{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:59:28Z","timestamp":1753891168045,"version":"3.41.2"},"reference-count":27,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T00:00:00Z","timestamp":1670544000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Epidemiol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>A paramount factor in the control of neglected tropical diseases from both medical and social aspects is education. New strategies must be constantly pursued to test and provide educational information related to diseases affecting vulnerable populations. We applied the Q method as a model to measure educational neglect based on the burden of disseminated tungiasis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using a saturation method for sample size calculation, we recruited students and healthcare professionals to evaluate and classify 27 statements related to the prevention, control and treatment of tungiasis. After quantitative analysis, the Q method was applied based on the paired use of the centroid method and Varimax rotation, and 4 factors were extracted representing the main sets of viewpoints among the participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included 119 healthcare professionals with different academic degrees. Statements classified by specialists with a\u2009+\u2009agreement were also classified as a\u2009+\u2009agreement by most of the participants. However, we detected 5 important disagreements related to the topical treatment of tungiasis and control of the disease in the environment and animals. The Q method showed that almost no consensus was detected for four statements. The classification of each statement was not related to the participants' academic degree.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is significant educational neglect related to tungiasis prevention and treatment in healthcare sciences in Brazil. We conclude that the Q method may be an interesting strategy alone or associated with quantitative strategies for detecting educational limitations related to neglected diseases. In countries where neglected diseases are endemic, a detailed study evaluating the quality of education related to these diseases must be prioritized.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fepid.2022.1003102","type":"journal-article","created":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T10:01:56Z","timestamp":1670580116000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Measuring educational neglect using the Q method: A model based on the burden of disseminated tungiasis"],"prefix":"10.3389","volume":"2","author":[{"given":"Ana Carolina Tardin","family":"Martins","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciana Pereira Freire","family":"Martins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renata Velozo","family":"Timb\u00f3","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natanael Victor Furtunato","family":"Bezerra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ada Amalia Ayala","family":"Urdapilleta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florival Martins Passos","family":"Filho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ciro Martins","family":"Gomes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,12,9]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/tropicalmed2030036","article-title":"Neglected tropical diseases: epidemiology and global burden","volume":"2","author":"Mitra","year":"2017","journal-title":"Trop Med Infect Dis"},{"key":"B2","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1128\/CMR.00045-14","article-title":"Emerging and reemerging neglected tropical diseases: a review of key characteristics, risk factors, and the policy and innovation environment","volume":"27","author":"Mackey","year":"2014","journal-title":"Clin Microbiol Rev"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1720","DOI":"10.1377\/hlthaff.28.6.1720","article-title":"Neglected diseases amid wealth in the United States and Europe","volume":"28","author":"Hotez","year":"2009","journal-title":"Health Aff (Millwood)"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1371\/JOURNAL.PNTD.0007068","article-title":"Very severe tungiasis in Amerindians in the Amazon lowland of Colombia: a case series","volume":"13","author":"Miller","year":"2019","journal-title":"PLoS Negl Trop Dis"},{"key":"B5","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1179\/136485910X12786389891641","article-title":"Socio-economic aspects of neglected diseases: sleeping sickness and visceral leishmaniasis","volume":"104","author":"Boelaert","year":"2010","journal-title":"Ann Trop Med Parasitol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"101509","DOI":"10.1016\/j.berh.2020.101509","article-title":"Opportunistic tropical infections in immunosuppressed patients","volume":"34","author":"Shu Kurizky","year":"2020","journal-title":"Best Pract Res Clin Rheumatol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"omz049","DOI":"10.1093\/omcr\/omz049","article-title":"Tungiasis: a highly neglected disease among neglected diseases. Case series from Nduta refugee camp (Tanzania)","volume":"2019","author":"N\u00e1jera Villagrana","year":"2019","journal-title":"Oxf Med Case Reports"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e0009722","DOI":"10.1371\/journal.pntd.0009722","article-title":"The efficacy of topical, oral and surgical interventions for the treatment of tungiasis: a systematic review of the literature","volume":"15","author":"Tardin Martins","year":"2021","journal-title":"PLoS Negl Trop Dis"},{"key":"B9","doi-asserted-by":"publisher","first-page":"e2426","DOI":"10.1371\/journal.pntd.0002426","article-title":"Prevention