The Effect of Educational Intervention Based on PRECEDE Model on Health Promotion Behaviors, Hope Enhancement, and Mental Health in Cancer Patients

2021 ◽  
pp. 105477382110510
Author(s):  
Yousef Gholampour ◽  
Ali Khani Jeihooni ◽  
Victoria Momenabadi ◽  
Mehdi Amirkhani ◽  
Pooyan Afzali Harsini ◽  
...  

In this experimental study, 200 cancer patients (100 subject in experimental group and 100 subjects in control group) referred to Amir Oncology Hospital in Shiraz were investigated. Educational intervention for experimental group consisted of 12 educational sessions for 50 to 55 minutes. A questionnaire including demographic information, PRECEDE constructs (knowledge, attitude, self-efficacy, enabling factors, and social support), was used to measure health promotion behaviors, patients’ hope, and mental health before and 6 months after intervention. Six months after intervention, experimental group showed significant increase in knowledge, attitude, self-efficacy, enabling factors, social supports, health promotion behaviors, patients’ hope, and mental health compared to the control group. This study showed the effectiveness of intervention based on PRECEDE constructs in mentioned factors 6 months after intervention. Hence, this model can act as a framework for designing and implementing educational intervention for health promotion behaviors of cancer patients.

2020 ◽  
Author(s):  
ali khani jeihooni ◽  
Tayebe Rakhshani ◽  
Yousef Gholampour ◽  
pooyan afzali harsini

Abstract Background: The aim of this study is investigating the effect of educational intervention based on PRECEDE model on health promotion behaviors, hope enhancement and mental health of cancer patients in Shiraz, Iran in 2017–2018 Methods: In this quasi-experimental study, 200 cancer patients (100 subject in experimental group and 100 subjects in control group) referred to Amir Hospital in Shiraz were investigated. Educational intervention for experimental group consisted of twelve educational sessions for 50-55 minutes. A questionnaire including demographic information, PRECEDE constructs (knowledge, attitude, self-efficacy, enabling factors and social support), was used to measure health promotion behaviors, patients’ hope and mental health before and 6 months after intervention. Results:Data were analyzed by SPSS 22, paired t-test, independent t-test and Chi-square test at the significance level of p < 0.05. The average age of cancer patients of experimental group was 46.82±5.96 years and 46.12±5.48 years in control group. 6 months after intervention, experimental group showed significant increase in knowledge, attitude, self-efficacy, enabling factors, social supports, health promotion behaviors, patients’ hope and mental health compared to the control group. Conclusions:This study showed the effectiveness of intervention based on PRECEDE constructs in mentioned factors 6 months after intervention. Hence, this model can act as a framework for designing and implementing educational intervention for health promotion behaviors of cancer patients.


Author(s):  
Jawad Ahmad Abu-Shennar ◽  
Nurhan Bayraktar

Abstract Objective Jordan has a high prevalence of painful diabetic peripheral neuropathy (PDPN), leg complications, and amputations due to diabetes. This study evaluated the effect of educational programs on pain management, self-efficacy behaviors, and quality of life (QoL) among adult patients with PDPN. Methods The randomized controlled trial study was conducted at the Jordanian Ministry of Health hospitals between October 2019 – March 2020. Seventy-two adult patients with PDPN were randomized to an experimental group of 36 patients who attended an educational program and a control group who followed routine diabetic care in the study setting. The data were collected using a socio-demographic and diabetes clinical/laboratory data form, the numeric rating scale (NRS), diabetes self-efficacy scale (DSES), and the quality-of-life questionnaire (EQ-5D). The intervention program consisted of four educational sessions at weekly intervals. Pre-test and post-test evaluations were conducted. Results After the educational intervention, the mean scores of the NRS (p=0.020), DSES (p<0.001), and EQ-5D (p<0.001) in the experimental group improved significantly improved compared to those in the control group. Additionally, while there were no significant correlations between the three study outcomes in the pre-test stage, correlations were observed to be significant after the educational intervention. Conclusion This study shows that the design and implementation of educational intervention combined with routine diabetic care facilitate effective pain management, self-efficacy behaviors, and QoL of patients with PDPN. The health care providers are recommended to use the educational programs for such patients at various levels of services in both health centers and diabetes clinics.


Author(s):  
Jung Suk Park ◽  
Yun-Jung Choi

Abstract Objective: This study developed a simulation program using standardized patients for the training of mental health practitioners in psychological first aid and evaluated its effect on learners’ self-efficacy and psychological first aid performance competence and knowledge. The simulation used in this program was of a fire disaster. Methods: Thirty participants were randomly assigned to an experimental group, a comparison group, and a control group. The experimental group participated in simulation training after attending a two-hour psychological first aid lecture. The comparison group was given only the two-hour lecture and the control group was given a psychological first aid handout to study individually. The results of pre- and post-intervention questionnaires were then statistically analyzed. Results: The participants’ self-efficacy, performance competency, and knowledge improved in all groups, and there were some statistically significant differences between the three groups. The experimental group showed a greater improvement in self-efficacy and performance than the other groups. Conclusions: The psychological first aid simulation training program was effective in improving three qualities of mental health practitioners: self-efficacy, performance competency, and knowledge. Further research is required for the development of various learning scenarios for iterative psychological first aid education.


