The Effect of Educational Intervention based on the theory of planned behavior on Nutritional Behavior with Regard to Cardiovascular Diseases among Health Volunteers

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.

Download Full-text

Assessment of The Effect of Interprofessional Professionalism Training On The Surgical Team Members' Perception of The Ethical Climate

10.21203/rs.3.rs-842059/v1 ◽

2021 ◽

Author(s):

Fatemeh Keshmiri ◽

Azam Hoseinpour

Keyword(s):

Operating Room ◽

Interprofessional Education ◽

Ethical Climate ◽

Intervention Group ◽

Educational Interventions ◽

Control Group ◽

Educational Systems ◽

Control Groups ◽

Significant Difference ◽

And Control

Abstract BackgroundThe aim of present study was to assess the effect of interprofessional education concerning interprofessional professionalism on learners' perception of the ethical climate of the operating room.MethodThe present study is quasi-experimental design. Learners include surgical residents, operating room technicians, and anesthesia technicians (n=130) that distributed to intervention and control groups. The objectives of the intervention were the development of competencies of ethics and professionalism (including communication, altruism, respect, and excellence). The educational strategy was interprofessional education and the main method of training was scenario-based learning. Participants completed the Olson Moral Climate Questionnaire before and one month after the intervention. We used descriptive tests (mean, SD, percentage), student t-test and ANOVA to compare the scores of learners in the intervention and control groups.ResultsThe results of the study showed that the scores of the learners in the intervention group 4.05 (0.31) improved significantly compared to the control group 3.35 (0.37) (P = 0.0001). The scores of learners in the domain of “managers” improved higher and the domain of physicians improved lesser than other domains. There was no significant difference between the three groups of residents, operating room, and anesthesia technicians in terms of moral climate scores.ConclusionIn the present study showed the positive effect of interprofessional education interventions on individuals' perceptions of the operating room ethical climate. It is suggest that educational interventions be planned and implemented continuously in the educational systems and hospitals.

Download Full-text

The Effect of 5A Self-management Program on Medication Adherence of Epileptic Patients in During the COVID – 19 Pandemic

10.21203/rs.3.rs-1131999/v1 ◽

2021 ◽

Author(s):

Seyede Fateme Moosavimoghadam ◽

Ali Dehghani ◽

Rasool Eslami Akbar

Keyword(s):

Medication Adherence ◽

Intervention Group ◽

Management Training ◽

Wilcoxon Test ◽

Self Management ◽

Control Group ◽

Control Groups ◽

Significant Difference ◽

Epileptic Patients ◽

And Control

Abstract Background: Adherence to medication adherence plays a vital role in controlling the problems and complications of epilepsy. During the COVID – 19 pandemic and limitations of face-to-face education, the use of distance education can play an important role in providing education to patients. Therefore, the aim of this study is the effect of model 5A self-management training on medication adherence in epileptic patients.Methods: In this single-blind randomized controlled trial, 56 epilepsy patients referred to Shiraz Namazi Hospital were divided into intervention and control groups using random allocation. Thereafter, 5A self - management training sessions were virtually held in 5 sessions in WhatsApp application for intervention group. The data collection tool was Morisky medication adherence scale at two stages of before and two months after intervention. Data analysis was performed using SPSS 21 software.Results: The results of Wilcoxon test showed that in intervention group, the mean drug adherence in patients after intervention significantly increased compared to before intervention (p = 0.005). But in control group, this was not significant (p = 0.909). According to results of Mann-Whitney test, there was no significant difference between intervention and control groups before intervention (p = 0.632). However, by passing two months from intervention, a significant difference was found between intervention and control groups (p = 0.041).Conclusion: Based on results, the implementation of Model 5A can be effective on medication adherence in epilepsy patients. This program can be considered as a suitable method in epileptic patients in during COVID – 19 pandemic.

Download Full-text

Effectiveness of Theory of Planned Behavior-Based Educational Intervention on Newborn Care in Pregnant Mothers: A quasi-experimental study

10.21203/rs.3.rs-35616/v1 ◽

2020 ◽

Author(s):

Azamalsadat Navabi ◽

mohsen shamsi ◽

Mahboobeh Khorsandi ◽

Maryam Zamanian

Keyword(s):

Theory Of Planned Behavior ◽

Planned Behavior ◽

Educational Intervention ◽

Behavioral Intention ◽

Intervention Group ◽

Newborn Care ◽

Quasi Experimental ◽

Behavior Based ◽

And Control ◽

Pregnant Mothers

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.

