The Effectiveness of Leaflet Media Intervention on Improving Knowledge, Attitudes, Practices, and Compliance with Personal Protective Equipment Use Among Clinical Dental Students at a Dental Hospital

Authors

  • Natasya Indah S. Manalu Universitas Prima Indonesia, Indonesia
  • Chrismis Novalinda Ginting Universitas Prima Indonesia, Indonesia
  • Sri Wahyuni Nasution Universitas Prima Indonesia, Indonesia

DOI:

https://doi.org/10.54832/phj.v7i2.1468

Keywords:

Leaflet, personal protective equipment, knowledge, attitude, practice, compliance, clinical clerkship students

Abstract

Background: Clinical clerkship (co-ass) students in dental hospitals are at high risk of occupational exposure to infectious diseases, yet compliance with personal protective equipment (PPE) remains low. This study aimed to evaluate the effect of a leaflet-based educational intervention on knowledge, attitudes, practices, and compliance regarding PPE use among clinical dental students.

Methods: A quasi-experimental study with a one-group pre-test and post-test design was conducted at the Dental and Oral Hospital, Universitas Sumatera Utara, involving 150 clinical clerkship students selected through simple random sampling. A validated questionnaire was used to measure knowledge, attitudes, practices, and compliance before and after the leaflet intervention. Data were analyzed using the Wilcoxon signed-rank test (α = 0.05).

Results: After the intervention, the proportion of respondents with good knowledge increased from 20.0% to 83.3%, good attitudes from 14.7% to 64.7%, good practices from 23.3% to 75.3%, and good compliance from 23.3% to 80.0%. Mean scores increased significantly for all variables: knowledge (2.42±1.23 to 6.33±2.36), attitudes (14.07±2.33 to 20.51±2.45), practices (11.27±1.84 to 17.11±1.77), and compliance (23.13±2.61 to 33.64±2.75). The Wilcoxon test yielded p = 0.000 (p < 0.05) for all variables, indicating significant differences before and after intervention.

Conclusion: Leaflet-based education effectively improves knowledge, attitudes, practices, and PPE compliance among clinical dental students. This simple, reusable, and low-cost educational medium can be integrated into clinical orientation programs to strengthen infection prevention behaviors.

Downloads

Download data is not yet available.

References

Abdullah, A., Saati, S. H., & Alkalash. (2022). Promotion of knowledge, attitude, and practice among medical undergraduates regarding infection control measures during COVID-19 pandemic. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.932465

Amanah, I., & Mustafa, J. (2024). Efektivitas media leaflet lokal terhadap pengetahuan dan tindakan penggunaan APD dalam pencegahan dermatitis kontak pada petani padi. Mega Buana Journal of Public Health, 3(2). https://doi.org/10.59183/jk7wc956

Asante, K. (2024). Predicting nurses' safety compliance behaviour in a developing economy, using the theory of planned behaviour: A configurational approach. Journal of Advanced Nursing, 80(3), 1097–1110. https://doi.org/10.1111/jan.15846

Centers for Disease Control and Prevention. (2021). Guidelines for infection control in dental health-care settings. https://www.cdc.gov/infectioncontrol/guidelines/dental/index.html

de Almeida Lima, A. B., Gusmão, C. M. P., do Espirito Santo Lima, L., Rocha, D. M., Menegueti, M. G., de Oliveira e Silva, A. C., & Reis, R. K. (2025). Effect of an educational intervention on nursing students' knowledge about COVID-19 and compliance with standard and transmission-based precautions: A quasi-experimental study. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-03672-y

Doi-Kanno, M., Kanoya, Y., & Moriguchi, E. H. (2021). The effects of a leaflet-based health guide on health literacy, self-efficacy, and satisfaction among older Japanese-Brazilian adults living in Brazil: A quasi-experimental study. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-020-10129-1

Giguère, A., Zomahoun, H. T. V., Carmichael, P. H., Uwizeye, C. B., Légaré, F., Grimshaw, J. M., Gagnon, M. P., Auguste, D. U., & Massougbodji, J. (2020). Printed educational materials: Effects on professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, 2020(8). https://doi.org/10.1002/14651858.CD004398.pub4

Hanvold, T. N., Kines, P., Nykänen, M., Thomée, S., Holte, K. A., Vuori, J., Wærsted, M., & Veiersted, K. B. (2019). Occupational safety and health among young workers in the Nordic countries: A systematic literature review. Safety and Health at Work, 10(1), 3–20. https://doi.org/10.1016/j.shaw.2018.12.003

