Acute Respiratory Distress SyndromeNCT04449081
Knowledge, Attitude and Practice of Dental Students About COVID-19
An observational study of Acute Respiratory Distress Syndrome and Corona Virus Infection, run by Melaka Manipal Medical College at 1 site in Malaysia.
Trial summary
Coronavirus disease 2019 (abbreviated "COVID- 19") is a pandemic respiratory disease that is caused by a novel coronavirus and was first detected in December 2019 in Wuhan, China. Read more about this study
- Who is it for?
- Ages 18 to 30 yearsHealthy volunteers can take part
- Conditions the study is for
- Acute Respiratory Distress Syndrome, Corona Virus Infection, Acute Lung Injury
- What is being tested?
- Knowledge, Attitude, Practice, Awareness, Preference
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 215 participants
- Where
- 1 siteMalaysia
- Study dates
- 25 Apr 2020to 20 Jun 2020
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 30 years
- All sexes
- Healthy volunteers accepted
- Adult
Study population: All consenting participants of year 3, 4 and undergraduate dental students studying at Faculty of Dentistry, Melaka-Manipal Medical College, Melaka, were included in the study
Who may be able to join
- All consenting participants of year 3, 4 and undergraduate dental students studying at Faculty of Dentistry, Melaka-Manipal Medical College, Melaka
- Age - 18-30 years
- All gender
Who cannot join
- Incomplete questionnaires
Trial locations and contacts
1 site in 1 country.
Malaysia1 site
Faculty of Dentistry, Melaka-Manipal Medical College
Melaka Tengah, Melaka, 57150
About this study
Official title: Knowledge, Attitude and Practice About COVID-19 and Awareness of Infection Control to Prevent COVID-19 Transmission in Clinics and Perception About Online Learning During Lock Down Period: A Cross-sectional Study
Coronavirus disease 2019 (abbreviated "COVID- 19") is a pandemic respiratory disease that is caused by a novel coronavirus and was first detected in December 2019 in Wuhan, China. The disease is highly infectious, and its main clinical symptoms include fever, dry cough, fatigue, myalgia, and dyspnoea.1 In China, 18.5% of the patients with COVID-19 developed to the severe stage, which is characterized by acute respiratory distress syndrome, septic shock, difficult-to-tackle metabolic acidosis, and bleeding and coagulation dysfunction.
After China, COVID-19 spread across the world and many governments implemented unprecedented measures like suspension of public transportation, the closing of public spaces, close management of communities, and isolation and care for infected people and suspected cases. The Malaysian government had enforced Movement Control Order (MCO) from 18th March to 4th May 2020 and henceforth Conditional Movement Control Order (CMCO) until 9th June 2020. The battle against COVID-19 is still continuing in Malaysia and all over the world.
Read more
Due to the CMO and CMCO in the country, public and private universities have activated the e-learning mode for classes and as the government ordered, universities are closed and no face-to-face activities allowed. This has forced students of all disciplines including dentistry to stay at home which are wide-spread across Malaysia and shift to e- learning mode. To guarantee the final success for fight against COVID-19, regardless of their education status, students' adherence to these control measures are essential, which is largely affected by their knowledge, attitudes, and practices (KAP) towards COVID-19 in accordance with KAP theory. Once the restrictions are eased students have to come back and resume their clinical work in the campus.
Hence, in this study we assessed the Knowledge, Attitude, and Practice (KAP) towards COVID-19 and the students preference for online learning.
Read the detailed description
Due to the CMO and CMCO in the country, public and private universities have activated the e-learning mode for classes and as the government ordered, universities are closed and no face-to-face activities allowed. This has forced students of all disciplines including dentistry to stay at home which is wide-spread across Malaysia and shift to e-learning mode. To guarantee the final success for the fight against COVID-19, regardless of their education status, students' adherence to these control measures is essential, which is largely affected by their knowledge, attitudes, and practices (KAP) towards COVID-19 in accordance with KAP theory.
Background:
In the KAP study conducted among residents in China, it was noticed that KAP scores were associated with a lower likelihood of negative attitudes and preventive practices towards COVID-2019. Most Chinese residents of a relatively high socioeconomic status, in particular women, are knowledgeable about COVID-19, hold optimistic attitudes, and have appropriate practices towards COVID-19. Health education programs aimed at improving COVID-19 knowledge are helpful for Chinese residents to hold optimistic attitudes and maintain appropriate practices. In a cross-sectional study among pregestational and pregnant women was conducted in Shaanxi, China, women at the periconceptional period in Shaanxi lacked the total KAP level of periconceptional healthcare, especially those who live in rural areas and have less education. The authors concluded that government agencies should reinforce more effective primary preventive measures and policies for the prevention of adverse pregnancy outcomes.
