“A STUDY TO ASSESS THE EFFECTIVENESS OF VIDEO ASSISTED TEACHING PROGRAMME ON KNOWLEDGE AND ATTITUDE OF WOMEN WITH INFERTILTY REGARDING SELECTED ASSISTED REPRODUCTIVE

TECHNOLOGIES IN SELECTED INFERTILITYCLINICS, BANGALORE”

By

REENA KOSHY

DISSERTATION SUBMITTED TO

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,BANGALORE, KARNATAKA

In partial fulfillmentof the requirements for the Degree of

MASTER OF SCIENCEIn

OBSTETRICS & GYNAECOLOGICAL NURSING

Under the guidance ofMrs. Sabitha SibbalaAssociate professor

Department of Obstetrics & Gynaecological Nursing

FORTIS INSTITUTE OF NURSING20/5, Yelchenahalli, Kanakapura main road,

Bangalore-560078

YEAR2012

i

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,

BANGALORE, KARNATAKA.

DECLARATION BY THE CANDIDATE

I Mrs. Reena Koshy hereby declare that this dissertation/thesis entitled “A study to

assess the effectiveness of video assisted teaching programme on knowledge and

attitude of women with infertility regarding selected assisted reproductive

technologies in selected infertility Clinics, bangalore” is a bonafide and genuine

research work carried out by me under the guidance of Mrs. Sabitha Sibbala., Associate

Professor, Department of Obstetrics & Gynaecological Nursing, Fortis Institute of

Nursing, Bangalore.

Signature of the Candidate

(REENA KOSHY)

Date: Place: Bangalore

ii

CERTIFICATE BY THE GUIDE

This is to certify that the dissertation entitled “A study to assess the effectiveness

of video assisted teaching programme on knowledge and attitude of women with

infertility regarding selected assisted reproductive technologies in selected infertility

Clinics, bangalore.” is a bonafide research work done by Mrs. Reena Koshy in partial

fulfillment of the requirement for the degree of Master of Science in Nursing (Obstetrics

& Gynaecological Nursing).

Signature of the Guide

Sabitha Sibbala.,Associate Professor, Fortis Institute of Nursing,20/5,YelchenahalliKanakapura main road Bangalore-560078

Date: Place: Bangalore

iii

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,

BANGALORE, KARNATAKA

This is to certify that the dissertation entitled “A study to assess the effectiveness of

video assisted teaching programme on knowledge and attitude of women with

infertility regarding selected assisted reproductive technologies in selected infertility

Clinics, bangalore.” is a bonafide research work done by Mrs. Reena Koshy under the

guidance of Mrs. Sabitha sibbala. Associate Professor, Fortis Institute of Nursing,

Bangalore.

Signature of the HOD

Date:

Signature of PG coordinator

Date:

Signature of the Principal

Prof. (Mr.) SHRIDHAR.K.VDate:

iv

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,

BANGALORE, KARNATAKA

COPYRIGHT

DECLARATION BY THE CANDIDATE

I hereby declare that the Rajiv Gandhi University of Health Sciences,

Karnataka shall have the rights to preserve, use and disseminate this dissertation/thesis

in print or electronic format for academic/research purpose.

Signature of the Candidate

(Mrs. Reena Koshy)

Date:

Place:

Rajiv Gandhi University of Health Sciences, Karnataka

v

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Dedicated to my

BelovedHusband

ACKNOWLEDGEMENT

“Fear of the lord is the beginning of wisdom”

Good human achievement is possible only with proper direction. This research

work is a result of priceless help extended by several people. It may not be possible to

mention each and every one by name. By keeping all their names in heart, I wish to thank

persons who have directly rendered their helping hands in completing my study.

Praise and glory to the Almighty God for his grace and guidance to complete this

piece of work.

I extend my heartfelt thanks to my respected teacher and guide Mrs. Sabitha Sibbala,

Associate professor, Department of Obstetrics & Gynecological nursing, Fortis Institute

of Nursing, Bangalore. Her timely guidance, constant love and support, encouragement,

valuable suggestions and cooperation has continually motivated me for the successful

completion of this dissertation.