Download Full-text

Effectiveness of Theory of Planned Behavior-Based Educational Intervention on Newborn Care in Pregnant Mothers: A quasi-experimental study

10.21203/rs.3.rs-35616/v2 ◽

2020 ◽

Author(s):

Azamalsadat Navabi ◽

mohsen shamsi ◽

Mahboobeh Khorsandi ◽

Maryam Zamanian

Keyword(s):

Theory Of Planned Behavior ◽

Planned Behavior ◽

Educational Intervention ◽

Behavioral Intention ◽

Intervention Group ◽

Newborn Care ◽

Quasi Experimental ◽

Behavior Based ◽

And Control ◽

Pregnant Mothers

Download Full-text

Effectiveness of Theory of Planned Behavior-Based Educational Intervention on Newborn Care in Pregnant Mothers: A Quasi-Experimental Study

Jundishapur Journal of Health Sciences ◽

10.5812/jjhs.117452 ◽

2021 ◽

Vol 13 (4) ◽

Author(s):

Azamalsadat Navabi ◽

Mohsen Shamsi ◽

Mahboobeh Khorsandi ◽

Maryam Zamanian

Keyword(s):

Theory Of Planned Behavior ◽

Planned Behavior ◽

Educational Intervention ◽

Behavioral Intention ◽

Statistical Tests ◽

Intervention Group ◽

Newborn Care ◽

Quasi Experimental ◽

And Control ◽

Pregnant Mothers

Background: The neonatal period is one of the most sensitive stages of life, requiring proper understanding and attentive care. Objectives: Accordingly, this study was done to investigate the effectiveness of theory of planned behavior (TPB)-based educational intervention on newborn care in pregnant mothers. Methods: This study was conducted as quasi-experimental research on 100 pregnant mothers who were assigned randomly to two groups of intervention (N = 50) and control (N = 50). The data collection tool was a valid and reliable questionnaire based on TPB, which was completed by both groups before the intervention. Considering the effective constructs of this theory, the educational intervention was performed in the form of four 60-minute education sessions in one month for the intervention group. One month after delivery, the data were recollected from both groups and analyzed using statistical tests. Results: 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 years, 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). Also, the performance of mothers regarding neonatal care in the intervention group increased from 2.86 to 4.64 (P = 0.001) after the education. Conclusions: The TPB-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 TPB-based education in other healthcare centers is recommended.

Download Full-text

Effect of A Mobile-Phone Mediated Based Education on Self-Care Behaviors of Patients With Thalassemia Major

Journal of Caring Sciences ◽

10.15171/jcs.2019.022 ◽

2019 ◽

Vol 8 (3) ◽

pp. 149-155

Author(s):

Fatemeh Gharaati ◽

Teamur Aghamolaei ◽

Zahra Hosseini ◽

Sayed Hossein Davoodi ◽

laleh Hassani ◽

...

Keyword(s):

Mobile Phone ◽

Educational Intervention ◽

Intervention Group ◽

Self Care ◽

Thalassemia Major ◽

T Test ◽

Wilcoxon Test ◽

Control Group ◽

Control Groups ◽

And Control

Introduction: One way to improve the quality of life of the patients with thalassemia major is to enable them through education. The present research aimed to explore the effects of an educational intervention through mobile phones on self-care behaviors of the patients with thalassemia major Methods: In this quasi experimental study, which was done from May to January in 2017, 91 patients were enrolled who were suffering from thalassemia major.The census sampling method was performed with random allocation of interventional and control groups. Educational intervention was only applied to the intervention group. The study instrument was a questionnaire which was filled out by the patients before and two months after the educational intervention. For data analysis, statistical tests including independent samples t-test, paired-samples t-test, Mann-Whitney test and Wilcoxon test, were used through SPSS v.13 software. Results: Prior to the intervention, the mean scores of knowledge, attitude and self-care behaviors were not significantly different between the intervention and control groups. After the intervention, , however, there was a statistically significant increase in the aforementioned scores in the intervention group (P˂0.05), but there was no statistically significant increase in scores of the control group(P>0.05). Conclusion: The present findings showed the positive effect of the mobile-phone mediated education on knowledge, attitude and self-care behaviors of the patients with thalassemia major. Therefore, the use of mobile phone is recommended as an effective way of transferring instructional material as related to self-care to patients with thalassemia major particularly when access to them is limited.

Download Full-text

Effect of the Theory of Planned Behavior Education on Nutritional Behaviors of Overweight and Obese Women Before Pregnancy

International Journal of Women s Health and Reproduction Sciences ◽

10.15296/ijwhr.2019.78 ◽

2018 ◽

Vol 7 (4) ◽

pp. 471-477

Author(s):

Ameneh Khayeri ◽

Zohreh Mahmoodi ◽

Mitra Rahimzadeh ◽

Leili Salehi ◽

Zahra Behboodi Moghadam ◽

...

