Asthma Counselling Targeted to Removal of Domestic Animals

OBJECTIVES: To create and evaluate the efficacy of a short individualized educational intervention program, based on Prochaska’s transtheoretical model, for a six-month period in a population of adult asthma patients living with domestic animals but sensitized to these pets.METHODS: A randomized, controlled study using a pretested questionnaire was conducted at three different times (pretest, and at three and six months postintervention).RESULTS: Eleven members (29%) of the intervention group and eight members (21%) of the control group removed their pets within six months (χ2=3.23; P>0.35). The two groups showed similar improvements in their perception of the benefits of pet removal and in their level of belief that they could do it. The experimental group showed a greater improvement in knowledge acquisition about asthma and allergies than the control group (P<0.05). Both experimental and standard educational interventions were effective in facilitating progression through the stages of behavioural change.CONCLUSION: Overall, the results do not support the utility of behavioural change educational intervention, tailored to the transtheoretical model stage of the individual, in the context of convincing patients to remove their pets from their homes. However, the decision-making aid appears to be helpful in raising awareness of the problem of asthma and allergy in the patient, and in developing appropriate knowledge.

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The potential counter effect of COVID-19 outbreak on an antimicrobial agents prescribing educational intervention

The Journal of Infection in Developing Countries ◽

10.3855/jidc.15213 ◽

2021 ◽

Vol 15 (11) ◽

pp. 1653-1660

Author(s):

Nada Yasein ◽

Wejdan Shroukh ◽

Farihan Barghouti ◽

Omayma Hassanin ◽

Hala Yousef ◽

...

Keyword(s):

Educational Intervention ◽

Health Care Professionals ◽

Antimicrobial Agents ◽

Treatment Guidelines ◽

Intervention Group ◽

Educational Interventions ◽

Controlled Study ◽

Control Group ◽

Disruptive Effect ◽

Post Intervention

Introduction: Educational interventions targeting health care professionals can contribute to improving knowledge and behaviors of antimicrobial agents prescribing. However, the unprecedented COVID-19 outbreak caused a disruption of the current practices and treatment guidelines. Therefore, it is highly likely that the pandemic had its disruptive effect on any educational interventions that were going on during the outbreak. This study aims to evaluate the effectiveness of an educational intervention in improving antimicrobial agents prescribing Methodology: This was a randomized controlled study that included 69 resident physicians in a teaching hospital. The intervention group received an educational intervention focusing on antimicrobial agents prescribing and resistance. Before and after the intervention, outpatient antimicrobial agents prescribing rates for the two study arms were compared for the pre- and post-intervention periods. Additionally, all participants were asked to complete an online questionnaire that measured their knowledge, attitudes and behavioral intention towards antimicrobial agents resistance and prescription. The post-intervention period included the months of February, March, and June 2020. April and May were excluded from the study period since clinics were closed due to the COVID -19 pandemic. Results: Post-intervention, the rate of antimicrobial agents prescribing by the intervention group was significantly higher than that of the control group (p < 0.001). Mean fear score for the intervention group was significantly lower than that for the control group after the intervention. Conclusions: Findings indicate failure of the educational intervention in improving antimicrobial agents prescribing. However, an unexpected counter effect of the COVID-19 outbreak is highly likely.

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Active Commuting by Bicycle: Results of an Educational Intervention Study

Journal of Physical Activity and Health ◽

10.1123/jpah.2013-0215 ◽

2015 ◽

Vol 12 (6) ◽

pp. 801-807 ◽

Cited By ~ 6

Author(s):

Ilca M.S. Diniz ◽

Maria de Fátima S. Duarte ◽

Karen G. Peres ◽

Elusa S.A. de Oliveira ◽

Angélia Berndt

Keyword(s):

Educational Intervention ◽

Transtheoretical Model ◽

Intervention Study ◽

Intervention Group ◽

Metallurgical Industry ◽

Control Group ◽

Active Commuting ◽

Chi Square ◽

Intergroup Comparison

Objective:The objective of this study was to assess the effectiveness of an educational intervention on active commuting by bicycle.Methods:An intervention study with workers from a metallurgical industry in Santa Catarina state, Brazil was carried out in 2011. A total of 464 individuals were placed in the intervention group (IG) and 468 in the control group (CG). The intervention consisted of strategies based on the transtheoretical model and stages of behavior change. The intervention group took part in activities for 6 months, including 23 meetings. The statistical analysis included intergroup comparison (IG × CG) at baseline and after the intervention. Intragroup analysis was performed 6 months after the intervention. Student’s t-test, chi-square, and McNemar tests were used to analyze the data.Results:Of the original total, 876 individuals (94%) participated in the study. The proportion of participants that used bicycles to commute to work (IG) increased significantly from baseline (45.3%) to the final interventional period (47.5%). No difference was found between the CG and the IG group after the interventional period.Conclusion:We suggest taking these findings into consideration in further studies to understand better the role of educational intervention on active commuting by bicycle.

