per
Iranian Journal of Health Education and Health Promotion
Iranian Journal of Health Education and Health Promotion
2345-346X
2345-3265
2016-12
4
3
173
183
article
Impact of Education for Adherence to Therapy Based on Health Promotion Model on the Quality of Life in HIV-infected Patients
Farideh Esmaili
esmailif@yahoo.com
1
Rahim Tahmasebi
rahimtahmasebi@yahoo.com
2
Azita Noroozi
azitanoroozi@yahoo.com
3
Katayoon Vahdat
vahdatk@yahoo.com
4
Behrooz Kavehie
5
Bushehr University of Medical Sciences
Bushehr University of Medical Sciences
Bushehr University of Medical Sciences
Bushehr University of Medical Sciences
National Organization for Educational Testing, Tehran, Iran
Background and objective: The use of antiretroviral drugs may affect the quality of life of HIV-infected patients. The aim of this study was to evaluate the impact of education for adherence to therapy based on health promotion model on quality of life of HIV-infected patients under antiretroviral therapy (ART) in the city of Bushehr, Iran.
Materials and methods: This study was a quasi-experimental study which had been carried out on 61 HIV positive patients under ART. In the intervention group, face to face training of 31 patients was carried out based on health promotion model through two education sessions with a two-week interval also with an educational booklet of adherence to therapy; and 30 members of the control group received routine cares of the health center during the study period. Data collection tool in this study consisted of demographic characteristics, constructs related to health promotion model, and quality of life questionnaire (SF36). Questionnaires about constructs were answered before, immediately, and three months after education. Questionnaires about adherence to therapy and quality of life were answered before, and three months after education. The data were analyzed by using descriptive statistics, independent t test, chi-square test, ANOVA with repeated measure, and paired t test through SPSS18.
Results: Education caused significant changes in all constructs of health promotion model including belief to therapy, benefits and barriers to adherence, social support and self-adherence (p < 0.001) and positively changed people's attitudes towards therapy. Quality of life in physical, general health, emotional and mental health factors also increased significantly among education (intervention) group (p < 0.001).
Conclusion: The findings of this study indicate the effectiveness of training programs to enhance the quality of life of patients in which this change had been achieved through impact on patients' beliefs and attitudes on adherence to therapy.
Paper Type: Research Article.
http://journal.ihepsa.ir/article-1-455-en.pdf
Quality of life
Positive HIV
Adherence to therapy
Health promotion model
Quality of life Short Form (36) Health Survey (SF36)
Bushehr.
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Iranian Journal of Health Education and Health Promotion
Iranian Journal of Health Education and Health Promotion
2345-346X
2345-3265
2016-12
4
3
184
193
article
Effect of Theory-Based Education on the Promotion of Preventive Behaviors of Accidents and Injuries among Mothers with Under-5-years-old Children
Maryam Fathi
maryamfathi62@yahoo.com
1
Mohsen Shamsi
dr.shamsi@arakmu.ac.ir
2
Mahboobeh Khorsandi
khorsandi.mahboobeh@gmail.com
3
School of Health, Arak University of Medical Sciences
School of Health, Arak University of Medical Sciences
School of Health, Arak University of Medical Sciences
Background and objective: The first leading cause of death among the first 5 years of children’ life around the world are accidents and injuries. The aim of this study was to determine the effect of theory-based education on the promotion of preventive behaviors in accidents and injuries among mothers with children under 5 years old.
Materials and methods: This was a quasi-experimental study that was carried out on 130 mothers of children less than 5 years referred to health centers in Khorramabad in 2014. Data was collected using a four parts questionnaire (demographic data, knowledge, health belief model structures and performance). The case group participated in two health education sessions with 50 minutes duration. Data was collected before and three month after education among the two groups. The data was analyzed using descriptive statistics (medium, SD, and frequency) and analytical statistics (Kolmogorov-Simonov test, Wilcoxon test, and Mann-Whitney test) through SPSS20.
Results: Before the intervention, the mean score of knowledge, components of the health belief model and performance had no significant difference among the two groups before intervention. But after intervention, it was significant (p < 0.01). The mean score of performance in case group from 52.3 to 69.53 significant increased after intervention (p < 00.1).
