Iranian Journal of Health Education and Health Promotion Iranian Journal of Health Education and Health Promotion 2345-346X 2345-3265 11 3 2023 10 1 The Latest Standards of Health Promoting Hospitals 229 232 FA Akbar Nikpajouh Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences dr.nikpajouh@gmail.com N 0000-0001-5625-3101 Mohamadali Seifrabiei Department of Community Medicine, School of Medicine, Hamadan University of Medical Sciences seifrabiei@yahoo.com N 0000-0003-2722-1703 Zahra Sanaei Hamadan University of Medical Sciences Y 10.22034/11.3.229 Health promotion is the process of empowering people to increase control over their health promotion. Hospitals should play an important role in promoting health, preventing diseases and providing rehabilitation services. The dominant approach in quality management of hospitals is setting service standards. In 2006, the World Health Organization (WHO) published 5 final standards and 24 sub-standards for the self-evaluation of health promoting hospitals (HPH). This tool has been translated into Farsi and is available to Iranian hospitals through the publisher's website. These standards along with sub-standards were used in the self-evaluation of hospitals that wanted to establish these standards until 2020. Some Iranian hospitals have also used this tool for self-evaluation purposes. After being revised in 2020, the HPH standards were published 5 final standards and 18 sub-standards, which are aligned with the new global strategy of HPH for 2021-2025. These standards have currently been translated into Persian and are available on the WHO HPH network website for use in the self-evaluation of Iranian hospitals. Health Promoting Hospital , HPH , Health Promotion , Standard http://journal.ihepsa.ir/article-1-2415-en.html http://journal.ihepsa.ir/article-1-2415-en.pdf

Iranian Journal of Health Education and Health Promotion Iranian Journal of Health Education and Health Promotion 2345-346X 2345-3265 11 3 2023 10 1 Investigating the effect of social empowerment on individual, social and environmental factors affecting physical activities in rural women 233 248 FA Sonia Ahmadi Kermanshah University of Medical Sciences ahmadisonia14@gmail.com N 0000-0000-0000-0000 Hossein Ashtarian Kermanshah University of Medical Sciences hossien_ashtarian@yahoo.com Y 0000-0002-6014-110X Fatemeh Rajati Kermanshah University of Medical Sciences f_rajati_12@yahoo.com N 0000-0001-6426-664X Afshin Almasi Kermanshah University of Medical Sciences afshin_alm@yahoo.com N 0000-0001-7698-9087 10.22034/11.3.233 Background and Objectives: Physical activity is a very important factor in improving women's health. The significant decline in physical activity, which is a gift of modernity in rural society, threatens the health of this group of women. This study was conducted with the aim of determining the effect of social empowerment on individual, social and environmental factors on the activities performed in rural women. Materials and Methods: This was a semi-experimental before-after study without a control group. 60 women of Kermajan village were randomly selected and examined. Individual factors based on physical activity awareness questionnaires, physical activity performance (IPAQ), physical activity self-efficacy (ESES), perceived barriers and benefits of physical activity (Sechrist) and social environment with social support questionnaire and physical environment with environmental factors questionnaire in It was measured twice before and after the intervention. Data analysis was done through Will Coxon statistical tests using SPSS version 26 software. Result: The average age of the studied women was (30.45 ± 7.31) years. The average awareness of women about physical activity from (3.72 ± 2.68) to (8.68 ± 1.64), the average self-efficacy from (25.52 ± 6.58) to (63.75 ± 6.73) and the average score of environmental barriers from (9.88 ± 2.65) to (18.87 ± 1.84); The average social support from (2.54 ± 8.33) (to (12.75 ± 4.09), the average amount of physical activity from (186.08 ± 93.08) (to (126.08 ± 104.84)) found significant changes (p<0.001). The average understanding of barriers and benefits changed from (143.60 ± 11.79) to (144.82 ± 9.38), which was not significant (p<0.113). Conclusion: Empowering the rural community can lead to increasing awareness and self-efficacy and the level of physical activity of women and increasing social support for rural women and environmental changes needed in rural areas.   Exercise/ physical activity, Health promotion, women, Empowerment, Self efficacy http://journal.ihepsa.ir/article-1-2377-en.html http://journal.ihepsa.ir/article-1-2377-en.pdf