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Early Nutritional Education in the Prevention of Childhood Obesity

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18126569 ◽

2021 ◽

Vol 18 (12) ◽

pp. 6569

Author(s):

Mario Gato-Moreno ◽

María F. Martos-Lirio ◽

Isabel Leiva-Gea ◽

M. Rosa Bernal-López ◽

Fernando Vegas-Toro ◽

...

Keyword(s):

Educational Intervention ◽

Intervention Group ◽

Overweight And Obesity ◽

The Body ◽

Secondary Outcome ◽

Outcome Variable ◽

Controlled Study ◽

Control Group ◽

Nutritional Education ◽

Overweight Or Obesity

Early childhood is a critical period for obesity prevention. This randomized controlled study evaluated the effectiveness of an educational intervention preventing obesity in preschool-age children. A nutritional education intervention, with a follow-up session one year later, was conducted with parents of children aged 3 to 4 years of public schools in the province of Málaga. The main outcome variable was the body mass index z-score (zBMI). The prevalence of overweight or obesity was the secondary outcome variable. The sample comprised 261 students (control group = 139). Initial BMI, weight, height-for-age and prevalence of overweight and obesity were similar for both groups. After the first year of the intervention, the zBMI of the intervention group decreased significantly from 0.23 to 0.10 (p = 0.002), and the subgroup of patients with baseline zBMI above the median decreased from 1 to 0.72 (p = 0.001), and in the second year from 1.01 to 0.73 (p = 0.002). The joint prevalence of overweight and obesity increased in the control group (12.2% to 20.1%; p = 0.027), while in the intervention group, there were no significant changes. This preschool educational intervention with parents improved their children’s BMI, especially those with a higher BMI for their age, and favored the prevention of overweight or obesity.

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Program for Healthier School Cafeterias in Rio Grande do Sul, Brazil: Protocol for a Community-Based Randomized Trial

JMIR Research Protocols ◽

10.2196/22680 ◽

2021 ◽

Vol 10 (1) ◽

pp. e22680

Author(s):

Mariana Balestrin ◽

Carla Cristina Bauermann Brasil ◽

Ericles Andrei Bellei ◽

Vanessa Ramos Kirsten ◽

Mario Bernardes Wagner

Keyword(s):

Educational Intervention ◽

Intervention Program ◽

Rio Grande ◽

The State ◽

Controlled Study ◽

Control Group ◽

Rio Grande Do Sul ◽

Community Based ◽

School Cafeterias ◽

Hygienic Conditions

Background School cafeterias can promote poor eating habits, as these retail outlets have a variety of foods considered to be nonnutritive and unhealthy. However, despite the need for effective preventive strategies, there is still disagreement on the best approach due to the lack of evidence on interventions to prevent and treat obesity in the school settings. Objective We aim to verify the efficacy of an educational intervention program to improve the hygienic conditions and the composition of the menu offered in school cafeterias in the state of Rio Grande do Sul, Brazil. Methods We will conduct a randomized, parallel, two-arm, community-based controlled study. Elementary and high schools, both public and private, in the State of Rio Grande do Sul, Brazil, that have a cafeteria will be eligible. Schools will be recruited and randomly assigned to the intervention (n=27) or control (n=27) group. The intervention group will receive an educational intervention program based on the guidelines issued by the Ministry of Health of Brazil, consisting of a 160-hour distance-learning qualification course, for 10 weeks, and using the Moodle platform and WhatsApp app. The intervention targets the owners and people in charge of the cafeterias, food handlers, principals, vice principals, teachers, pedagogical coordinators, dietitians, representatives of students' parents, and students over 16 years old. Meanwhile, the control group will receive only a printed copy of the book containing the guidelines used. The efficacy of the intervention will be determined by the hygienic conditions of the cafeteria and the composition of the menu offered, also considering the levels of processing of food sold. All outcomes will be analyzed as intention-to-treat and per-protocol. We will use covariance analysis or a generalized linear model for continuous data and ordinal logistic regression for ordinal categorical data. The level of statistical significance considered will be P<.05 for a 95% CI. Results This project was funded in early 2018. We administered the intervention program in 2019. All data have already been collected, and we are analyzing the data. The results are expected in 2021. Conclusions To our knowledge, this may be the first randomized controlled study in school cafeterias held in Brazil. The results will provide evidence for the formulation of public food and nutritional security policies and for the development of effective strategies to provide safe and healthy school meals. Trial Registration Brazilian Clinical Trials Registry RBR-9rrqhk; https://ensaiosclinicos.gov.br/rg/RBR-9rrqhk International Registered Report Identifier (IRRID) DERR1-10.2196/22680

