The effect of health education on knowledge, attitude and practice of Folic Acid supplementation among periconceptional women at the health clinic in Kuala Lumpur

Background: Neural tube defects (NTDs) are congenital abnormalities of the central nervous system that can be prevented by consuming 400 µg of folic acid daily during conception until the twelfth week of pregnancy. Malaysia is experiencing an increase in NTD cases. Addressing women's knowledge,...

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Main Authors: Idris, Norziyana, Mohd Akhlak, Sofee, Emad, Adel Shdaifat, Ahayalimudin, Nurul'Ain
Format: Article
Language:English
Published: Asia Pacific Higher Learning Sdn Bhd 2023
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Online Access:http://irep.iium.edu.my/108307/6/108307_The%20effect%20of%20health%20education%20on%20knowledge%2C%20attitude%20and%20practice.PDF
http://irep.iium.edu.my/108307/
https://ejournal.lucp.net/index.php/mjn/article/view/2277
https://doi.org/10.31674/mjn.2023.v15i02.007
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spelling my.iium.irep.1083072024-05-15T08:26:25Z http://irep.iium.edu.my/108307/ The effect of health education on knowledge, attitude and practice of Folic Acid supplementation among periconceptional women at the health clinic in Kuala Lumpur Idris, Norziyana Mohd Akhlak, Sofee Emad, Adel Shdaifat Ahayalimudin, Nurul'Ain RT Nursing Background: Neural tube defects (NTDs) are congenital abnormalities of the central nervous system that can be prevented by consuming 400 µg of folic acid daily during conception until the twelfth week of pregnancy. Malaysia is experiencing an increase in NTD cases. Addressing women's knowledge, attitudes, and practices regarding folic acid- and folate-rich foods is crucial to reduce the incidence of NTDs. Objectives: This study aimed to evaluate the impact of a health education program on improving knowledge, attitudes, and practices related to folic acid supplementation among periconceptional women in a community clinic. Methods: A pre- and post-quasi-experimental study was conducted among 114 periconceptional women in two groups. The intervention group received structured Folic Acid supplementation education, while the control group received routine antenatal care. Results: Regarding knowledge, the intervention significantly improved the scores of the intervention group, increasing from 13.40 to 15.39. This improvement was statistically significant, with a mean difference of 1.98 (p < 0.001), large effect size of 0.16, and strong statistical power of 0.89. Meanwhile for attitude, the intervention group experienced a more significant increase in scores, from 25.72 to 27.46. Statistically significant effects were observed (p = 0.031), along with a large effect size 0.26 and relatively high statistical power 0.99. In terms of practice, the intervention group showed a significant improvement, with scores increasing from 27.68 33.16. The findings were significant, with a mean difference of 5.47 (p < 0.001), extreme effect size of 0.74, and strong statistical power of 1.00. Conclusion: A comprehensive health education program for pregnant women can significantly improve their understanding, attitude, and adherence to folic acid supplementation. In addition, it is essential to promote the consumption of folic acid-fortified foods. Asia Pacific Higher Learning Sdn Bhd 2023-10-15 Article PeerReviewed application/pdf en http://irep.iium.edu.my/108307/6/108307_The%20effect%20of%20health%20education%20on%20knowledge%2C%20attitude%20and%20practice.PDF Idris, Norziyana and Mohd Akhlak, Sofee and Emad, Adel Shdaifat and Ahayalimudin, Nurul'Ain (2023) The effect of health education on knowledge, attitude and practice of Folic Acid supplementation among periconceptional women at the health clinic in Kuala Lumpur. The Malaysian Journal of Nursing, 15 (2). pp. 59-68. ISSN 2231-7007 E-ISSN 2462-246X https://ejournal.lucp.net/index.php/mjn/article/view/2277 https://doi.org/10.31674/mjn.2023.v15i02.007
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic RT Nursing
spellingShingle RT Nursing
Idris, Norziyana
Mohd Akhlak, Sofee
Emad, Adel Shdaifat
Ahayalimudin, Nurul'Ain
The effect of health education on knowledge, attitude and practice of Folic Acid supplementation among periconceptional women at the health clinic in Kuala Lumpur
description Background: Neural tube defects (NTDs) are congenital abnormalities of the central nervous system that can be prevented by consuming 400 µg of folic acid daily during conception until the twelfth week of pregnancy. Malaysia is experiencing an increase in NTD cases. Addressing women's knowledge, attitudes, and practices regarding folic acid- and folate-rich foods is crucial to reduce the incidence of NTDs. Objectives: This study aimed to evaluate the impact of a health education program on improving knowledge, attitudes, and practices related to folic acid supplementation among periconceptional women in a community clinic. Methods: A pre- and post-quasi-experimental study was conducted among 114 periconceptional women in two groups. The intervention group received structured Folic Acid supplementation education, while the control group received routine antenatal care. Results: Regarding knowledge, the intervention significantly improved the scores of the intervention group, increasing from 13.40 to 15.39. This improvement was statistically significant, with a mean difference of 1.98 (p < 0.001), large effect size of 0.16, and strong statistical power of 0.89. Meanwhile for attitude, the intervention group experienced a more significant increase in scores, from 25.72 to 27.46. Statistically significant effects were observed (p = 0.031), along with a large effect size 0.26 and relatively high statistical power 0.99. In terms of practice, the intervention group showed a significant improvement, with scores increasing from 27.68 33.16. The findings were significant, with a mean difference of 5.47 (p < 0.001), extreme effect size of 0.74, and strong statistical power of 1.00. Conclusion: A comprehensive health education program for pregnant women can significantly improve their understanding, attitude, and adherence to folic acid supplementation. In addition, it is essential to promote the consumption of folic acid-fortified foods.
format Article
author Idris, Norziyana
Mohd Akhlak, Sofee
Emad, Adel Shdaifat
Ahayalimudin, Nurul'Ain
author_facet Idris, Norziyana
Mohd Akhlak, Sofee
Emad, Adel Shdaifat
Ahayalimudin, Nurul'Ain
author_sort Idris, Norziyana
title The effect of health education on knowledge, attitude and practice of Folic Acid supplementation among periconceptional women at the health clinic in Kuala Lumpur
title_short The effect of health education on knowledge, attitude and practice of Folic Acid supplementation among periconceptional women at the health clinic in Kuala Lumpur
title_full The effect of health education on knowledge, attitude and practice of Folic Acid supplementation among periconceptional women at the health clinic in Kuala Lumpur
title_fullStr The effect of health education on knowledge, attitude and practice of Folic Acid supplementation among periconceptional women at the health clinic in Kuala Lumpur
title_full_unstemmed The effect of health education on knowledge, attitude and practice of Folic Acid supplementation among periconceptional women at the health clinic in Kuala Lumpur
title_sort effect of health education on knowledge, attitude and practice of folic acid supplementation among periconceptional women at the health clinic in kuala lumpur
publisher Asia Pacific Higher Learning Sdn Bhd
publishDate 2023
url http://irep.iium.edu.my/108307/6/108307_The%20effect%20of%20health%20education%20on%20knowledge%2C%20attitude%20and%20practice.PDF
http://irep.iium.edu.my/108307/
https://ejournal.lucp.net/index.php/mjn/article/view/2277
https://doi.org/10.31674/mjn.2023.v15i02.007
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score 13.211869