In a study aimed to assess the level of awareness, perception, and attitude regarding COVID-19 and infection control among Jordanian dentists, the authors concluded that Jordanian dentists were aware of COVID-19 symptoms, mode of transmission, and infection controls and measures in dental clinics. But dentists had limited comprehension of the extra precautionary measures that protect the dental staff and other patients from COVID-19. They also recommended that it would be best practice to send National and international guidelines established by the regional and national dental associations to all registered dentists during a crisis, including the COVID-19 pandemic, to ensure that dentists are well informed and aware of best practices and recommended disease management approaches.
The outbreak of COVID-19 was unprecedented and forced many universities to launch online courses to ensure the continuity of teaching-learning activities, with students staying at homes or dorms. It is a massive, challenging shift to move all the existing courses online in a matter of days. In general, a complete online course requires an elaborate lesson plan design, teaching materials such as audio and video contents, as well as technology support teams.
Many academic institutions in Malaysia commit themselves to eLearning because they believe in its effectiveness as an alternative approach to the traditional classroom method of disseminating information. A study conducted on e-learning shows that higher education institutions in Malaysia offer more than 50% of their courses online. The data also shows that 13.8% of lecturers provide more than 80% online learning materials and that 44.6% of students prefer to read materials uploaded by their lecturers. The findings also show that students' preference for online courses is very encouraging. In fact, lecturers also agree that the integration of e-learning into their courses has benefited students. In general, it clearly shows that the application of e-learning is accepted by lecturers and students of HEIs as an effective means of communication.
A national study was conducted to evaluate the self-perceived preparedness of final-year dental undergraduate students in dental public universities in Malaysia. The authors concluded that confidence and experience in some clinical skills, cognitive and behavioral attributes could be improved to facilitate their transition into independent dental practice after graduation. This is best possible in face-to-face teaching. So given this unprecedented situation, it will be best to assess the perception of dental students towards online teaching.
- Conditions
- Acute Respiratory Distress Syndrome, Corona Virus Infection, Acute Lung Injury, Fever, Myalgia, Cough
- Being tested
- Knowledge, Attitude, Practice, Awareness, Preference
- Keywords
- Humans, COVID-19, Online learning, Perception
- Medical subject headings
- Respiratory Distress Syndrome, Coronavirus Infections, Acute Lung Injury, Fever, Myalgia, Cough, Dyspnea, Shock, Septic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Knowledge, Attitude, Practice, Awareness, PreferenceBehavioural
KAP, Awareness level and Preference were assessed using questionnaires
What is being measured
The primary outcome is the main question the study is designed to answer.
Knowledge, Attitude, Practice of dental students towards COVID-19
KAP towards COVID-19 was assessed using validated questionnnaire
Measured: 4 months
Secondary outcomes (2)
Awareness level about Infection control to prevent COVID-19 transmission in clinics
Awareness level about Infection control to prevent COVID-19 transmission in clinics was assesed using a standardized questionnaire
Measured: 4 months
Preference towards online learning.
Preference towards online learning. was assessed using a standard questionnaire
Measured: 4 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jun 2020
- Study start25 Apr 2020
- Primary completion10 Jun 2020
- Study completion20 Jun 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Acute Respiratory Distress SyndromeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Enrolment
- 215 participants (actual)
Sponsor and investigators
- Lead sponsor
- Melaka Manipal Medical College
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Rajesh Hosadurga, Melaka Manipal Medical College
- Investigators
- Rajesh Hosadurga, Ph.D, Principal investigator, Melaka-Manipal Medical College, Melaka, Malaysia
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04449081
- Sponsor's protocol ID
- MelakaMMC
- Status last verified
- Aug 2020
- First submitted
- 25 Jun 2020
- Last updated
- 2 Sep 2020
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: No personal details of the participant will be shared.
Publications
Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, Li Y. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020 Mar 15;16(10):1745-1752. doi: 10.7150/ijbs.45221. eCollection 2020.