I express my profound and sincere thanks to our beloved principal Professor. Shridhar

K.V, Principal, HOD, Department of Medical Surgical Nursing, Fortis Institute of

Nursing, Bangalore. His encouragement, guidance, valuable suggestions and untiring

effort has motivated me throughout the study. His personal interest, endless patience,

love and blessing have been the foundation of this study.

I owe my heartfelt gratitude and sincere thanks to my teacher and co-guide Mrs. Gowri

Sayee Associate professor, H.O.D, Department of Obstetrics & Gynecological nursing,

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Fortis Institute of Nursing, Bangalore. I am thankful for her esteemed guidance, kind

support and timely help which enabled me to complete my study successfully.

I convey my immense sense of gratitude to Mr. Prabhuswamy A.C , Associate

professor, Department of Medical Surgical Nursing , Fortis Institute of Nursing,

Bangalore, for his hearty support, guidance and encouragement throughout my study.

With great proud and privilege, I express my profound sense and gratitude to all

my PG TEACHERS, Fortis Institute of Nursing, Bangalore, for their guidance,

suggestions and support rendered throughout my study.

My due thanks to Dr. R. NAGARAJAIAH, Retd. Professor, R.V Teachers college,

Bangalore who encouraged and stood by me throughout the course of my study.

I owe my gratitude to all the subjects who enthusiastically participated in

carrying out the research project. I appreciate their keen interest, patience and co-

operation extended for successful completion of the study.

A word of commendation is to Mr. Prassanna, Professor of Statistics J.S.S

university helped me in the analysis of my research study.

I profoundly indebted to all the experts who contributed the time and efforts

towards validating and refining the research tools used in the present study, my

discussion with each of them was enlightening and beneficial.

I am deeply obliged to the authorities of Fortis Institute of Nursing, for granting

permission and extending full cooperation, help and support in carrying out the research

project.

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Appretiation is extended to my parents Mr. Koshy Samuel & Mrs. Rachel Koshy

for their perpetual love, prayers and support throughout my study period. Without their

inspiration my education would be a dream.

I express my deep sense of gratitude to my in laws Mr. Baby Jacob & Mrs. Molly

Baby for their unfailing love, encouragement and support throughout my study.

I express my special thanks to my classmates and friends for their continuous

inspiration and support throughout this project.

I am deeply indebted to my husband Mr. Stephen Baby for rooting in-depth

strength and faith in me, both at times of happiness and sorrow at all stages of the work.

Signature of the candidate

Mrs. Reena Koshy

Date:Place:

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LIST OF ABBREVIATIONS USED

ART ASSISTED REPRODUCTIVE TECHNOLOGIES

VATP VIDEO ASSISTED TEACHING PROGRAMME

STP STRUCTURED TEACHING PROGRAMME

NS NOT SIGNIFICANT

HS HIGHLY SIGNIFICANT

SD STANDARD DEVIATION

Df DEGREES OF FREEDOM

i.e., THAT IS

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ABSTRACT

PROBLEM STATEMENT

“A STUDY TO ASSESS THE EFFECTIVENESS OF VIDEO

ASSISTED TEACHING PROGRAMME ON KNOWLEDGE AND

ATTITUDE OF WOMEN WITH INFERTILTY REGARDING

SELECTED ASSISTED REPRODUCTIVE TECHNOLOGIES IN

SELECTED INFERTILITY CLINICS, BANGALORE”

OBJECTIVES OF THE STUDY

1. To assess the knowledge of women with infertility regarding selected

Assisted reproductive technologies.

2. To assess the attitude of women with infertility regarding selected

Assisted reproductive technologies.

3. To assess the effectiveness of the video assisted teaching programme by

comparing mean pre-test & mean post-test knowledge scores.

4. To find association between the knowledge and attitude of women with

infertility and selected demographical variables.

5. To find correlation between the knowledge and attitude of women with

infertility.

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METHODS

Conceptual framework adopted for this study is Imogene M .King’s

goal attainment theory. Based on the problem selected and objective of the

study quasi-experimental one group pre-test post-test design without control

group was selected.