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The Effect of Educational Intervention on the Physical Activity of the Elderly

Iranian Journal Of Health Sciences ◽

10.18502/jhs.v7i2.1061 ◽

2019 ◽

Author(s):

Fatemeh Masroor ◽

Ehteramsadat Ilali ◽

Nouroeddin Mousavinasab ◽

Zohreh Taraghi

Keyword(s):

Physical Activity ◽

Elderly People ◽

Educational Intervention ◽

Rapid Assessment ◽

Intervention Group ◽

The Elderly ◽

Educational Interventions ◽

T Test ◽

Control Group ◽

The Mean

Background and Purpose: Changing the physical activity pattern is an important factor in reducing mortality and increasing longevity. The aim of the current study was to determine the effect of educational intervention on physical activity of elderly people. Materials and Methods: In this quasi-experimental study, 80 elderly people from two rural health centers in Ghaemshahr city were selected and assigned to intervention (n=40) and control (n=40) groups. The elderly in the intervention group received 4 training sessions of 30 to 45 minutes in a month, while the control group did not receive such training. Before and one month after the intervention, Rapid Assessment of Physical Activity (RAPA) questionnaire was completed by both groups. The collected data were analyzed using chi square, paired sample t-test, independent sample t-test and ANCOVA. Results: The mean total score of RAPA, before intervention, in the control group was significantly higher than the intervention group (P = 0.017). However, after the intervention, the mean total score in the intervention group was significantly higher than the control group (P <0.001). One month after the intervention, the mean of the RAPA score in the intervention group significantly changed from 2.1 to 4.95 (P <0.001), however, the mean change in the RAPA score in the control group (from 2.4 to 2.5) was not significant (P = 0.352). Conclusion: Given the effect of educational intervention on the physical activity of the elderly, the design of such educational interventions is recommended.

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Program for Healthier School Cafeterias in Rio Grande do Sul, Brazil: Protocol for a Community-based Randomized Trial (Preprint)

10.2196/preprints.22680 ◽

2020 ◽

Author(s):

Mariana Balestrin ◽

Carla Cristina Bauermann Brasil ◽

Ericles Andrei Bellei ◽

Vanessa Ramos Kirsten ◽

Mario Bernardes Wagner

Keyword(s):

