IDEAS home Printed from https://ideas.repec.org/a/bfy/ojejhs/v11y2025i1p1-12id2643.html
   My bibliography  Save this article

Influence of Spaced Repetition Intervention on Knowledge Retention among Community Health Promoters

Author

Listed:
  • Haron Mukora Njoroge
  • Dr. Peter Munyau Kithuka
  • Dr. Emma Watetu

Abstract

Purpose: To establish knowledge retention (KR) baseline levels from the entry training community health promoters (CHPs) received in diverse years since 2006 in Nyandarua County, Kenya. Moreover, to determine the influence of spaced repetition (SR) intervention on knowledge retention. Materials and Methods: Quasi experimental design through pre and post intervention tests were used and the sample (n=348) was calculated through Yamane (1967) formula at 95% confidence interval. Tests’ measured KR and the use of mobile phone short message service (SMS) happened to the respondents once per week in 12 weeks after the pre intervention and before the post intervention test. The 4 key messages from the CHP training manual were relayed interchangeably, each 3 times in total. Both tests used competence based curriculum (CBC) rubrics; exceeding expectation (EE), approaching expectation (AE), meeting expectation (ME) and below expectation (BE). Findings: With a response rate of 92% (n= 320), at pre intervention 82.2% (n=263) had BE KR which is 0-49% score and only 0.6% (n=2) had EE with a mean of 1.21 (30.25%) out of scale of 4. At post intervention the mean was 2.49 (62.25%), an improvement ratio of 2.1. The BE fell to 35.3% (n=113) and EE increased to 33.4% (n=107) at post intervention. SR was statistically significant on knowledge retention according to the Wilcoxon signed rank test results (Z = -11.919, p = 0.000). Implications to Theory, Practice and Policy: Results confirmed the multi-store memory theory that some knowledge ‘decays’ before entering the long term memory but on several reminders knowledge can resurface; a further confirmation of the forgetting curve that information is forgotten over time if not reviewed. Results mean that training CHPs once without subsequent knowledge reinforcement may have less significant effects. Going forward, county government of Nyandarua should organize periodical training refreshment programs for CHPs.

Suggested Citation

  • Haron Mukora Njoroge & Dr. Peter Munyau Kithuka & Dr. Emma Watetu, 2025. "Influence of Spaced Repetition Intervention on Knowledge Retention among Community Health Promoters," European Journal of Health Sciences, AJPO Journals Limited, vol. 11(1), pages 1-12.
    • Handle: RePEc:bfy:ojejhs:v:11:y:2025:i:1:p:1-12:id:2643
    as

    Download full text from publisher

    File URL: https://ajpojournals.org/journals/index.php/EJHS/article/view/2643/3514
    Download Restriction: Access to full texts is restricted to European Journal of Health Sciences
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bfy:ojejhs:v:11:y:2025:i:1:p:1-12:id:2643. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chief Editor (email available below). General contact details of provider: https://ajpojournals.org/journals/index.php/EJHS/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.