1.Community resources and needs assessment on stroke in Tuba, Benguet: A concurrent triangulation design.
Norenia T. DAO-AYEN ; Genevive Claire B. ANTONIO ; Cheryl C. DANGLIPEN
Acta Medica Philippina 2025;59(18):38-55
BACKGROUND
Worldwide, the WHO showed that stroke is the second leading cause of death for people above 60, and 5th among the aged 15 to 59 population. In the Philippines, statistics revealed that 500,000 Filipinos suffer from stroke annually. Although preventive efforts have brought about a steady decline in incidence over the last several years, stroke is still the third leading cause of death. Baguio-Benguet Chapter notes a rise in the number of stroke patients affecting both adult and younger age groups. The increasing cases of lifestyle diseases predispose people to stroke. Stroke prevention, management, and rehabilitation are essential in bringing back the normal functioning of stroke patients. Care for stroke clients is a challenging task because of the varied knowledge, practices, and attitudes (KAP) fostering the needs of a stroke client. In the Philippines, family members of the stroke client are more likely to be the preferred caregivers.
OBJECTIVEThe study determined the knowledge, attitudes, and practices of the community members and the community resources on stroke prevention, management, and rehabilitation as a basis for program development.
METHODSThis study utilized a mixed research design. Data were gathered from 275 residents of Camp 4, Tuba, Benguet using a structured questionnaire, and 10 FGD Groups. Frequency, percentage, and mean computations were done to analyze quantitative data, whereas descriptive analysis was done for qualitative data.
RESULTSThe majority of the respondents (76%) knew that stroke happens due to insufficient blood supply to the brain. Generally, the community agreed about their attitude on the prevention (2.89), management (2.68), and rehabilitation (2.75) of stroke. The community sometimes practices stroke prevention (3.17), management (2.83), and rehabilitation (2.92). Qualitative data revealed that experiences on stroke resulted in scientific knowledge, evidence-based practices, and utilization of existing resources that include personnel, infrastructure, and programs for stroke prevention, management, and rehabilitation.
CONCLUSIONThe experience, social support, and maximized utilization of existing community resources have assisted the knowledge acquisition, favorable attitudes, and safe practices of the community on stroke.
Human ; Attitude ; Community Resources
2.Trends in knowledge, attitude and perceptions about HIV among Filipinos during and after the COVID-19 pandemic: Responses from a digital survey.
Glyzelle Anne A. LAGASON ; Judith Anne Rose Y. GANADEN ; Martin Xavier D. PEÑAFLOR ; Ericson P. ACAPULCO ; Kristine T. DONAYRE ; John Alexander L. FELLIZAR ; Ma. Tarcela S. GLER
Acta Medica Philippina 2025;59(15):88-93
BACKGROUND
The Philippines has been significantly affected by the HIV epidemic in the Asia-Pacific region, with a notable increase in new cases over the past decade. Despite efforts to promote HIV testing, access to treatment, and awareness campaigns, progress has been slow, particularly among youths. Tangere, a market research application, conducted surveys during and after the COVID-19 pandemic to assess HIV knowledge among Filipinos.
OBJECTIVESThis study aimed to evaluate changes in HIV awareness among young Filipinos during and after the COVID-19 pandemic using data collected via Tangere’s surveys. Specifically, it sought to analyze demographic characteristics, sources of HIV information, and knowledge regarding HIV transmission, prevention, and stigma.
METHODSTangere collaborated with the investigators to develop a questionnaire assessing HIV knowledge among young Filipinos. Surveys were conducted during and after the COVID-19 pandemic, targeting subscribers aged 18-35 years, primarily from the National Capital Region and Luzon area. Data analysis involved calculating frequencies and percentages to summarize demographic characteristics and HIV knowledge. An Independent-Samples Proportions procedure was used to compare HIV knowledge during and after the pandemic.
RESULTSThe survey revealed that while respondents generally possessed reasonable knowledge about HIV, there were notable changes in the awareness during and after the pandemic. Social media and television were identified as primary sources of HIV information. Knowledge regarding HIV transmission and prevention increased postpandemic, particularly concerning preventive measures such as pre-exposure prophylaxis (PREP) and motherto-child transmission (MTCT). However, persistent misconceptions and stigma surrounding HIV remained, indicating the need for continued education and advocacy efforts.
CONCLUSIONThe study underscores the importance of utilizing social media platforms for HIV awareness campaigns, especially among youths who are disproportionately affected by the epidemic. Despite improvements in knowledge, the Philippines has yet to achieve global HIV prevention goals. Continued efforts to enhance awareness, particularly regarding recent advancements in HIV prevention and treatment, are essential for curbing the epidemic and improving public health outcomes nationwide.