Hasanica, N., Ramic-Catak, A., Mujezinovic, A., Begagic, S., Galijasevic, K., & Oruc, M. (2020). The effectiveness of leaflets and posters as a health education method. *Materia Socio-Medica, 32*(2), 135–139. https://doi.org/10.5455/msm.2020.32.135-139

Ismurdijahmitra, M., Suprapto, S. I., & Wardani, R. (2022). Compliance analysis for the use of COVID-19 personal protective equipment (PPE) based on the theory of planned behavior on health workers. Interest: Jurnal Ilmu Kesehatan, 101–116. https://doi.org/10.37341/interest.v0i0.490

Khoerunisa, R., Roslinawati, A., Nurnaningsih, H., & Ningrum, N. (2026). Attitude and compliance with PPE use to prevent cross-infection. Indonesian Journal of Dental Medicine, 9(1), 12–14. https://doi.org/10.20473/ijdm.v9i1.2026.12-14

Mayer, R. E. (2024). The past, present, and future of the cognitive theory of multimedia learning. Educational Psychology Review, 36(1). https://doi.org/10.1007/s10648-023-09842-1

Mengistu, D. A., Tolera, S. T., & Demmu, Y. M. (2021). Worldwide prevalence of occupational exposure to needle stick injury among healthcare workers: A systematic review and meta-analysis. Canadian Journal of Infectious Diseases and Medical Microbiology, 2021. https://doi.org/10.1155/2021/9019534

Notoatmodjo, S. (2020). Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta.

Park, D. U., Zoh, K. E., Jeong, E. K., Kim, J. H., Lee, J. H., & Kim, S. H. (2024). Assessment of occupational health risks for maintenance work in fabrication facilities: Brief review and recommendations. Safety and Health at Work, 15(1), 87–95. https://doi.org/10.1016/j.shaw.2023.11.010

Sangwan, J., Lathwal, S., Lohan, K., Adlakha, N., Mane, V., & Gole, S. G. (2022). Impact of training on knowledge, attitude and perceived barriers for compliance regarding use of protective equipment kit among frontline healthcare workers during COVID-19 pandemic. Journal of Clinical and Diagnostic Research, 16(1). https://jcdr.net/article_abstract.asp?id=15913

Sivaraman, G., Lakshmanan, J., Paul, B., Thulasingam, M., Raghavan, B., Raghu, N., Raja, K., & Saxena, S. K. (2022). 'Shifting from anxiety to the new normal': A qualitative exploration on personal protective equipment use by otorhinolaryngology health-care professionals during COVID-19 pandemic. Nigerian Postgraduate Medical Journal, 29(2), 110–115. https://doi.org/10.4103/npmj.npmj_10_22

Veera, S., Olive, W., Patel, V., & Shika, S. (2025). Radiation exposure, knowledge, and compliance in upper tract urological surgery: A systematic review. Cureus, 17(7), e88278. https://doi.org/10.7759/cureus.88278

Wijaya, D., Bastari, M., & Ray, N. (2023). Faktor-faktor yang memengaruhi tingkat kepatuhan mahasiswa dalam menggunakan alat pelindung diri (APD) saat praktik di klinik layanan asuhan kesehatan gigi dan mulut Poltekkes Kemenkes Palembang. Jurnal Kesehatan Gigi dan Mulut (JKGM), 5(2). https://doi.org/10.36086/jkgm.v5i2.1990

Yeon, J. H., Shin, Y. S., & Kim, S. H. (2020). Effects of education on the use of personal protective equipment for reduction of contamination: A randomized trial. SAGE Open Nursing, 6. https://doi.org/10.1177/2377960820940621

Zeng, J., Li, E., Xu, Y., Lin, Y., Xiao, Y., & Yu, X. (2025). Prevalence of needlestick injuries in dental assistants: A systematic review and meta-analysis. Journal of Global Health, 15. https://doi.org/10.7189/jogh.15.04030

Zewdie, A., Mose, A., Sahle, T., Bedewi, J., Gashu, M., Kebede, N., & Yimer, A. (2022). The health belief model's ability to predict COVID-19 preventive behavior: A systematic review. SAGE Open Medicine, 10. https://doi.org/10.1177/20503121221113668

Downloads

Published

2026-04-17

How to Cite

Manalu, N. I. S., Ginting, C. N., & Nasution, S. W. (2026). The Effectiveness of Leaflet Media Intervention on Improving Knowledge, Attitudes, Practices, and Compliance with Personal Protective Equipment Use Among Clinical Dental Students at a Dental Hospital . PROFESSIONAL HEALTH JOURNAL, 7(2). https://doi.org/10.54832/phj.v7i2.1468

Issue

Section

Articles

Citation Check