of tungiasis and tungiasis-associated morbidity using the plant-based repellent Zanzarin: a randomized, controlled field study in rural Madagascar","volume":"7","author":"Thielecke","year":"2013","journal-title":"PLoS Negl Trop Dis"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13256-016-1146-6","article-title":"Disseminated tungiasis in a 78-year-old woman from Tanzania: a case report","volume":"10","author":"Pallangyo","year":"2016","journal-title":"J Med Case Rep"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e234","DOI":"10.1016\/S1473-3099(20)30853-7","article-title":"Clinical interventions for tungiasis (sand flea disease): a systematic review","volume":"21","author":"Abrha","year":"2021","journal-title":"Lancet Infect Dis"},{"key":"B12","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1075\/ml.20002.lut","article-title":"Quantifying subjective data using online Q-methodology software","volume":"14","author":"Lutfallah","year":"2019","journal-title":"Ment Lex"},{"key":"B13","doi-asserted-by":"publisher","first-page":"24","DOI":"10.4324\/9780429423871-15","article-title":"Q methodology: an overview","volume":"1","author":"Coogan","year":"2011","journal-title":"Res Second Teach Educ"},{"key":"B14","doi-asserted-by":"publisher","first-page":"737","DOI":"10.1136\/bmjqs-2017-007380","article-title":"Using Q-methodology to guide the implementation of new healthcare policies","volume":"27","author":"Alderson","year":"2018","journal-title":"BMJ Qual Saf"},{"key":"B15","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1136\/jamia.1997.0040501","article-title":"Q-methodology: definition and application in health care informatics","volume":"4","author":"Valenta","year":"1997","journal-title":"J Am Med Inform Assoc"},{"key":"B16","first-page":"1","article-title":"Using Q method to reveal social perspectives in environmental research","volume":"1301","author":"Webler","year":"2009","journal-title":"Soc Environ Res"},{"key":"B17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12874-021-01309-7","article-title":"A scoping review of Q-methodology in healthcare research","volume":"21","author":"Churruca","year":"2021","journal-title":"BMC Med Res Methodol"},{"key":"B18","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1186\/s12874-018-0594-7","article-title":"Characterising and justifying sample size sufficiency in interview-based studies: systematic analysis of qualitative health research over a 15-year period","volume":"18","author":"Vasileiou","year":"2018","journal-title":"BMC Med Res Methodol"},{"key":"B19","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1007\/BF03396741","article-title":"From words to numbers: how to transform qualitative data into meaningful quantitative results","volume":"59","author":"Srnka","year":"2007","journal-title":"Schmalenbach Business Rev"},{"key":"B20","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fpsyg.2020.556509","article-title":"Applying Q-methodology to investigate people\u2019 preferences for multivariate stimuli","volume":"11","author":"Gao","year":"2020","journal-title":"Front Psychol"},{"first-page":"200","year":"2020","author":"Rahma","key":"B21"},{"key":"B22","doi-asserted-by":"publisher","first-page":"458","DOI":"10.3855\/jidc.418","article-title":"Tungiasis-related knowledge and treatment practices in two endemic communities in northeast Brazil","volume":"3","author":"Winter","year":"2009","journal-title":"J Infect Dev Ctries"},{"key":"B23","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1016\/j.bjid.2020.01.004","article-title":"Efficacy and safety of dimeticones in the treatment of epidermal parasitic skin diseases with special emphasis on tungiasis: an evidence-based critical review","volume":"24","author":"Miller","year":"2020","journal-title":"Braz J Infect Dis"},{"key":"B24","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1186\/s41182-017-0046-9","article-title":"Treatment of tungiasis with a two-component dimeticone: a comparison between moistening the whole foot and directly targeting the embedded sand fleas","volume":"45","author":"Nordin","year":"2017","journal-title":"Trop Med Health"},{"key":"B25","doi-asserted-by":"publisher","first-page":"e3058","DOI":"10.1371\/journal.pntd.0003058","article-title":"Treatment of tungiasis with dimeticone: a proof-of-principle study in rural Kenya","volume":"8","author":"Thielecke","year":"2014","journal-title":"PLoS Negl Trop Dis"},{"key":"B26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.parepi.2020.e00168","article-title":"Assessing the potentials of two local topical ointments as affordable treatment against tungiasis infestation: a self-experimentation in Igbokoda, Nigeria","volume":"11","author":"Enwemiwe","year":"2020","journal-title":"Parasite Epidemiol Control"},{"key":"B27","doi-asserted-by":"publisher","first-page":"145","DOI":"10.20506\/rst.38.1.2949","article-title":"Importance of a one health approach in advancing global health security and the sustainable development goals","volume":"38","author":"Sinclair","year":"2019","journal-title":"Rev Sci Tech"}],"container-title":["Frontiers in Epidemiology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fepid.2022.1003102\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T10:01:57Z","timestamp":1670580117000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fepid.2022.1003102\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,9]]},"references-count":27,"alternative-id":["10.3389\/fepid.2022.1003102"],"URL":"https:\/\/doi.org\/10.3389\/fepid.2022.1003102","relation":{},"ISSN":["2674-1199"],"issn-type":[{"type":"electronic","value":"2674-1199"}],"subject":[],"published":{"date-parts":[[2022,12,9]]},"article-number":"1003102"}}