Developing and validating a measurement tool to self-report perceived barriers in substance use treatment : The substance use treatment barriers questionnaire (SUTBQ)

Background Substance using often cause a wide range of social, health, and psychological problems. This study aimed to develop and validate a questionnaire of barriers of treatment in substance users. Methods In this cross-sectional study, the initial questionnaire was designed based on the evaluation of previous studies. The preliminary tool including 35 Likert-scaled items. After assuring the face validity of the questionnaire, 13 experts’ opinions were obtained for assessing or improving the content validity. The reliability was investigated by internal consistency methods using Cronbach’s alpha. For measuring the structural validity, the exploratory factor analysis was performed to determine the dimensionality of the questionnaire using principal components extraction and Varimax rotation. Results The preliminary questionnaire consisted of 35 items. After completing the face validity and summarizing the experts’ suggestions, 8 items were removed. By calculating the content validity ratio and coefficient, 11 questions were deleted. The internal consistency was calculated to be 0.84 using Cronbach’s alpha. In the last stage and according to the results of the factor analysis, three factors fear of or unawareness of treatment, doubt or inefficiency, and social stigma were identified from the 10-items questionnaire, which explained 67.34% of the total variance. Conclusion Considering the necessity of using a validated tool for planning and evaluating effective interventions on people who use substance is inevitable. The Substance use Treatment Barriers Questionnaire is designed with 10 items and 3 dimensions, which has appropriate validity and reliability and can be used to determine the obstacles for treatment or factors that lead to discontinuing treatment

Comparing Reasons for Quitting Substance Abuse with the Constructs of Behavioral Models: A Qualitative Study

Background and Objectives: The world population has reached over seven billion people. Of these, 230 million individuals abuse substances. Therefore, substance abuse prevention and treatment programs have received increasing attention during the past two decades. Understanding people’s motivations for quitting drug abuse is essential to the success of treatment. This study hence sought to identify major motivations for quitting and to compare them with the constructs of health education models. Materials and Methods: In the present study, qualitative content analysis was used to determine the main motivations for quitting substance abuse. Overall, 22 patients, physicians, and psychotherapists were selected from several addiction treatment clinics in Bojnord (Iran) during 2014. Purposeful sampling method was applied and continued until data saturation was achieved. Data were collected through semi-structured, face-to-face interviews and field notes. All interviews were recorded and transcribed. Results: Content analysis revealed 33 sub-categories and nine categories including economic problems, drug-related concerns, individual problems, family and social problems, family expectations, attention to social status, beliefs about drug addiction, and valuing the quitting behavior. Accordingly, four themes, i.e. perceived threat, perceived barriers, attitude toward the behavior, and subjective norms, were extracted. Conclusion: Reasons for quitting substance abuse match the constructs of different behavioral models (e.g. the health belief model and the theory of planned behavior)

Evaluation of the effects of Islamic fasting on the biochemical markers of health.

Introduction: Ramadan is the ninth month of the lunar Islamic calendar, during which Muslims are obliged to perform specific rites and rituals. Fasting is considered the most important ritual during the holy month of Ramadan. Fasting variably influences the health of individuals, which could be attributed to the changes in the concentrations of certain biochemical markers. This study aimed to elucidate the health effects of fasting through evaluating the impact of this Islamic duty on blood biochemistry. Materials and Methods: This quasi-experimental study was conducted on 40 male volunteers employed at North Khorasan University of Medical Sciences, Iran.Data collection and phlebotomy were performed before fast breaking(Iftar) on the first and last day of Ramadan. Fasting duration was 11 hours per day. Serum biochemical factors, including blood glucose, uric acid, albumin, low-density lipoprotein(LDL), high-density lipoprotein (HDL), total cholesterol and triglyceride(TG), were measured in all the participants at the beginning and end of Ramadan. Data analysis was performed in SPSS using paired-samples T-test to compare the mean variables. Results: Mean age of the participants in this study was 39.11±8.602 years. After one month of fasting, a significant reduction was observed in the mean levels of blood glucose, uric acid, TG, and LDL(PConclusion: According to the results of this study, Ramadan fasting could lower blood cholesterol and uric acid, while enhancing the level of albumin in healthy adults

Oral versus written feedback delivery to nursing students in clinical education: A randomized controlled trial

Background: Feedback delivery is deemed as a key element during a students' clinical education. It keeps students on track to meet their goal and increase students' motivation and confidence. Objective: The aim of this study was to compare the quality of feedback delivery in oral versus written feedback delivery to nursing students in clinical education. Methods: A randomized controlled trial was conducted between February and August 2012 in the city of Bojnurd in Iran. Using purposive sampling, last semester’s nursing students (n=44) had been randomly assigned to oral and written feedback delivery groups. Three Instructors received orientation and training on methods of feedback delivery before study initiation. Then, they gave necessary oral and written feedback to the students. Clinical settings of the study included coronary care, surgical, and neonatal units of hospitals. Data collection tools were quality of feedback delivery, students' satisfaction questionnaire and students' reactions checklist. Data were analyzed using SPSS version 11.5 with chi-square test and the t-test. Results: Most of the students (52%, n=23) were male. There were no significant differences between the scores of quality of oral and written feedback delivery (p>0.05). The study did not show a difference of satisfaction level between the oral and written feedback groups. The relationship between students' reactions and feedback type at the confidence level of 90% was significant, so that students who received oral feedback showed more severe reactions as compared to the written feedback group. Conclusion: According to the results, the type of feedback is not an important factor in clinical education quality and satisfaction level. They may achieve a better outcome by focusing on the other aspects of quality of feedback delivery rather than feedback type. Trial registration: The trial was registered at the Iranian Registration Center for Clinical Trials with the Irct id: (IRCT: 201111128076N1). Funding: North Khorasan University of Medical Sciences (permission no. 89/p/209)