Conclusion: According to the increase amount obtained from the structure, based on theory and implementation of a training program based on health belief model among mothers of children under 5 years old with active pursuit to improve their performance in the prevention of accidents and injuries in children.
Paper Type: Research Article.
http://journal.ihepsa.ir/article-1-342-en.pdf
Health Belief Model (HBM)
Children health
Accidents
Child injury prevention
Interventional education
Khorramabad
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Iranian Journal of Health Education and Health Promotion
Iranian Journal of Health Education and Health Promotion
2345-346X
2345-3265
2016-12
4
3
194
204
article
The Impact of Pictograph-Based Education on Knowledge, Attitude, Self-Care, Fasting Blood Glucose and HbA1c Levels in Type 2 Diabetic Patients in Kerman
Fatemeh Nazari Robati
fatemehnazari50@yahoo.com
1
Narges Khanjani
narges.khanjani@gmail.com
2
Mohammad Reza Mahmoodi
mahmoodimr@yahoo.com
3
Mohammad Mehdi Fadakar
mmfadakar@yahoo.com
4
Kerman University of Medical Sciences
Kerman University of Medical Sciences
Kerman University of Medical Sciences
Kerman University of Medical Sciences
Background and objective: Education can play an important role in the management of chronic diseases such as diabetes. This study was conducted to determine the impact of pictograph-based education on knowledge, attitude, self-care, fasting blood glucose and HbA1c among patients with type 2 diabetes.
Materials and methods: This study was a randomized controlled trial (RCT) on 100 patients with type 2 diabetes referred to diabetes clinics in Kerman city. The participants were randomly divided into intervention and control groups with 50 patients in each group. In the intervention group, pictograph-based training was presented in the form of slides and posters along with lectures, but in the control group lectures without pictographs was presented. The data were collected and analyzed using chi-square tests, independent t-test, paired t-test Wilcoxon and Mann-Whitney U through SPSS16.
Results: The mean score of total self-care significantly increased in the intervention group (p < 0.0001). The self-care components of foot care and blood glucose monitoring significantly improved in the intervention group, too. Fasting glucose and HbA1c decreased in both groups and knowledge in both groups improved after the intervention, but attitude only increased in the intervention group.
Conclusion: Considering the significant role of pictographs in learning health instructions, it seems that education using pictographs can promote self-care behaviors among diabetic patients who are mainly old and/or with low literacy.
Paper Type: Research Article.
http://journal.ihepsa.ir/article-1-448-en.pdf
Knowledge
Attitude
Self-care
Pictographs
Educational intervention
Type 2 diabetes
Kerman.
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Iranian Journal of Health Education and Health Promotion
Iranian Journal of Health Education and Health Promotion
2345-346X
2345-3265
2016-12
4
3
205
216
article
Effect of Theory-Centered Educational Program on Prostate Cancer Preventive Behaviors among Male Teachers: A Quasi-Experimental Study
Alireza Didarloo
didarloo_a@yahoo.com
1
Siamak Shekhi
s.shiekhi@umsu.ac.ir
2
Zahra Sorkhabi
didarloo_a@yahoo.com
3
Naser Sharafkhani
didarloo_a@yahoo.com
4
Urmia University of Medical Sciences
Urmia University of Medical Sciences
Dept. of Education and Training
Urmia University of Medical Sciences
Background and objective: After cardio-vascular diseases, cancers are the most important causes of mortality among the human society. Prostat cancer is one of the most common cancers and is also the second factor that causes mortality among male people after repiratory cancer. The aim of this study was to evalute the educational intervention program based on Health Belief Model (HBM) on prostat cancer preventive behaviors.
Methods and material: This quasi-experimental study was carried out on 100 male teachers in Urmia, Iran. The samples were selected via multistage random sampling method. The study data was gatherd using a three-part instrument including demographic information, HBM constructs questionaire, and health performance questionaire. This questionnaire was completed by teachers before and 3 months after intervention. The data was analysed using descriptive statistics, independent and paired t-test through SPSS 20.
Results: The mean age among intervention and control groups were 46.2±3.63, 45.5±3.10, respectively. Before intervention, there was no significant difference between two groups in terms of mean scores of the model constructs and health performance (p > 0.05). After intervention, mean scores of perceived suceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, and health performance changed. These changes were statistically significant among intervention and control groups (p < 0.001).
