Effectiveness of the Integrated Dengue Education and Learning (iDEAL) module in improving the knowledge, attitude, practice, environmental cleanliness index, and dengue index among schoolchildren: a randomised controlled trial protocol

Background Dengue is a mosquito-borne disease caused by four distinct, closely related dengue viruses (DENV). Global dengue incidence has markedly increased in the past decades. The World Health Organization reported that cases increased from 505,430 in 2000 to 5.2 million in 2019. Similarly, the t...

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Main Authors: Dapari, Rahmat, Muniandy, Kalaivani, Fattah Azman, Ahmad Zaid, Abu Bakar, Suhaili, Mohd Desa, Mohd Nasir, Hwa, Lim Chee, Singh Sandhu, Sukhvinder, Mustapha, Nooreen Farzana, Mohd Rosli, Norazman, Ahmad Zamzuri, Mohd ‘Ammar Ihsan, Hassan, Mohd Rohaizat, Che Dom, Nazri, Syed Abdul Rahim, Syed Sharizman, Singh Gill, Balvinder, Ab Hamid, Nurulhusna
Format: Article
Language:English
Published: Public Library of Science 2024
Online Access:http://psasir.upm.edu.my/id/eprint/111539/1/2024EF~1.PDF
http://psasir.upm.edu.my/id/eprint/111539/
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0302736
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institution Universiti Putra Malaysia
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continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
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description Background Dengue is a mosquito-borne disease caused by four distinct, closely related dengue viruses (DENV). Global dengue incidence has markedly increased in the past decades. The World Health Organization reported that cases increased from 505,430 in 2000 to 5.2 million in 2019. Similarly, the total dengue cases in Malaysia increased from 7,103 in 2000 to a peak of 130,101 in 2019. Knowledge, attitude, and practice (KAP) remain the most effective dengue prevention and control tools. Furthermore, school-based health education is key to enhancing knowledge and raising awareness of the seriousness of dengue among schoolchildren and transferring knowledge and practice from classrooms to homes. Thus, it is necessary to plan an integrated module for the primary prevention of dengue infection, specifically among schoolchildren. Aims The present study intends to develop, implement, and evaluate the effectiveness of a theory-based integrated dengue education and learning (iDEAL) module in improving the KAP, environmental cleanliness index, and dengue index among schoolchildren in Selangor and Kuala Lumpur. Methods This study is a single-blinded, cluster randomised controlled trial to be conducted from 1 September 2023 to 31 August 2025. The study will involve 20 primary and 20 secondary schools in Selangor and Kuala Lumpur. The 1600 participants will be randomly allocated to intervention and control groups based on selected clusters to avoid contamination. A cluster is a comparable school that fulfils the inclusion and exclusion criteria. The intervention group will receive the iDEAL module, while the control group will receive standard education. The iDEAL module will be developed following a systematic procedure and delivered in-person by trained researchers to the participants. The outcome will be measured using validated, self-administered questionnaires at baseline (T0), immediately (T1), one month (T2), and three months (T3) post-intervention to measure the intervention module effectiveness. The data will be analysed using IBM Statistical Package for Social Science (SPSS) version 28 and descriptive and inferential statistics. Within-group changes over time will be compared using one-way repeated measure analysis of variance for continuous and normally distributed variables. Within-group analysis of categorical data will use Cochran’s Q test. The main effect and interaction between and within the intervention and control groups at T0, T1, T2, and T3 will be tested using the generalised linear mixed model (GLMM). Hypothetically, the KAP, environmental cleanliness index, and dengue index among the intervention group will be significantly improved compared to the control group. The hypothesis will be tested using a significance level with a p-value of 0.05 and a confidence interval of 95%. Conclusions The study protocol outlines developing and testing an iDEAL module for schoolchildren in Selangor and Kuala Lumpur, with no socio-demographic differences expected. The intervention aims to improve KAP, environmental cleanliness index, and dengue index, potentially reducing dengue risk. Results could inform public health policies, emphasizing school-based interventions’ importance in combating diseases like dengue.
