Volume 14, Issue 2 (Spring- In Press 2026)
Iran J Health Sci 2026, 14(2): 0-0 |
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Ethics code: 03/KEPK-IAKMI/VI/2025
Clinical trials code: 03/KEPK-IAKMI/VI/2025
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Syahwal M, Aluddin A, Patayani Y. Effectiveness of Combined Lecture and Simulation Training for Health Cadres in Non‑Pharmacological Joint Pain Management in Indonesia. Iran J Health Sci 2026; 14 (2)
URL: http://jhs.mazums.ac.ir/article-1-1144-en.html
URL: http://jhs.mazums.ac.ir/article-1-1144-en.html
Karya Kesehatan College of Health Science (Nursing Departement), Kendari City, Southeast Sulawesi , muhammadsyahwal@karyakesehatan.ac.id
Abstract: (39 Views)
Background: Joint pain represents a significant global health challenge, affecting more than half of the elderly population worldwide. In Indonesia, the prevalence increases substantially with age, exceeding 65% among individuals aged 60 years and older, making it a priority concern in geriatric public health. In the context of Indonesian primary healthcare, health cadres occupy strategic positions as frontline community-based health service providers. However, their competence in non-pharmacological joint pain management remains limited. This study evaluated the effectiveness of combined lecture and simulation training in improving health cadres' knowledge and skills in joint pain management.
Methods: A one-group pre–post quasi-experimental study was conducted in July 2025 involving 35 health cadres from Puskesmas Ranomeeto, Konawe Regency, Southeast Sulawesi Province, Indonesia, selected through total sampling. Knowledge and skills were measured on a 0–100 scale using internally developed assessment tools. Participants were active health cadres with a minimum of two years of service. The intervention comprised a 90-minute health education lecture on elderly joint pain followed by hands-on simulation of white ginger and shallot compress therapy. Skills were evaluated through standardized observation checklists. Data were analyzed using Wilcoxon signed-rank test with effect size calculation.
Results: Statistically significant improvements were observed in both knowledge (pre: 60.9; post: 81.5; Δ = 20.6; W = 10.0, p < 0.001, r = −0.962) and skills (pre: 57.4; post: 80.9; Δ = 23.5; W = 0.0, p < 0.001, r = −1.000). Both outcomes demonstrated large effect sizes, with skills showing a marginally greater improvement than knowledge, suggesting that the combined lecture and simulation training effectively enhanced practical competence across all cadres.
Conclusion: Combined lecture and simulation training significantly improved health cadres' knowledge and skills in non-pharmacological joint pain management. This approach is recommended as an effective strategy for community-based health education.
Methods: A one-group pre–post quasi-experimental study was conducted in July 2025 involving 35 health cadres from Puskesmas Ranomeeto, Konawe Regency, Southeast Sulawesi Province, Indonesia, selected through total sampling. Knowledge and skills were measured on a 0–100 scale using internally developed assessment tools. Participants were active health cadres with a minimum of two years of service. The intervention comprised a 90-minute health education lecture on elderly joint pain followed by hands-on simulation of white ginger and shallot compress therapy. Skills were evaluated through standardized observation checklists. Data were analyzed using Wilcoxon signed-rank test with effect size calculation.
Results: Statistically significant improvements were observed in both knowledge (pre: 60.9; post: 81.5; Δ = 20.6; W = 10.0, p < 0.001, r = −0.962) and skills (pre: 57.4; post: 80.9; Δ = 23.5; W = 0.0, p < 0.001, r = −1.000). Both outcomes demonstrated large effect sizes, with skills showing a marginally greater improvement than knowledge, suggesting that the combined lecture and simulation training effectively enhanced practical competence across all cadres.
Conclusion: Combined lecture and simulation training significantly improved health cadres' knowledge and skills in non-pharmacological joint pain management. This approach is recommended as an effective strategy for community-based health education.
Type of Study: Original Article |
Subject:
Health Education
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