scholarly journals The effect of educational method based on theory of planned behavior on childbearing decision in marrying couples

2020 ◽  
Author(s):  
Mitra Kolivand ◽  
zomorod solimaniargeneh ◽  
Nader Salari ◽  
Yahya Safari

Abstract Background: The aim of this study was to investigate the effect of educational method, based on the theory of planned behavior on childbearing decision in married couples. Materials and Methods: This study was a semi-experimental investigation. The population under study consisted of 140 marrying couples referred to the pre-marital counseling center in Sahneh city in 2018 [experimental group; n=70 vs. control group; n=70]. The sample method was convenience sampling .The experimental group received educational intervention based on the theory of planned behavior [for 8 sessions]; whereas, the control group participated in the routine pre-marital counseling program. The data was collected using Aattitudes toward fertility and childbearing scale of Soderberg, Lundgren, Christensson & Hildingsson [2013]. The data was analyzed by SPSS 20. Results: The results showed that intervention had an effect on increasing tendency towards childbearing decision in men and women who were about to get married [P<0.05]. The intervention group showed a slight decrease during the follow-up phase, but this was not significant [P> 0.05]. Also, the results showed that men's tendency towards childbearing in the intervention group was different in terms of income, place of residence and housing status [P<0.05]. Conclusion: The results showed that the effectiveness of educational method, based on the theory of planned behavior on childbearing decision. It is recommended that, in view of the importance of childbearing in the family and social systems, in the context of pre-marriage counseling, more effective programs be provided to draw attention of the couples to childbearing at appropriate age and conditions. Study registration : The Ethics Committee of Kermanshah University of Medical Sciences [IR: KUMS.REC.1397.514].

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.


Health Scope ◽  
2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Hajar Rasoli ◽  
Gholamreza Masoudy ◽  
Hossein Ansari ◽  
Hossein Bagheri

Background: Appropriate breastfeeding reduces health disorders and death among infants. Objectives: The present study was conducted to evaluate the effects of educational intervention based on the extended theory of planned behavior. Methods: In this semi-experimental study, 168 pregnant women from 20 health centers were allocated into intervention and control groups by a multi-stage sampling method. The data collecting tool included demographic and constructs of an extended theory of planned behavior. The validity and reliability of the questionnaire were confirmed by an expert panel and Cronbach's alpha test, respectively. The educational methods encompassed face to face training, pamphlet and flashcards distribution, and clip presentation. Two 45-minute educational sessions were conducted; the data were recollected 6 months after the delivery. Results: The mean ages of the intervention and control group were 29 ± 6 and 28.7 ± 5.9. The pregnancy rate and age of the pregnancy in the intervention group were 2.7 ± 1.4 and 29 weeks, respectively. After the intervention, the mean score of the behavior in the intervention group increased compared to the control group. The intention (B = 0.4, P = 0.01) and perceived behavior control (B = 0.42, P = 0.03) were the predictors of the behavior. Conclusions: The structures of the extended theory of planned behavior are suitable framework to promote exclusive breastfeeding among pregnant women.


2021 ◽  
Vol 31 (2) ◽  
pp. 135-145
Author(s):  
Yasaman Akbarian Moghaddam ◽  
◽  
Maryam Moradi ◽  
Mohammad Vahedian Shahroodi ◽  
Vahid Ghavami ◽  
...  

