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Resistance Ranger: Teaching Schoolchildren about Antimicrobial Resistance. Nadia S. Juzych, Emma Bissonnette, Mary Eley, and Stephen A. Lerner Michigan Antibiotic Resistance Reduction (MARR) Coalition Detroit, Michigan U.S.A. . Community Education. Outreach
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Resistance Ranger: Teaching Schoolchildren about Antimicrobial Resistance Nadia S. Juzych, Emma Bissonnette, Mary Eley, and Stephen A. Lerner Michigan Antibiotic Resistance Reduction (MARR) Coalition Detroit, Michigan U.S.A.
Community Education Outreach • Health fairs – receptivity among children/parents • Community nurses • Poster/Brochure distribution (Mich. Dept. Community Health) • School educational module “Antibiotics and You”
Why educate school children? • Future health decision makers • Children influence/“teach” their parents • Direct-to-consumer advertising can target and affect children; we can employ such tools positively in the health arena
School Educational Module “Antibiotics & You” • Pilot - St. Anne Elementary School, November, 2001 • Participants • 300 4th - 6th graders (9 - 11 years of age) • Racially and ethnically diverse students of middle SES families
Antibiotics and You – Program Overview 45 minute, interactive program covering: • the difference between bacteria and viruses • how “germs” spread • how antibiotics work • what antibiotic resistance is • what to do when you get sick • how to protect our antibiotic lifeline • Emphasis on “Stay Healthy” Messages • Eat well • Exercise • Get plenty of sleep • Hand washing
Interactive Activities: Making it Fun • Transmission: Glow Germ, water filled balloon, and hand washing exercise • Prevention: immunization, “stay healthy” messages (proper diet, exercise, rest) • Importance of hand washing: agar plate demo • Commitment: Resistance Ranger pledge
Antibiotics & You • Pre- and post-education quiz • 10 true/false questions to identify basic knowledge on appropriate antibiotic use • Results indicate overall 15.1% improvement from pre- to post-session knowledge (p<0.05) • 4th graders improved the most(16.7%)
Teacher Evaluation • Assessed by all six classroom teachers • Age appropriate • Made “science fun” • Successfully built upon hand washing modules from earlier grades • Plan to incorporate into science curriculum • Would be useful/appropriate for parents as well
Building upon our success...Next Steps • MARR Coalition overview • Microbiology overview • “Antibiotics & You” presentation (slides and talking points) • Presentation handouts: activity sheets, pledge sheet, letter to parents • Process overview (step-by-step instructions) • Additional resources • CD-ROM containing all materials in electronic format
MARR Ambassadors • Train-the-Trainer session(17 participants) • “Instructor’s tool kit” • MARR ambassadorsconduct program in communities across Michigan: • Saginaw/Flint • Grand Rapids • Mt. Clemens • Muskegon Instructor’s Tool Kit
Award • Antibiotics & You earned the “Award for Innovation in Appropriate Antibiotic Use Programs in the Community” • Sponsored by CDC Foundation and Wyeth Pharmaceuticals • National recognition
Take-Home Lessons • It works: Statistically significant improvements in knowledge • Don’t underestimate kids: Comprehension of technical information is high • Make it fun: Mix didactic approach with interactive • Secure commitment: Deputizing Resistance Rangers
Antibiotics & You For antibiotics the rule is clear. It’s simple, it’s easy, it’s important to hear. These drugs fight bacteria, not viruses, you see. But take as directed and better you’ll be. Don’t misuse them or share them or save them, my dear. Or else they won’t work when you need them, I fear. Stay healthy, drink fluids and always be clean. These rules are good, they’re not meant to be mean. Antibiotic misuse is a danger. Preserve our lifeline, be a Resistance Ranger. I pledge to help Resistance Ranger fight Antibiotic Resistance. Name: