A quasi-experimental study to improve health service quality: implementing communication and self-efficacy skills training to primary healthcare workers in two counties in Iran

Abstract Background Service satisfaction ratings from clients are a good indicator of service quality. The present study aimed to investigate the impact of communication skills and self-efficacy training for healthcare workers on clients’ satisfaction. Methods A quasi-experimental study was conducted in health centers of Saveh University of Medical Science in Iran. Primary Healthcare (PHC; N = 105) workers and service recipients (N = 364) were randomly assigned to intervention and control groups. The intervention group received four 90-min training sessions consisting of lecture, film screening, role-playing, and discussion group. Before and 3 months after the intervention, a multi-part questionnaire (including demographics, self-efficacy and communication skills in PHC workers; and satisfaction questionnaire in service recipients) was completed by participants in both intervention and control groups. Results PHC worker mean scores of self-efficacy and communication skills after the educational program were increased in the intervention group compared to the control group (p < 0.05). Also, mean satisfaction scores for service recipients of the intervention group (PHC workers) generally significantly increased compared to the control group (p < 0.001). Conclusions The educational program improved the self-efficacy, and communication skills in health workers and improved client satisfaction overall. Our results support the application of self-efficacy and communication skills training for other medical groups who wish to improve clients satisfaction as an important health services outcome.

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The Effect of Interventional Program on Breastfeeding Self-Efficacy and Duration of Exclusive Breastfeeding in Pregnant Women in Ahvaz, Iran

International Scholarly Research Notices ◽

10.1155/2014/510793 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 6

Author(s):

Somayeh Ansari ◽

Parvin Abedi ◽

Shirin Hasanpoor ◽

Soheila Bani

Keyword(s):

Pregnant Women ◽

Exclusive Breastfeeding ◽

Self Efficacy ◽

Educational Program ◽

Controlled Trial ◽

Intervention Group ◽

Breastfeeding Duration ◽

Control Group ◽

Control Groups ◽

And Control

Objective. This study aimed to determine the effect of educational program on Breastfeeding self-efficacy and duration of exclusive breastfeeding in pregnant women in Ahvaz, Iran. Methods. This randomized controlled trial was conducted on 120 nulliparous pregnant women who tended to breastfeed. The primary self-efficacy scores of samples were measured using Faux and Dennis breastfeeding self-efficacy questionnaire. Women were randomly recruited into two intervention and control groups. Educational program (two training sessions, each lasted two hours) with two days interval was performed for intervention group. One month after delivery, self-efficacy scores were determined. Six months after child birth, duration of exclusive breastfeeding was assessed. Data were analyzed by means of descriptive and inferential statistics. Findings. The breastfeeding self-efficacy in the intervention group increased significantly compared to the control group one month after delivery (123.6 versus 101.7, P<0.001). The duration of exclusive breastfeeding was significantly higher in the intervention group (5.03 mo versus 2.7 mo, P<0.001). Also, there was a significant relationship between breastfeeding self-efficacy and duration of exclusive breastfeeding (P<0.001). Conclusion. The educational program could increase the self-efficacy and exclusive breastfeeding duration of mothers. These results can draw the attention of authorities to the importance of educational programs for mothers regarding the exclusive breastfeeding.

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DISTRACTION TECHNIQUES: TELLING STORIES TO DECREASE PAIN FOR PRESCHOOL CHILDREN DURING INFUSION

Jurnal Keperawatan Indonesia ◽

10.7454/jki.v22i1.887 ◽

2019 ◽

Vol 22 (1) ◽

pp. 23-30

Author(s):

Lina Dewi Anggraeni ◽

Widiyanti Widiyanti

Keyword(s):