Iranian Journal of Health Education and Health Promotion Iranian Journal of Health Education and Health Promotion 2345-346X 2345-3265 11 3 2023 10 1 Effect of an Educational Intervention Based on Theory of Planned Behavior on the Use of Hearing Protection Devices in the Textile Industry of Guilan 249 261 FA Saeideh Hakimian Guilan University of Medical Science www.s.hakimiyan@gmail.com N 0000-0002-7437-3905 Rabiullah Farmanbar Guilan University of Medical Sciences Rabi_1345@yahoo.com N 0000-0002-7220-688X Abolhassan Afkar Guilan University of Medical Sciences hasanafkar@yahoo.com N 0000-0003-2641-8221 Saeed Omidi Guilan University of Medical Sciences saeedomidi.kh@gmail.com N 0000-0001-7024-1625 Mahmoud Heidari Guilan University of Medical Sciences mheidari1360@gmail.com Y 0000-0002-3554-9664 10.22034/11.3.249 Background and Objectives: Noise is the most common harmful physical agent in the world in which causes many physical and mental disorders in workplaces. In noise management programs, along with the engineering control methods, using a comprehensive education program is very important. The aim of this study is to determine the effect of theory-based training on the rate of using hearing protection devices in workers of textile industry in Rasht industrial towns in 2019. Materials and Methods: This study was a randomized descriptive and cross sectional controlled trial performed in two textile industries for 96 workers in Rasht 2019. Randomized sampling method was done for selection of two textile factories among 10 and assigned as experimental (48 workers) and control groups (48 workers) with noise exposure level higher than 85 dB were selected. Data collection tools included demographic and self-administered questionnaire and Theory of Planned Behavior constructs. The intervention program consisted of 4 group training sessions with an educational booklet and a pamphlet. Validity of the questionnaire through content test t and its reliability Obtained by Cronbach's alpha test. Data were analyzed in SPSS20 software using descriptive and analytical tests. Results: After the educational intervention, the average attitude structures from 2.08 to 3.38, Abstract norms from 2.05 to 3.32, perception of Perceived Behavioral Control from 3.20 to 4.63, behavioral intention from 1.38 to 3.12 and performance from 1.02 to2.74 increase Found p<0/001. Conclusion: Results showed that an improvement of hearing protection usage due to educational intervention based on the Theory of Planned Behavior. Thus, the Theory of Planned Behavior can be used as a theoretical framework for the design and implementation of noise management program in industries.   Hearing Protection Devices, Behavior Change, Health Education, Noise-Induced Hearing Loss. Theory, Textile http://journal.ihepsa.ir/article-1-2242-en.html http://journal.ihepsa.ir/article-1-2242-en.pdf

Iranian Journal of Health Education and Health Promotion Iranian Journal of Health Education and Health Promotion 2345-346X 2345-3265 11 3 2023 10 1 The effect of theory based educational intervention on self-efficacy and activities of daily living in the older people resident in nursing homes in Isfahan city 262 274 FA Sara Soleimani School of Public Health and Safety sara.solimany@gmail.com N 0000-0002-7441-2986 Mohtasham Ghaffari School of Public Health and Safety mohtashamghaffari@sbmu.ac.ir N 0000-0003-1756-5297 Sakineh Rakhshanderou School of Public Health and Safety s_rakhshanderou@sbmu.ac.ir Y 0000-0001-6373-2303 10.22034/11.3.262 Background and Objectives: One of the most important factors in improving the condition of the elderly is the feeling of self-efficacy. The aim of this study was to determine the effect of theory-based educational intervention on self-efficacy and activity daily living of older people living in nursing homes in Isfahan city Materials and Methods: The present study is an intervention study that was conducted in 1400 on 128 elderly people living in elderly care centers in Isfahan city. The samples were included in the study by cluster sampling method. The intervention group received interventions in four sessions. Data collection tool was self-efficacy everyday activities questionnaire and activity daily living questionnaire. Self-efficacy and activity daily living levels were measured in three stages before, one week and two months after the intervention. SPSS 16 and repeated measures analysis of variance and analysis of covariance tests were used to analyze the data. Results: The statistically significant difference was observed in the mean scores of self-efficacy in performing daily and difficult life activities in the stages of one week and two months after the intervention (P <0.001). The intervention group showed significantly higher self-efficacy and activities of daily living level one week and two months after the intervention compared to the control group (P <0.001). Conclusion: Educational intervention based on Banduras theory, could improve the sense of self-efficacy of the elderly living in nursing homes. Also, the interventions improved the level of activity daily living in the older people in the centers.   Older People ؛Self-Efficacy ؛Activity Daily Living ؛ Education http://journal.ihepsa.ir/article-1-2461-en.html http://journal.ihepsa.ir/article-1-2461-en.pdf

