Main Article Content
Abstract
Highlights:
1. Comics centered around tuberculosis offer a novel method tailored for specific audiences, specifically children or those of school age, to learn about the disease.
2. The tuberculosis comics feature the etiology, prevention, and treatment of tuberculosis conveyed through their unique design.
3. Comics can be an innovative promotional method to support the preventive campaign against tuberculosis.
Abstract
As a tropical country, Indonesia continues to grapple with the prevalence of tuberculosis. This study conducted by the Department of Public Health and Preventive Medicine at Universitas Airlangga, Surabaya, Indonesia, presented a novel approach to prevent tuberculosis through measures tailored to the socio-cultural context of the population. Specifically, this study assessed how effective the use of tuberculosis comics is as an educational tool to inform junior high school students about tuberculosis. This research was quasi-experimental, with a one-group pre-test-post-test design. Seventy junior high school students in Dukun District, Gresik, Indonesia participated in this study. Each participant received a questionnaire consisting of ten questions about tuberculosis. Afterward, tuberculosis education was shared through comics. The post-test was carried out using the same questions as the pre-test. The data were analyzed using the R Program for Windows, version 4.1.3 (Auckland University, New Zealand). The analysis revealed a significant difference between the pre-test and post-test results (p < 0.0001). As indicated by the data, comics proved to be an effective method of educating people about infectious diseases, specifically tuberculosis. Here, we introduce an educational tool designed to revitalize the educational method for disseminating knowledge about infectious diseases. Ultimately, comics can increase students' interest in learning about tuberculosis, including its etiology, prevention, and treatment strategies.
Keywords
Article Details
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References
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- Akessa GM, Tadesse M, Abebe G (2015). Survival analysis of loss to follow-up treatment among tuberculosis patients at Jimma University Specialized Hospital, Jimma, Southwest Ethiopia. International Journal of Statistical Mechanics 2015, 1–7. doi: 10.1155/2015/923025.
- Ashwal G, Thomas A (2018). Are comic books appropriate health education formats to offer adult patients? AMA Journal of Ethics 20, 134–140. doi: 10.1001/journalofethics.2018.20.2.ecas1-1802.
- Caren GJ, Iskandar D, Pitaloka DA, et al (2022). COVID-19 pandemic disruption on the management of tuberculosis treatment in Indonesia. Journal of Multidisciplinary Healthcare 15, 175–183. doi: 10.2147/JMDH.S341130.
- Chen X, Du L, Wu R, et al (2020). The effects of family, society and national policy support on treatment adherence among newly diagnosed tuberculosis patients: a cross-sectional study. BMC Infectious Diseases 20, 623. doi: 10.1186/s12879-020-05354-3.
- Cilloni L, Fu H, Vesga JF, et al (2020). The potential impact of the COVID-19 pandemic on the tuberculosis epidemic a modelling analysis. E-Clinical Medicine 28. doi: 10.1016/j.eclinm.2020. 100603.
- Czerwiec MK (2018). Representing AIDS in comics. AMA Journal of Ethics 20, 199–205. doi: 10.1001/journalofethics.2018.20.2.mnar1-1802.
- Fuady A, Pakasi TA, Mansyur M (2014). The social determinants of knowledge and perception on pulmonary tuberculosis among females in Jakarta, Indonesia. Medical Journal of Indonesia 23, 99–105. doi: 10.13181/mji.v23i2.651.
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- King AJ (2017). Using comics to communicate about health: An introduction to the symposium on visual narratives and graphic medicine. Health Communication 32, 523–524. doi: 10.1080/10410 236.2016.1211063.
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- Morel M, Peruzzo N, Juele AR, et al (2019). Comics as an educational resource to teach microbiology in the classroom. Journal of Microbiology & Biology Education. doi: 10.1128/jmbe.v20i1.16 81.