Demographic Data ◽

Intervention Group ◽

Pain Scale ◽

Control Group ◽

P Value ◽

Pediatric Nurses ◽

Control Groups ◽

Analysis Technique ◽

Quasi Experimental ◽

And Control

Hospital procedures, such as infusions, are often associated with pain. Preschool-aged children who are hospitalized for infusions will often exhibit a strong fearful response because their concept of body integrity has not fully developed. One way to reduce the fear of infusion pain is by using stories as a distraction technique. The purpose of this study was to identify differences in the scale of pain between members of an intervention group, to which the distraction technique was applied, and a control group, to which it was not applied. The study used quasi-experimental methods, with intervention and control groups. The study was conducted on 46 preschool aged respondents (3-6 years old), divided into a 34 member intervention group and a 12 member control group and ran from September to December 2017 in one of the private hospitals in the East Bekasi. The research employed a questionnaire to collect demographic data and used the Wong-Baker Faces Pain Scale to assess pain levels. The data analysis technique used was the independent t-test. The results showed there was a difference of pain response between the intervention and control groups with P value < 0.05. Pediatric nurses are advised to use storytelling therapy as an option for providing atraumatic care intervention. Keywords: Distraction Technique, Infusion installation, Pain, Stories, Preschool Abstrak Teknik Distraksi: Bercerita Menurunkan Nyeri Pada Anak Usia Pra Sekolah Selama Penggunaan Infus. Rasa sakit seringkali dikaitkan dengan salah satu prosedur rumah sakit yakni pemasangan infus. Reaksi anak prasekolah yang dipasang infus menunjukkan ketakutan yang luar biasa, hal itu disebabkan karena konsep integritas tubuhnya belum berkembang dengan baik. Salah satu cara untuk mengurangi ketakutan akibat nyeri pemasangan infus pada prasekolah adalah teknik distraksi bercerita. Tujuan penelitian ini untuk mengidentifikasi perbedaan skala nyeri antara kelompok intervensi dan kelompok kontrol. Penelitian ini merupakan penelitian kuantitatif dengan metode quasy eksperimen, yang menggunakan kelompok intervensi dan kelompok kontrol. Penelitian dilakukan terhadap 46 responden usia prasekolah (3-6 tahun) yang terdiri dari 34 kelompok intervensi dan 12 kelompok kontrol dari bulan September-Desember 2017 di salah satu Rumah Sakit Swasta di wilayah Bekasi Timur. Instrumen penelitian menggunakan kuisioner data demografi dan lembar observasi skala nyeri Wong Baker Faces Pain. Teknik analisis data menggunakan Uji Independent T test.Hasil penelitian menunjukkan terdapat perbedaan respon nyeri antara kelompok intervensi dan kelompok kontrol dengan nilai p= 0,012 (< 0.05). Perawat anak sebaiknya menggunakan metode bercerita sebagai sarana asuhan keperawatan atraumatik. Kata kunci: Cerita, Nyeri, Pemasangan infus, Prasekolah, Teknik distraksi

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EFEK SUPLEMENTASI MULTIVITAMIN MINERAL TERHADAP KADAR HEMOGLOBIN DAN HEMATOKRIT MAHASISWI TPB IPB

Jurnal Gizi dan Pangan ◽

10.25182/jgp.2013.8.1.47-54 ◽

2013 ◽

Vol 8 (1) ◽

pp. 47

Author(s):

Angga Hardiansyah ◽

Rimbawan Rimbawan ◽

Ikeu Ekayanti

Keyword(s):

Intervention Group ◽

Statistical Test ◽

Female Students ◽

Control Group ◽

Blood Biomarkers ◽

Control Groups ◽

Double Blind ◽

Mineral Supplementation ◽

Quasi Experimental ◽

And Control

The objective of this study was to analyze effect of multivitamin mineral supplementation to hemoglobin and hematocrit concentration of Bogor Agricultural University First Common Year female students. Design of this study was the quasi experimental, double blind, with number of subjects were 28 female students devided into two group. The intervention group consisted of 15 subjects, received supplement syrup 15 ml per day for eight weeks.The control group consisted of 13 subjects received placebo syrup. Data collected by interviewing subjects used questionnaire, physical examination, and blood biomarkers. The results of statistical test (paired sample t-test) showed that there were no significant increase in hemoglobin and hematocrit concentration respectively in both intervention and control groups (p>0.05). However, on a subset of subjects anemia, the hemoglobin and hematocrit in the intervention group tended to increase larger than the control group.<br /><br />