Conclusion: Educational intervention based on HBM was effective on prostate cancer preventive behaviors. Therefore it is recommended that health educators use model-based instructional plans instead of traditional educational programs.
Paper Type: Research Article.
http://journal.ihepsa.ir/article-1-556-en.pdf
Health education
Health Belief Model (HBM)
Prostate cancer
Preventive behaviors
Teachers
Urmia.
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Iranian Journal of Health Education and Health Promotion
Iranian Journal of Health Education and Health Promotion
2345-346X
2345-3265
2016-12
4
3
217
225
article
Gender differences in Obeying Traffic Regulations and the Related Cognitive Factors among Elementary School Students in Khorramabad City: Application of Health Belief Model
Maryam ghavami
m.ghavami5840@gmail.com
1
Tayebeh Fasihi Harandy
tfasihih@gmail.com
2
Kourosh kabir
kabir.kourosh@yahoo.com
3
Saeed Saadatmand
s.saadat2096@gmail.com
4
Alborz University of Medical Science
Alborz University of Medical Science
Alborz University of Medical Sciences
Payame noor
Background and objective: Vehicles are one of the most common causes of accidents among school students. Therefore, this research was conducted to determine the gender differences in obeying traffic regulations and the related cognitive factors among elementary school students in Khorramabad City, Iran.
Materials and methods: This was a descriptive and correlational comparative study. 360 elementary school students in Khorramabad City in the year 2014-2015 were selected through multistage sampling method which answered the demographic questionnaire and questions related to health belief model (HBM) structures and behaviors. The data were analyzed using SPSS20 through Pearson Correlation, Stepwise Regression, Wilk’s Lambda and multivariate analysis of variance (MANOVA) tests.
Results: Perceived self-efficacy, perceived barriers and perceived benefits could predict 21.4% of the changes related to the variable of obeying traffic regulations. Meanwhile, there was a statistically significant difference among female and male students in HBM structures and behavior.
Conclusion: Male students were less informed of HBM structures and behavior compared to female students. Thus, it is necessary to use HBM-based teaching to promote safety culture among students (especially male students).
Paper Type: Research Article.
http://journal.ihepsa.ir/article-1-480-en.pdf
Gender differences
Traffic behaviors
Obeying traffic regulations
Health Belief Model (HBM)
Bushehr.
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Iranian Journal of Health Education and Health Promotion
Iranian Journal of Health Education and Health Promotion
2345-346X
2345-3265
2016-12
4
3
226
235
article
Comparison Effect of Different Aspects of Weight on Some Factors related to Physical Fitness among Female and Male College Students in Bushehr
Ali-Asghar Fallahi
ali.fallahi62@gmail.com
1
Mohammad-Hassan Abdollahi
abdollahi.1975@yahoo.com
2
Department of sport sciences, Faculty of Education & Psychology, Shiraz University
Department of sport sciences, Faculty of Education & Psychology, Shiraz University
Background and objective: It is little known about physical fitness and the effects of body mass index (BMI) among college students. Therefore, the purpose of this study was to study the effects of various aspects of weight on physical fitness and comparison of these factors among female and male college student of Bushehr city.
Materials and methods: In this quasi-experimental study 149 students were selected from Payame Noor University, Bushehr branch. Based on body mass index (BMI) these students were divided into three groups: obese and overweight, normal weight and underweight group. Different physical fitness was assessed using standard college tests. SPSS 16 was used for analysis of data at levels of α<0.05. T independent test were used to analyze the data of two of the groups.
Results: Mean of physical fitness tests was higher in underweight students. There were a significant differences in all tests, 540 meter (p < 0.001), 4×9 meter run (p < 0.001), sit-up test (p < 0.001) and push up test (p < 0.001) and vertical jump (p < 0.001) among male and female students.
Conclusion: Overweight/obese students had poorer performance in cardiovascular endurance, agility and power of lower limb than non-obese subjects. Results of this study show that female students had lower scores on all fitness components.