Human ; Knowledge ; Attitude ; Hiv ; Covid-19 ; Pandemics
3.Development of the modified Safety Attitude Questionnaire for the medical imaging department.
Ravi Chanthriga ETURAJULU ; Maw Pin TAN ; Mohd Idzwan ZAKARIA ; Karuthan CHINNA ; Kwan Hoong NG
Singapore medical journal 2025;66(1):33-40
INTRODUCTION:
Medical errors commonly occur in medical imaging departments. These errors are frequently influenced by patient safety culture. This study aimed to develop a suitable patient safety culture assessment tool for medical imaging departments.
METHODS:
Staff members of a teaching hospital medical imaging department were invited to complete the generic short version of the Safety Attitude Questionnaire (SAQ). Internal consistency and reliability were evaluated using Cronbach's α. Confirmatory factor analysis (CFA) was conducted to examine model fit. A cut-off of 60% was used to define the percentage positive responses (PPR). PPR values were compared between occupational groups.
RESULTS:
A total of 300 complete responses were received and the response rate was 75.4%. In reliability analysis, the Cronbach's α for the original 32-item SAQ was 0.941. Six subscales did not demonstrate good fit with CFA. A modified five-subscale, 22-item model (SAQ-MI) showed better fit (goodness-to-fit index ≥0.9, comparative fit index ≥ 0.9, Tucker-Lewis index ≥0.9 and root mean square error of approximation ≤0.08). The Cronbach's α for the 22 items was 0.921. The final five subscales were safety and teamwork climate, job satisfaction, stress recognition, perception of management and working condition, with PPR of 62%, 68%, 57%, 61% and 60%, respectively. Statistically significant differences in PPR were observed between radiographers, doctors and others occupational groups.
CONCLUSION
The modified five-factor, 22-item SAQ-MI is a suitable tool for the evaluation of patient safety culture in a medical imaging department. Differences in patient safety culture exist between occupation groups, which will inform future intervention studies.
Humans
;
Surveys and Questionnaires
;
Patient Safety
;
Attitude of Health Personnel
;
Diagnostic Imaging
;
Reproducibility of Results
;
Male
;
Female
;
Adult
;
Job Satisfaction
;
Factor Analysis, Statistical
;
Middle Aged
;
Hospitals, Teaching
;
Safety Management
;
Organizational Culture
;
Medical Errors/prevention & control*
4.Knowledge of COVID-19 and associated factors among kidney transplant recipients and donors in Singapore.
Ian Tatt LIEW ; Yeli WANG ; Terence KEE ; Ping Sing TEE ; Rupesh Madhukar SHIRORE ; Sobhana THANGARAJU ; Quan Yao HO ; York Moi LU ; Jin Hua YONG ; Fiona FOO ; Eleanor NG ; Xia HE ; Constance LEE ; Shannon BAEY ; Marjorie FOO ; Tazeen Hasan JAFAR
Singapore medical journal 2025;66(2):81-90
BACKGROUND:
Effective interventions during the coronavirus disease 2019 (COVID-19) pandemic require an understanding of patients' knowledge and perceptions that influence their behaviour. Our study assessed knowledge of COVID-19 among kidney transplant recipients and donors, hitherto unevaluated.
METHODS:
We conducted a cross-sectional survey among 325 kidney transplant recipients and 172 donors between 1 May 2020 and 30 June 2020. The survey questionnaire assessed knowledge levels of COVID-19, sociodemographic data, health status, psychosocial impact of COVID-19 and precautionary behaviours during the pandemic.
RESULTS:
The mean COVID-19 knowledge score of the study population was 7.5 (standard deviation: 2.2) out of 10. The mean score was significantly higher among kidney recipients compared to kidney donors (7.9 [1.9] vs. 6.7 [2.6]; P <0.001). Younger age (21-49 vs. ≥50 years) and higher education (diploma and higher vs. secondary and lower) were associated with significantly higher knowledge scores in donors, but not among recipients ( P -interactions ≤0.01). In both kidney recipients and donors, financial concerns and/or social isolation were associated with lower knowledge levels.
CONCLUSIONS
Concerted efforts are needed to improve COVID-19 knowledge in kidney transplant recipients and donors, particularly older donors, donors with lower education and patients with financial concerns or feelings of social isolation. Intensive patient education may mitigate the impact of education levels on COVID-19 knowledge levels.