PubMed 32226294Khader Y, Al Nsour M, Al-Batayneh OB, Saadeh R, Bashier H, Alfaqih M, Al-Azzam S, AlShurman BA. Dentists' Awareness, Perception, and Attitude Regarding COVID-19 and Infection Control: Cross-Sectional Study Among Jordanian Dentists. JMIR Public Health Surveill. 2020 Apr 9;6(2):e18798. doi: 10.2196/18798.
PubMed 32250959Asiry MA. Dental students' perceptions of an online learning. Saudi Dent J. 2017 Oct;29(4):167-170. doi: 10.1016/j.sdentj.2017.03.005. Epub 2017 Aug 2.
PubMed 29033527
Study at a glance
From the registry record, last updated by the sponsor on 2 Sep 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Knowledge, Attitude and Practice About COVID-19 and Awareness of Infection Control to Prevent COVID-19 Transmission in Clinics and Perception About Online Learning During Lock Down Period: A Cross-sectional Study
- ClinicalTrials.gov ID
- NCT04449081
- Acronym / sponsor ID
- MelakaMMC
- Conditions
- Acute Respiratory Distress Syndrome, Corona Virus Infection, Acute Lung Injury, Fever, Myalgia, Cough
- Keywords
- Humans, COVID-19, Online learning, Perception
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 215 participants (actual)
- Lead sponsor
- Melaka Manipal Medical CollegeUniversity, hospital or other
- Study start
- 25 Apr 2020 (actual)
- Primary completion
- 10 Jun 2020 (actual)
- Study completion
- 20 Jun 2020 (actual)
- First posted
- 26 Jun 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Coronavirus disease 2019 (abbreviated "COVID- 19") is a pandemic respiratory disease that is caused by a novel coronavirus and was first detected in December 2019 in Wuhan, China. The disease is highly infectious, and its main clinical symptoms include fever, dry cough, fatigue, myalgia, and dyspnoea.1 In China, 18.5% of the patients with COVID-19 developed to the severe stage, which is characterized by acute respiratory distress syndrome, septic shock, difficult-to-tackle metabolic acidosis, and bleeding and coagulation dysfunction.
After China, COVID-19 spread across the world and many governments implemented unprecedented measures like suspension of public transportation, the closing of public spaces, close management of communities, and isolation and care for infected people and suspected cases. The Malaysian government had enforced Movement Control Order (MCO) from 18th March to 4th May 2020 and henceforth Conditional Movement Control Order (CMCO) until 9th June 2020. The battle against COVID-19 is still continuing in Malaysia and all over the world.
Due to the CMO and CMCO in the country, public and private universities have activated the e-learning mode for classes and as the government ordered, universities are closed and no face-to-face activities allowed. This has forced students of all disciplines including dentistry to stay at home which are wide-spread across Malaysia and shift to e- learning mode. To guarantee the final success for fight against COVID-19, regardless of their education status, students' adherence to these control measures are essential, which is largely affected by their knowledge, attitudes, and practices (KAP) towards COVID-19 in accordance with KAP theory. Once the restrictions are eased students have to come back and resume their clinical work in the campus.
Hence, in this study we assessed the Knowledge, Attitude, and Practice (KAP) towards COVID-19 and the students preference for online learning.
Detailed description
Due to the CMO and CMCO in the country, public and private universities have activated the e-learning mode for classes and as the government ordered, universities are closed and no face-to-face activities allowed. This has forced students of all disciplines including dentistry to stay at home which is wide-spread across Malaysia and shift to e-learning mode. To guarantee the final success for the fight against COVID-19, regardless of their education status, students' adherence to these control measures is essential, which is largely affected by their knowledge, attitudes, and practices (KAP) towards COVID-19 in accordance with KAP theory.
Background:
In the KAP study conducted among residents in China, it was noticed that KAP scores were associated with a lower likelihood of negative attitudes and preventive practices towards COVID-2019. Most Chinese residents of a relatively high socioeconomic status, in particular women, are knowledgeable about COVID-19, hold optimistic attitudes, and have appropriate practices towards COVID-19. Health education programs aimed at improving COVID-19 knowledge are helpful for Chinese residents to hold optimistic attitudes and maintain appropriate practices. In a cross-sectional study among pregestational and pregnant women was conducted in Shaanxi, China, women at the periconceptional period in Shaanxi lacked the total KAP level of periconceptional healthcare, especially those who live in rural areas and have less education. The authors concluded that government agencies should reinforce more effective primary preventive measures and policies for the prevention of adverse pregnancy outcomes.