Paper Type: Research Article.
http://journal.ihepsa.ir/article-1-467-en.pdf
Physical fitness
Cardiovascular fitness
Body mass Index (BMI)
Colle students
Bushehr
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Iranian Journal of Health Education and Health Promotion
Iranian Journal of Health Education and Health Promotion
2345-346X
2345-3265
2016-12
4
3
236
243
article
Evaluation of Breakfast Consumption among Elementary School Students in Ahwaz Based on BASNEF Model
Seyed Abolhassan Naghibi
anaghibi1345@yahoo.com
1
Maryam Ahmadi
m.ahmadi6723@yahoo.com
2
Atena Ramezani
ramezaniatena@yahoo.com
3
Mazandaran University of Medical Sciences, Sari, Iran
Mazandaran University of Medical Sciences, Sari, Iran
Mazandaran University of Medical Sciences, Sari, Iran
Background and objective: Consuming breakfast are effective in health promotion, memory, learning and cognitive functioning among school children. This study was designed to evaluate the consumption of breakfast among students based on BASNEF model.
Materials and methods: This cross-sectional study was carried on 504 elementary school students who were selected by a two-stage cluster sampling method. Using a BASNEF model, attitude and enabling factors and subjective norms were examined. Data analysis was performed using SPSS21 and descriptive statistics and chi-square test.
Results: 63% of students had no knowledge about the impact of breakfast, 30% moderate and 7% had poor knowledge about it. 49.9% of the students sometimes, 17.5% always, and 32.6% never ate snacks. There were significant relationship between knowledge and practice (p < 0.05). The most important factor of eating snacks, among the subjective norms structure was mothers with 66.4%, and among empowering structures it was related to the crowded school buffet (40.2%) and bag becoming heavy (38%).
Conclusion: Due to the special role of mothers on students’ breakfast consumption, empowerment and proper functioning of mothers, along with educating students about consuming complete breakfast can improve their nutritional behavior.
Paper Type: Research Article.
http://journal.ihepsa.ir/article-1-463-en.pdf
Breakfast
BASNEF model
Elementary school students
Ahvaz.
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Iranian Journal of Health Education and Health Promotion
Iranian Journal of Health Education and Health Promotion
2345-346X
2345-3265
2016-12
4
3
244
254
article
Effectiveness of Cardiovascular Specific Psychotherapy on Heart Disease Patients’ Quality of Life
Reza Soltani shal
soltani.psy@gmail.com
1
Hamidreza aghamohammadian Sharbaf
aghamohammadian@ferdowsi.um.ac.ir
2
Mohammad saied abdkhodaie
abdkhoda@um.ac.ir
3
Mohammad tayyebi
tayyebim@mums.ac.ir
4
Dept. of Psychology, Faculty of Education and Psychology, Ferdowsi University of Mashhad
Dept. of Psychology, Faculty of Education and Psychology, Ferdowsi University of Mashhad
Dept. of Psychology, Faculty of Education and Psychology, Ferdowsi University of Mashhad
Dept. of Cardiology, School of Medicine, Mashhad University of Medical Sciences
Background and objective: Cardiovascular diseases (CVDs) is one of the causes of death worldwide. CVDs covers a wide array of disorders, including diseases of the cardiac muscle and of the vascular system supplying the heart, brain, and other vital organs. The aim of the paper was to study the effectiveness of cardiovascular specific psychotherapy on the patients’ quality of life.
Materials and methods: In this quasi-experimental study 30 patients with heart disease from Rasol-e-Akram hospital in the city of Rasht were selected by accessible sampling method, and randomly placed in two experimental and control groups. Experiment and control groups completed the WHOQOL questionnaire before and after the intervention. The intervention was implemented in 25 sessions (each 150 minutes) for patients in the test group. Data was analyzed by MANCOVA test using SPSS19.
Results: The mean scores of quality of life and its subscales, before and after the intervention, statistically had significant difference (p < 0.05). Therefore, it seems that cardiovascular specific psychotherapy was effective on the promotion of patients’ quality of life.
Conclusion: This kind of therapy is effective in improving life quality of cardiovascular patients. Therefore, it is recommended as an effective therapy to improve mental health.
Paper Type: Research Article.
http://journal.ihepsa.ir/article-1-439-en.pdf
Cardiovascular disease (CVD)
Psychotherapy
Psychocardiology
Quality of life
Rasht.