Iranian Journal of Health Education and Health Promotion Iranian Journal of Health Education and Health Promotion 2345-346X 2345-3265 11 3 2023 10 1 Predictors of covid 19 disease prevention behaviors in rural population: application Extended Parallel Process Model (threat assessment and coping) 275 288 FA Gholamreza Masoudy Zahedan University of Medical Sciences Masoudy55@yahoo.com N 0000-0001-6974-8836 Mojtaba Kondori Zahedan University of Medical Sciences kondory.moj@gmail.com Y 0000-0002-4197-2776 Mohammad Hadi Abasi Zahedan University of Medical Sciences drabasi.edu@gmail.com N 0000-0001-7026-5694 Hosein Ansari Zahedan University of Medical Sciences ansarih88@gmail.com N 0000-0003-2755-7864 Masoumeh Rahdar Tehran University of Medical Sciences Rahdar88@gmail.com N 0000-0003-2806-4674 10.22034/11.3.275 Background and Objectives: The covid-19, in recent years, has been the most important health threat and underdeveloped rural populations are more vulnerable to disease, including death. This study was conducted aimed the investigating the preventive Covid19 behaviors according to Extended Parallel Process Model in rural populations. Materials and Methods: This cross-sectional study was conducted from April to September 2022 on 900 villagers’ population with 18-65 years old ages in Sistan region using a multi-stage random sampling method. The data were collected by a questionnaire whose validity and reliability were confirmed by a specific expert panel and Cronbach's alpha test. The data were analyzed using descriptive statistics (mean, standard deviation, frequency, and percentage), and analytical statistics (chi-square tests, independent t test, and Pearson correlation coefficient test and linear regression) in SPSS software version 21. Results: The Participants in the terms of knowledge, the perceived susceptibility, perceived severity, self-efficacy, perceived response efficacy, and behavior erned respectively, the 86.75, 81.49, 81.91, 78.85, 79.74, and 82.86 percent of the total scores. The majority of subjects (54.6%) were in the fear control process, and the perceived efficiency predicted 12% of the Covid-19 preventive behaviors (p<0/05). Conclusion: The results showed that the participants had a weaker coping appraisal than the threat appraisal and the majority of them were in the process of fear control. Therefore, in order to encourage people to take preventive measures against the disease, it is necessary to carry out educational interventions in order to improve the appraisal of coping.   Behavior, Efficacy, Covid-19, Rural Population. http://journal.ihepsa.ir/article-1-2420-en.html http://journal.ihepsa.ir/article-1-2420-en.pdf

Iranian Journal of Health Education and Health Promotion Iranian Journal of Health Education and Health Promotion 2345-346X 2345-3265 11 3 2023 10 1 Factors predicting the stages of change in digital games based on the Transtheoretical model among high school students in Bushehr district, south of Iran 289 301 FA Homamodin Javadzade Bushehr University of Medical Sciences sh.javadzadeh@bpums.ac.ir Y 0000-0001-6083-4806 Marzieh Mahmoodi Bushehr University of Medical Scienes mahmoodi.marzieh@gmail.com N 0000-0003-4273-6086 Mahnoush Reisi Bushehr University of Medical Sciences reisi_mr@yahoo.com N 0000-0001-9677-6396 Rahatollah Khsoiravanpour Bushehr University of Medical Sciences khosravanpour218@gmail.com N 0000-0003-3482-6030 10.22034/11.3.289 Background and Objective: The use of digital games is highly prevalent among adolescents and can adversely affect their physical and mental health. The aim of this study was to determine the predictors of the stages of change in problematic digital games in high school students using a transtheoretical model. Materials and Methods: This descriptive-analytical cross-sectional study was performed on 703 high school students in Bushehr 2020. A valid and reliable researcher-made questionnaire was performed for data gathering and analyzed using SPSS ver. 22 by descriptive indices, one-way ANOVA, chi-square, and rank ordered logistic regression. Results: According to the results, self-efficacy, dramatic relief and social freedom were the predictors of the change stages of reducing and quitting digital games. This means that girls and students with higher self-efficacy (P = 0.037, OR = 1.054), have a better chance of being in higher stages of change and by increasing a unit of dramatic relief score (P = 0.025, OR = 1.09) and social freedom (OR = 1.135, P <0.001), the chances of individuals to be in the upper stages of change increased. Conclusion: It seems that the design of educational interventions based on self-efficacy variables and taking into account the change processes of dramatic relief and social freedom, which increase the chances of people to be placed in higher stages of change, in reducing the behavior of digital games of students, especially for boys will be effective.   Transtheoretical Model, Adolescents, Video Games http://journal.ihepsa.ir/article-1-2321-en.html http://journal.ihepsa.ir/article-1-2321-en.pdf

