Development of an integrated telerehabilitation model in children with cerebral visual impairment in South India during the COVID-19 pandemic - A pilot study.

Purpose: Coronavirus disease 2019 (COVID-19) pandemic affected the in-person rehabilitation/habilitation services in families with children with cerebral visual impairment (CVI) in India. This study aimed to develop a structured and family-centered telerehabilitation model alongside conventional in-person intervention in children with CVI to observe its feasibility in the Indian population. Methods: This pilot study included 22 participants with a median age of 2.5 years (range: 1-6) who underwent a detailed comprehensive eye examination followed by functional vision assessment. The visual function classification system (VFCS) was administered to the children and the structured clinical question inventory (SCQI) to the parents. Every participant underwent 3 months of telerehabilitation including planning, training, and monitoring by experts. At 1 month, the parental care and ability (PCA) rubric was administered to the parents. After 3 months, in an in-person follow-up, all the measures were reassessed for 15 children. Results: After 3 months of Tele-rehabilitation there were significant improvements noted in PCA rubric scores (P<0.05). Also, statistically significant improvements were noted in functional vision measured using SCQI and VFCS scores (P<0.05) compared to baseline. Conclusion: The outcomes of the study provide the first steps towards understanding the use of a novel tele-rehabilitation model in childhood CVI along-side conventional face-to-face intervention. The added role of parental involvement in such a model is highly essential.

Implementation of National Leprosy Eradication Programme during COVID-19 era: A qualitative research.

Introduction The COVID-19 pandemic imposed new challenge to the implementation of the National Leprosy Eradication Programme. According to national data, after lockdown due to COVID-19, there was a 29% reduction in total leprosy cases reported in the first quarter (April-June) of 2020 in comparison to 2019. Objectives To explore the difficulties faced by different stakeholders of the National Leprosy Eradication Programme like policy makers, doctors, grass root level health workers as well as leprosy patients during COVID-19 pandemic with respect to programme implementation and access to leprosy care. Materials and Methods Qualitative research was undertaken including two focus-group-discussions held among six leprosy patients diagnosed after lockdown and nine ASHA workers as well as six in-depth interviews of doctors, leprologists, and programme managers. Ethics committee approval was sought and informed consent was obtained from all participants. All focus-group-discussions were electronically recorded and the in-depth interviews telephonically recorded, transcribed and translated from Bengali-to-English. Transcripts were separately coded by researchers and thematically analysed with the help of Visual-Anthropac software version 1.0. Results Solitary focus on COVID-19 control, capacity building and information, education and communication, leprosy case search & surveillance, co-infection among health workers, transportation issues were the themes explored from focus-group-discussions of health workers and ASHA workers. Similarly, the present study identified six themes from in-depth interviews of programme manager, leprologists, programme manager as diagnostic difficulty, operational issues, rehabilitation issues, capacity building & information education and communication activities and way forward. Limitations The research reveals the perceptions of rural population of Eastern India with high leprosy prevalence, which might not be applicable for urban areas or low prevalent districts Conclusion The solitary focus of the administration towards COVID and shifting the infrastructure and human resource only towards the management of COVID can lead to resurgence of the leprosy. Having an organised framework of operations, catering to the need of the front-line workers in rendering services, utilizing the digital platform and social media, and focusing on rehabilitation would be needed to overcome the crisis.

Enhancing Knowledge on Prevention of Dengue Hemorrhagic Fever (DHF) through Focus Group Discussion (FGD) and Training of Trainers (TOT) Approaches during the Pandemic Period at Dupak Health Center, Surabaya

Objective: The COVID-19 pandemic that has occurred over the past 2 years has had a very significant impact on various sectors, especially public health. Indonesia, which is a tropical country, especially has to deal with cases of dengue disease which are still quite high. The government's social distancing policy that was in effect during the COVID-19 pandemic caused the control and prevention of dengue fever to be neglected by the public. Purpose(s): This study aims to increase public understanding of dengue prevention through Focus Group Discussion (FGD) and Training of Trainer (TOT) approaches. Method(s): This research was conducted using 2 approaches, namely FGD and TOT, which were followed by 15 and 30 public workers participants. The FGD and TOT were carried out by discussing and giving lectures to participants, then participants were given a pre-test and post-test question sheets. Result(s): As many as 93.3% of participants already know the causes, methods of prevention, and types of dengue mosquitoes. However, there were still 60% of participants understood the handling of mosquito larvae correctly. After the FGD and TOT were carried out, it was seen that there was an increase in participants' understanding. Conclusion(s): The FGD and TOT approaches can increase public understanding of the causes, prevention, and proper inspection of DHF mosquito larvae.Copyright © 2023, Institute of Medico-legal Publication. All rights reserved.

A Review on Online Focus Group Discussion during the Covid-19 Pandemic

Technology bring possibility to conduct focus group discussion (FGD) virtually, especially during COVID-19. Online FGD conducted to explore needs assessment to design an effective drug prevention program among high-risk youth. 10 Online FGD within 5 participant for each group conducted involving youths from high-risk areas. Sessions recorded with the participants' consent. Online FGD provides flexibility of time and venue, and widens the opportunity to gather more in-depth data. However, online FGD might cause the interactions less dynamic. Thus, it calls for future studies on the effectiveness of online focus group discussion as compared to the conventional face-to-face method. Copyright © 2022 Wolters Kluwer Medknow Publications. All rights reserved.

