Assessing College Students’ Knowledge and Misconceptions Concerning the Ebola Virus
As we have seen from the current COVID-19 pandemic, misconceptions concerning viruses can lead to disease spread and panic. Therefore, it is imperativ.
- Pub. date: April 15, 2020
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As we have seen from the current COVID-19 pandemic, misconceptions concerning viruses can lead to disease spread and panic. Therefore, it is imperative to determine misconceptions held concerning epidemics and pandemics. One virus that warrants study of misconceptions, albeit given limited attention in the West, is the Ebola virus. An assessment of college students’ knowledge and misconceptions about the Ebola virus was created and validated using data from 203 non-science majors at a Midwestern United States university. The data were analyzed using both classical and Rasch measurement methods to make a case for the validity of the assessment and to explore students’ misconceptions. The assessment was shown to be a valid and useful measure for students’ knowledge and misconceptions concerning Ebola. Integrating a confidence scale into students’ responses made the scale more reliable and assisted in identifying students’ tenacious misconceptions. Students displayed multiple misconceptions about viruses, including confusion between the characteristics of viruses and prokaryotes. Students also displayed misconceptions about Ebola itself, including the overestimation of the number of Ebola strains and the number of patients who experience massive blood loss, misunderstandings about the incubation period, and overestimation of the mortality in comparison to other diseases like Influenza and Anthrax. This assessment can be used as a starting point in future studies to determine what misconceptions people have about Ebola and which types of educational and behavioral interventions need to be undertaken.
Keywords: Assessment, Ebola virus, knowledge, misconceptions, validation.
References
Abdullahi, K.O., Holakouie-Naieni, K., Foroushani, A.R., Ahmadnezhad, E., Raza, O., & Nematollahi, S. (2018). Knowledge, attitude, and practice regarding Ebola virus disease and related factors among international students of Tehran University of Medical Sciences, 2015. Iranian Journal of Public Health, 47(5), 775-776.
Abhinitha, P., Yusof, C. P. B., Sinniah, S. S. M., & Kumar, N. (2017). Evaluation of knowledge and awareness about the Ebola virus disease among the medical undergraduate students: A cross-sectional study. Journal of Datta Meghe Institute of Medical Sciences University, 12(2), 89-92.
Aung, M. H., Oo, W.M., Lynn, K. K., & Mya, K. M. (2015). Knowledge and perception towards Ebola virus disease among nursing students in the University of Nursing, Yangon. Myanmar Medical Journal, 57(3), 8-14.
British Broadcasting Corporation News. (2016). UK Ebola nurse Pauline Cafferkey cleared of misconduct. BBC. http://www.bbc.com/news/uk-scotland-glasgow-west-37364497
Bond, T.G., & Fox, C.M. (2007). Fundamental measurement in the human sciences (2nd ed.). Lawrence Erlbaum.
Boseley, S. (2016). Ebola nurse Pauline Cafferkey charged over ‘concealing temperature’. The Guardian. https://www.theguardian.com/world/2016/aug/18/pauline-cafferkey-ebola-nurse-accused-concealing-high-temperature
Byrne, J., & Grace, M. (2010). Using a concept mapping tool with a photograph association technique (CoMPAT) to elicit children’s ideas about microbial activity. International Journal of Science Education, 32(4), 479-500.
Cardona, C. Z. (2016). Bridal shop that closed after visit from Ebola nurse seeks $1M from Dallas Hospital. Dallas News. http://www.dallasnews.com/news/courts/2016/10/05/bridal-shop-closed-visit-ebola-nurse-seeks-1m-dallas-hospital
Catholic Relief Services (2014). Study on public knowledge, attitudes, and practices relating to Ebola virus disease prevention and medical care in Sierra Leone. Catholic Relief Services. http://newswire.crs.org/wp-content/uploads/2014/ 10/Ebola-Virus Disease-National-KAP-Study-Final-Report_-final.pdf
Centers for Disease Control and Prevention (2009). Clinical signs and symptoms of Influenza. CDC. http://www.cdc.gov/flu/professionals/acip/clinical. htm
Centers for Disease Control and Prevention. (2015). Cases of Ebola virus disease in Africa, 1976-2014. CDC. http://www.cdc.gov/vhf/ebola/outbreaks/ history/distribution-map.html
Centers for Disease Control and Prevention. (2015). CDC Ebola guidance. CDC. http://www.cdc.gov/vhf/ebola/pdf/ebola-guidance-travelers.pdf
Centers for Disease Control and Prevention. (2016). Common colds: Protect yourself and others. CDC. http://www.cdc.gov/features/rhinoviruses/
Centre for Media and Strategic Communications. (2015). Baseline Survey Report for Ebola Awareness in some Risk Groups in Yaounde. http://www.cmsccameroon.org
DiClemente, R. J., Zorn, J., & Temoshok, L. (1986). Adolescents and AIDS: A survey of knowledge, attitudes and beliefs about AIDS in San Francisco. American Journal of Public Health, 76(12), 1443-1445.
