Effectiveness of Community Engagement Intervention on Patient Safety care among a coastal rural Community in Ernakulam district

Abstract

Introduction: Community engagement (CE) intervention methods encompass a wide range of approaches to include communities in improving the community's physical, mental, and social well-being. Mainly, community areas shared socially acceptable interventions; it will be necessary for the community to reduce the health burden in low and lower-middle-income countries (LLMIC). Here, the researcher conducted community engagement approaches regarding personal hygiene and scientific-based hand washing to prevent infectious disease control with effective wound care in the community.

Method: to compare the effectiveness of a three-week multi-dimensional community engagement intervention involving community people at Nayarambalam panchayat about personal hygiene and hand washing with the following key variables: to improve knowledge, practice, change attitude, and adaptation. A pre-test and post-test research design method was applied in this study.

Result: A total of 500 samples were selected in this study, in that 231 (46.2%) have previous experience with wounds during their life span, 292 (58.4%) have experience with foodborne disease and 218 (43.6%) have experience in both. In the end, 249 (49.80 %) samples completed the three-week training program, the average program duration was 20± 5 mts/week. None of the participants reported negative feedback regarding the program. This intervention mainly focussed on improving a healthy lifestyle and wound care management in the community. Its main objective is to enhance knowledge, practice, and attitude regarding personal hygiene and wound care. Along with this method, it should be practiced in daily life to prevent food and wound care infections in the community. So, this three-week intervention includes, every first working day, health education, the investigator's live demonstration on the doorstep, and sharing video regarding hand washing and wound care. Therefore, knowledge, attitude, and practice regarding hand washing were improved by 33.7 vs 88,47 vs 85, and 34.7 vs 85.5, respectively. Along with wound dressing, Knowledge, attitude and practice changed 16.77vs 22.63,47.27 vs 50.21,11.36 vs 23.43 respectively.

Moreover, we assessed the acceptability of advance care planning engagement measures by self-efficacy and readiness on five Likert scales and intervention action. The mean age group is 58.91 ± 05, and 52.21 are males. The means acceptability score ranges from 4.7±0.9 and relevance from 4.9±0.09 (p<0.001). This community engagement intervention influences the general population and community leaders and overall changes the health status of the community in long-term effect.

Conclusion: The Community engagement intervention method will improve the health status of the community along with the careful design of Community engagement intervention essential for context to improve health and community is vital.