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The Effect of Positive Thinking Training on Anxiety and Happiness in the Elderly: a Quasi- Experimental Study

10.21203/rs.3.rs-877610/v1 ◽

2021 ◽

Author(s):

Anis Pourdavarani ◽

Jamileh Farokhzadian ◽

Mansooreh Azizzadeh Forouz ◽

Sedigheh Khodabandeh Shahraki

Keyword(s):

Experimental Study ◽

Skills Training ◽

The Elderly ◽

Anxiety And Depression ◽

Control Group ◽

Positive Thinking ◽

Control Groups ◽

Quasi Experimental ◽

The Mean ◽

And Control

Abstract Background: Anxiety and depression are the most common psychological disorders in the aging period. One of the ways to deal with anxiety and depression and increase happiness in the elderly is to train positive thinking. Therefore, the present study aimed to investigate positive thinking skills training on anxiety and happiness in the elderly.Methods: In this quasi-experimental study, 48 elderly people referred to two comprehensive health service centers in Kerman in southeastern Iran were selected by convenience sampling method and randomly assigned into intervention groups (n = 24) and control (n = 24). The data collection tools included the Beck Anxiety Inventory and the Oxford Happiness Inventory. Questionnaires were filled out before the intervention, then positive thinking training was held in eight sessions of 90 minutes. After training program, the was conducted one month after it, the follow-up tools.Results: The results showed that the mean score of anxiety before positive thinking training was (13.58 ± 8.61) and (19.25± 11.67) in the intervention and the control group, respectively. After positive thinking training, the mean scores were (4.50 ±4.07) and (15.54±9.04) in the intervention and control group, respectively. After the intervention, which significantly reduced anxiety the intervention, group (t= 8.10, P<0.001). The mean score of happiness before the test was (26.58±12.40) and (37.91 ± 5.57) in the intervention and control groups, respectively. However, the posttest happiness scores of the intervention and control groups were (62.91± 4.66) and (35.62 ±10.62), respectively. The results showed that implementing positive thinking training increased happiness significantly (t=-4.08, P<0.001).Conclusion: Since positive thinking training effect reducing anxiety and increasing happiness in the elderly. Due to the growing trend of the elderly population, the positive thinking training approach can be used as a suitable, cost-effective, and efficient method in reducing anxiety and increasing happiness in the elderly.

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The Effects of Community Empowerment on Preventing Dengue Fever in Lampung Province, Indonesia

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2020.4192 ◽

2020 ◽

Vol 8 (E) ◽

pp. 194-197

Author(s):

Achmad Farich ◽

Nur Indrawati Lipoeto ◽

Hafni Bachtiar ◽

Hardisman Hardisman

Keyword(s):

Dengue Fever ◽

Intervention Group ◽

Sampling Technique ◽

Community Empowerment ◽

Wilcoxon Test ◽

Control Group ◽

Control Groups ◽

Quasi Experimental ◽

And Behavior ◽

And Control

AIM: The aim of this study was to determine the effects of community empowerment on preventing dengue fever in Lampung Province, Indonesia. METHODS: This study used a quasi-experimental design with two groups of pretest-posttest design. The number of samples in this study was 120 people in the intervention group and 120 people in the control group, who is a housewife living in Gading Rejo and Pringsewu subdistrict, Lampung, Indonesia. The sampling technique used a proportional stratified random sampling technique. Community empowerment interventions have been carried out through socialization and inculturation to gather information about community participation, knowledge, attitudes, and behavior of respondents in the prevention of dengue fever. Then, the next stage is the implementation of interventions with capacity building and planting dengue mosquito repellent plants. Data were analyzed using Wilcoxon test using the SPSS version 21.0 software. RESULTS: This study showed that there were differences in the median score of knowledge, attitudes, and behaviors between the intervention and control groups (p < 0.05). The results of the analysis based on the entomologist indicators (larvae-free numbers, house index, container index, and Breteau index) found that there were differences in larvae-free numbers, house index, and Breteau index between the intervention and control groups (p < 0.05), while there were no differences in the container index between the intervention and control groups (p > 0.05). CONCLUSION: This study confirmed the effects of community empowerment on preventing dengue fever in Lampung Province, Indonesia.