Introduction: Rapid decline of the total fertility rate in Iran in recent decades has caused serious demographic challenges to the country. One important reason for this decrease is single-child behavior adopted by Iranian families. Objective: The present study was conducted to assess the effectiveness of education based on the Theory of Planned Behavior (TPB) on childbearing intention in single-child women. Materials and Methods: This randomized field trial with the pretest-posttest design was done on 72 single-child women presenting to health centers in Mashhad City, Iran, in the intervention (37 persons) and control (35 persons) groups from August 2019 to February 2020. Research tools included a demographic and obstetric questionnaire and a researcher-made childbearing intention questionnaire based on TPB. The intervention group received three 110-min sessions of education, which was based on TPB. The control group received routine health center care. The study data were analyzed by using the Kolmogorov-Smirnov, Shapiro-Wilk, Independent t-test, Mann-Whitney U test, repeated measures Analysis of Variance (ANOVA), Freidman test, post hoc tests of Bonferroni and Dunn, the Spearman rank correlation coefficient, and the Generalized Estimating Equation (GEE) model. Results: The mean±SD age of the participants were 32.6±4.7 and 32.9±4.7 years in the intervention and control groups, respectively, and most of the women had university-level education in both groups. Changes in childbearing intention from the pre-intervention stage were significantly higher in the intervention group than the control group immediately (P=0.001) and then one month after the intervention (P=0.001). The results of the GEE model showed that the childbearing intention was significantly higher in the intervention group (β=0.68, 95% CI; 0.449-0.911, P=0.001,), and there was a significant positive relationship between attitude and childbearing (β=0.023, 95% CI; 0.013-0.033, P=0.001). Conclusion: Education based on the theory of planned behavior increased childbearing intention in single-child women in this study, so this educational program is advised for promoting childbearing.


2020 ◽  
Author(s):  
Maryam Heidari Sarvestani ◽  
zahra moradi ◽  
Ali Khani Jeihooni ◽  
Azizollah Dehghan

Abstract Background: Cervical cancer is the second most common cancer and the fifth deadly cancer among women in Iran. Educational interventions based on proper behavior promoting models can lead to early diagnosis of cervical cancer. The theory of planned behavior pays attention to social factors and motivation for following the significant others. The aim of this study was to determine the factors related to performing regular Pap smear test based on the Theory of Planned Behavior (TPB) among the females living in Fasa, Iran.Methods: A cross-sectional study was conducted on 700 participants. Then the educational intervention based on the results of cross-sectional study was conducted in form of a workshop for 50 women as the intervention group, and 50 women were considered as the control group. After all, the data were entered into the SPSS statistical software and were analyzed via logistic regressions analysis, paired t-test, independent t-test, chi-square test, and McNemar test.Result: According to the results, 45.7% of the patients had a history of undergoing a Pap smear test, and 20.7% of them performed this test regularly. The knowledge, attitude, subjective norms, and perceived behavioral control were the predictors of intention and behavior of Pap smear test among the women (P<0.05). These components accounted for 57.4% and 31.6% of the intention and behavior variance, respectively. After the intervention, a significant increase was observed in the mean scores of attitude, subjective norms, and perceived behavioral control in the intervention group compared to the control group. The results revealed no significant difference between the two groups concerning the behavioral intention (p=0.41) and performance of the Pap smear test (p=0.583). The number of the participants who had undergone the Pap smear test increased from 10 to 26 in the intervention group three months after the intervention. The results of McNemar test indicated that this difference was statistically significant.Conclusion: The results indicated an increase in the women’s performance of the Pap smear screening test by appropriate planning, provision of educational packages based on the women’s needs, and using effective subjective norms.This clinical trial is registered in the Iranian Registry of Clinical Trials (IRCT20160830029608N3).


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ali Khani Jeihooni ◽  
Hanieh Jormand ◽  
Negin Saadat ◽  
Mahmood Hatami ◽  
Rosliza Abdul Manaf ◽  
...  

Abstract Background Nutritional factors have been identified as preventable risk factors for cardiovascular disease; this study aimed to investigate the application of the Theory of Planned Behavior (TPB) in nutritional behaviors related to cardiovascular diseases among the women in Fasa city, Fars province, Iran. Methods The study was conducted in two stages. First, the factors affecting nutritional behaviors associated with cardiovascular disease on 350 women who were referred to Fasa urban health centers were determined based on the TPB. In the second stage, based on the results of a cross-sectional study, quasi-expeimental study was performed on 200 women covered by Fasa health centers. The questionnaire used for the study was a questionnaire based on TPB. The questionnaire was completed by the experimental and control groups before and three months after the intervention. Data were analyzed by SPSS software using logistic regression, paired t-test, independent sample t-test, and chi-square test. The level of significance is considered 0.05. Result The constructs of attitude, subjective norms, and perceived behavioral control (PBC) were predictors of nutritional behaviors associated with cardiovascular disease in women. The constructs predicted 41.6% of the behavior. The results showed that mean scores of attitude, subjective norms, PBC, intention, nutritional performance related to the cardiovascular disease before intervention were, respectively, 24.32, 14.20, 18.10, 13.37 and 16.28, and after the intervention, were, respectively, 42.32, 25.40, 33.72, 30.13 and 41.38. All the constructs except the attitude in the intervention group were significantly higher (p < 0.001) than the control group. Conclusion The results of the present study showed that the educational intervention based on the TPB would be consider an effective educational and promotinal strategy for the nutritional behaviors to prevent cardiovascular disease in women. Considering the role of mothers in providing family food baskets and the effect of their nutritional behaviors on family members, the education of this group can promote healthy eating behaviors in the community and family.