- Pai M, Behr MA, Dowdy D, et al (2016). Tuberculosis. Nature Reviews Disease Primers 2, 16076. doi: 10.1038/nrdp.2016.76.
- R Studio (2022). R Program for Windows, version 4.1.3. Auckland University, New Zealand. Available at: https://research-hub.auckland.ac.nz/ software/rstudio.
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- Siedlecki SL (2020). Quasi-experimental research designs. Clinical Nurse Specialist 34, 198-202. doi: 10.1097/NUR.0000000000000540.
- Taheri SM, Hesamian G (2013). A generalization of the Wilcoxon signed-rank test and its applications. Statistical Papers 54, 457–470. doi: 10.1007/s0036 2-012-0443-4.
- Utomo B, Chan CK, Mertaniasih NM, et al (2022). Comparison epidemiology between tuberculosis and covid-19 in East Java Province, Indonesia: An analysis of regional surveillance data in 2020. Tropical Medicine and Infectious Disease 7, 83. doi: 10.3390/tropicalmed7060083.
- Whiting J (2020). Comics as reflection: In opposition to formulaic recipes for reflective processes. The Permanente Journal. doi: 10.7812/TPP/19.134.
- Willis LA, Kachur R, Castellanos TJ, et al (2018). Developing a motion comic for HIV/STD prevention for young people ages 15–24, part 1: Listening to your target audience. Health Communication 33, 212–221. doi: 10.1080/104 10236.2016.1255840.
- World Health Organization (2018). Global tuberculosis report 2018. World Health Organization. Available at: https://iris.who.int/han dle/10665/274453.
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References
Adnan M, Abdullah JM, Md Ibharim LF, et al (2019). Expanding opportunities for science, technology, engineering and mathematics subjects teaching and learning: Connecting through comics. Malaysian Journal of Medical Sciences 26, 127–133. doi: 10.21315/mjms2019.26.4.15.
Akessa GM, Tadesse M, Abebe G (2015). Survival analysis of loss to follow-up treatment among tuberculosis patients at Jimma University Specialized Hospital, Jimma, Southwest Ethiopia. International Journal of Statistical Mechanics 2015, 1–7. doi: 10.1155/2015/923025.
Ashwal G, Thomas A (2018). Are comic books appropriate health education formats to offer adult patients? AMA Journal of Ethics 20, 134–140. doi: 10.1001/journalofethics.2018.20.2.ecas1-1802.
Caren GJ, Iskandar D, Pitaloka DA, et al (2022). COVID-19 pandemic disruption on the management of tuberculosis treatment in Indonesia. Journal of Multidisciplinary Healthcare 15, 175–183. doi: 10.2147/JMDH.S341130.
Chen X, Du L, Wu R, et al (2020). The effects of family, society and national policy support on treatment adherence among newly diagnosed tuberculosis patients: a cross-sectional study. BMC Infectious Diseases 20, 623. doi: 10.1186/s12879-020-05354-3.
Cilloni L, Fu H, Vesga JF, et al (2020). The potential impact of the COVID-19 pandemic on the tuberculosis epidemic a modelling analysis. E-Clinical Medicine 28. doi: 10.1016/j.eclinm.2020. 100603.
Czerwiec MK (2018). Representing AIDS in comics. AMA Journal of Ethics 20, 199–205. doi: 10.1001/journalofethics.2018.20.2.mnar1-1802.
Fuady A, Pakasi TA, Mansyur M (2014). The social determinants of knowledge and perception on pulmonary tuberculosis among females in Jakarta, Indonesia. Medical Journal of Indonesia 23, 99–105. doi: 10.13181/mji.v23i2.651.
Gelaye KA, Debalkie G, Ayele TA, et al (2020). The role of mass media exposure on tuberculosis knowledge and attitude among migrant and seasonal farmworkers in Northwest Ethiopia. BMC Infectious Diseases 20, 579. doi: 10.1186/ s12879-020-05316-9.