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The effect of prenatal counseling on breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding: A randomized controlled clinical trial

10.21203/rs.2.14118/v3 ◽

2020 ◽

Author(s):

fahimeh sehhatie shafaei ◽

mojgan mirghafourvand ◽

shiva havizari

Keyword(s):

Self Efficacy ◽

Intervention Group ◽

Control Group ◽

Controlled Clinical Trial ◽

Randomized Controlled Clinical Trial ◽

Prenatal Counseling ◽

Control Groups ◽

Randomized Controlled ◽

Breastfeeding Problems ◽

And Control

Abstract Background: Breastfeeding is one of the most important interfering factors in infants’ health. Monitoring mothers’ performance and providing them with the feedback helps to increase their self-efficacy, interest in learning, and level of performance. The present research evaluates the effect of prenatal counseling on the breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding.Methods: This randomized controlled clinical trial was conducted on 108 pregnant women with unsuccessful breastfeeding in Tabriz health centers during 2017-2018. The participants were randomly assigned to intervention and control groups. The intervention group had four prenatal counseling sessions and the controls only received routine care. Then, the mothers who gave birth to their children received a counseling session up to 4 months after the delivery. The Breastfeeding Self-Efficacy (BSES) questionnaire and the frequency of breast feeding problems checklist on the 15th day, and 2nd and 4th month were completed both by the intervention and control groups.Results: The mean (SD) of breastfeeding self-efficacy was 119.3 (10.5), 128.3 (8.3) and 133.8 (10.3) in the intervention group and 105.3 (16.1), 105.7 (19.7) and 109.4 (24.7) in the control group on the 15th day, 2nd and 4th month after the delivery, respectively. There was a significant difference in terms of breastfeeding self-efficacy between intervention and control group on the 15th day (p<0.001), and 2nd (p<0.001) and 4th (p<0.001) month after the delivery. The frequency of breastfeeding problems on the 15th (p=0.008), 2nd (p<0.001) and 4th (p<0.001) after the delivery was significantly different in most cases of the intervention group when compared to the controls.Conclusion: The results indicated that prenatal counseling can increase mothers’ breastfeeding self-efficacy and solves most breastfeeding problems during postpartum period.Trial registration: IRCT20100109003027N19

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EFFECTIVENESS OF AN EDUCATIONAL PROGRAM ABOUT BREAST CANCER AND BREAST CANCER SELF-EXAMINATION ON PERCEPTION AND PRACTICE AMONG WOMEN IN ALJEERAIF WEST ADMINISTRATIVE UNIT (2)

10.36106/ijsr/4646294 ◽

2021 ◽

pp. 38-42

Author(s):

Amel Eltaib Elagib ◽

Ibrahim Ismail Mohammed ◽

SamiaYousif Idris ◽

Jaafar Abdelrahman Omar ◽

Somia Bilal Babiker ◽

...

Keyword(s):

Breast Cancer ◽

Educational Program ◽

Intervention Group ◽

T Test ◽

Control Group ◽

P Value ◽

Control Groups ◽

Administrative Unit ◽

Self Examination ◽

And Control

In Sudan, cancer incidence has been growing considerably in recent years and is likely to continue to grow creating a big burden on the health system resources. The aim of this study is to assess the baseline Perception and Practice about breast cancer and breast self-examination (BSE) and to nd out the effectiveness of an educational program about breast cancer and BSE on Perception and Practice among women in AlJeeraif West Administrative Unit. Community based intervention study with pre-post and control was carried out among 200 women who were recruited by means of multistage sampling. The sample size was divided equally into intervention and control groups. Baseline data was collected from both groups through direct interview, using structured close ended questionnaire. Educational program was implemented for the intervention group. Four months after the intervention, women in the study and control groups were exposed to the same questionnaire. Chi-square, paired t-test and independent t-test (difference of difference) were conducted in the course of the data analyses. There was statistically signicant difference in the intervention group pre-post program in all of the HBM components in the intervention group (p value0.000), while in the control group statistically signicant difference existed only in perceived barrier (p value.004) and perceived benet (p value.000) and over all perception (p value .016) with no signicant difference in other (HBM) components. In the intervention group practice and performance scores were highly signicant pre-post program (p value 0.000), where as in the control group only practice was signicant (p value 0.001). There were statistically signicant differences in the mean difference of performance, practice and perceptions between the intervention and control groups (p-value .000). The results of this study have conrmed the effectiveness of educational program based on the health belief model on improving perceptions and practice of breast cancer and breast self-examination.

