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oai:figshare.com:article/34032089 2026-09-30T12:03:28Z category_21 category_272 category_45 category_734 category_106 portal_87 item_type_6 month_year_09_2026

Development and evaluation of a culturally tailored animated educational video to improve antibiotic knowledge, attitudes, and practices among Jordanian adolescents: a quasi-experimental study Majd M. Masadeh (25143725) Sabariah Noor Harun (13552051) Tareq L. Mukattash (17102195) Nasr Alrabadi (5489858) Yassen Alfoteih (23105439) Bayan Tiba (25143728) Biotechnology Environmental Sciences not elsewhere classified Sociology Biological Sciences not elsewhere classified Science Policy Adolescents antimicrobial resistance educational intervention knowledge attitudes practices animated video health education Jordan antimicrobial resistance (AMR) has emerged as a major global health concern, with antibiotic misuse and overuse being major contributing factors, particularly among adolescents. It has become essential to address this problem through educational interventions to foster responsible behavior during early life. The primary objective of this study was to develop and assess the effectiveness of an educational video on antimicrobial resistance in enhancing knowledge, attitude, and practice (KAP) among secondary school students. A quasi-experimental pretest-posttest study design was employed for this study. A sample of 133 secondary school students was selected from Jordan. A structured questionnaire was administered to assess knowledge, attitude, practice, preference for alternative medicine, and awareness/educational exposure. An educational video on antimicrobial resistance was developed and implemented as an intervention. To assess pre-post differences, a paired t-test was performed, and to control for confounding variables, a General Linear Model (GLM) analysis was conducted. To assess the associations among knowledge, attitude, and practice, correlation analysis was performed. Following implementation of the educational video, there were significant improvements in all knowledge, attitude, and practice domains. Knowledge improved significantly from a pretest mean of 3.56 (SD = 1.91) to a posttest mean of 6.59 (SD = 2.06) on a 9-point scale. The improvement was significant at p < 0.001, with a large effect size of 1.17. Attitude and practice also improved significantly, with large effect sizes. GLM analysis revealed that this improvement was significant even after adjustment for baseline confounders. Furthermore, correlation analysis revealed a positive correlation among knowledge, attitude, and practice, indicating a positive internal consistency for knowledge, attitude, and practice. The observed improvements suggest that culturally tailored animated educational interventions may be a useful approach for supporting adolescents’ understanding, attitudes, and reported practices related to antibiotic use and antimicrobial resistance. Exposure to the culturally tailored video-based educational intervention with planned reinforcement was associated with significant improvements in antibiotic-related knowledge, attitudes, self-reported practices, and awareness among secondary school students. Given the single-group pretest-post-test design, these findings should be interpreted as improvements observed following the intervention rather than definitive evidence of causality. Antibiotic resistance is a growing public health problem that occurs when bacteria become less responsive to medicines used to treat bacterial infections. Improving young people’s understanding of antibiotics may help encourage their appropriate use from an early age. This study evaluated an Arabic animated educational video developed specifically for Jordanian adolescents aged 16–18 years. A total of 133 students from two secondary schools in Amman and Irbid completed questionnaires before and four weeks after receiving the educational intervention. The intervention included a short animated video followed by reinforcement two weeks later through re-sharing of the video and school posters containing the same key messages. After the intervention, students showed higher scores in antibiotic knowledge, attitudes, awareness, and self-reported practices. Improvements were also observed in understanding the appropriate role of alternative treatments and home remedies. These findings suggest that short, culturally appropriate multimedia education with planned reinforcement may be a useful way to support antimicrobial resistance education among adolescents. However, because the study did not include a comparison group, the improvements cannot be attributed solely to the intervention. Further controlled studies are needed to confirm its effectiveness and determine whether improvements are maintained over time. Antimicrobial resistance education among adolescents remains an important public health priority, particularly in settings where misconceptions about antibiotic use persist.A culturally tailored Arabic animated educational video was developed for Jordanian adolescents aged 16–18 years and reinforced through re-sharing of the video and school-based posters.Among 133 students who completed matched pretest and post-test assessments, significant improvements were observed in knowledge, attitudes, awareness, self-reported practices, and understanding of alternative treatments and home remedies.The findings suggest that culturally appropriate multimedia education with planned reinforcement may support school-based antimicrobial resistance education.Because the study used a single-group pretest–post-test design without a concurrent control group, the observed improvements cannot be attributed exclusively to the intervention, and controlled studies are needed to confirm effectiveness and sustainability. Antimicrobial resistance education among adolescents remains an important public health priority, particularly in settings where misconceptions about antibiotic use persist. A culturally tailored Arabic animated educational video was developed for Jordanian adolescents aged 16–18 years and reinforced through re-sharing of the video and school-based posters. Among 133 students who completed matched pretest and post-test assessments, significant improvements were observed in knowledge, attitudes, awareness, self-reported practices, and understanding of alternative treatments and home remedies. The findings suggest that culturally appropriate multimedia education with planned reinforcement may support school-based antimicrobial resistance education. Because the study used a single-group pretest–post-test design without a concurrent control group, the observed improvements cannot be attributed exclusively to the intervention, and controlled studies are needed to confirm effectiveness and sustainability. 2026-09-30T12:03:28Z Text Journal contribution 10.6084/m9.figshare.34032089.v1 https://figshare.com/articles/journal_contribution/Development_and_evaluation_of_a_culturally_tailored_animated_educational_video_to_improve_antibiotic_knowledge_attitudes_and_practices_among_Jordanian_adolescents_a_quasi-experimental_study/34032089 CC BY 4.0