The majority of healthcare professionals in West Pahang showed good knowledge and attitude, but poor practice in ADR reporting. Insecurity, fear of admitting harm, complacency, and ignorance were the discouraging factors that led to the underreporting of ADR among healthcare professionals from West Pahang.

          Contraceptive Awareness, Knowledge and Attitude among Unmarried Young Adults in Malaysia

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            Abstract

            A lack of accurate sexual knowledge can lead to unwanted pregnancies, unsafe abortions, sexually transmitted diseases (STDs), substantial morbidity and social problems. The aim of this study was to determine awareness, knowledge and attitude toward contraceptives among unmarried young adults in Malaysia. A cross-sectional, survey-based study among unmarried young adults aged between 18-35 years was conducted. Of the 406 participants, male and female respondents were 20.4% (n=83), and 79.6% (n=323) respectively, with 406 (100%) aware of at least one contraceptive method. Overall, the mean total knowledge score obtained was 4.76 ± 2.90 (maximum knowledge score of 12). The total attitude score of the participants was 29.92 ± 4.12 (maximum score of 50). There was a significant positive correlation between knowledge and attitudes towards contraception (ρ=0.317, p=0.000). There is an urgent need to educate Malaysian youths about the importance of contraception for the prevention of unintended pregnancy and STDs.

            Public Knowledge and Attitudes Towards Antibiotics Usage in Perlis: A Cross-Sectional Study

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              Abstract

              Introduction: Antibiotic resistance is increasing worldwide. The prevalence of bacterial resistance varies in different geographical areas, and it was correlated with the utilisation of antibiotics in the general population. Objective: This study was conducted to assess public knowledge and attitudes towards antibiotic usage in Perlis, Malaysia. Method: A validated self-administered questionnaire survey was distributed among the public in three main parliament areas of Perlis using the quota sampling method from August to October 2017. The questionnaire from a previous study by Lim et al. was used and the data were analysed using SPSS version 20.0. Result: About half of the respondents (51%) were found to have good knowledge (score ≥6 out of 12), and 45.1% have a good attitude (score ≥6 out of 8). The mean knowledge score was 5.0±2.19 and the mean attitude score was 5.6±3.00. As for knowledge, most respondents still perceived those antibiotics would work on viral infections in the common cold and cough. In terms of attitude, almost three-quarters of the study population (74%) expected antibiotics to treat cough and cold while two-thirds of the respondents (65.1%) expected that taking antibiotics would improve recovery. Half of the respondents (53.6%) will stop taking antibiotics when they start feeling better. Age, education level, and employment sector were found to be significantly associated with knowledge and attitude. There was a positive correlation (r=0.581) between knowledge and attitude scores. Conclusion: This study has identified people with better knowledge would have an appropriate attitude regarding the use of antibiotics. Hence, educational programmes targeting the young generation and public who do not work in the healthcare field are significant to promote the appropriate utilisation of antibiotics among the public in Perlis.  

              Knowledge of Malaysian University Students on Methods of Contraception, Assessed Using a Validated Instrument (Knowledge on Methods of Contraception)

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                Abstract

                Background: Sexually active woman or couple may not be aware of the different methods of contraception and this can lead to unplanned pregnancy with psychological and social effects, and with significant impact on a woman’s’ life. Objective: To develop and validate an instrument, Knowledge on Methods of Contraception (KMC) and to assess the knowledge of non-medical related university students on the methods of contraception. Method: The 25-item KMC (KMC-25) was initially administered to 130 non-medical related university students and retested after four weeks. Fifty pharmacy undergraduates were recruited for comparison. The validated KMC-25 was then completed by another 402 non-medical related university students. Result: Internal consistency of the KMC-25 was good with Cronbach’s alpha = 0.78. There was significant correlation between the test-retest total scores (p < 0.001) and no significant difference for all the items, indicating stable reliability. Flesch Reading Ease score was 49.3 which means that the KMC-25 could be easily understood by undergraduates. The KMC-25 scores between pharmacy and non-medical related students were significantly different with median (interquartile range, IQR) of 60 (50 – 68) and 26 (12 – 40), respectively (p < 0.001). Out of 402 respondents, only 34 (8.4%) scored 50% and above, and were considered to have adequate knowledge on methods of contraception. Knowledge on contraception was significantly related to various characteristics of the students. Conclusion: The present study showed that KMC-25 is a reliable and valid instrument to assess university students’ knowledge on methods of contraception. However, university students from non-medical related programs have poor knowledge and this warrants the implementation of educational programs.

                Awareness of Hepatitis A and Hepatitis B among Residents in Kuala Lumpur and Selangor

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                  Abstract

                  A survey was carried out to assess the level of knowledge and vaccination coverage of hepatitis A and B among 753 subjects (>12 years of age) from rural areas, town areas, undergraduates and healthcare workers. The main objective of the study was to assess the relationship between the extent of hepatitis A and B knowledge and vaccination status of the participants. A questionnaire was distributed and completed by the subjects. The results showed that the overall level of knowledge among the public was low compared to healthcare workers and undergraduates. The hepatitis A vaccination coverage was very low among all the groups (<8%). The hepatitis B vaccination coverage was generally low among the groups of non- healthcare workers (<35%) and higher among healthcare workers (65.6%). There was a strong correlation between the extent of knowledge of hepatitis A and B and the status of vaccination among the participants (p<0.01). The study concluded that health education on hepatitis A and B should be provided and vaccination programmes should be held more frequently among the public, especially in rural areas.