17 research outputs found
Predictors of Exclusive Breastfeeding among Nulliparous Iranian Mothers: Application of the Theory of Planned Behavior
Background Although exclusive breastfeeding (EBF) is highly emphasized by the experts, nulliparous women do not adhere to this behavior at a desirable level. Since it seems that mothers’ beliefs and values play an important role in their adherence to these behaviors, the present study, aimed to perform a careful analysis of the behavior and evaluation of factors associated with the EBF in nulliparous women referring to healthcare centers in Bushehr using theory of planned behavior. Materials and Methods This is a cross-sectional study, which was conducted on 400 nulliparous mothers with children less than six-months who referred to healthcare centers in Bushehr, Iran. Stratified random-sample was used and data were collected using a researcher-made questionnaire and were later analyzed using statistical tests, including Pearson, Spearman, linear regression and logistic regression in SPSS version 22.0 Software. Results The results showed that 62.5% of infants were exclusively breast-fed. Variables such as infant' gender, father's occupation and type of pregnancy were significantly related with EBF behavior. Constructs, including attitude (P< 0. 001, r=0.295), subjective norms (P< 0. 001, r=0.376) and perceived behavioral control (P< 0. 001, r=514) were significantly correlated with the EBF intention. Subjective norms, perceived behavioral control and behavioral intention predicted 13.8% changes in mothers' breastfeeding behavior. Conclusion The theory of planned behavior is an appropriate framework to identify factors associated with the EBF behavior among nulliparous Iranian mothers. Therefore, designing interventions based on this theory seems to have the potential to improve the EBF practice
Predictive Factors of Stages of Change in Hookah Smoking Cessation Among Iranian Adults Based on the Transtheoretical Model
Background: Hookah, as a traditional method of smoking, is widely used in Iran, especially in Bushehr province. It is essential to identify the most important determinants of modifying hookah smoking behavior. This study aimed to investigate the predictors of the stages of change in quitting hookah smoking in 15-60-year-old individuals in Bushehr province, southern Iran, based on the transtheoretical model (TTM).
Methods: This descriptive-analytical study was conducted on 1173 Hookah smokers in Bushehr province. The samples were selected by two-stage random sampling from 10 cities. Data were collected using a valid and reliable questionnaire consisting of 5 sections (demographic characteristics, stages of change, processes of change, decisional balance, and self-efficacy). Data were analyzed by R version.3.3.1 using analysis of variance and ordinal logistic regression at a significant level of 0.05.
Findings: The data revealed 82% of the participants were in the preparatory phase (55.3% in pre-contemplation and 26.7% in contemplation stages). Marital status, family members smoking hookah, cigarette smoking, level of education, number of family members, number of quitting attempts, self-efficacy, self-reevaluation, counter-conditioning, reinforcement management, and stimulus control were predictors of quitting hookah smoking.
Conclusion: Given that most study participants were in the inactive stages of quitting hookah smoking, it seems necessary to design and implement behavioral interventions based on the predictive TTM constructs in this population
The Effect of nutrition education on knowledge, attitude, and performance about junk food consumption among students of female primary schools
Background:
Undoubtedly, proper nutrition has important role in safeguarding the individual from many diseases, especially chronic ones, and increasing ones
physical and intellectual efficiency. Considering the importance of nutrition education to school-age kids, this research was done with the purpose
of determining the effect of nutrition education on the knowledge, attitude, and performance of female students at primary school about junk food
consumption.
Materials and Methods:
This is an experimental intervention study in Shahr-e-kord city about the reduction of junk foods consumption in 2011. Seventy-two primary girl
students were randomly divided into 2 groups, experimental (36) and controls (36). Before of the educational program, self-administrative questionnaire and FFQ (Food Frequency Questionnaire) questionnaire were filled out for both the groups. The self-administrative questionnaire
was completed 3 times (before, immediately, and 2 months after education), and FFQ questionnaire was completed 2 times (before and 2 months
after education) by students. After pre-test, 4 educational session classes in experimental group were performed. Finally, data were collected and
analyzed by SPSS 16 computer software.
Results:
Demographic variables of the studied population in 2 groups were similar. Before intervention, there were no significant differences regarding the
knowledge, attitude, and performance in 2 groups (P > 0/05). After intervention, there were significant differences in the levels of knowledge,
attitude, and performance between experimental and control groups (P < 0.001).
Conclusion:
According to the results, intervention has positive impact on pattern of nutrition, and it can be concluded that intervention is effective on
increasing or improving the knowledge, attitude, and performance of the students
Quality of life in peptic ulcer patients referring to Al-Zahra hospital of Isfahan, Iran
Aim: The purpose of this study was to determine quality of life in peptic ulcer patients referring to Al-Zahra hospital of
Isfahan.
Background: Peptic ulcer disease (PUD) is one of the most prevalent diseases. Its prevalence is 6-15% and about 10%
of people experience its symptom in their life. PUD can have a considerable impact on patients’ quality of life (QOL).