Humans
;
COVID-19/epidemiology*
;
Kidney Transplantation
;
Middle Aged
;
Singapore/epidemiology*
;
Male
;
Female
;
Adult
;
Cross-Sectional Studies
;
Health Knowledge, Attitudes, Practice
;
Transplant Recipients/psychology*
;
Surveys and Questionnaires
;
Tissue Donors/psychology*
;
SARS-CoV-2
;
Young Adult
;
Aged
;
Pandemics
5.Pandemic-related health literacy: a systematic review of literature in COVID-19, SARS and MERS pandemics.
Jun Jie Benjamin SENG ; Cheng Teng YEAM ; Caleb Weihao HUANG ; Ngiap Chuan TAN ; Lian Leng LOW
Singapore medical journal 2025;66(5):244-255
INTRODUCTION:
Health literacy plays an essential role in one's ability to acquire and understand critical medical information in the coronavirus disease 2019 (COVID-19) infodemic and in other pandemics. We aimed to summarise the assessment, levels and determinants of pandemic-related health literacy and its associated clinical outcomes.
METHODS:
A systematic review was performed in Medline ® , Embase ® , PsycINFO ® , CINAHL ® and four major preprint servers. Observational and interventional studies that evaluated health literacy related to the novel COVID-19, severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) were included. Items used in health literacy instruments were grouped under the themes of knowledge, attitudes and practices. Determinants of health literacy were grouped into five domains: sociodemographic, medical, psychological/psychiatric, health systems-related and others.
RESULTS:
Of the 2,065 articles screened, 70 articles were included. Of these, 21, 17 and 32 studies evaluated health literacy related to COVID-19, SARS and MERS, respectively. The rates of low pandemic health literacy ranged from 4.3% to 57.9% among medical-related populations and from 4.0% to 82.5% among nonmedical populations. Knowledge about the symptoms and transmission of infection, worry about infection, and practices related to mask usage and hand hygiene were most frequently evaluated. Sociodemographic determinants of health literacy were most frequently studied, among which higher education level, older age and female gender were found to be associated with better health literacy. No studies evaluated the outcomes associated with health literacy.
CONCLUSION
The level of pandemic-related health literacy is suboptimal. Healthcare administrators need to be aware of health literacy determinants when formulating policies in pandemics.
Humans
;
Health Literacy
;
COVID-19/epidemiology*
;
Severe Acute Respiratory Syndrome/epidemiology*
;
Health Knowledge, Attitudes, Practice
;
Pandemics
;
SARS-CoV-2
;
Coronavirus Infections/epidemiology*
;
Middle East Respiratory Syndrome Coronavirus
;
Female
;
Male
6.Trends in knowledge, attitude and perceptions about HIV among Filipinos during and after the COVID-19 pandemic: Responses from a digital survey.
Glyzelle Anne A. Lagason ; Judith Anne Rose Y. Ganaden ; Martin Xavier D. Peñ ; aflor ; Ericson P. Acapulco ; Kristine T. Donarye ; John Alexander L. Fellizar ; Ma. Tarcela S. Gler
Acta Medica Philippina 2025;59(Early Access 2025):1-6
BACKGROUND
The Philippines has been significantly affected by the HIV epidemic in the Asia-Pacific region, with a notable increase in new cases over the past decade. Despite efforts to promote HIV testing, access to treatment, and awareness campaigns, progress has been slow, particularly among youths. Tangere, a market research application, conducted surveys during and after the COVID-19 pandemic to assess HIV knowledge among Filipinos.
OBJECTIVESThis study aimed to evaluate changes in HIV awareness among young Filipinos during and after the COVID-19 pandemic using data collected via Tangere’s surveys. Specifically, it sought to analyze demographic characteristics, sources of HIV information, and knowledge regarding HIV transmission, prevention, and stigma.
METHODSTangere collaborated with the investigators to develop a questionnaire assessing HIV knowledge among young Filipinos. Surveys were conducted during and after the COVID-19 pandemic, targeting subscribers aged 18-35 years, primarily from the National Capital Region and Luzon area. Data analysis involved calculating frequencies and percentages to summarize demographic characteristics and HIV knowledge. An Independent-Samples Proportions procedure was used to compare HIV knowledge during and after the pandemic.
RESULTSThe survey revealed that while respondents generally possessed reasonable knowledge about HIV, there were notable changes in the awareness during and after the pandemic. Social media and television were identified as primary sources of HIV information. Knowledge regarding HIV transmission and prevention increased postpandemic, particularly concerning preventive measures such as pre-exposure prophylaxis (PREP) and motherto-child transmission (MTCT). However, persistent misconceptions and stigma surrounding HIV remained, indicating the need for continued education and advocacy efforts.