2019 ◽  
Vol 34 (3) ◽  
pp. 268-278 ◽  
Author(s):  
T Rahimdel ◽  
M A Morowatisharifabad ◽  
A Salehi-Abargouei ◽  
M Mirzaei ◽  
H Fallahzadeh

Abstract This study was conducted to evaluate an education program based on the theory of planned behavior (TPB) for salt intake in individuals at risk of hypertension. This randomized controlled trial was conducted from February 2017 to December 2017 in Shahediyeh, Yazd Province, Iran. For this purpose, 140 people were selected and assigned to two groups of 70 each, namely, intervention and control. Data were gathered by a self-administered TPB based questionnaire, and also 24-h urinary sodium and potassium levels and systolic and diastolic blood pressure were measured. The intervention group received TPB based on a training package, while the control group received no intervention. Post-test was administered 2 months after completion of the intervention. Independent and paired t-tests, χ2 and analysis of covariance (ANCOVA) were used for data analysis. All mean scores on TPB constructs increased significantly except motivation to comply and power of control for intervention group. Average salt intake decreased in intervention group compared with the control group (−4.73 g/day �0.73 versus −0.24 g/day �0.94, P &lt; 0.001), but systolic and diastolic blood pressure did not change significantly in intervention group compared with control group. TPB can be implemented along with other approaches in educational programs to reduce salt intake. Code: IRCT201701108803N3.


1970 ◽  
Vol 5 (2) ◽  
Author(s):  
Rosani Naim ◽  
Neti Juniarti ◽  
Ahmad Yamin