Fauci, A. S. (2014). Ebola—underscoring the global disparities in health care resources. New England Journal of Medicine, 371(12), 1084-1086.
Feldmann, H., & Geisbert, T. W. (2011). Ebola haemorrhagic fever. The Lancet, 377(9768), 849-862.
Food and Drug Administration (2015). Anthrax. FDA. http://www.fda.gov/BiologicsBloodVaccines/Vaccines /ucm061751.htm
Guenno, B. L., & Galabru, J. (1997). Ebola virus. Bulletin of the Pasteur Institute /Bulletin de I’Institut Pasteur, 95(2), 73-83.
Hasan, S., Bagayoko, D., & Kelley, E. L. (1999). Misconceptions and the certainty of response index (CRI). Physics Education, 34(5), 294-299.
Hollmeyer, H., Hayden, F., Poland, G., & Buchholz, U. (2009). Influenza vaccination of health care workers in hospitals-A review of studies on attitudes and predictors. Vaccine, 27, 3935–3944.
Howard, C. R., & Fletcher, N. F. (2012). Emerging virus diseases: can we ever expect the unexpected? Emerging Microbes & Infections, 1(46), 1-9.
Jones, M. G., & Rua, M. J. (2008). Conceptual representations of flu and microbial illness held by students, teachers, and medical professionals. School Science and Mathematics 108(6), 263-278.
Kaye, D., & Pollack, M. P. (2014). Mers vs. Sars: Compare and Contrast. http://www.healio.com/infectious-disease/emerging-diseases/news/print/infectious-disease-news/%7B422866a7-0445-49b3-ac14-54b39bebbba6%7D/mers-vs-sars-compare-and-contrast
Koralek, T., Runnerstrom, M. G., Brown, B. J., Uchegbu, C., & Basta, T. B. (2016). Lessons from Ebola: Sources of outbreak information and the associated impact on UC Irvine and Ohio University college students. PLoS currents, 8.
Leroy, E. M., Kumulungui, B., Pourrut, X., Rouquet, P., Hassanin, A., Yaba, P., Delicat, A., Paweska, J.T., Gonzalez, J. P. and Swanepoel, R., Swanepoel, R. (2005). Fruit bats as reservoirs of ebola virus. Nature, 438(7068), 575-576.
Linacre, J. M. (2010). Winsteps (Version 3.70.0). www.winsteps.com
Linacre, J. M., & Tennant, A. (2009). More about critical eigenvalue sizes in standardized-residual principal components analysis (PCA). Rasch Meas Trans, 23(3), 1228.
Mair, P. & Hatzinger, R. (2007). Extended Rasch Modeling: The eRm Package for the Application of IRT Models in R. Journal of Statistical Software, 20(9), 1-20.
Morvan, J. M., Deubel, V., Gounon, P., Nakoune, E., Barriere, P., Murri, S., Perpete, O., Selekon, B., Coudrier, D., Gautier-Hion, A. and Colyn, M. (1999). Identification of ebola virus sequences present as RNA or DNA in organs of terrestrial small mammals of the central african republic. Microbes and Infection, 1(14), 1193-1201.
Onder, G., Rezza, G., & Brusaferro, S. (2020). Case-fatality rate and characteristics of patients dying in relation to COVID-19 in Italy. JAMA. Published online March 23, 2020. doi:10.1001/jama.2020.4683
Peterson, W. (1995). Outbreak [Movie]. Warner Bros.
Plec, J. (2016). Containment [Tv Show]. Warner Bros.
Ramirez, J. E., Ramos, D. M., Clayton, L., Kanowitz, S., & Moscicki, A-B. (1997). Genital human papillomavirus infections: Knowledge, perception of risk, and actual risk in a nonclinic population of young women. Journal of Women’s Health, 6(1), 113-121.
