scholarly journals Effect of educational intervention on safe traffic behaviors of high school male students in Iran, using the theory of planned behavior: a quasi-experimental study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Vahid Ranaei ◽  
Laleh Hassani ◽  
Alireza Shahab Jahanlou ◽  
Ghodratollah Roshanaei ◽  
Forouzan Rezapur-Shahkolai

Abstract Background Behavior change interventions in tackling road traffic injuries are a public health concern. Thus, this interventional research was to survey the effect of safe traffic behaviors among male students in Hamadan, Iran, utilizing theory of planned behavior. Methods In this quasi-experimental study, 204 students were randomly selected through multistage sampling from male high school students of Hamadan city, west-central of Iran, and non-randomly allocated to control and intervention groups (102 students in every group). The self-administrate questionnaire was used for data collection in this research. Frequency (percentage) and mean (SD) were used for description. Cronbach alpha coefficient, content validity ratio (CVR) and content validity index (CVI) were used for psychometric evaluation of questionnaire and paired/independent sample t-test was used for data analysis. All statistical analyses were done in SPSS 19 and significant level was considered 0.05. Results In both groups, more than 50 % of students walked to school. The two study groups were homogeneous in terms of confounding variables (p >  0.05). The validity of the questionnaire was confirmed and the total Cronbach’s alpha value was equal to 0.97. There was no significant difference in the score of safe traffic behaviors between the two groups before the intervention (p >  0.05). But after the intervention, the score in the intervention group was significantly increased (p < 0.05). Intragroup comparison also showed that only in the intervention group the score was significantly changed (p < 0.05). Conclusion Theory of planned behavior is a suitable conceptual framework for planning the interventions to increase safe traffic behaviors in students.

Author(s):  
Esmat Rezabeigi Davarani ◽  
Mohammad Reza Mahmoodi ◽  
Narges Khanjani ◽  
Mohammad Mehdi Fadakar

Background: We sought to evaluate the effect of educational intervention based on the theory of planned behavior (TPB) on nutritional behaviors in relation to the cardiovascular disease (CVD) among health volunteers. Methods: In this quasi-experimental study, the participants included 128 active health volunteers. To conduct the study, 65 and 63 participants were randomly assigned into the intervention and control groups, respectively. Data were collected before and six weeks after the intervention using a validated researcher-made questionnaire. The questionnaire consisted of demographic variables, knowledge questions, and TPB constructs. Data were analyzed by Chi-square, t-test, Mann-Whitney U, and Wilcoxon test. Results: No significant difference was observed between the intervention and control groups with regard to the demographic characteristics, knowledge mean scores, and TPB constructs at the beginning of the study. However, the mean scores of knowledge, attitude, subjective norms, perceived behavioral control (PBC), and nutritional behavior increased significantly (P < 0.001, P < 0.001, P = 0.018, P = 0.007, and P < 0.001, respectively) in the intervention group six weeks after the beginning of study. Significant differences were observed in nutritional performance of the intervention group, in other words the nutritional behavior of the intervention group members changed during the intervention. Conclusion: The PBC was the strongest construct in attitude. To optimize nutritional interventions in preventing the CVD, TPB should be implemented in educational interventions.


2021 ◽  
Author(s):  
Lu Wang ◽  
Zhengxin Guo ◽  
Zhaokun Shi ◽  
Wenjie Xie ◽  
Binyu Wang ◽  
...  

Abstract IntroductionHand washing is of key importance among residents to prevent life-threatening infections such as severe pneumonia or other microbial infection. Residents received coronavirus disease 2019 (COVID-19) vaccine at vaccination station are obliged to stay in the vaccination station at least 30 minutes. The period of post-vaccination observation is an ideal time for hand washing intervention. This study aimed to determine the effectiveness of a health intervention on hand washing among residents, who received the COVID-19 vaccine, by using the theory of planned behavior (TPB).Methods:This randomized controlled trial was carried out between March 2021 and May 2021 in Wuhan, China. Participants were recruited using randomized cluster sampling and divided into intervention group and control group by random allocation. Data were collected using a self-administered researcher-made questionnaire based on TPB and Hand washing Questionnaire. Validity (content validity index = 0.87; content validity ratio = 0.89) and reliability of the questionnaires were confirmed (α = 0.96). Intervention was implemented during the observation period post-vaccinated (lasting 15 min) using videos and live training based on TPB constructs.Results:A total of 448 residents were participated with a response rate of 71.9% (322). The mean age of the participants was 46 (53% females). Compared with the control group, the scores of subjective norm (P = 0.009) and perceived behavioral control (P < 0.001) in intervention group were higher after one time intervention. Mean scores of attitudes, subjective norms, perceived behavior control and intention of intervention group was significantly higher than the control group after twice intervention (P < 0.001). Moreover, participants in the intervention group performed better than those in the control group on daily hand-washing times (P = 0.044), hand sanitizer use (P = 0.003), rub time (P < 0.001), following the six-step technique (P < 0.001) after intervention.Conclusions:The findings suggested that applying TPB based intervention is suggested to improve hand washing behavior in residents.