2019 ◽  
Vol 35 (7) ◽  
Author(s):  
Ali Khani Jeihooni ◽  
Pooyan Afzali Harsini ◽  
Seyyed Mansour Kashfi ◽  
Tayebe Rakhshani

Leishmaniasis is an endemic disease in Iran. Since education to prevent the disease is important, this study aimed to determine the effect of educational intervention based on the PRECEDE-PROCEED model on preventive behaviors of cutaneous leishmaniosis among housewives. In this quasi-experimental study, 240 housewives under the coverage of health centers, who lived in the endemic area of Mianshahr, Fasa city, Fars Province, Iran in 2016, were selected (120 people for the experimental group and 120 for the control group). The educational intervention for the experimental group was based on the PRECEDE model, which consists of seven 50-60-minute sessions of lectures, group discussions, role playing, practical displays, and video and PowerPoint displays. These sessions addressed the familiarity with cutaneous leishmaniasis and its different types and carriers, methods of preventing and fighting against it, personal protection, sanitation of the environment and drinking water, spraying of sites, use of mosquito nets, etc. Data were collected before educational intervention and three months after educational intervention. The mean age of the experimental group was 39.24±9.12 years and that of the control group was 38.84±9.28 years. Three months after the intervention, the experimental group showed a significant increase in knowledge, attitudes, reinforcing factors, enabling factors, and performance compared to the control group. The education based on enabling factors, reinforcing factors, and predisposing factors had a significant effect on the preventive behaviors of cutaneous leishmaniasis among housewives.


2021 ◽  
Author(s):  
Shahnaz Ghalavandi ◽  
Fatemeh Zarei ◽  
Alireza Heidarnia ◽  
Reza Beiranvand

Abstract Background: Cervical cancer is the fourth most common cancer among women. In 2018, 570 thousand new cases of cervical cancer occur globally. Cervical cancer screening (Pap smear testing) identifies pre-cancerous lesions at various stages. Promoting Pap smear-related behaviors with an appropriate educational method is important.Method: To assess the effect of a blended educational program to promote performing the PST among Iranian women. In a randomized control trial four main variables; knowledge, attitude, self-efficacy, and practice about PST was evaluated using a man–made questionnaire for PST. Women aged 18-49 living in Andimeshk (Khuzestan, Iran), covered by 16 health centers, and participated in study from November 2019 till April 2019. The educational intervention conducted to increasing women’s performing the PST. The experimental group received an intervention, whereas the control group received usual care. Participants were tested at four-time points: pre-test (baseline), post-test 1 (immediately after the program’s completion) post-test 2 (4 weeks after the program’s completion) and post-test 3 (12 weeks after the program completion).Results: A total of 84 women with average aged 32.27 (42 in the experimental group, 42 in the control group) were recruited from 16 health centers in Andimeshk, southern Iran. Significant group differences were found at different times in knowledge, attitude, self-efficacy, and practice about PSTConclusion: A blended method was effective in sustaining the effects of the educational program in the experimental group. The development of appropriate teaching method on restricted situation such as covid-19 pandemic to promote participation is suggested.Randomized controlled trial [IRCT20191206045626N1]


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Shahnaz Ghalavandi ◽  
Fatemeh Zarei ◽  
Alireza Heidarnia ◽  
Reza Beiranvand

Abstract Objective To assess the effect of a blended educational program to promote performing the PST among Iranian women. Design In a randomized control trial four main variables; knowledge, attitude, self-efficacy, and practice about PST was evaluated using a man–made questionnaire for PST. Setting Women aged 18–49 living in Andimeshk (Khuzestan, Iran), covered by 16 health centers, participated in study from November 2019 till April 2019. Method The educational intervention conducted to increasing women’s performing the PST. The experimental group received an intervention, whereas the control group received usual care. Participants were tested at four-time points: pre-test (baseline), post-test 1 (immediately after the program’s completion) post-test 2 (4 weeks after the program’s completion) and post-test 3 (12 weeks after the program completion). Results A total of 84 women with average aged 32.27 (42 in the experimental group, 42 in the control group) were recruited from 16 health centers in Andimeshk, southern Iran. Significant group differences were found at different times in knowledge, attitude, self-efficacy, and practice about PST. Conclusion A blended method was effective in sustaining the effects of the educational program in the experimental group. The development of appropriate teaching method on restricted situation such as COVID-19 pandemic to promote participation is suggested.