Gesser-Edelsburg A (2021). Using narrative evidence to convey health information on social media: The case of covid-19. Journal of Medical Internet Research 23. doi: 10.2196/24948.
Horter S, Stringer B, Venis S, et al (2014). "I can also serve as an inspiration”: A qualitative study of the tb&me blogging experience and its role in MDR-TB Treatment ed. Harris F. PLoS One 9. doi: 10.1371/journal.pone.0108591.
King AJ (2017). Using comics to communicate about health: An introduction to the symposium on visual narratives and graphic medicine. Health Communication 32, 523–524. doi: 10.1080/10410 236.2016.1211063.
Lee T, Lee-Geiller S, Lee BK (2020). Are pictures worth a thousand words? The effect of information presentation type on citizen perceptions of government websites. Government Information Quarterly 37, 101482. doi: 10.1016/j.giq.2020. 101482.
Mahendradhata Y, Trisnantoro L, Listyadewi S, et al (2017). The Republic of Indonesia health system review. Health Systems in Transition. Available at: https://iris.who.int/handle/10665/254716.
Mansur AR, Sari IM, Herien Y, et al (2023). Effectiveness of education using comic media on knowledge about covid-19 among elementary school students. Malaysian Journal of Medicine and Health Sciences 19, 40–45. Available at: https://medic.upm.edu.my/upload/dokumen/2023072014573807_MJMHS_0438.pdf.
Ministry of Health of the Republic of Indonesia (2015). Health profile of Republic of Indonesia. Minist Heal Repub Indones. Available at: https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Keseh atan-Indonesia-Tahun-2015.pdf.
Morel M, Peruzzo N, Juele AR, et al (2019). Comics as an educational resource to teach microbiology in the classroom. Journal of Microbiology & Biology Education. doi: 10.1128/jmbe.v20i1.16 81.
Pai M, Behr MA, Dowdy D, et al (2016). Tuberculosis. Nature Reviews Disease Primers 2, 16076. doi: 10.1038/nrdp.2016.76.
R Studio (2022). R Program for Windows, version 4.1.3. Auckland University, New Zealand. Available at: https://research-hub.auckland.ac.nz/ software/rstudio.
Rakower J, Hallyburton A (2022). Disease information through comics: A graphic option for health education. Journal of Medical Humanities 43, 475–492. doi: 10.1007/s10912-022-09730-9.
Siedlecki SL (2020). Quasi-experimental research designs. Clinical Nurse Specialist 34, 198-202. doi: 10.1097/NUR.0000000000000540.
Taheri SM, Hesamian G (2013). A generalization of the Wilcoxon signed-rank test and its applications. Statistical Papers 54, 457–470. doi: 10.1007/s0036 2-012-0443-4.
Utomo B, Chan CK, Mertaniasih NM, et al (2022). Comparison epidemiology between tuberculosis and covid-19 in East Java Province, Indonesia: An analysis of regional surveillance data in 2020. Tropical Medicine and Infectious Disease 7, 83. doi: 10.3390/tropicalmed7060083.
Whiting J (2020). Comics as reflection: In opposition to formulaic recipes for reflective processes. The Permanente Journal. doi: 10.7812/TPP/19.134.
Willis LA, Kachur R, Castellanos TJ, et al (2018). Developing a motion comic for HIV/STD prevention for young people ages 15–24, part 1: Listening to your target audience. Health Communication 33, 212–221. doi: 10.1080/104 10236.2016.1255840.
World Health Organization (2018). Global tuberculosis report 2018. World Health Organization. Available at: https://iris.who.int/han dle/10665/274453.
World Health Organization (2019). Global tuberculosis reports. WHO. Available at: https://www.who.int/tb/publications/global_report/en/.
World Health Organization (2020). Tuberculosis and Covid-19: Considerations for tuberculosis care. WHO. Available at: https://www.who.int/do cs/default-source/documents/tuberculosis/infonot e-tb-covid-19.pdf.