Periode emas tumbuh kembang seorang anak dimulai sejak anak dalam kandungan hingga berusia dua tahun. Wanita hamil dan anak-anak usia dibawah 5 tahun berada pada risiko tertinggi micronutrient deficiencies (MNDs), masalah pertumbuhan, penurunan intelektual, komplikasi perinatal dan meningkatnya risiko morbiditas dan mortalitas. Oleh karena itu ibu hamil memerlukan program edukasi tentang nutrisi yang tepat untuk kesehatan ibu dan janin. Edukasi berbasis keluarga sesuai program keluarga sehat dapat meningkatkan intensi untuk mengubah perilaku kesehatan. Menurut Theory of Planned Behavior (TPB), bahwa intensi untuk mengubah perilaku dipengaruhi oleh sikap, norma subjektif dan persepsi kontrol perilaku. Penelitian ini bertujuan mengidentifikasi pengaruh edukasi berbasis keluarga terhadap intensi ibu hamil untuk optimalisasi nutrisi pada 1000 Hari Pertama Kehidupan di wilayah kerja Puskesmas Neglasari, Kota Bandung. Desain penelitian menggunakan quasi eksperiment, pre-test and posttest with control group design. Pengambilan sampel dengan teknik total sampling seluruh ibu hamil yang terdata di Puskesmas sampai bulan November 2016 berjumlah 44 orang yang kemudian dibagi dalam kelompok intervensi dan kelompok kontrol. Kegiatan edukasi dilaksanakan melalui tiga kali pertemuan kunjungan rumah. Analisis data menggunakan Wilcoxon test dan Mann whitney test. Hasil penelitian menunjukkan bahwa ada pengaruh yang signifikan antara edukasi berbasis keluarga terhadap intensi ibu hamil untuk optimalisasi nutrisi pada 1000 hari pertama kehidupan (p = 0.00). Program edukasi berbasis keluarga adalah efektif meningkatkan intensi ibu hamil. Dengan demikian, disarankan penerapan edukasi berbasis keluarga dalam intervensi keperawatan untuk meningkatkan kesehatan ibu dan bayi yang dikandungnya.Kata kunci: Edukasi berbasis keluarga, intensi, ibu hamil, nutrisi, 1000 hari pertama kehidupan. Effect Of Family-Based Education Towards Pregnant Mothers’ Intention to Optimize The Nutrition at 1000 First Day Of LifeAbstractChildren “Golden Period” starts since in the womb until two years after birth. Pregnant mothers and children under five (5) years old are at risk to suffer from micronutrient deficiencies (MNDs), growth problems, intellectual impairment, perinatal complications and increase of morbidity and mortality risks. Therefore pregnant mothers need an education program about proper nutrition for mothers’ and the fetus’ health.Family based education can improve intention to change health behavior. According to Theory of Planned Behavior (TPB, behaviour is influenced by attitudes, subjective norms and perceived behavioral control. Intention in order to change the behavior. The study aimed to identified the effect of family-based education towards pregnant mothers’ intention to optimize the nutrition at 1000 First Day of Life in the working area of Puskesmas Neglasari, BandungResearch design was quasi experiment, pre-test and post-test with control group design. A total of 44 pregnant mothers’ were recruited and divided into intervention and control group. Intervention were conducted three times through home visits. The data were analyzed using Wilcoxon test and Mann Whitney testThe findings showed that there was a significant effect between the family-based education towards pregnant mothers’ intention to optimize the nutrition of 1000 first days of life (p = 0.00). Thus, it is recommended to apply family based education in nursing intervention to improve of mothers and fetus health.Keywords : Family based education, intention, pregnant mothers’, nutrition, 1000 first days of life.


Author(s):  
Lorna Kwai Ping Suen ◽  
Janet Pui Lee Cheung

Early childhood is a formative period during which healthy habits are developed, including proper hand hygiene practices. The aim of this quasi-experimental study was to determine the effectiveness of a 4-week series of educational sessions that consider the cognitive developmental stage of children on increasing their knowledge and promoting hand hygiene practices. The intervention group (n = 33) observed the hand hygiene program, whereas another group served as the waitlist control (n = 20). Creative activities were planned for the illustration of hand hygiene concepts in terms of “right moments”, “right steps”, and “right duration”. Hand sanitizer coverage was evaluated using a hand scanner. After the intervention, the experimental group had higher knowledge level toward hand hygiene than the control group (p < 0.001). Significant improvements in hand hygiene performance at the left palm and dorsum (p < 0.05), right palm (p < 0.05), and overall hand coverage (p < 0.05) were observed in the experimental group. The study demonstrated that the knowledge and proper hand hygiene (HH) practice of children can be positively influenced by the use of an age-appropriate education program. The results of this study have implications for school health educators and parents for promoting HH practices among children at home and at the school level.


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.


1970 ◽  
Vol 1 (2) ◽  
Author(s):  
Zhou Shu

Objective: To explore the application of comfortable nursing in the preparation of colonoscopy in oral magnesium sulfate, and to provide scientific reference direction for nursing staff. Methods: 68 patients with colonoscopy were randomly divided into experimental group and control group (n = 34). In the control group, the routine nursing intervention was used, and the intervention group was treated with comfortable nursing intervention. Data analysis was performed using SPSS 20.0. Results: The total satisfaction score of the experimental group was (96.88 ± 1.26), the total satisfaction score of the control group was (80.65 ± 3.32), the test group (P < 0.05). The incidence of adverse reactions in the experimental group was significantly lower than that in the control group. The incidence of adverse reactions was 5.88% in the experimental group and 23.53% in the control group. Conclusion: The effect of comfortable nursing on the preparation of colonic gut in the oral magnesium sulfate method is relatively large.


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