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The Effect of Self-Management Educational Program on Pain Intensity in Elderly Patients with Knee Osteoarthritis: A Randomized Clinical Trial

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2018.225 ◽

2018 ◽

Vol 6 (6) ◽

pp. 1062-1066 ◽

Cited By ~ 6

Author(s):

Reza Ganji ◽

Azadeh Pakniat ◽

Mohammad Reza Armat ◽

Mahbubeh Tabatabaeichehr ◽

Hamed Mortazavi

Keyword(s):

Elderly Patients ◽

Knee Osteoarthritis ◽

Pain Intensity ◽

Educational Program ◽

Intervention Group ◽

Self Management ◽

Control Group ◽

Control Groups ◽

The Mean ◽

And Control

BACKGROUND: Osteoarthritis is one of the chronic diseases that greatly affect the health and life quality of individuals.AIM: This study aimed to determine the effect of self-management educational program on the pain intensity of the elderly patients with knee osteoarthritis.METHODS: In a randomised clinical trial, a total of 82 elderly patients with knee osteoarthritis were randomly divided into intervention and control groups. The intervention group received six sessions of self-management group education, while the control group received only the routine care during this period. In both groups, patients’ pain intensity, with a visual analogue scale (VAS), were assessed before, immediately after and eight weeks after the start of the study.RESULTS: The mean pain intensity scores of the intervention and control groups were not significantly different before the intervention (P = 0.9), but after the intervention, the mean pain intensity score in the intervention group (3.61 ± 2.36) was significantly lower than that of the control group (4.93 ± 2.00), (P < 0.0001).CONCLUSION: Implementation of a self-management program for the patients with knee osteoarthritis is useful in reducing their pain intensity and can be used as one of the effective methods for their empowerment.

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The Effect of Psycho-education Program on the Affiliate Stigma in the Caregivers of Clients with Bipolar Disorder

10.21203/rs.3.rs-120409/v1 ◽

2020 ◽

Author(s):

Raheleh Bahrami ◽

Talieh Khalifi

Keyword(s):

Bipolar Disorder ◽

Education Program ◽

Intervention Group ◽

Routine Care ◽

Control Group ◽

Control Groups ◽

Affiliate Stigma ◽

Significant Difference ◽

Quasi Experimental ◽

And Control

Abstract Background Mental health experts believe that stigma is the most challenging issue for caregivers of clients with psychiatric disorders. Therefore, monitoring and assessing the affiliate stigma in the caregivers is necessary. This study is aimed to investigate the effect of psycho-education program on the affiliate stigma in the caregivers of clients with bipolar disorder. Materials and Methods This quasi-experimental study with both intervention and control groups was conducted Ghods Hospital in Sanandaj (n = 64). Psycho-education program was performed for the intervention group for 4 weeks (one session per week for 60 to 90 minutes). Data was collected using the Affiliate Stigma Scale before and after intervention (with 4 weeks gap). Results The results of study showed that there was no difference between intervention and control groups in terms of the distribution of contextual variables. The mean and the standard deviation of the affiliate stigma before the conducting the psycho-education program in the control group was (73 ± 14.72), and in the intervention group was (69.63 ± 14.66). After the intervention and administrating the post-test, the results in the control group was (74 ± 14.21) and in the intervention group was (35.06 ± 8.31) which showed a statistically significant difference (P < 0.001). Conclusions According to the obtained results in this study and based on the other studies’ result, the routine care is not able to meet the educational needs of the caregivers of clients with bipolar disorder. Psycho-education is effective on the reduction of the affiliate stigma of caregivers of clients with bipolar disorder and it can be considered as one of the stigmatization strategies.