format Article
author Dapari, Rahmat
Muniandy, Kalaivani
Fattah Azman, Ahmad Zaid
Abu Bakar, Suhaili
Mohd Desa, Mohd Nasir
Hwa, Lim Chee
Singh Sandhu, Sukhvinder
Mustapha, Nooreen Farzana
Mohd Rosli, Norazman
Ahmad Zamzuri, Mohd ‘Ammar Ihsan
Hassan, Mohd Rohaizat
Che Dom, Nazri
Syed Abdul Rahim, Syed Sharizman
Singh Gill, Balvinder
Ab Hamid, Nurulhusna
spellingShingle Dapari, Rahmat
Muniandy, Kalaivani
Fattah Azman, Ahmad Zaid
Abu Bakar, Suhaili
Mohd Desa, Mohd Nasir
Hwa, Lim Chee
Singh Sandhu, Sukhvinder
Mustapha, Nooreen Farzana
Mohd Rosli, Norazman
Ahmad Zamzuri, Mohd ‘Ammar Ihsan
Hassan, Mohd Rohaizat
Che Dom, Nazri
Syed Abdul Rahim, Syed Sharizman
Singh Gill, Balvinder
Ab Hamid, Nurulhusna
Effectiveness of the Integrated Dengue Education and Learning (iDEAL) module in improving the knowledge, attitude, practice, environmental cleanliness index, and dengue index among schoolchildren: a randomised controlled trial protocol
author_facet Dapari, Rahmat
Muniandy, Kalaivani
Fattah Azman, Ahmad Zaid
Abu Bakar, Suhaili
Mohd Desa, Mohd Nasir
Hwa, Lim Chee
Singh Sandhu, Sukhvinder
Mustapha, Nooreen Farzana
Mohd Rosli, Norazman
Ahmad Zamzuri, Mohd ‘Ammar Ihsan
Hassan, Mohd Rohaizat
Che Dom, Nazri
Syed Abdul Rahim, Syed Sharizman
Singh Gill, Balvinder
Ab Hamid, Nurulhusna
author_sort Dapari, Rahmat
title Effectiveness of the Integrated Dengue Education and Learning (iDEAL) module in improving the knowledge, attitude, practice, environmental cleanliness index, and dengue index among schoolchildren: a randomised controlled trial protocol
title_short Effectiveness of the Integrated Dengue Education and Learning (iDEAL) module in improving the knowledge, attitude, practice, environmental cleanliness index, and dengue index among schoolchildren: a randomised controlled trial protocol
title_full Effectiveness of the Integrated Dengue Education and Learning (iDEAL) module in improving the knowledge, attitude, practice, environmental cleanliness index, and dengue index among schoolchildren: a randomised controlled trial protocol
title_fullStr Effectiveness of the Integrated Dengue Education and Learning (iDEAL) module in improving the knowledge, attitude, practice, environmental cleanliness index, and dengue index among schoolchildren: a randomised controlled trial protocol
title_full_unstemmed Effectiveness of the Integrated Dengue Education and Learning (iDEAL) module in improving the knowledge, attitude, practice, environmental cleanliness index, and dengue index among schoolchildren: a randomised controlled trial protocol
title_sort effectiveness of the integrated dengue education and learning (ideal) module in improving the knowledge, attitude, practice, environmental cleanliness index, and dengue index among schoolchildren: a randomised controlled trial protocol
publisher Public Library of Science
publishDate 2024
url http://psasir.upm.edu.my/id/eprint/111539/1/2024EF~1.PDF
http://psasir.upm.edu.my/id/eprint/111539/
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0302736
_version_ 1807051126546104320
spelling my.upm.eprints.1115392024-08-09T02:20:18Z http://psasir.upm.edu.my/id/eprint/111539/ Effectiveness of the Integrated Dengue Education and Learning (iDEAL) module in improving the knowledge, attitude, practice, environmental cleanliness index, and dengue index among schoolchildren: a randomised controlled trial protocol Dapari, Rahmat Muniandy, Kalaivani Fattah Azman, Ahmad Zaid Abu Bakar, Suhaili Mohd Desa, Mohd Nasir Hwa, Lim Chee Singh Sandhu, Sukhvinder Mustapha, Nooreen Farzana Mohd Rosli, Norazman Ahmad Zamzuri, Mohd ‘Ammar Ihsan Hassan, Mohd Rohaizat Che Dom, Nazri Syed Abdul Rahim, Syed Sharizman Singh Gill, Balvinder Ab Hamid, Nurulhusna Background Dengue is a mosquito-borne disease caused by four distinct, closely related dengue viruses (DENV). Global dengue incidence has markedly increased in the past decades. The World Health Organization reported that cases increased from 505,430 