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Single-Session Filariasis Rapid Diagnostic Test Training for Primary Health Care Workers in a Brugia malayi-Endemic Area of Indonesia: Ceiling Effects and Non-Independent Responses

Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan · Vol. 14 No. 2 (2026) · hlm. 212–223

DOI
10.22437/h9fz7004
ISSN
2580-6874, 2339-269X
Terbit
2026-11-07
Penerbit
FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI
Bahasa
en

Abstrak

Background: Post-mass drug administration (MDA) surveillance of lymphatic filariasis (LF) in Brugia malayi-endemic areas relies on the Brugia Rapid IgG4 antibody test, yet most primary health care workers have never been trained to use it. To evaluate the effect of a single-session LF rapid diagnostic test (RDT) training on health workers’ knowledge and attitude. Method: A one-group pretest–post-test study was conducted among health workers of two primary health care centres in Batanghari District, Jambi. The training comprised a lecture and a live demonstration with limited supervised practice. Knowledge (20 items) and attitude (8 Likert items) were compared with the Wilcoxon signed-rank test and Hodges–Lehmann estimates, with sensitivity, response-pattern, baseline-stratified and item-level analyses. Result: Result of 46 registrants, 40 were analysed. Baseline scores were high (knowledge median 17/20; 37.5% at the attitude maximum). Neither knowledge (median 17 to 18; p = 0.837; r = 0.03) nor attitude (median 35.5 to 36.5; p = 0.896) changed. Twenty-two participants (55.0%) submitted post-tests identical to another participant’s, accounting for 22 of the 25 post-test scores ≥18, and 25 (62.5%) gave the same response to all attitude items. Among the 18 participants with unique post-tests, knowledge declined (median 16.5 to 13; p = 0.017), and the apparent gain among participants with low baseline knowledge was no longer observed. Conclusion: The training produced no measurable group-level change, but ceiling effects and non-independent responding prevented a valid estimate of its effect. LF RDT training should be hands-on and evaluated with individually supervised written and skills-based assessments.

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Rekan penulisOrganisasiArtikel bersama
Lipinwati LipinwatiUniversitas Jambi4
Mirna Marhami IskandarUniversitas Jambi2
Tia Wida EkaputriUniversitas Jambi2
Niken Irfa NastitiAfiliasi tidak diketahui2
I Made Dwi Mertha AdnyanaAfiliasi tidak diketahui2
Amelia Dwi FitriUniversitas Jambi1
Jelpa PeriantaloUniversitas Jambi1
Putri Sari WulandariUniversitas Jambi1
Melly MirandaAfiliasi tidak diketahui1
Fairuz FairuzUniversitas Jambi1
Hasna DewiUniversitas Jambi1
Hanina HaninaUniversitas Jambi1
Rianita JuniatiAfiliasi tidak diketahui1
Ashar Nuzulul PutraUniversitas Jambi1
Willia Novita Eka RiniUniversitas Jambi1
Budi AswinUniversitas Jambi1
Raihanah SuzanUniversitas Jambi1
Rita HalimUniversitas Jambi1
Novianti SyofiraUniversitas Jambi1
Andika SulistiawanUniversitas Jambi1
Wahyu Indah Dewi AuroraUniversitas Jambi1
Ali IdrusUniversitas Jambi1
Dwi NoerjoediantoUniversitas Jambi1
KamariyahUniversitas Jambi1
FirmanUniversitas Jambi1

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Sumber metadata: OAI-PMH (metadata jurnal) https://online-journal.unja.ac.id/index.php/kedokteran/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Single-Session Filariasis Rapid Diagnostic Test Training for Primary Health Care Workers in a Brugia malayi-Endemic Area of Indonesia: Ceiling Effects and Non-Independent Responses</dc:title>
	<dc:creator xml:lang="en">Shofwani, Muhammad Azka</dc:creator>
	<dc:creator xml:lang="en">Fitriyanti, Fitriyanti</dc:creator>
	<dc:creator xml:lang="en">Hardiningsih, Denok Tri</dc:creator>
	<dc:creator xml:lang="en">Istarini, Attiya</dc:creator>
	<dc:subject xml:lang="en">Brugia malayi</dc:subject>
	<dc:subject xml:lang="en">health personnel</dc:subject>
	<dc:subject xml:lang="en">lymphatic filariasis</dc:subject>
	<dc:subject xml:lang="en">rapid diagnostic test</dc:subject>
	<dc:subject xml:lang="en">response bias</dc:subject>
	<dc:subject xml:lang="en">training evaluation</dc:subject>
	<dc:description xml:lang="en">Background: Post-mass drug administration (MDA) surveillance of lymphatic filariasis (LF) in Brugia malayi-endemic areas relies on the Brugia Rapid IgG4 antibody test, yet most primary health care workers have never been trained to use it. To evaluate the effect of a single-session LF rapid diagnostic test (RDT) training on health workers’ knowledge and attitude.
Method: A one-group pretest–post-test study was conducted among health workers of two primary health care centres in Batanghari District, Jambi. The training comprised a lecture and a live demonstration with limited supervised practice. Knowledge (20 items) and attitude (8 Likert items) were compared with the Wilcoxon signed-rank test and Hodges–Lehmann estimates, with sensitivity, response-pattern, baseline-stratified and item-level analyses.
Result: Result of 46 registrants, 40 were analysed. Baseline scores were high (knowledge median 17/20; 37.5% at the attitude maximum). Neither knowledge (median 17 to 18; p = 0.837; r = 0.03) nor attitude (median 35.5 to 36.5; p = 0.896) changed. Twenty-two participants (55.0%) submitted post-tests identical to another participant’s, accounting for 22 of the 25 post-test scores ≥18, and 25 (62.5%) gave the same response to all attitude items. Among the 18 participants with unique post-tests, knowledge declined (median 16.5 to 13; p = 0.017), and the apparent gain among participants with low baseline knowledge was no longer observed.
Conclusion: The training produced no measurable group-level change, but ceiling effects and non-independent responding prevented a valid estimate of its effect. LF RDT training should be hands-on and evaluated with individually supervised written and skills-based assessments.</dc:description>
	<dc:publisher xml:lang="en">FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI</dc:publisher>
	<dc:date>2026-11-07</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://online-journal.unja.ac.id/kedokteran/article/view/61475</dc:identifier>
	<dc:identifier>10.22437/h9fz7004</dc:identifier>
	<dc:source xml:lang="en">Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan; Vol. 14 No. 2 (2026):  JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan; 212-223</dc:source>
	<dc:source>2580-6874</dc:source>
	<dc:source>2339-269X</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://online-journal.unja.ac.id/kedokteran/article/view/61475/26058</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2026 Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan</dc:rights>
</oai_dc:dc>