In a study aimed to assess the level of awareness, perception, and attitude regarding COVID-19 and infection control among Jordanian dentists, the authors concluded that Jordanian dentists were aware of COVID-19 symptoms, mode of transmission, and infection controls and measures in dental clinics. But dentists had limited comprehension of the extra precautionary measures that protect the dental staff and other patients from COVID-19. They also recommended that it would be best practice to send National and international guidelines established by the regional and national dental associations to all registered dentists during a crisis, including the COVID-19 pandemic, to ensure that dentists are well informed and aware of best practices and recommended disease management approaches.
The outbreak of COVID-19 was unprecedented and forced many universities to launch online courses to ensure the continuity of teaching-learning activities, with students staying at homes or dorms. It is a massive, challenging shift to move all the existing courses online in a matter of days. In general, a complete online course requires an elaborate lesson plan design, teaching materials such as audio and video contents, as well as technology support teams.
Many academic institutions in Malaysia commit themselves to eLearning because they believe in its effectiveness as an alternative approach to the traditional classroom method of disseminating information. A study conducted on e-learning shows that higher education institutions in Malaysia offer more than 50% of their courses online. The data also shows that 13.8% of lecturers provide more than 80% online learning materials and that 44.6% of students prefer to read materials uploaded by their lecturers. The findings also show that students' preference for online courses is very encouraging. In fact, lecturers also agree that the integration of e-learning into their courses has benefited students. In general, it clearly shows that the application of e-learning is accepted by lecturers and students of HEIs as an effective means of communication.
A national study was conducted to evaluate the self-perceived preparedness of final-year dental undergraduate students in dental public universities in Malaysia. The authors concluded that confidence and experience in some clinical skills, cognitive and behavioral attributes could be improved to facilitate their transition into independent dental practice after graduation. This is best possible in face-to-face teaching. So given this unprecedented situation, it will be best to assess the perception of dental students towards online teaching.
Study design
- Observational model
- Cohort
- Time perspective
- Cross-sectional
Who may qualify
- Ages
- 18 to 30 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
- Study population
- All consenting participants of year 3, 4 and undergraduate dental students studying at Faculty of Dentistry, Melaka-Manipal Medical College, Melaka, were included in the study
Key inclusion criteria (3 listed)
- All consenting participants of year 3, 4 and undergraduate dental students studying at Faculty of Dentistry, Melaka-Manipal Medical College, Melaka
- Age - 18-30 years
- All gender
Key exclusion criteria (1 listed)
- Incomplete questionnaires
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Knowledge, Attitude, Practice, Awareness, PreferenceKAP, Awareness level and Preference were assessed using questionnaires | Behavioural | – |
Primary outcome
Knowledge, Attitude, Practice of dental students towards COVID-19
Time frame: 4 months
KAP towards COVID-19 was assessed using validated questionnnaire
2 secondary outcomes
Awareness level about Infection control to prevent COVID-19 transmission in clinics
Time frame: 4 months
Preference towards online learning.
Time frame: 4 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Sep 2020.
- Background: PubMed 32226294Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, Li Y. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020 Mar 15;16(10):1745-1752. doi: 10.7150/ijbs.45221. eCollection 2020.
- Background: PubMed 32250959Khader Y, Al Nsour M, Al-Batayneh OB, Saadeh R, Bashier H, Alfaqih M, Al-Azzam S, AlShurman BA. Dentists' Awareness, Perception, and Attitude Regarding COVID-19 and Infection Control: Cross-Sectional Study Among Jordanian Dentists. JMIR Public Health Surveill. 2020 Apr 9;6(2):e18798. doi: 10.2196/18798.
- Background: PubMed 29033527Asiry MA. Dental students' perceptions of an online learning. Saudi Dent J. 2017 Oct;29(4):167-170. doi: 10.1016/j.sdentj.2017.03.005. Epub 2017 Aug 2.
- Individual participant dataSharing planned: No. No personal details of the participant will be shared.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Rajesh Hosadurga, Ph.D principal investigator
Melaka-Manipal Medical College, Melaka, Malaysia
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Acute Respiratory Distress Syndrome and Corona Virus Infection, run by Melaka Manipal Medical College at 1 site in Malaysia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Malaysia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Knowledge, Attitude, Practice of dental students towards COVID-19 (time frame: 4 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04449081, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Sep 2020.