CONCLUSIONThe study underscores the importance of utilizing social media platforms for HIV awareness campaigns, especially among youths who are disproportionately affected by the epidemic. Despite improvements in knowledge, the Philippines has yet to achieve global HIV prevention goals. Continued efforts to enhance awareness, particularly regarding recent advancements in HIV prevention and treatment, are essential for curbing the epidemic and improving public health outcomes nationwide.
Human ; Knowledge ; Attitude ; Hiv ; Covid-19 ; Pandemics
7.Community resources and needs assessment on stroke in Tuba, Benguet: A concurrent triangulation design
Norenia T. Dao-ayen ; Genevive Claire B. Antonio ; Cheryl C. Danglipen
Acta Medica Philippina 2025;59(Early Access 2025):1-18
BACKGROUND
Worldwide, the WHO showed that stroke is the second leading cause of death for people above 60, and 5th among the aged 15 to 59 population. In the Philippines, statistics revealed that 500,000 Filipinos suffer from stroke annually. Although preventive efforts have brought about a steady decline in incidence over the last several years, stroke is still the third leading cause of death. Baguio-Benguet Chapter notes a rise in the number of stroke patients affecting both adult and younger age groups. The increasing cases of lifestyle diseases predispose people to stroke. Stroke prevention, management, and rehabilitation are essential in bringing back the normal functioning of stroke patients. Care for stroke clients is a challenging task because of the varied knowledge, practices, and attitudes (KAP) fostering the needs of a stroke client. In the Philippines, family members of the stroke client are more likely to be the preferred caregivers.
OBJECTIVEThe study determined the knowledge, attitudes, and practices of the community members and the community resources on stroke prevention, management, and rehabilitation as a basis for program development.
METHODSThis study utilized a mixed research design. Data were gathered from 275 residents of Camp 4, Tuba, Benguet using a structured questionnaire, and 10 FGD Groups. Frequency, percentage, and mean computations were done to analyze quantitative data, whereas descriptive analysis was done for qualitative data.
RESULTSThe majority of the respondents (76%) knew that stroke happens due to insufficient blood supply to the brain. Generally, the community agreed about their attitude on the prevention (2.89), management (2.68), and rehabilitation (2.75) of stroke. The community sometimes practices stroke prevention (3.17), management (2.83), and rehabilitation (2.92). Qualitative data revealed that experiences on stroke resulted in scientific knowledge, evidence-based practices, and utilization of existing resources that include personnel, infrastructure, and programs for stroke prevention, management, and rehabilitation.
CONCLUSIONThe experience, social support, and maximized utilization of existing community resources have assisted the knowledge acquisition, favorable attitudes, and safe practices of the community on stroke.
Human ; Attitude ; Community Resources
8.Knowledge, attitude, and practices on sunscreen use among acne vulgaris patients: A cross-sectional study in the National Capital Region and Region 4A
Florence Ruiz-buenaventura ; Cheryl Anne Cera-dizon ; Catherine Denise Consunji Gloria
Journal of the Philippine Medical Association 2025;103(2):1-15
BACKGROUND
Acne patients often use medications, either over the counter or prescribed by dermatologists, to manage their condition. Dermatologists frequently include sunscreens as part of these treatment plans alongside acne medications. This research aims to determine the level of knowledge, attitudes, and practices regarding sunscreen use among respondents who are confirmed acne patients and have been prescribed sunscre-en as part of their treatment regimen.
OBJECTIVEThis research examines the current knowledge, attitudes, and practices of acne patients regarding sunscreen use as part of their acne t reatment regimen, considering demographic factors. The knowledge, attitudes, and practices of the respondents will be compared across different age groups, genders, and employment statuses.
METHODSThis study purposefully collected data from patients with active acne on the use of sunscreens alongside acne medications. The sample included males and females aged 18-27, 28-40, and 40+ residing in either the National Capital Region or the CALABARZON Region, with 105 respondents in each group. Data was gathered using a validated Knowledge, Attitudes, and Practices (KAP) questionnaire, consisting of 30 questions that had undergone reliability testing via Cronbach's alpha. Responses were recorded on a 3-point Likert scale to model the interaction of KAP variables. The research material was distributed through Google Forms in June 2024. Data analysis was conducted using R, specifically the psych package, and the Kruskal-Wallis test was applied to compare groups, determining if significant differences existed among them. This test was incorporated within RStudio.