2021 ◽  
pp. 1-34
Author(s):  
Mohammad Vahedian Shahroodi ◽  
Seyedeh Belin Tavakoly Sany ◽  
Zahra Hosseini Khaboshan ◽  
Habibollah Esmaeily ◽  
Alireza Jafari ◽  
...  

Abstract Objective: The relative contribution of health promotion models to improve health-related behaviors in intervention programs are still limited. Here, we tested whether Pender’s health promotion model (HPM) operationalized in the educational intervention was effective to modify nutrition and physical activity (PA) behaviors among Iranian women. Design: A randomized controlled field trial evaluating the efficacy of an educational intervention based on Pender’s HPM to improve PA and nutrition behaviors from August 2016 to October 2016. R version 3.0.2 and SPSS version 16 were used to conduct multiple statistical analyses. Setting: Ten public healthcare centers in Bojnourd, Iran were randomly divided into intervention and control groups. The experimental group received the full intervention program, which included nine 4-hours training sessions and consulting support via phone contact and social media group. The control group did not receive any intervention. Participants: Women aged 4–6 years (n 202) were randomized to intervention (n 102) and control conditions (n100), and completed baseline and 3-months follow-up. Results: In the experimental group, the intervention program had a significant effect (p < 0.05) on all construct of Pender’s HPM and behavior outcome, and the estimate (95% CI) for prior behaviors, self-efficacy, interpersonal influences, feeling, perceived benefits and barriers, commitment, and behaviors outcomes in the intervention group were 0.72 (0.31-0.98), 0.54 (0.27-0.71), 0.74(0.27-0.91), 0.52(0.19-0.75), 0.62 (0.22-0.91), 0.63(0.30-0.86), and 0.56 (0.37-0.85), respectively. Conclusions: Educational intervention based on Pender’s HMP was feasible and highly acceptable to modify PA and nutrition behaviors in the women population.


Author(s):  
Laetitia Idier ◽  
Aurélie Untas ◽  
Nicole Rascle ◽  
Michèle Koleck ◽  
Maider Aguirrezabal ◽  
...  

Introduction:Psychological impact of Therapeutic Patient Education (TPE) for dialysis patients is rarely evaluated since the focus of many studies is on medical variables (i.e., adherence).Objectives:The aims of this study were: 1) to estimate the impact of a TPE program on knowledge, depression and anxiety, 2) to examine change in knowledge as a mediator of the effects of a TPE program on mental health.Method:This study was conducted in three hemodialysis units and comprised two groups: an experimental group with education and a control group with routine care. The program was based of 5 educative sessions. Knowledge, depressive and anxious symptoms were assessed with self-reported outcomes measured before and 3 months after the program.Results:The sample comprised 125 patients. Knowledge about vascular access and nutrition (p < 0.01) and depressive symptoms increased in the experimental group (p < 0.01). Analysis of mediation showed that changes in knowledge about vascular access were a significant mediator of the effects of the program on depressive symptoms (F = 4.90;p = 0.01).Discussion:Knowledge acquired during an educational program could lead to an emotional change. Improving knowledge often leads to an awareness of the risks that can modify the psychological state of patients by reminding them of their vulnerability. This study shows that it is required to be attentive to the way of transmitting knowledge. It’s necessary adapting this transmission to the needs of patients and promoting the acquisition of psychosocial competence too.Conclusion:This study shows that knowledge acquired during an educational program can lead to an emotional change in the short term. A long-term follow-up of the population should be interesting to observe these emotional effects.


2021 ◽  
Vol 13 (5) ◽  
pp. 2888
Author(s):  
Li Zhao ◽  
Xiaohong Liu ◽  
Yu-Sheng Su

To analyze how variability changes over time can enhance the understanding of how learners’ self-efficacy, motivation, and satisfaction is controlled and why differences might exist among groups of individuals. Therefore, this study compared the effect of variability on pre-service teacher students in the flipped classroom approach with a course named modern educational technology (MET). In total, 77 students in two groups participated in this study. Learners in the experimental group received the flipped classroom treatment. Learners in the control group received the traditional lecture-centered instructional approach. The learning outcomes were evaluated by practice assignment, transfer assignment, and student perception survey. The survey includes the evaluation of learning satisfaction, self-efficacy, and learning motivation. Pre-test and post-test were conducted by the two groups. The data analysis results applied analysis of variance (ANOVA) or analysis of covariance (ANCOVA) and revealed that the experimental group displayed a better learning achievement than the control group. The experimental group participants’ perception also showed variability (i.e., learning satisfaction, self-efficacy, and learning motivation) was better than the control group. Considering the overall study results, the flipped classroom model can be applied in the pre-service teacher students’ modern educational technology course.


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