Patients and methods: This descriptive- analytic survey was done on 93 randomly patients referred to Al-Zahra hospital of
Isfahan city in Iran. Data gathering was done via questionnaire including five domains: physical, psychological, social,
behavioral and economical. For data analysis, t-test, Pearson correlation and ANOVA test were used.
Results: 93 patients with mean age of 38.54 years, including 43 (46.2%) women and 54 (53.8%) men, were studied.
There was a negative significant between quality of life and age and between disease duration and psychological,
economical domains and between the mean of QOL scores in physical and social domains with the number of cigarette
per day, also there was significant relation between social domain and gender, and physical, psychological and
behavioral domains with marital status; Physical, social domains with smoking. Also there was a negative significant
between physical, social and behavioral domains with years of smoking.
Conclusion: Study results showed that quality of life is in a relatively good level among patients, thus some diseases such as
peptic ulcer can effect on quality of life. So, treatment and prevention of these diseases may improve their quality of life
Effects of an Educational Intervention on Self-Care and Metabolic Control in Patients With Type II Diabetes
Background: Although compliance with all self-care behaviors is necessary for successful
management of diabetes, patients with diabetes often refuse favorable self-care. This article is aimed
to test the effects of a theory-related intervention to conduce self-aid adherence and metabolic curb in
patients having type-2 diabetes.
Methods: In this randomized controlled trial, 80 patients suffering from type-2 diabetes were
arbitrarily allotted to intervention and control group. The intervention group attended six sessions
in a batch and one-on-one consultation and received an education on self-efficacy and outcome
expectations on improving the strategies. Self-efficacy, outcome expectations, self-care behaviors and
HbA1c were measured and compared in two groups in the starting, after three and six-months of the
interventions. “Intention to treat” analysis was used. Data were analyzed using t test and ANOVA for
repeated measures.
Results: Mean score of self-efficacy, outcome expectations and self-care behaviors revealed
significant differences between two groups in the results of three and six months after the intervention
(P < 0.01). A major fall in HbA1c was noted in the intervention group. The mean scores of the HbA1c
showed a significant difference between two groups, six months after the intervention (P < 0.05). After
the intervention diet, physical activity and foot care improved significantly in the intervention group
(P < 0.001). No significant improvement occurred in self-monitoring of blood glucose and medication
adherence between two groups after the intervention
Conclusion: It is concluded that implementing educational interventions based on the self-efficacy
model and related strategies can be effective for patients with type-2 diabetes and is recommended to
be used for patient education in the field of metabolic control
Impact of Health Literacy, Self-efficacy, and Outcome Expectations on Adherence to Self-care Behaviors in Iranians with Type 2 Diabetes
Objectives: Diabetic patients with higher health literacy (HL) may feel more confident
in their ability to perform self-care behaviors and may have strong beliefs that diabetesrelated
behaviors will lead to specific outcomes. Our study aimed to document the
relationships between HL, self-efficacy, outcome expectations, and diabetes self-care of
patients with type 2 diabetes mellitus (T2DM) in Iran. Methods: We conducted a crosssectional
observational study of 187 patients with T2DM. Participants completed the
Functional Communicative and Critical Health Literacy scale, the Summary of Diabetes
Self-Care Activities, the Diabetes Management Self-Efficacy Scale, Outcome Expectations
Questionnaire, and a demographic questionnaire. Results: Participants who received
diabetes education (t = 5.79, p<0.001) and were married (F = 3.04, p<0.050) had better
diabetes self-care behavior. There was a significant positive correlation between self-care
behaviors and communicative HL (r = 0.455, p<0.010), critical HL (r = 0.297, p<0.010),
self-efficacy (r = 0.512, p<0.010) and outcome expectations (r = 0.387, p<0.010). Diabetes
education and marital status accounted for 16.9% of the variance in diabetes self-care.
Self-efficacy, outcome expectations, communicative, and critical HL explained 28.0%,
1.5%, 3.7%, and 1.4% of the variance, respectively. Conclusions: This study revealed that
the potential impact of self-efficacy, outcome expectations, communicative, and critical
HL should be considered in the education program for patients with diabetes. We found
self-efficacy to be the most important predictor of diabetes self-care. Therefore, the use
of self-efficacy theory when designing patient education interventions could enhance
diabetes self-care. It is essential that health care providers assess patient’s HL levels to tailor
health-related information specific to a domain of HL. This would fully inform patients
and promote empowerment rather than simple compliance
The relationship between functional health literacy and health promoting behaviors among older adults
Background: Health literacy is a measure of individual’s ability to read, comprehend, and act
on medical instructions. Older adults are one of the most important at risk groups affected
by the impact of inadequate health literacy. Health promoting behaviors in older adults have
potential impact on their health and quality of life and reduce the costs incurred to health care.