Rolison, J. J., & Hanoch, Y. (2015). Knowledge and risk perceptions of the Ebola virus in the United States. Preventive medicine reports, 2, 262-264.
Romine, W. L., Barrow, L. H., & Folk, W. R. (2013). Exploring secondary students' knowledge and misconceptions about influenza: Development, validation, and implementation of a multiple-choice influenza knowledge scale. International Journal of Science Education, 35(11), 1874-1901.
Romine, W. L., Schaffer, D. L., & Barrow, L. H. (2015). Development and application of a novel Rasch-based methodology for evaluating multi-tiered assessment instruments: Validation and utilization of an undergraduate diagnostic test of the water cycle. International Journal of Science Education, 37(16), 2740-2768.
Saijo, M., Niikura, M., Ikegami, T., Kurane, I., Kurata, T., & Morikawa, S. (2006). Laboratory diagnostic systems for Ebola and Marburg hemorrhagic fevers developed with recombinant proteins. Clinical and Vaccine Immunology: CVI, 13(4), 444-451.
Salman, M., Shehzadi, N., Hussain, K., Saleem, F., Khan, M. T., Asif, N., Yousaf, M., Rafique, M., Bedar, R., Tariq, S., & AbuBakar, U. (2017). Knowledge of Ebola virus disease among a university population: A cross-sectional study. American journal of infection control, 45(2), e23-e25.
Saturday Night Live. (2014). The Fault in Our Stars 2 – SNL [Video file]. https://www.youtube.com/watch?v=DopEzgBk4dA
Shittu, R. O., Sanni, M. A., Odeigah, L. O., Akanbi II, AA, Sule, A.G., Isiaka-Lawal, S. & Aderibigbe, S. A. (2015). Awareness, knowledge and misconceptions about Ebola virus disease (EVD) in a family practice setting in Nigeria, West Africa. Journal of Antivirals and Antiretrovirals, 7(1), 10-14.
Simonneaux, L. (2000). A study of pupils' conceptions and reasoning in connection with 'microbes', as a contribution to research in biotechnology education. International Journal of Science Education, 22(6), 619-644.
Soderbergh, S. (2011). Contagion [Movie]. Warner Bros.
Tscherne, D. M., & Garcia-Sastre, A. (2011). Virulence determinants of pandemic influenza viruses. The Journal of clinical investigation, 121(1), 6-13.
Uekawa, K. (2005). Explaining Rasch model in 3 minutes to a person who knows at least OLS regression. www.estat.us/sas/Rasch3minutes.doc
UNAIDs. (2016). Global Aids Update. http://www.unaids.org/sites/default/ files/media_asset/global-AIDS-update-2016_en.pdf
Virseda, S., Restrepo, M., Arranz, E., Magan-Tapia, P., Fernandez-Ruiz, M., Gomez de la Camara, A., Aguado, J., & Lopez-Medrano, F. (2010). Seasonal and pandemic A (H1N1) 2009 influenza vaccination coverage and attitudes among health-care workers in a Spanish university hospital. Vaccine, 28, 4751–4757.
Vincent, R. C., & Basil, M. D. (1997). College students’ news gratifications, media use, and current events knowledge. Journal of Broadcasting & Electronic Media, 41(3), 380-392.
Wilson, M. (2005). Constructing measures: An item response modeling approach. Lawrence Erlbaum Associates.
World Health Organization. (2011). Frequently asked questions: H5N1 Influenza. WHO. http://www.who.int/influenza/human_animal_interface /avian_influenza/h5n1_research/faqs/en/
World Health Organization. (2013). Number of deaths due to HIV/AIDS. WHO. http://www.who.int/gho/hiv/epidemic_status/deaths_text/en/
World Health Organization. (2014). Busting the myths about Ebola is crucial to stop the transmission of the disease in Guinea. http://www.who.int/features/2014/ebola-myths/en/
World Health Organization. (2015). Factors that contributed to undetected spread of the Ebola virus and impeded rapid containment. WHO. http://www.who.int/csr/disease/ebola/one-year-report/factors/en/
World Health Organization. (2016). Ebola outbreak 2014-2015. WHO. http://www.who.int/csr/disease/ebola/en/
World Health Organization. (2016). Number of Malaria deaths. WHO. https://www.who.int/gho/malaria/epidemic/deaths/en/