Iranian Journal of Health Education and Health Promotion Iranian Journal of Health Education and Health Promotion 2345-346X 2345-3265 11 3 2023 10 1 Investigating the effect of virtual childbirth preparation education on the health practices of pregnant women: a quasiexperimental study 302 318 FA Maryam Tajvar Tehran University of Medical Sciences mtajvar@sina.tums.ac.ir N 0000-0003-0608-6768 Nasrin Asgari Faryadras Headquarters of South Tehran Health Center nasrinaskari50@yahoo.com N 0000-0003-4127-2064 Omolbanin Atashbahar Sirjan School of Medical Sciences o.atashbahar@gmail.com N 0000-0002-4612-1081 Mahnaz Ashoorkhani Tehran University of Medical Sciences ashoorkhani@tums.ac.ir Y 0000-0002-4594-5513 Mehdi Yaseri Tehran University of Medical Sciences myaseri@tums.ac.ir N 10.22034/11.3.302 Background and Objective: health practices of pregnant women affect the maternal and neonatal health and pregnancy outcomes. We aimed to determine the effect of virtual childbirth preparation education on improving the health practices of pregnant women. Materials & Methods: A quasiexperimental study was conducted in three phases on 633 pregnant women covered by health centers in the south of Tehran in 2019. Since the number of eligible individuals were close to the sample size, sampling was not done and the census method was used. In total, 310 of individuals were placed in the intervention group and 323 individuals in the control group. In the pre-test phase, the health practices of pregnant women questionnaire were completed by women in both intervention and control groups. Then women in the intervention group participated in virtual childbirth preparation education. In the post-test phase, the questionnaire was completed again by women in the 34th to 38th week of pregnancy. We used the SPSS 26 software for data analysis and the effectiveness of educational intervention was evaluated by Generalized Linear Model. Results: The mean scores of participants in the intervention group in the aspects of nutrition, special health care for pregnant women and correct pregnancy information were significantly higher than the control group (P < 0.001) and the overal mean scores of health practices of pregnant women in the intervention group (90.53±9.71) were significantly higher than the control group (83.86±10.58) (P<0.001). Among the participants charactristics, nationality had an effect on the relationship between virtual education and health practices of pregnant women (P=0.03). Conclusion: virtual childbirth preparation education had a positive effect on the health practices of pregnant women. When it is not possible to hold face-to-face childbirth preparation education, virtual education is a suitable alternative.   Distance Training, Virtual Education, Pregnant women, Health Practice, Pregnancy outcomes. http://journal.ihepsa.ir/article-1-2316-en.html http://journal.ihepsa.ir/article-1-2316-en.pdf

Iranian Journal of Health Education and Health Promotion Iranian Journal of Health Education and Health Promotion 2345-346X 2345-3265 11 3 2023 10 1 Effect of education via Whats App on knowledge, attitude and practice towards breast cancer screening among staffs in Islamic Azad University of Hamadan 319 329 FA Nasrin Matinnia Islamic Azad University, Hamadan, Iran nmatinnia@yahoo.com N 0000-0001-9526-9974 Mehrnoosh Akhtari-Zavare Tehran Medical Sciences, Islamic Azad University, Tehran, Iran akhtari_mehrnoosh@yahoo.com Y 0000-0002-5811-0240 Ali Ghaleiha Hamadan University of Medical Sciences, Hamadan, Iran. dralighaleiha@gmail.com N 0000-0003-3037-2676 10.22034/11.3.319 Background and objectives: Breast cancer is one of the most common malignancies and leading cause of death among women worldwide. Increase awareness, change the attitude and practice of women on breast cancer screening are effective way to reduce mortality due to early detection and treatment of breast cancer. The aim of this study was to evaluate the effect of education on breast cancer screening by using WhatsApp platform among the staff of the Islamic Azad University of Hamadan. Materials and Methods: A quasi-experimental study was conducted among 236 staffs in Islamic Azad University, Hamedan. Participants were randomized to either intervention group (118 staffs) or control group (118 staffs). One month’s education via wats up was delivered to the intervention group. The outcomes measures were assessed at baseline and three months after intervention. Chi-square and independent samples t-test were conducted in the course of the data analysis. Results: the results of this study showed; there were significant improvement in knowledge (p=0.02), attitude (p=0.01), BSE practice (p=0.00), CBE practice (p=0.004) and mammography practice (p=0.03) after intervention. There were not significant changes in control group before and after intervention. Conclusion: Implementing educational intervention based on WATS up messenger can improve knowledge, attitude and breast cancer screening among participants. A public health education program is essential to improve breast cancer prevention among different group of people in community.   Breast cancer, Breast cancer screening, Education, WhatsApp, Staff http://journal.ihepsa.ir/article-1-1966-en.html http://journal.ihepsa.ir/article-1-1966-en.pdf