Keyword(s):

Theory Of Planned Behavior ◽

Planned Behavior ◽

Controlled Trial ◽

Intervention Group ◽

Routine Care ◽

Repeated Measure ◽

Fisher Exact Test ◽

Obese Women ◽

Nutritional Behavior ◽

Significant Difference

Objectives: Maternal nutritional behavior before and during pregnancy contributes significantly to improving the outcomes of pregnancy and the health of the newborns after birth. In addition, the theory of planned behavior (TPB) is a proper model for use during pre-pregnancy and pregnancy. Therefore, the present study evaluated the effect of TPB education on nutritional behaviors of overweight and obese women before pregnancy. Materials and Methods: This randomized controlled trial was conducted on 100 overweight and obese women who attended a nutrition unit in Khansar during April-August 2017. A convenient sampling method was used and the samples were randomly divided into intervention and control groups. The intervention group participated in five nutritional training sessions based on the TPB in addition to routine care. Data were collected with TPB and nutritional behaviors questionnaires before, after, and 2 months after education. Finally, the Student’s t test, Fisher exact test, as well as Mann-Whitney U test, chi-square and repeated-measure tests were utilized for data analysis. Results: Based on the result of the repeated measure test, the overall score of the TPB changed (P=0.002) over time and a significant difference was observed between the 2 groups (P=0.002). In addition, the result of the repeated measure test indicated that the length of time affects the nutritional behavior score (P=0.000) and there was a significant difference between the 2 groups in this regard (P=0.000). Conclusions: Considering the effect of training, based on the TPB, on nutritional behavior, the content of this training is suggested to be included in the pre-pregnancy program.

Download Full-text

457 The Impact of PAP Therapy on Hematocrit in OSA and Polycythemia: A Pilot Study

SLEEP ◽

10.1093/sleep/zsab072.456 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A180-A181

Author(s):

Mustafa Jafri ◽

Gabrielle Rosa-Acosta ◽

Jose Flores Martinez ◽

Elizabeth Schofield ◽

Cy Wilkins ◽

...

Keyword(s):

Intervention Group ◽

Smoking History ◽

Event Analysis ◽

Control Groups ◽

Testosterone Therapy ◽

Obstructive Sleep ◽

Significant Difference ◽

Testosterone Administration ◽

And Control ◽

The Impact

Abstract Introduction Untreated polycythemia leads to complications including thrombosis. Obstructive sleep apnea (OSA) is commonly associated with secondary erythrocytosis, which testosterone therapy can perpetuate. Effects of positive airway pressure (PAP) on elevated hematocrit (HCT) is unknown. We hypothesize PAP adherence can reduce HCT in men with OSA and polycythemia. Methods Retrospective chart review of male outpatients with newly diagnosed OSA and HCT≥45% at or 3 months before polysomnography (PSG) was conducted. Intervention group consisted of patients initiating PAP for OSA. HCT within 6 months of PAP initiation and PSG were recorded for intervention and control groups, respectively. Primary endpoint was time-to-HCT reduction of HCT<50% plus 3% decrease. Cox proportional-hazards analysis was used to assess time-to-HCT response. Demographics, smoking history, testosterone administration, STOP-Bang score, AHI, and PAP compliance data were obtained. Patients excluded if PAP not indicated, or if PSG, PAP compliance, or repeat HCT were unavailable. Results 41 men with OSA had HCT≥45%, of which 16 had HCT≥50%. Median age was 60 years and median BMI was 32 kg/m2. 28 started PAP. 21 met definition for PAP compliance within 6 months. Median AHI of intervention and control groups were 23 and 19 events/hr, respectively. Mean baseline HCT of both groups were 49 and 50, respectively. No significant difference in age, BMI, smoking history, testosterone therapy, and baseline HCT between both groups noted. 39% of intervention group exhibited HCT response at 1 or more longitudinal assessments, versus 38% of control. Intervention group had higher mean STOP-Bang than control (mean 5.9 vs. 4.6, p=0.01) and trended towards higher mean baseline AHI (27.4 vs. 19.0, p= 0.06). Time-to-event analysis controlling for STOP-Bang and AHI demonstrated PAP was not associated with time-to-HCT response (HR = 1.3, 95% CI = 0.4–4.4). In moderate-severe OSA patients, 40% of intervention group had HCT response compared to 14% of control, though difference was not significant (HR = 2.5, 95% CI = 0.3–20.0). Conclusion Moderate-severe OSA patients trended towards reduction in HCT with PAP, although not statistically significant. Testosterone administration did not affect HCT response to PAP in this cohort. Larger studies are required to determine HCT response to PAP in these patients. Support (if any):

Download Full-text

Android-Based Education toward the Role of Postpartum Primipara Mothers in Fulfilling the Independent Perinium Care

Women, Midwives and Midwifery ◽

10.36749/wmm.1.2.55-67.2021 ◽

2021 ◽

Vol 1 (2) ◽

pp. 55-67

Author(s):

Werna Nontji ◽

Dwi Kartika Sari ◽

Sitti Maria Ulfa ◽

Syafruddin Syarif ◽

Inez Vravty Lestari ◽

...