Sample of women with infertility from Fortis hospital and Sure

infertility clinic, Bangalore were selected by non-probability purposive

sampling technique. Data was collected by administering structured

questionnaire and attitude scale before and after the implementation of video

assisted teaching programme. Data were analyzed using descriptive and

inferential statistics and represented in tables and graphs.

RESULTS

Data was analyzed by using descriptive and inferential statistics. The

results revealed that majority of the women with infertility were having

inadequate knowledge regarding assisted reproductive technologies.

Following the video assisted teaching majority of the respondents were

found to have adequate knowledge regarding selected assisted reproductive

technologies. The findings of the study revealed that mean post-test

knowledge and attitude score of women with infertility exposed to video

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assisted teaching programme was higher than the mean pre-test knowledge

and attitude score.

CONCLUSION

The overall findings of the study revealed that following the video

assisted teaching there was a highly significant increase in the knowledge of

women with infertility regarding selected assisted reproductive technologies.

KEY WORDS

Video assisted teaching, Infertility, knowledge, attitude.

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TABLE OF CONTENTS

SLNO CONTENT PAGE NO

1. INTRODUCTION 1-7

2. OBJECTIVES 8-15

3. REVIEW OF LITERATURE 16-29

4. METHODOLOGY 30-44

5. RESULTS 45-89

6. DISCUSSION 90-94

7. CONCLUSION 95-98

8. SUMMARY 99-104

9. BIBLIOGRAPHY 105-109

10. ANNUXERES 113-174

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LIST OF TABLES

TABLE NO. TITLES PAGE

NO1. Distribution of respondents according to their age 47

2. Distribution of respondents according to their education 49

3. Distribution of respondents according to employment status 51

4. Distribution of respondents by their income 53

5. Distribution of respondents according to their Religion 55

6. Distribution of respondents according to their type of family 57

7. Distribution of respondents according to their place of residence 59

8. Area wise Pre Test Mean Knowledge scores of respondents 61

9. Area wise Post Test Mean Knowledge scores of respondents 64

10. Over all Pre-test and Post-test Mean Knowledge scores 67

11. Association between Pre-test and Post-test Knowledge Scores 68

12. Classification of Respondents by Knowledge Level 70

13. Area wise Pre Test Mean Attitude scores of respondents 71

14. Area wise Post-test Mean Attitude scores of respondents 74

15. Association between Pre-test and Post-test Attitude Scores 77

16. Area wise Pre-test and Post-test Attitude scores 78

17. Classification of Respondents on Attitude Level 8018. Association between pre-test knowledge scores with selected

demographic variables 81

19. Association between post-test knowledge scores with selected demographic variables 83

20. Association between pre-test Attitude scores with selected demographic variables 85

21. Association between Post-test Attitude scores with selected demographic variables 87

22. Distribution of Respondents and Relationship betweenPost-test Knowledge and Attitude Scores 89

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LIST OF FIGURES

FIGURE NO. TITLES PAGE

NO

1. Conceptual framework of the study 15

2. Schematic representation of study design 33

3. Bar graph showing percentage of respondents according to their age in years. 48

4. Pie chart showing percentage of respondents according to their educational status 50

5. Pie chart showing distribution of respondents according to their employment status 52

6. Bar graph showing distribution of respondents according to their income 54

7. Cylindrical chart showing distribution of respondents according to their religion 56

8. Pie chart showing distribution of respondents according to their type of family 58

9. Pyramid diagram showing distribution of respondents according to their place of residence 60

10 Pyramid diagram showing pre-test knowledge scores obtained by respondents 63

11. Diagram showing post-test knowledge score obtained by respondents 66

12. Diagram showing area wise distribution of respondents based on the pre-test attitude 73

13. Diagram showing area wise distribution of respondents based on the post-test attitude 76

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LIST OF ANNEXURES

Annexure Title Page No

A Ethical clearance certificate 113

B Letter seeking permission to conduct study 114-115

C Letter seeking expert opinion for content validity 116

D CONSENT 117

E List of experts for tool validation 118-119

F

TOOLS:i. performa for socio-demographic data

ii. structured knowledge questionnaireiii. attitude scaleiv. observational checklist

121-131

G Lesson plan on Video assisted teaching programme (VATP) 132-174

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