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EFEK SELF EFFICACY TRAINING TERHADAP SELF EFFICACY DAN KEPATUHAN DIET DIABETESI

JI-KES (Jurnal Ilmu Kesehatan) ◽

10.33006/ji-kes.v1i1.45 ◽

2017 ◽

Vol 1 (1) ◽

Author(s):

Ainul Yaqin ◽

Safitri Niken ◽

Edi Dharmana

Keyword(s):

Self Efficacy ◽

Dietary Intervention ◽

Intervention Group ◽

Mean Difference ◽

Control Group ◽

Training Set ◽

Control Groups ◽

Improvement Programs ◽

The Mean ◽

And Control

AbstrakPasien diabetes melllitus (DM) seringkali tidak patuh terhadap pola diet yang dianjurkan. Banyak pasien DM yang mengalami berat badan berlebih atau kurus. Ketidakpatuhan diet menyebabkan rendahnya kontrol glikemik, dan meningkatkan komplikasi, disability and mortality. Kepatuhan dipengaruhi oleh keyakinan diri/self efficacy (SE), di sisi lain program peningkatan SE terkait dietDM belum banyak diteliti. Self efficacy training (SET)mampu meningkatkan SEsehingga kepatuhan diet meningkat. Tujuan penelitian untuk menganalisis efek SET terhadap SE dan kepatuhan diet diabetesi. Metode menggunakan quasy experiment dengan rancangan post test nonequivalent control group. Sampel kelompok intervensi dan kontrol masing-masing 48 dan 51 orang. Intervensi dilakukan sebanyak 6 sesi selama 12 hari. Hasil menunjukkan mayoritas responden adalah perempuan dengan usia 58-67 tahun. SE diukur dengan kuisioner DIET-SE dan kepatuhan dengan PDAQ Selisih nilai mean SE kelompok intervensi dan kontrol setelah perlakuan adalah 4,27 dengan p=0,000 dan selisih mean kepatuhan diet kelompok intervensi dan kontrol adalah 5,94 dengan p=0,000. Hasil uji multivariat dengan MANOVA didapatkan ada efek SETpada kedua variabel dependen yang sangat bermakna (p=0,000), namun jika dilihat dari hasil selisih mean dengan kelompok kontrol, variabel kepatuhan memiliki peningkatan nilai mean yang lebih besar dibandingkan variabel SE. Kesimpulan penelitian SET dapat meningkatkan kepatuhan diet pasien DM melalui peningkatan SE. Kata kunci: sef efficacy training; self efficacy; kepatuhan AbstractDiabetic Mellitus (DM) patients are often not adherent to the recommended dietary patterns. Many DM patients are overweight or underweight. Dietary adherence leads to lower glycemic control, and increases complications, disability and mortality. Adherence is influenced by self-efficacy (SE), on the other hand SE improvement programs related to DM diet has not been much studied. Self efficacy training (SET) is able to improve SE so that diet compliance increases. The objective of the study was to analyze the effects of SET on SE and adherence to the diabetic diet. The method used quasy experiment with post tes nonequivalent control group design. The sample of the intervention and control groups were each 48 1 person. Intervention conducted as much as 6 sessions for 12 days. Results showed the majority of respondents were women aged 58-67 years. SE is measured by a DIET-SE questionnaire and compliance with PDAQ. The mean difference of SE values of the intervention and control groups after treatment was 4.27 with p = 0,000 and the mean difference of dietary intervention group and intervention was 5.94 p = 0,000. The result of multivariate test with MANOVA showed that there was a SET effect on both highly significant dependent variables (p = 0.000_, but if seen from the result of mean difference with the control group, the compliance variable had higher mean value than the SE variable. Improving DM patient's compliance through SE enhancement. Keywords: self efficacy training; self efficacy; obedience

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