Effectiveness of a multicentre nasopharyngeal carcinoma awareness programme in Indonesia

R. Fles; S.R. Indrasari; C. Herdini; S. Martini; A. Isfandiari; A.C. Romdhoni; M. Adham; I.D. Mayangsari; E. van Werkhoven; M.A. Wildeman; B. Hariwiyanto; B. Hermani; W.A. Kentjono; S.M. Haryana; M.K. Schmidt; Bing Tan

doi:10.1136/bmjopen-2015-008571

Effectiveness of a multicentre nasopharyngeal carcinoma awareness programme in Indonesia

R. Fles, S.R. Indrasari, C. Herdini, S. Martini, A. Isfandiari, A.C. Romdhoni, M. Adham, I.D. Mayangsari, E. van Werkhoven, M.A. Wildeman, B. Hariwiyanto, B. Hermani, W.A. Kentjono, S.M. Haryana, M.K. Schmidt^*, Bing Tan

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objective To evaluate the effectiveness of a nasopharyngeal carcinoma (NPC) awareness programme on the short-term and long-term improvement of knowledge and referral of patients with NPC by primary healthcare centres (PHCCs) staff in Indonesia.

Design The NPC awareness programme consisted of 12 symposia including a Train-The-Trainer component, containing lectures about early symptoms and risk factors of NPC, practical examination and the referral system for NPC suspects. Before and after training participants completed a questionnaire. The Indonesian Doctors Association accredited all activities.

Participants 1 representative general practitioner (GP) from each PHCC attended an NPC awareness symposium. On the basis of the Train-The-Trainer principle, GPs received training material and were obligated to train their colleagues in the PHCC.

Results 703 GPs attended the symposia and trained 1349 staff members: 314 other GPs, 685 nurses and 350 midwives. After the training, respondents' average score regarding the knowledge of NPC symptoms increased from 47 points (of the 100) to 74 points (p

Conclusions The initial results of this NPC awareness programme indicate that the programme effectively increases NPC knowledge in the short and long term and therefore should be continued. Effects of the improved knowledge on the stage at diagnoses of the patients with NPC will still need to be scrutinised. This awareness programme can serve as a blueprint for other cancer types in Indonesia and for other developing countries.

Original language	English
Article number	e008571
Number of pages	8
Journal	BMJ Open
Volume	6
Issue number	3
DOIs	https://doi.org/10.1136/bmjopen-2015-008571
Publication status	Published - 2016

Keywords

awareness
MEDICAL EDUCATION & TRAINING
nasopharyngeal carcinoma
EPSTEIN-BARR-VIRUS
RISK-FACTORS
DEVELOPING-COUNTRIES
CANCER
CONSUMPTION
SMOKING
CHINA
ALCOHOL
NPC

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Cite this

Fles, R., Indrasari, S. R., Herdini, C., Martini, S., Isfandiari, A., Romdhoni, A. C., Adham, M., Mayangsari, I. D., van Werkhoven, E., Wildeman, M. A., Hariwiyanto, B., Hermani, B., Kentjono, W. A., Haryana, S. M., Schmidt, M. K., & Tan, B. (2016). Effectiveness of a multicentre nasopharyngeal carcinoma awareness programme in Indonesia. BMJ Open, 6(3), Article e008571. https://doi.org/10.1136/bmjopen-2015-008571

@article{8962bed41f4b4eb0ab77caa62aa54e4e,

title = "Effectiveness of a multicentre nasopharyngeal carcinoma awareness programme in Indonesia",

abstract = "Objective To evaluate the effectiveness of a nasopharyngeal carcinoma (NPC) awareness programme on the short-term and long-term improvement of knowledge and referral of patients with NPC by primary healthcare centres (PHCCs) staff in Indonesia.Design The NPC awareness programme consisted of 12 symposia including a Train-The-Trainer component, containing lectures about early symptoms and risk factors of NPC, practical examination and the referral system for NPC suspects. Before and after training participants completed a questionnaire. The Indonesian Doctors Association accredited all activities.Participants 1 representative general practitioner (GP) from each PHCC attended an NPC awareness symposium. On the basis of the Train-The-Trainer principle, GPs received training material and were obligated to train their colleagues in the PHCC.Results 703 GPs attended the symposia and trained 1349 staff members: 314 other GPs, 685 nurses and 350 midwives. After the training, respondents' average score regarding the knowledge of NPC symptoms increased from 47 points (of the 100) to 74 points (pConclusions The initial results of this NPC awareness programme indicate that the programme effectively increases NPC knowledge in the short and long term and therefore should be continued. Effects of the improved knowledge on the stage at diagnoses of the patients with NPC will still need to be scrutinised. This awareness programme can serve as a blueprint for other cancer types in Indonesia and for other developing countries.",

keywords = "awareness, MEDICAL EDUCATION & TRAINING, nasopharyngeal carcinoma, EPSTEIN-BARR-VIRUS, RISK-FACTORS, DEVELOPING-COUNTRIES, CANCER, CONSUMPTION, SMOKING, CHINA, ALCOHOL, NPC",