Educational Intervention ◽

Intervention Program ◽

Rio Grande ◽

The State ◽

Controlled Study ◽

Control Group ◽

Rio Grande Do Sul ◽

Community Based ◽

School Cafeterias ◽

Hygienic Conditions

BACKGROUND School cafeterias can promote poor eating habits as these retail outlets have a variety of foods considered to be nonnutritive and unhealthy. However, despite the need for effective preventive strategies, there is still disagreement on the best approach due to the lack of evidence on interventions to prevent and treat obesity in the school settings. OBJECTIVE We aim to verify the efficacy of an educational intervention program to improve the hygienic conditions and the composition of the menu offered in school cafeterias in the state of Rio Grande do Sul, Brazil. METHODS We will conduct a randomized, parallel, two-arm, community-based controlled study. Elementary and high schools, both public and private, in the State of Rio Grande do Sul, Brazil, which have a cafeteria, will be eligible. Schools will be recruited and randomly assigned to the intervention (n=27) or control (n=27) group. The intervention group will receive an educational intervention program based on the guidelines issued by the Ministry of Health of Brazil, consisting of a 160-hour distance-learning qualification course, for 10 weeks, and using the Moodle platform and WhatsApp app. The intervention targets the owners and people in charge of the cafeterias, food handlers, principals, vice-principals, teachers, pedagogical coordinators, dietitians, representatives of students' parents, and students over 16 years old. Meanwhile, the control group will receive only a printed copy of the book containing the guidelines used. The efficacy of the intervention will be determined by the hygienic conditions of the cafeteria and the composition of the menu offered, also considering the levels of processing of food sold. All outcomes will be analyzed with the intention-to-treat and per-protocol. We will use covariance analysis or the Generalized Linear Model for continuous data and ordinal logistic regression for ordinal categorical data. The level of statistical significance considered will be P <.05 for a 95% CI. RESULTS This project was funded in early 2018. We administered the intervention program in 2019. All data has already been collected and we are starting to analyze the data. The first results are expected to 2021. CONCLUSIONS To our knowledge, this may be the first randomized controlled study in school cafeterias held in Brazil. The results will provide evidence for the formulation of public food and nutritional security policies and for the development of effective strategies to provide safe and healthy school meals. CLINICALTRIAL Brazilian Platform of Clinical Trials (REBEC – Registro Brasileiro de Ensaios Clínicos) RBR-9rrqhk

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The effect of TTM-based nutrition education on decisional balance, self-efficacy and processes of change for fat intake

Health Education ◽

10.1108/he-10-2020-0095 ◽

2021 ◽

Vol 121 (3) ◽

pp. 229-245

Author(s):

Maedeh Gordali ◽

Marjan Bazhan ◽

Mohtasham Ghaffari ◽

Nasrin Omidvar ◽

Bahram Rashidkhani

Keyword(s):

Nutrition Education ◽

Transtheoretical Model ◽

Self Efficacy ◽

Stage Of Change ◽

Intervention Group ◽

Educational Interventions ◽

Decisional Balance ◽

Control Group ◽

Fat Intake ◽

Content Type

PurposeThe purpose of this study is to determine how transtheoretical model (TTM) constructions change through nutrition education for fat intake modification among overweight and obese women living in Shazand city, Iran.Design/methodology/approachA semi-experimental design with intervention and control groups (50 women in each group) was performed. TTM constructions for dietary fat intake were measured through a questionnaire in four phases: before the intervention, immediately, one month and six months after the intervention. Participants in two groups were classified into inactive and active subgroups, based on their determined stage of change. Then in the intervention group, each subgroup received a separate education program of five or eight sessions for the active and inactive subgroups, respectively.FindingsThe intervention resulted in significant progress in participants' stage of change compared to the control group (p = 0.002). Also, it resulted in an increase in the self-efficacy and decisional balance scores in both of the intervention subgroups, with these effects being more pronounced in the inactive subgroup, and these significant differences, compared to the control group, remained in the third and fourth phases. The intervention also positively impacted the behavioral processes, but this effect was not so long-lasting and decreased after six months.Originality/valueThe results indicated the intervention effectiveness and the necessity of planning educational interventions to change fat consumption behavior. This study provides further insight into effective and sustainable nutrition education strategies based on behavioral change stages rather than traditional approaches. These methods should be used to design group interventions to change individuals' health behavior in future works.

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Nurse-Led Self-Management Educational Intervention Improves Symptoms of Patients With Functional Constipation

Western Journal of Nursing Research ◽

10.1177/0193945917701128 ◽

2017 ◽

Vol 40 (6) ◽

pp. 874-888 ◽

Cited By ~ 6

Author(s):

Qiong Shen ◽

Hongqin Zhu ◽

Guixiang Jiang ◽

Xueqin Liu

Keyword(s):

Educational Intervention ◽

Clinical Symptoms ◽

Intervention Group ◽

Functional Constipation ◽

Good Health ◽

Educational Interventions ◽

Self Management ◽

Control Group ◽

Health Habits ◽

Stool Form

This study aimed to evaluate the effects of self-management educational intervention on the symptoms of patients with functional constipation. From January 2014 to April 2015, 66 patients with functional constipation were randomly assigned into intervention group receiving intensive educational interventions and control group receiving routine nursing care. The constipation score of all clinical symptoms (Bristol stool form scale, defecation interval, incomplete evacuation, evacuatory difficulty) at 1 month postdischarge were all significantly lower in the intervention group than in the control group (all, p < .05). At 1 month postdischarge, the intervention group had a significantly higher proportion of patients with good health habits (reasonable diet, regular exercise, good defecation habits, proper use of laxatives) as compared with the control group (all, p < .05). These data suggest educational intervention can effectively improve constipation symptoms and compliance with treatment of patients, and lead to the development of good health habits.