2020 ◽  
Vol 9 (1) ◽  
pp. 96
Author(s):  
Nourossadat Kariman ◽  
SeyyedehSara Baki Hashemi ◽  
Shahla Ghanbari ◽  
MohammadAmin Pourhoseingholi ◽  
Zainab Alimoradi ◽  
...  

2020 ◽  

Background and Objective: Despite medical advances, patients with Myocardial Infarction do not fully recover and require rehabilitation and other treatment measures as well. One way to empower these patients is to promote self-efficacy. Therefore, the present study aimed to determine the effect of Tele-nursing on the self-efficacy of patients with myocardial infarction. Methods: This quasi-experimental study was conducted on 40 patients with Myocardial Infarction. The participants selected using the simple random sampling method. The patients were divided into two intervention and control groups of 20 participants. Routine training was given to both groups before discharge. The demographic data questionnaire and Sullivan’s cardiac self-efficacy questionnaire were then provided to each patient. In the intervention group, in addition to routine training, the telephone follow-up intervention was performed by the researcher within one month (once a week with an average call duration of 10 minutes). After one month, the self-efficacy questionnaire was provided to each of the study units again. Finally, after determining the normal distribution, the data were analyzed by chi-square, independent t-test, and ANCOVA tests, using SPSS v.25 software. Results: There was no statistically significant difference between the two groups in terms of demographic variables and disease characteristics. The mean score of self-efficacy before and after the intervention in the control group was 22.90 ± 3.93 and 33.35 ± 8.36, respectively, and in the intervention group, was 25.60 ± 6.90 and 47.45 ± 5.60, respectively. There was a statistically significant difference between the two groups after the intervention (p < 0.001). Conclusion: Telenursing can improve adherence to the treatment program and promote patients’ self-efficacy. Therefore, due to its reliability, availability, and low cost, this method can be used in patient care and follow-up.


2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Vahideh Ganjali ◽  
Fatemeh Kiyani ◽  
Farshid Saeedinezhad ◽  
Pegah Sasanpoor ◽  
Hasan Askari

Background: Breast cancer is the most common on the list and the leading cause of cancer death in women worldwide. Although radiation therapy is a key component of cancer treatment, it causes several complications, including radiodermatitis. Objectives: The current study aimed to investigate the effect of preventive-care education on radiotherapy-induced dermatitis in patients with breast cancer. Methods: In this quasi-experimental study, 80 patients with breast cancer who were candidates for radiation therapy were selected by convenience sampling and randomly assigned to the groups of intervention and control. Data were collected using a demographic form and a scale for assessing skin complications developed by the Radiation Therapy Oncology Group (RTOG). Patients in the intervention group were trained individually in three 30-minute sessions on treatment methods, chemotherapy, and prevention as well as radiodermatitis care. While the control group received routine care. Data were analyzed in SPSS 22 using the Mann-Whitney test, chi-squared test, Fisher's exact test, independent t-test, and generalized estimation equation (GEE) at a significance level of < 0.05. Results: No statistically significant difference was found between the two groups concerning the marital status, smoking, education level, age, BMI, plasma albumin level, and disease stage. After providing the intervention, the prevalence of radiodermatitis grade 1 was 27.5 and 7.5% in the control and intervention groups, respectively. After six weeks, 30% and 10% of patients in the control group developed radiodermatitis grades 3 and 4, respectively, but only 7.5% of patients in the intervention group had radiodermatitis grade 3. The results of GEE indicated that over time, the probability of developing higher grades of radiodermatitis increases by 1.074. This probability was 1.355 higher in the control group than the intervention group (P value = 0.03). Conclusions: This study demonstrated the positive effect of the educational intervention on the severity of radiodermatitis in patients with breast cancer undergoing radiotherapy. Along with medication, implementing an educational program that teaches patients how to prevent radiodermatitis helps to reduce the incidence of radiodermatitis.


2020 ◽  
Author(s):  
Roya Amini ◽  
Narges Kalvandi ◽  
Masoud Khodaveisi ◽  
Leili Tapak

Abstract Background Home accidents are one of the causes of death and disability in toddlers. This study aimed to determine the effect of education on preventive home accident practices by mothers with toddlers with regard to the Theory of Planned Behavior (TPB). Methods This research was a quasi-experimental study conducted on 116 mothers referred to comprehensive health centers (58 mothers per experimental and control groups), who were selected using cluster sampling method. Data were collected by a researcher-made TPB questionnaire, and then educational intervention was performed based on the TPB in four 45-60 minute sessions for the experimental group. After two months, the data were recollected from the two groups and analyzed by SPSS software version 16. Results Comparing the scores of knowledge, TPB constructs (i.e., attitude, perceived behavioral control, behavioral intention, and subjective norms), and preventive home accident practices of mothers revealed no statistically significant difference between the two groups at the beginning of the study. After having the intervention, there was a significant difference between the two groups of mothers regarding knowledge, TPB constructs (except for subjective norms), and preventive home accident practices for toddlers (p <0.001). Conclusion Preventive home accident practices adopted by mothers with toddlers enhanced after applying the TPB ; hence, this theory-based education can be used as a proper theoretical framework for toddlers’ home accident prevention.