in 2000 to 5.2 million in 2019. Similarly, the total dengue cases in Malaysia increased from 7,103 in 2000 to a peak of 130,101 in 2019. Knowledge, attitude, and practice (KAP) remain the most effective dengue prevention and control tools. Furthermore, school-based health education is key to enhancing knowledge and raising awareness of the seriousness of dengue among schoolchildren and transferring knowledge and practice from classrooms to homes. Thus, it is necessary to plan an integrated module for the primary prevention of dengue infection, specifically among schoolchildren. Aims The present study intends to develop, implement, and evaluate the effectiveness of a theory-based integrated dengue education and learning (iDEAL) module in improving the KAP, environmental cleanliness index, and dengue index among schoolchildren in Selangor and Kuala Lumpur. Methods This study is a single-blinded, cluster randomised controlled trial to be conducted from 1 September 2023 to 31 August 2025. The study will involve 20 primary and 20 secondary schools in Selangor and Kuala Lumpur. The 1600 participants will be randomly allocated to intervention and control groups based on selected clusters to avoid contamination. A cluster is a comparable school that fulfils the inclusion and exclusion criteria. The intervention group will receive the iDEAL module, while the control group will receive standard education. The iDEAL module will be developed following a systematic procedure and delivered in-person by trained researchers to the participants. The outcome will be measured using validated, self-administered questionnaires at baseline (T0), immediately (T1), one month (T2), and three months (T3) post-intervention to measure the intervention module effectiveness. The data will be analysed using IBM Statistical Package for Social Science (SPSS) version 28 and descriptive and inferential statistics. Within-group changes over time will be compared using one-way repeated measure analysis of variance for continuous and normally distributed variables. Within-group analysis of categorical data will use Cochran’s Q test. The main effect and interaction between and within the intervention and control groups at T0, T1, T2, and T3 will be tested using the generalised linear mixed model (GLMM). Hypothetically, the KAP, environmental cleanliness index, and dengue index among the intervention group will be significantly improved compared to the control group. The hypothesis will be tested using a significance level with a p-value of 0.05 and a confidence interval of 95%. Conclusions The study protocol outlines developing and testing an iDEAL module for schoolchildren in Selangor and Kuala Lumpur, with no socio-demographic differences expected. The intervention aims to improve KAP, environmental cleanliness index, and dengue index, potentially reducing dengue risk. Results could inform public health policies, emphasizing school-based interventions’ importance in combating diseases like dengue. Public Library of Science 2024-04-30 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/111539/1/2024EF~1.PDF Dapari, Rahmat and Muniandy, Kalaivani and Fattah Azman, Ahmad Zaid and Abu Bakar, Suhaili and Mohd Desa, Mohd Nasir and Hwa, Lim Chee and Singh Sandhu, Sukhvinder and Mustapha, Nooreen Farzana and Mohd Rosli, Norazman and Ahmad Zamzuri, Mohd ‘Ammar Ihsan and Hassan, Mohd Rohaizat and Che Dom, Nazri and Syed Abdul Rahim, Syed Sharizman and Singh Gill, Balvinder and Ab Hamid, Nurulhusna (2024) Effectiveness of the Integrated Dengue Education and Learning (iDEAL) module in improving the knowledge, attitude, practice, environmental cleanliness index, and dengue index among schoolchildren: a randomised controlled trial protocol. PLoS ONE, 19 (4). art. no. e0302736. pp. 1-14. ISSN 1932-6203 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0302736 10.1371/journal.pone.0302736
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