author = "R. Fles and S.R. Indrasari and C. Herdini and S. Martini and A. Isfandiari and A.C. Romdhoni and M. Adham and I.D. Mayangsari and {van Werkhoven}, E. and M.A. Wildeman and B. Hariwiyanto and B. Hermani and W.A. Kentjono and S.M. Haryana and M.K. Schmidt and Bing Tan",

year = "2016",

doi = "10.1136/bmjopen-2015-008571",

language = "English",

volume = "6",

journal = "BMJ Open",

issn = "2044-6055",

publisher = "BMJ Publishing Group",

number = "3",

}

Fles, R, Indrasari, SR, Herdini, C, Martini, S, Isfandiari, A, Romdhoni, AC, Adham, M, Mayangsari, ID, van Werkhoven, E, Wildeman, MA, Hariwiyanto, B, Hermani, B, Kentjono, WA, Haryana, SM, Schmidt, MK & Tan, B 2016, 'Effectiveness of a multicentre nasopharyngeal carcinoma awareness programme in Indonesia', BMJ Open, vol. 6, no. 3, e008571. https://doi.org/10.1136/bmjopen-2015-008571

TY - JOUR

T1 - Effectiveness of a multicentre nasopharyngeal carcinoma awareness programme in Indonesia

AU - Fles, R.

AU - Indrasari, S.R.

AU - Herdini, C.

AU - Martini, S.

AU - Isfandiari, A.

AU - Romdhoni, A.C.

AU - Adham, M.

AU - Mayangsari, I.D.

AU - van Werkhoven, E.

AU - Wildeman, M.A.

AU - Hariwiyanto, B.

AU - Hermani, B.

AU - Kentjono, W.A.

AU - Haryana, S.M.

AU - Schmidt, M.K.

AU - Tan, Bing

PY - 2016

Y1 - 2016

N2 - Objective To evaluate the effectiveness of a nasopharyngeal carcinoma (NPC) awareness programme on the short-term and long-term improvement of knowledge and referral of patients with NPC by primary healthcare centres (PHCCs) staff in Indonesia.Design The NPC awareness programme consisted of 12 symposia including a Train-The-Trainer component, containing lectures about early symptoms and risk factors of NPC, practical examination and the referral system for NPC suspects. Before and after training participants completed a questionnaire. The Indonesian Doctors Association accredited all activities.Participants 1 representative general practitioner (GP) from each PHCC attended an NPC awareness symposium. On the basis of the Train-The-Trainer principle, GPs received training material and were obligated to train their colleagues in the PHCC.Results 703 GPs attended the symposia and trained 1349 staff members: 314 other GPs, 685 nurses and 350 midwives. After the training, respondents' average score regarding the knowledge of NPC symptoms increased from 47 points (of the 100) to 74 points (pConclusions The initial results of this NPC awareness programme indicate that the programme effectively increases NPC knowledge in the short and long term and therefore should be continued. Effects of the improved knowledge on the stage at diagnoses of the patients with NPC will still need to be scrutinised. This awareness programme can serve as a blueprint for other cancer types in Indonesia and for other developing countries.

AB - Objective To evaluate the effectiveness of a nasopharyngeal carcinoma (NPC) awareness programme on the short-term and long-term improvement of knowledge and referral of patients with NPC by primary healthcare centres (PHCCs) staff in Indonesia.Design The NPC awareness programme consisted of 12 symposia including a Train-The-Trainer component, containing lectures about early symptoms and risk factors of NPC, practical examination and the referral system for NPC suspects. Before and after training participants completed a questionnaire. The Indonesian Doctors Association accredited all activities.Participants 1 representative general practitioner (GP) from each PHCC attended an NPC awareness symposium. On the basis of the Train-The-Trainer principle, GPs received training material and were obligated to train their colleagues in the PHCC.Results 703 GPs attended the symposia and trained 1349 staff members: 314 other GPs, 685 nurses and 350 midwives. After the training, respondents' average score regarding the knowledge of NPC symptoms increased from 47 points (of the 100) to 74 points (pConclusions The initial results of this NPC awareness programme indicate that the programme effectively increases NPC knowledge in the short and long term and therefore should be continued. Effects of the improved knowledge on the stage at diagnoses of the patients with NPC will still need to be scrutinised. This awareness programme can serve as a blueprint for other cancer types in Indonesia and for other developing countries.

KW - awareness

KW - MEDICAL EDUCATION & TRAINING

KW - nasopharyngeal carcinoma

KW - EPSTEIN-BARR-VIRUS

KW - RISK-FACTORS

KW - DEVELOPING-COUNTRIES

KW - CANCER

KW - CONSUMPTION

KW - SMOKING

KW - CHINA

KW - ALCOHOL

KW - NPC

U2 - 10.1136/bmjopen-2015-008571

DO - 10.1136/bmjopen-2015-008571

M3 - Article

SN - 2044-6055

VL - 6

JO - BMJ Open

JF - BMJ Open

IS - 3

M1 - e008571

ER -