Saudi Cultural Missions Theses & Dissertations
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Item Restricted Assessing Knowledge, Attitudes, and Practices: The Role of Caregivers in the Oral Health of Adults with Intellectual and Developmental Disabilities(University of Rochester, 2024-05-17) Alqahtani, Nahar; Planerova, Adela; Abdul Basir, Barmak; Planerova, AdelaObjective: This study aims to investigate the influence of caregiver education on attitudes, beliefs, and knowledge regarding oral health care for individuals with intellectual and developmental disabilities (IDD). Methods: Employing a single-arm, prospective design, this research was conducted at the Eastman Institute for Oral Health, University of Rochester Medical Center, with 101 caregivers participating. Caregivers, fluent in English and involved in the oral care of adults with IDD for at least six months, completed a validated, self-administered questionnaire. The questionnaire assessed demographics, oral health knowledge, attitudes, and practices. Data analysis utilized SPSS ver. 21.0, applying the Chi-Square test, independent samples t-test, and ANOVA to explore correlations between caregiver demographics and oral health practices. Results: The study demographic comprised predominantly female caregivers (74.3%), with a significant portion having completed high school or less (67%). Key findings indicated a substantial association between caregivers' education levels and their oral health practices for individuals with IDD. Caregivers with a Bachelor's degree or higher demonstrated a higher likelihood of adhering to recommended oral health practices (p=0.018) and exhibited a deeper understanding of dental health factors. Barriers to effective oral care, including non-cooperative behavior from care recipients and limited resources, were identified, emphasizing the necessity of addressing these challenges through comprehensive strategies. Conclusion: Caregiver education is crucial in determining the quality of oral health care provided to individuals with IDD. This study underscores the need for targeted educational interventions and policy reforms to enhance caregivers' abilities and address existing care delivery challenges. By fostering an environment of informed, engaged caregiving, we can significantly improve oral health outcomes for adults with IDD, advocating for an interdisciplinary approach to achieve an inclusive healthcare ecosystem.23 0Item Restricted Assessing the Effectiveness of Educational Interventions on Breast Cancer Knowledge, Practice Uptake and Beliefs Among Adult Saudi Women: A Systematic Review(Saudi Digital Library, 2023-11-29) Sahli, Maryam; Hopkins, RuthBackground: Several systematic evaluations have examined the importance of educational interventions in promoting breast cancer screening (BCS) and reducing the incidence of breast cancer (BC). However, studies have yet to evaluate these educational interventions comprehensively among Saudi women. Aim: This review sought to systematically assess the efficacy of various educational interventions in enhancing women’s knowledge, breast self-examination (BSE) practices, and beliefs of breast cancer Screening (BCS) in different regions of the Kingdom of Saudi Arabia. Objectives: The research aimed to determine whether health education intervention programmes can increase the level of knowledge, BSE practice, and beliefs of BCS among women in Saudi Arabia and to identify the effective characteristics of these interventions in terms of the intervention’s duration, provider, strategies, theoretical framework and components (knowledge of BC, BSE uptake and health beliefs about BCS), and whether a one-component or multi-component approach is appropriate. Method: The study followed the Prospero protocol and utilised the Systematic Review guidelines and PICOSS inclusion and exclusion criteria. A comprehensive literature search used seven electronic databases: Scopus, Medline, CINHAL, EMBASA, Web of Science, ProQuest, and PsycInfo. In addition, a Google Scholar search and citation chaining from the included studies were conducted in June of 2023. Search terms were employed with AND and OR Boolean operators. Study type, intervention settings, country, region, intervention type and elements, sample size, age group, intervention duration, main finding, intervention effectiveness, data collection, delivery method, intervention sustainability, theoretical perspective (if applicable), and study limitations were described. Additionally, the Effective Public Health Practice Project (EPHPP) was used to evaluate the data quality of the included studies. The intervention strategies and study characteristics were analysed using a qualitative synthesis narrative of the included studies’ data. Results: Eleven interventional investigations were reviewed in their entirety. Multiple intervention strategies based on theory and language were primarily implemented among adult Saudi women in university and workplace contexts. The defining characteristics of the educational interventions included the provider, duration and mode of delivery. Conclusion: Most studies on the efficacy of educational interventions revealed favourable outcomes regarding Saudi women’s knowledge, BSE practice and beliefs of BCS. Thus, potential educational interventions could increase BSE practice, knowledge and ideas among Saudi women. Recommendations: The educational intervention studies included in this review had numerous limitations, including heterogeneous research designs, intervention strategies and outcome measures. Consequently, future research and policies implementing educational interventions for BC among Saudi women should consider these implications.14 0