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Purpose: The present study aimed at developing a video based learning resource material and evaluating its effectiveness in terms of knowledge and skill attainment.
Design: Pre-experimental, one group pre test-post test, time series design.
Subject and Settings: Thirty caregivers attending pediatric surgery outpatient and indoor departments of tertiary level care.
Methods: A video teaching programme (VTP) of nine minutes duration including basic anatomy of the intestines, indications for colostomy, signs of healthy stoma, stoma cleaning and dressing, complication related to colostomy and other important concerns was developed and used to teach the caregivers about colostomy care. Pre-tested and validated knowledge questionnaire, observational checklist and stoma assessment scale (SAS) were used to assess the knowledge and skills of caregivers before and after the administration of VTP immediately (post test 1) and following 2 weeks (post test 2) after the intervention.
Results: There was significant increase in knowledge (from10.9± 2.5 to 16.4± 1.67 and 15.9±4.02, p=0.001) and skill scores (from 5.6±2.0 to 9.8±1.6 and 8.6±2.1, p=0.001) immediately and 2 weeks after the video teaching programme, however decline in skills was observed at 2 weeks when compared with immediate scores, as measured by observation checklist. There was no significant increase in skill scores (from 4.3±0.92 to 4.7±0.67 and 4.6±0.56, p=0.40) of care givers as measured by SAS.
Conclusion: The video teaching programme was effective in bringing about an increase in knowledge and skill of caregivers of children having colostomy. So, the video can be utilized for discharge counseling for the caregivers of children with colostomy.
Key words: Temporary colostomy, video teaching programme (VTP), discharges counseling, caregivers, knowledge, skills.