Given the paucity of information health literacy and health promoting behavior, the purpose
of this study was to examine health literacy level in older adults and the relationship between
health literacy and health promoting behaviors. Materials and Method: A cross‑sectional survey
of 354 older adults was conducted in Isfahan. The method of sampling was clustering. Health
literacy was measured using the Test of Functional Health Literacy in Adults (TOFHLA). Data
were collected via home interviewing. Health promoting behaviors were measured based on
self‑reported smoking status, exercise, and consumption of fruit and vegetables. The collected
data were analyzed using descriptive statistics and one‑way ANOVA and χ2 tests under SPSS
18 software. Results: The sample group averaged 67 ± 6.97 years in age. Approximately 79.6%
of adults were found to have inadequate health literacy. They tended to be older, have fewer
years of schooling, lower household income, and being female Individuals with inadequate
health literacy were more likely to report limitations in activity and lower consumption of fruit
and vegetables (P < 0.001). No significant association was found between health literacy
and smoking status. Conclusion: Considering high prevalence of inadequate health literacy
among older adults, and its inverse relationship with some health promoting behaviors. Simple
educational materials and effective interventions for low health literacy people can improve
health promotion in society and mitigate the adverse health effects of low health literac
The effect of education on improvement of intake of fruits and vegetables aiming at preventing cardiovascular diseases
Background: Cardiovascular diseases refer to a group of diseases that affect the cardiovascular
system; principally cardiac diseases, vascular diseases of the brain and kidney and peripheral arterial
diseases which are caused by various factors. Considering the importance of nutrition education,
especially the intake of fruits and vegetables, this study was performed to determine the effect of
health education, Based on the Health Belief Model, on the improvement of intake of fruits and
vegetables aiming at preventing cardiovascular diseases among high school girls in the city of Shahre-
Kord, Iran.
Methods: This was a quasi-experimental intervention study, in which 120 female students of high
schools in Isfahan were selected through convenient sampling and were divided into two groups of
experimental (60) and control (60). The instruments for data collection were the Health Belief Model
and FFQ questionnaires. The HBM questionnaire was completed three times (before, immediately
and two months after the intervention) and the FFQ questionnaire was completed two times (before
and two months after the intervention) by the students. After the pre-test, six educational sessions
were provided for the experimental group. Finally, data were collected and analyzed by SPSS 16 (ttest,
paired t-test and repeated measure ANOVA).
Results: There were no differences between the two groups in terms of demographic variables. Before
the intervention, there were not any significant differences between the scores of different structures
of this model between the two groups (p>0.05); however, after the intervention, significant differences
were found between the experimental and control groups in the levels of knowledge, perceived
susceptibility, perceived severity, perceived benefits, perceived barriers, perceived efficacy
and performance (p<0.001).
Conclusion: According to the results, the intervention had a positive impact on the improvement of
intake of fruits and vegetables among the students
Assessment of the Effect of Nutrition Education Based on BASNEF Model on Decreasing Blood Lipid Profile
Background and aims: Dyslipidemia is one of the major causes of cardiovascular disease (CVD); however, it can be prevented and controlled via observing and adherence to a diet. This study aimed at determining the effect of nutrition education based on BASNEF model on decreasing blood lipid profile.
Methods: This clinical trial study was conducted on 150 people with a high blood lipid profile who referred to Shahrekord laboratories in 2020. The samples were randomly divided into intervention and control groups. In order to measure blood lipids such as high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglyceride (TG), and total cholesterol (TC), 15 mL of venous blood samples were collected after 12 hours fasting before the intervention and again 2 months after the intervention. The intervention group received nutrition education based on BASNEF model, and the collected data were analyzed using SPSS version 20 software.
Results: There was no significant difference between the two groups in terms of demographic variables. TG levels in the intervention group decreased significantly after the intervention (P 0.05).
Conclusion: The significant decrease in blood lipids after a short period indicates the effect of nutrition education based on BASNEF model and adherence to proper diet on controlling blood lipids. Therefore, recommending people to adhere to a proper diet can help raise people’s nutritional awareness and reduce blood lipids.
Keywords: Nutrition Education BASNEF model Blood lipid profil
A Theory-Based Self-Care Intervention with the Application of Health Literacy Strategies in Patients with High Blood Pressure and Limited Health Literacy: A Protocol Study
The purpose of this study is to assess the effectiveness of a theory-based self-care intervention with the application of health literacy strategies in patients with high blood pressure and limited health literacy. This is a randomized controlled trial, with measurements at baseline and 1 and 3 months follow-up. 100 patients with high blood pressure and limited health literacy will be randomly allocated to either an intervention group or a usual care control group. We will mainly establish the intervention model based on the principal health belief model components. Patients randomized to the intervention group will receive four educational sessions during four weeks. Considering the limited health literacy level of the patients of the study, health literacy strategies will be used in educational material design for enhancing the quality of the intervention. In order to cover these strategies, we will design four standard animated comics and fact sheets with illustrations and photos consistent with the health belief model constructs and educational sessions’ topics. Data will be collected using some questionnaires and will be analyzed using the SPSS software. The findings of this study may assist with the development of a theoretical model for self-care intervention in patients with high blood pressure and limited health literacy