2020 ◽  
Author(s):  
Azamalsadat Navabi ◽  
mohsen shamsi ◽  
Mahboobeh Khorsandi ◽  
Maryam Zamanian

Abstract Background and Purpose: The neonatal period is one of the most sensitive stages of life, requiring proper understanding and attentive care. Accordingly, this study aimed to investigate the effectiveness of theory of planned behavior-based educational intervention on newborn care in pregnant mothers. Methodology: This study was conducted as a quasi-experimental research on 100 pregnant mothers who were randomly assigned to two groups of intervention (N=50) and control (N=50). The data were collected using a theory of planned behavior-based questionnaire. Considering the effective constructs of this theory, the educational intervention was performed in the form of four 60-minute education sessions in one month in the intervention group. One month after delivery, the data were recollected from both groups and analyzed using statistical tests.Findings: The mean and standard deviation of the mothers’ age in both intervention and control groups were 26.14±4.7 and 26.10±5.19, respectively (p=0.48). Before the educational intervention, the behavioral intention of the intervention group was 3.33 (out of 5), which significantly increased to 4.54 after the educational intervention (p<0.001). In addition, the performance of mothers regarding neonatal care was significantly enhanced from 2.86 to 4.64 one month after the delivery (p=0.001). Conclusion: The theory of planned behavior-based educational intervention, along with active follow-ups, led to better and more principled behavioral intention and care provided by pregnant mothers to their newborn infants. Therefore, providing theory of planned behavior-based education in other healthcare centers is recommended.


2021 ◽  
Vol 14 (3) ◽  
pp. 272-279
Author(s):  
Ronald Milton Rodríguez-Montoya ◽  
Julio Santos Hilario-Vargas ◽  
Manuel Enrique Alcántara-Gutti

Background: Patients with severe COVID-19 evolve to acute respiratory distress syndrome (ARDS) and require management in Intensive Care Units (ICU) where they are exposed to immobilization, immunosuppression, malnutrition, nosocomial infections; may develop ICU Acquired Weakness (ICUAW), which increases with the stay and use of mechanical ventilation (MV).There is evidence of the use of different modalities in rehabilitation to mitigate these effects. Goal: To determine the efficacy of a Multimodal Rehabilitation Program (MRP) in reducing the number of days of mechanical ventilation and stay in patients hospitalized for COVID-19 in ICU, as well as to describe its clinical and hospital characteristics. Material and Methods: An quasi-experimental study was designed, with sequential sampling and without blinding. A control and intervention group was formed, with 32 participants each. A Multimodal Rehabilitation Program (MRP) based on four therapeutic modalities was applied and the intervention was quantified through the use of proposed indicators. Results: The variation in days of ICU stay and days of MV were similar in both groups. The Multimodal Rehabilitation Index (iMR) ranged from 0.1 to 2.7 (mean = 1.2, SD = 0.7) and had significance for cut-off points ≤ 0.81 and ≤ 0.94 in mortality (p = 0.02) and Ventilator-free days at 28 days (VFDs-28) (p = 0.01). Conclusions: No statistically significant difference was found in favor of the intervention in terms of days of stay in the ICU and days of MV. Explanatorily, it was reported that iMR was related to (VFDs-28) and mortality in patients with severe COVID-19.


2020 ◽  
pp. 172-177

Background and Objective: Suicide is not an uninvited guest entering unannounced rather it always occurs following a previous background. Suicide is interpreted as an action in order to accredit life or give up everything. Suicide happens because of determinism or full anxiety and depression. The present study aimed to investigate the effect of Choice Theory training on the suicidal tendency of first high school male students in Sonqor County, Kermanshah Province, Iran. Materials and Methods: This quasi-experimental study was conducted using a pretest-posttest design with a control group. The statistical population of the study consisted of all boys of the first high school in Sonqor County, Kermanshah Province, Iran, in the academic year of 2017-18. According to available statistics, about 500 students were studying at six male high schools from which one high school was selected randomly. After implementing the Multiple Attitude Questionnaire of suicidal tendency in adolescents, 30 students were divided into two groups (15 cases per group) randomly. The obtained data were then analyzed through single-variable and multivariate analysis of covariance. Results: The results of this study showed that the implementation of the Choice Theory Education to first high school male students influenced their suicidal tendency (P<0.01), and suicidal tendency decreased in the students of the experimental group. Furthermore, the results from the comparison of the attraction to death at posttest in two groups by controlling the pretest effect indicated no significant difference between the two groups in terms of the attraction to death scores (F=0.175; P<0.01). Conclusions: Considering the findings, this intervention is a suitable method to modify the behavior and improve adaptation in male students.


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