Thalassemia Knowledge in Young People of Indonesia

Overview

There is still an ongoing lack of awareness about thalassemia among Indonesians despite high disease prevalence, and this is associated with poor implementation of preventive and promotive measures. Thalassemia experts argue that education and raising awareness about thalassemia must be done from an early age in order to relieve the heavy disease burden of thalassemia, especially in Indonesia as it is geographically located in the thalassemia belt. In spite of this, there has been limited research on public perception towards thalassemia in Indonesia, particularly among young people. In this study, the researcher will ask young people in Indonesia between the age of 15-24 who are currently attending high school or university-level education to fill in an online survey. The survey consists of questions about the participants' demographic information as well as their knowledge, attitude, and practice (KAP) scores towards thalassemia. The study is expected to run from December 2020 to March 2021, with the online survey distributed in January 2021. Data collection will immediately follow, and it will be analyzed using univariate, bivariate, and multivariate analysis using the appropriate statistical tests. The findings gathered from this study will be vital in providing new insight into how the youth sees thalassemia in Indonesia. Such public health information will prove to be important in designing successful thalassemia intervention and education programs for Indonesian youth.

Full Title of Study: “Thalassemia in Indonesia: Current Knowledge, Attitude, and Practice Among Young People”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Cross-Sectional
  • Study Primary Completion Date: July 1, 2021

Detailed Description

Research concept In this study, the researcher will ask young people in Indonesia between the age of 15-24 who are currently attending high school or university-level education to fill in an online survey. The survey consists of questions about the participants' demographic information as well as their knowledge, attitude, and practice (KAP) scores towards thalassemia. The study is expected to run from December 2020 to March 2021, with the online survey distributed in January 2021. Data collection will immediately follow, and it will be analysed using univariate, bivariate, and multivariate analysis using the appropriate statistical tests. Study design To evaluate the knowledge, attitude, and practice of Indonesian youth, the study design used will be observational, cross-sectional. An online questionnaire developed by the research team along with several experts is expected to be disseminated to the target population in January 2021. In light of the ongoing pandemic, this is expected to be a nationwide study where most of the work is done via online methods. Place and period of study This study will be conducted via online survey due to the ongoing pandemic situation. The study is expected to run from December 2020 to March 2021.

Arms, Groups and Cohorts

  • Youth
    • Young people in Indonesia between the age of 15-24 who are currently attending high school or university-level education to fill in our online survey.

Clinical Trial Outcome Measures

Primary Measures

  • Indonesian youth’s level of knowledge on thalassemia
    • Time Frame: Baseline, pre-intervention
    • To determine the relationships among Indonesian youth’s demographic, education and socioeconomic level to their knowledge of thalassemia via a validated self-developed questionnaire. Knowledge will be assessed through question of common knowledges surrounding thalassemia, a final score (out of 100) will be used as representation of knowledge level (0-25: poor, 25-50 moderate, 51-75 good, and 76-100 very good) will be evaluated after participants answer all the questions.
  • Indonesian youth’s attitude towards thalassemia
    • Time Frame: Baseline, pre-intervention
    • To determine the relationships among Indonesian youth’s demographic, education and socioeconomic level to their attitude towards thalassemia via a validated self-developed questionnaire. (using a Likert scale of 1 to 4 – with 1 being “strongly agree” and 4 “strongly disagree”)
  • Indonesian youth’s practice towards thalassemia
    • Time Frame: Baseline, pre-intervention
    • To determine the relationships among Indonesian youth’s demographic, education and socioeconomic level to their action and practice towards prevention of thalassemia via a validated self-developed questionnaire. (using a Likert scale of 1 to 4 – with 1 being “strongly agree” and 4 “strongly disagree”)

Secondary Measures

  • Willingness to undergo thalassemia screening
    • Time Frame: Baseline, pre-intervention
    • To determine Indonesian youth’s willingness (using a Likert scale of 1 to 4 – with 1 being “strongly agree” and 4 “strongly disagree”) to undergo thalassemia screening independently

Participating in This Clinical Trial

Inclusion Criteria

  • Survey participants are based in Indonesia – Survey participants are between the age of 15-24 and currently attending high school or university level education – Survey participants include both thalassemia-affected patients and non-patients – Survey participants have understood and given their consent for the research Exclusion Criteria:

  • Currently not studying/living in Indonesia – Below the age of 15 or above 24 – No consent is given

Gender Eligibility: All

Minimum Age: 15 Years

Maximum Age: 24 Years

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Fakultas Kedokteran Universitas Indonesia
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Pustika A Wahidiyat, Professor., Principal Investigator, Fakultas Kedokteran Universitas Indonesia
    • Mikhael Yosia, Dr., Principal Investigator, Fakultas Kedokteran Universitas Indonesia
    • Edward C Yo, Study Director, Fakultas Kedokteran Universitas Indonesia
    • Muhammad M Wildani, Study Chair, Fakultas Kedokteran Universitas Indonesia
    • Visabella R Triatmono, Study Chair, Fakultas Kedokteran Universitas Indonesia
  • Overall Contact(s)
    • Edward C Yo, +628973420875, edwardchristopheryo@gmail.com

References

Marengo-Rowe AJ. The thalassemias and related disorders. Proc (Bayl Univ Med Cent). 2007 Jan;20(1):27-31. doi: 10.1080/08998280.2007.11928230.

Husna N, Sanka I, Arif AA, Putri C, Leonard E, Handayani NSN. Prevalence and distribution of thalassemia trait screening. J Med Sci. 2017 Jul;49(3):106-13.

Wahidiyat PA, Sari TT, Rahmartani LD, Setianingsih I, Iskandar SD, Pratanata AM, et al. An insight into Indonesian current thalassaemia care and challenges. ISBT Sci Ser. 2020;15(3):334-41.

Wahidiyat I, Wahidiyat PA. Genetic problems at present and their challenges in the future: thalassemia as a model. Paediatr Indones. 2006;46(5):189-94.

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