The immunization questionnaire for understanding unwellness (TIQUU): Fun learning about vaccination using an innovative storytelling approach

Waqaas A. Butt , Faizan G. Mustafa , Zeeshan Ahsan , Shaharyar Salim , Hasan Nawaz Tahir , Asad I. Mian
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Abstract

Background

Vaccination is a pivotal tool in public health. In LMICs like Pakistan, challenges hinder high immunization rates. This study addresses gaps in vaccination knowledge among school children through innovative educational interventions. The study aims to enhance vaccination awareness and contribute to health education discourse.

Methodology

This quasi-experimental study was conducted in 4 private schools in Karachi, Pakistan, from February to May 2021. Children aged 8–12 years in grades 2–5 were enrolled. An interactive discussion on vaccine safety and immunization was conducted using a bilingual pictorial storybook. Group-I experienced traditional Urdu book reading, while Group-II engaged with a digital animated video in English. A pre-test was conducted to assess baseline knowledge about immunization followed by an interactive discussion and immediately a post-test. Test scores were analyzed using paired sample t-test using Stata 17.0 version.

Results

The study enrolled 400 students in Karachi, Pakistan. Both groups exhibited significant knowledge shifts regarding vaccine-related topics. Group-I (Analog Urdu) showed changes in understanding sickness reasons, vaccine timing, newborn protection, sports injury response, and memory impact. Group-II (Digital English) displayed shifts in illness understanding, recommended actions, injection and vaccine knowledge, safety perceptions, measles prevention, and management during sports injury. A statistically significant improvement in mean scores was observed.

Conclusion

As a proactive and early strategy to alleviate the societal burden of under-immunization, cost-effective educational interventions can be integrated into school curricula. Our approach through bilingual pictorial storybooks and animated videos has been proven effective and helps one grasp immunization's importance.

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了解不健康的免疫接种问卷 (TIQUU):用创新的讲故事方式趣味学习疫苗接种知识
背景疫苗接种是公共卫生的重要工具。在巴基斯坦等低收入和中等收入国家,各种挑战阻碍了免疫接种率的提高。本研究通过创新的教育干预措施来弥补学龄儿童在疫苗接种知识方面的不足。方法这项准实验研究于 2021 年 2 月至 5 月在巴基斯坦卡拉奇的 4 所私立学校进行。二至五年级 8-12 岁的儿童参加了研究。研究使用双语图画故事书,就疫苗安全和免疫接种进行了互动讨论。第一组体验了传统的乌尔都语图书阅读,第二组则观看了英语数字动画视频。在互动讨论之后进行了一次前测,以评估有关免疫接种的基本知识,然后进行后测。测试成绩使用 Stata 17.0 版本的配对样本 t 检验法进行分析。两组学生在疫苗相关主题方面都有明显的知识转变。第一组(模拟乌尔都语)在对生病原因、疫苗接种时间、新生儿保护、运动损伤反应和记忆影响的理解方面发生了变化。第二组(数字英语)在疾病理解、建议采取的行动、注射和疫苗知识、安全认知、麻疹预防和运动损伤时的处理等方面发生了变化。结论 作为减轻免疫接种不足造成的社会负担的一种积极和早期策略,可将具有成本效益的教育干预措施纳入学校课程。我们通过双语图画故事书和动画视频进行教育的方法已被证明是有效的,有助于人们了解免疫接种的重要性。
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