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Educational intervention to improve adherence to the Mediterranean diet among parents and their children aged 1–2 years. EniM clinical trial

Public Health Nutrition ◽

10.1017/s1368980015002219 ◽

2015 ◽

Vol 19 (6) ◽

pp. 1131-1144 ◽

Cited By ~ 8

Author(s):

Margarita Roset-Salla ◽

Joana Ramon-Cabot ◽

Jordi Salabarnada-Torras ◽

Guillem Pera ◽

Albert Dalmau

Keyword(s):

Mediterranean Diet ◽

Educational Intervention ◽

Day Care ◽

Intervention Group ◽

Community Setting ◽

Educational Programme ◽

Controlled Study ◽

Control Group ◽

Day Care Centres ◽

The Mediterranean

AbstractObjectiveThe objective of the present study was to evaluate the effectiveness of an educational programme on healthy alimentation, carried out in day-care centres and aimed at the parents of children from 1 to 2 years of age, regarding the acquisition of healthy eating habits among themselves and their children.DesignWe performed a multicentre, multidisciplinary, randomized controlled study in a community setting.SettingThe EniM study (nutritional intervention study among children from Mataró) was performed in twelve day-care centres in Mataró (Spain). Centres were randomized into a control group (CG) and an intervention group (IG). IG received four or five educational workshops on diet, CG did not have workshops.SubjectsChildren, not exclusively breast-fed, from 1 to 2 years of age, in the participating day-care centres and the persons responsible for their alimentation (mother or father).ResultsThirty-five per cent of the IG did not attend the minimum of three workshops and were excluded. The CG included seventy-four children and seventy-two parents and the IG seventy-five children and sixty-seven parents. Both groups were comparable at baseline. Basal adherence to the Mediterranean diet was 56·4 % in parents (Gerber index) and 7·7 points in children (Kidmed test). At 8 months, Mediterranean diet adherence had improved in the IG by 5·8 points in the Gerber index (P=0·01) and 0·6 points in the Kidmed test (P=0·02) compared with the CG.ConclusionsThis educational intervention performed in parents at the key period of incorporation of a 1–2-year-old child to the family table showed significant increases in adherence of the parents to the Mediterranean diet, suggesting future improvement in different indicators of health and an expected influence on the diet of their children.

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Audiovisual Educational Intervention for Children and Adolescent with Cancer: A Systematic Review

10.21203/rs.3.rs-21781/v1 ◽

2020 ◽

Author(s):

Noyuri Yamaji ◽

Daichi Suzuki ◽

Maiko Suto ◽

Erika Ota

Keyword(s):

Randomized Controlled Trials ◽

Educational Intervention ◽

Self Efficacy ◽

Cancer Education ◽

Intervention Group ◽

Educational Interventions ◽

Control Group ◽

Controlled Trials ◽

Children And Adolescent ◽

Randomized Controlled

Abstract Background : Audiovisual materials for children have been widely used for cancer education; however, the effects of the materials remain unclear. The purpose of this study was to clarify the effects of audiovisual educational interventions for children.Methods : We searched PubMed, EMBASE, CENTRAL, PsycINFO, and CINAHL on 3 September 2018. Randomized controlled trials and quasi-randomized controlled trials that evaluated the audiovisual materials for children with cancer were included to identify the effects of the audiovisual interventions. The results of the analysis were evaluated using the Grade of Recommendation, Assessment, Development and Evaluation to assess the certainty of evidence.Results: From the identified 5,367 studies, we included four reports based on two trials that included 388 children under 18 years old. One trial found that audiovisual educational intervention increased knowledge and self-efficacy (very low certainty of the evidence). The other trial reported that there were no clear differences in perceived stress and health locus of control (very low certainty of the evidence). The result of the meta-analysis indicated that there was no clear difference between the intervention group and the control group for the quality of life (very low certainty of the evidence).Conclusion: Audiovisual interventions might increase knowledge and self-efficacy, but there were no meaningful overall conclusions. Further trials are needed to assess educational interventions used in pediatric cancer treatment. Healthcare professionals should consider whether the materials they are currently using to communicate cancer-related information are sufficient and understandable for children with cancer.Systematic review registration: We registered the protocol to the PROSPERO (Registration: CRD42018110562)

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