Perception towards Preventive Strategies for Dental Caries and Oral Health Promotion among School Teachers: A Focus Group Discussion

Background and Aim: There are numerous preventive strategies available globally for dental caries. However, the incidence of dental caries is high among school going children in most of the developing countries. School teachers play a major role in inculcating good habits and behaviour to the children. Thus, we aimed to assess the perception of dental caries among school teachers qualitatively by focus group discussion. Methods: One focus group discussion was conducted among the primary level government and private school teachers in Tamil Nadu. A group of 12 teachers, 6 from Government schools and 6 from Private schools were recruited. The discussion was held in a virtual platform due to COVID-19 Lockdown. The session lasted for 45-60 min. The areas of discussion included attitude towards aetiology, prevention and treatment for dental caries. Results: Analysis of interview transcripts recognized many influences on children's oral health attitudes. Majority of teachers expressed a high efficacy using toothbrushes, tongue cleaners, mouthwashes, oil pulling and massaging gums as plaque control mechanisms. Most of the participants were aware of all treatment modalities for dental caries. However, they were not totally aware of the preventive strategies of dental caries. Conclusion: This qualitative study emphasizes that the overall knowledge, perception of aetiology and treatment for dental caries were superior and noteworthy among private school teachers as compared to government school teachers. Moreover, the teachers have expressed their interest for professional oral health assistance in dietary guidelines at schools, performing preventive strategies such as topical fluoride and pit and fissure sealant application. © 2022 by the Author(s).

Perception of online and face to face microbiology laboratory sessions among medical students and faculty at Arabian Gulf University: a mixed method study.

BACKGROUND: The COVID-19 pandemic has impacted all spheres of society including medical education and healthcare systems. In response to the pandemic, there has been a transition in medical education practice from traditional forms of teaching to online instruction delivery and virtual learning. Effective clinical microbiology education involves a combination of 'hands-on' practical learning and instructional delivery of scientific knowledge. Microbiology practical laboratories are critical learning environments offering 'hands-on' learning experiences that cannot be replicated through online learning. We conducted a mixed-methods study to understand the perception of online and face-to-face microbiology laboratory sessions among the medical students and microbiology faculty at Arabian Gulf University (AGU). METHODS: The study participants were third and fourth-year undergraduate medical students and faculty involved in delivering microbiology labs at AGU. The questionnaire consisted of questions ranging from perceived learning style to attitude towards online delivery of microbiology curriculum. After the questionnaire administration (google form), focus group discussion (FGD) was conducted for students and microbiology faculty separately. RESULTS: Among 168 students, 50.6% preferred face-to-face lab sessions as compared to 30.4% who preferred online labs, and 51.8% considered online labs to be an essential addition to face-to-face labs. Among the faculty, 85.7% preferred the face-to-face mode of teaching. All the faculty (100%) disagreed that all the microbiology labs teaching should be online. 57.2% considered online labs to be an essential addition to traditional face-to-face labs. Both faculty and students hold that a blended mode of instructional delivery is vital and indispensable for the transfer of skills and knowledge for microbiology students. CONCLUSION: The blended mode of delivering microbiology laboratory sessions in medical school is successful and well-received by both students and faculty. Students take the responsibility for furthering their own learning and understanding of concepts. Instructors have also noticed that blending learning strategies also successfully enhances the development of cognitive skills and problem-solving abilities in students. A review of the microbiology lab curriculum is necessary to identify content areas that can be delivered effectively through online, face-to-face lab sessions, or both, supported with appropriate tools and infrastructure.

What Likeability Attributes Attract People to Watch Online Video Advertisements?

As online video viewing increases, so does the size of the online video advertising market. However, it is challenging to create an advertising creative suitable for online video services. Advertising likeability helps to provide the strategies necessary for producing video advertisements that can facilitate consumer responsiveness and generate persuasive effects. Therefore, this study aimed to identify the likeability attributes of online video advertising content that increase online video advertisement views and to validate them with actual user data. To achieve this objective, this study applied a mixed-methods approach using two studies. The first study was an exploratory study in which users’ reviews on recently popular online video advertisements were analyzed through text mining, after which we identified key likeability attributes. We then conducted a focus group discussion method to measure the degree of video ads in each attribute. The second study was a confirmatory study, in which the key likeability attributes identified in the first study were verified empirically through an econometric model. As a result, we derived six likeability attributes of online video advertisements. The findings also highlight the effects of music, storytelling, influential people, and novel ideas on the number of views. Altogether, our study offers practical insights into which factors and identified likeability attributes enable effective online video advertisements.

What Indians Think of the COVID-19 vaccine: A qualitative study comprising focus group discussions and thematic analysis.

BACKGROUND AND AIMS: The study aims to interpret current knowledge, attitude, perceptions and concerns regarding COVID-19 vaccine in the Indian population. METHODS: Eight focus group discussions were conducted. Participants were recruited via purposive sampling. Discussions were recorded and transcribed verbatim. Key themes were extracted using thematic analysis method. RESULTS: There were 19 males and 24 females, with a mean age of 36 ± 11 years. Sub-themes identified were knowledge, attitude, perception and concerns regarding COVID-19 vaccine, leading to the main theme, i.e., views about the COVID-19 vaccine. CONCLUSION: People have mixed perceptions regarding COVID-19 vaccine. Channelling correct messages may improve people's willingness to get vaccinated.