Keyword(s):

Treatment Group ◽

Intervention Group ◽

Wilcoxon Test ◽

Control Group ◽

P Value ◽

Control Groups ◽

Post Test ◽

Android App ◽

And Control ◽

Perineal Care

Background: Educating mothers during their postpartum period could potentially help them to overcome some important phases after giving birth. The process of education is evaluated based on the mothers’ knowledge about their independent self-care. Independency is an activity that is started individually and is done based on self-capability. The independency in the postpartum care is not only important to decrease the mother’s mortality and morbidity rate, but it is also crucial to strengthen and improve the post-partum mother’s healthy behavior during the perineal care. Providing education using Android-based application called BUBI Care could be potential to facilitate a more dynamic transfer of knowledge to the postpartum mothers.Aims: To analyze the knowledge, skills, and independence of primipara postpartum mothers in independent perineal care before and after accessing BUBI Care app. Research Method: employing quasi experimental research with pre-test and post-test design with control group design. The sample for this research were 19 pregnant mothers TM III (pregnancy age of ? 38 weeks) on each group. The treatment group was educated using BUBI Care Android app that was conducted at one of Public Health Center. The control group was educated without BUBI Care that was conducted at a Midwife Practice Clinic. The research was conducted on September to October 2020. Study Result: According to the Wilcoxon test, there was a difference in the pre-test knowledge of the treatment and control groups with the similar median of 53 and p-value of 0.666, the treatment group showed their scores improved to 80 on the post-test while the control group stayed at 53 with the p-value of 0.000. It means that BUBI Care app education influences the post-test. On the other hand, the perineal care skill saw a difference between the intervention and control groups. The intervention group had a mean of 70.05 and 56.68 for the control group with the p-value of 0.002 which means that there was an influence from the BUBI Care app education. Additionally, Mann Whitney test showed that the intervention group had a mean score of 78.95, but the control group only had 49.26, the total difference between the two are 29.69 with the p-value of 0.000. It can be concluded that there is a significance in difference in the independency rate from the provision of BUBI Care Android app education.Conclusion: there is a significance effect on the intervention group in terms of Android based usage.

Download Full-text

The Effect of Cognitive- Behavioral Counseling on the Sexual Compatibility of New Married Couples: A Clinical Trial Study

10.21203/rs.3.rs-78870/v1 ◽

2020 ◽

Author(s):

Parvin Allahyari ◽

Mitra Kolivand ◽

Arash Namdari ◽

Khaled Rahmani

Keyword(s):

Intervention Group ◽

Married Couples ◽

Cognitive Behavioral ◽

Control Group ◽

Counseling Centers ◽

Control Groups ◽

Behavioral Counseling ◽

Sexual Compatibility ◽

Significant Difference ◽

And Control

Abstract Objective: sexual desire is an integral part of an identity and character of a human being, that affect how to behave with spouse. This study aimed to study the effect of cognitive-behavioral counseling (CBT) on sexual compatibility of new married couples in Sanandaj City in 2018. Method: This was a randomized clinical trial study and participants were 80 new married couples whose information was recorded at the premarital counseling centers that were randomly divided into intervention and control groups. Intervention group received 8 weekly 120-minute sessions of group consultation with cognitive-behavioral approach. Data were collected before the intervention, after 8 weeks of counseling, and two months after the last counseling session using the National Sexual Compatibility Scale. Data were analyzed using chi-square inferential statistics and independent t-test or nonparametric Mann-Whitney test. analysis of covariance was used to control of potential confounders. Results: The mean values of sexual compatibility in two intervention and control groups before counseling were 94.20±3.30 and 93.41±6.84 respectively. These scores reached to 100.11±2.96 in the intervention group and 98.83±3.66 in the control group immediately after the intervention. Also two months after the end of counseling, this rate was 101.98±4.03 in the intervention group and 98.83±3.66 in the control group. The intra-group comparison of sexual adjustment scores before and after counseling and two months after the intervention, showed a statistically significant difference (P <0.001). The trend of changes in the control group was not significant (P >0.05). There was a significant difference between two groups in level of scores two months after the intervention (P <0.001). Conclusion: CBT was effective in improving the level of sexual compatibility between new married couples. It is recommended to use this method of counseling, along with other services provided at pre-marriage counseling centers, to continue and improve the quality of sex and vitality of couples.

Download Full-text