RESULTSFindings indicated that respondents generally demonstrated a high level of understanding regarding the importance of sunscreen when used alongside acne treatments, particularly acknowledging its role in preventing acne scarring and reducing skin sensitivity caused by treatment products. Additionally, attitudes toward sunscreen use were largely positive, with respondents rejecting common misconceptions about sunscreen. However, actual sunscreen application practices were moderate, with adherence levels varying across the sample. Significant differences in sunscreen use were observed based on employment status, gender, and age.
CONCLUSIONAcne patients in this study had a high level of knowledge and a positive attitude on the use of sunscreen together with their acne medications. consistency in sunscreen application was moderate. unemployed respondents were more receptive to external influences regarding sunscreen use. Female respondents were more informed and proactive than male respondents. Younger respondents were more influenced by social networks. This research highlights the need for continued education on the benefits of sunscreen use to be able to achieve an effective acne vulgaris management.
Human ; Knowledge ; Attitude ; Acne Vulgaris ; Sunscreen ; Sunscreening Agents
9.Knowledge and attitude of Filipino caregivers of patients with dementia admitted for other health issues in a tertiary hospital in Metro Manila: A descriptive cross-sectional study
Raymond U. Tan ; Grace O. Orteza
Acta Medica Philippina 2025;59(8):65-76
BACKGROUND AND OBJECTIVES
The demographic background, level of knowledge, and attitude of caregivers are pillars of care in dementia. Family and non-family members take on this role. Studies have been done on their knowledge and attitude, but none have focused on them during hospitalization, wherein greater stress is imposed on both the caregiver and the patient. This study aims to determine the profiles, and its association with knowledge, and attitudes of caregivers of hospitalized patients with dementia in a tertiary hospital in Metro Manila.
METHODSA single-center descriptive cross-sectional design using Demographic profile Questionnaire, Alzheimer’s Disease Knowledge Scale (ADKS), and Dementia Attitude Scale (DAS) were used on Filipino caregivers of inpatients with dementia in Metro Manila. Simple and multivariable linear regression were used to assess demographic factors in relation to the attitude and knowledge of the caregivers.
RESULTSEighteen females with a mean age of 49 (SD=8) years old participated. Ten participants completed college. Six (33.3%) of the respondents were family members, five (27.8%) were occupational caregivers, four (22.2%) were house-helps, and two (11.1%) were nurses. Majority (66%) had 3-10-year duration of caregiving. Mean score of knowledge scale is 21.17 out of 30. Age, education, caregiver role, and attitude were positively associated with knowledge. The mean score for attitude level is 119.83 out of 140. Age, education, duration, caregiving role, patient’s age, and knowledge were positively associated with attitude; with education being statistically significant (p=0.046).
CONCLUSIONCaregivers exhibited reasonable knowledge for such caregivers to carry out their duties on inpatients with dementia at an adequate level, with several factors correlating positively, indicating areas for improvement. Their attitude scores revealed positive disposition; with education emerging as statistically significant. Continuing education and targeted interventions can further enhance quality of caregiving.
Dementia ; Caregiver Burden ; Attitude ; Knowledge ; Philippines
10.Mental health awareness and stigmatization: A cross-sectional study of knowledge, attitudes, and perceptions among medical students at a Philippine medical school
Christine R. Sy ; Jose Ronilo G. Juangco
Health Sciences Journal 2025;14(1):36-42
INTRODUCTION
Mental health plays a crucial role in overall well-being, yet stigma and misconceptions persist, even among future healthcare professionals. This study assessed medical students’ knowledge, attitudes, and perceptions (KAP) regarding mental health and explored their association with sociodemographic characteristics.
METHODSWe conducted an analytical cross-sectional study among 270 medical students at a private Philippine university from September to October 2023. Participants completed a validated questionnaire. Descriptive statistics, Spearman’s correlation, and odds ratios were calculated.
RESULTSMost respondents exhibited high knowledge (80.7%), positive attitudes (90.4%), and favorable perceptions (95.6%) toward mental health. Students who had not interacted with individuals with mental illness were 2.87 times more likely to display negative attitudes (OR = 2.87, 95% CI: 1.19–6.90, p = 0.015). Attitude and perception showed a moderate positive correlation (r = 0.409, p < 0.001), while knowledge and perception demonstrated a weak negative correlation (r = -0.129, p = 0.034).
CONCLUSIONThese medical students generally possessed good knowledge, positive attitudes, and perceptions regarding mental health. Academic progression and real-life exposure positively influence attitudes, highlighting the need for experiential learning to reduce stigma and promote empathy in medical training.
Human ; Mental Health ; Knowledge ; Attitude ; Perception ; Philippines


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