Investigating the Effect of an Educational Intervention on Health Promotion Behaviors, Hope Enhancement and Mental Health in 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.

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.


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):  
Juanita Juanita ◽  
Piyanuch Jittanoon ◽  
Umaporn Boonyasopun

The clinical breast self-examination is one of the strategies to prevent breast cancer to women. Previous study was conducting to promote breast self-examination, but the study did not consider about the role of culture on health behavior. The purpose of this quasi-experimental design was to examine the effect of cultural-based breast self-examination (BSE) educational program on BSE self-efficacy among nursing students. The cultural-based BSE educational program was developed based on Bandura’s Social Cognitive Theory and Islamic Culture. A stratified proportionate random sampling method was employed to recruit nursing students at Public Nursing College, Faculty of Medicine, Syiah Kuala University in Aceh, Indonesia. Seventy-six students who met the inclusion criteria were recruited, 36 students were in the experimental group and 40 students were in the control group. The experimental group received the cultural-based BSE educational program including exploring Islamic mandate on prevention and individual responsibility in  health promotion and  cultural related beliefs toward BSE, health education, BSE training, and follow-up. The BSE self-efficacy scores were examined after 3 weeks of program implementation. The statistical analysis was conducted using dependent t-test and independent t-test. The results showed, the BSE self- efficacy of the nursing students in the experimental group were significantly higher than before participation ( t (35) =-5.02, p .001). Further, the BSE self-efficacy score in the experimental group was significantly higher than thecontrol group after participation the program (t (74) = 3.49, p .01). The result showed differences of the overall BSE self-efficacy and the subscale: BSE procedural efficacy (p .01), but not significant differences for the subscale: BSE barrier management efficacy (p .05). The cultural-based BSE educational program is effective in enhancing BSE self-efficacy among nursing students. The study suggests that the application of the cultural-based BSE educational program would be extended for other women and other nursing students in different areas.


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 21 (1) ◽  
Author(s):  
Tayebeh Rakhshani ◽  
Zahra Khiyali ◽  
Fatemeh Masrurpour ◽  
Ali Khani Jeihooni

Abstract Background Regular physical activity has important health benefits for women. The present study aimed to investigate the effect of theory-based educational interventions on the improvement of physical activities of middle-aged women. Methods This experimental study was conducted on 160 middle-aged women referred to Ahwaz health centers Iran in 2017 who were selected through the cluster sampling method. They were randomly divided into two groups: intervention (n = 80) and control (n = 80). The educational intervention for the experimental group consisted of 4 consultation and 4 follow-up sessions. The study outcomes included physical activity change, self-efficacy, decision-making balance, and the International Physical Activity Questionnaire, which were measured before the intervention and 2 months after that. The data were analyzed using the SPSS19 software as well as the Chi-square, independent t-test and paired t-test. Results After the intervention, the mean scores of preparedness for change, decision-making balance, perceived self-efficacy, pre-thinking, thinking, preparation, practice and maintenance were significantly different in both the experimental and control groups (P value < 0.05). The t-test showed that after the educational intervention, the mean score of physical activity was significantly higher in the experimental group than in the control group (726.3 ± 201.6 and 339.8 ± 90.2, respectively) (P value < 0.001). Conclusion The findings of this study showed that the theory-based educational intervention was effective on the improvement of the middle-aged women’s physical activities. Therefore, it is suggested that a theory-based educational program be designed and implemented in order to increase the physical activities of this group.


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.


2020 ◽  
Vol 5 (3) ◽  
pp. 421
Author(s):  
Abdul Hamid Hasbullah ◽  
Parno Parno ◽  
Sunaryono Sunaryono

<p><strong>Abstract:</strong> This study aims to analyze students' <em>self-efficacy</em> using STEM-based <em>Project Based Learning</em> (PjBL) learning models. The research design uses a quasi experiment consisting of two groups, namely the experimental group and the control group. The experimental group got the treatment in the form of STEM PjBL learning while the control class used conventional learning. The self-efficacy instruments used in this study were divided into five categories. Quantitative data obtained from the study were analyzed using an <em>independent sample t-test</em> to see whether there were differences in self-efficacy in the two classes. The effectiveness of the treatment given in both classes was analyzed using the average Gain (<em>N-Gain</em>) value obtained by both classes. The results showed that the students' <em>self-efficacy</em> increased after the learning of STEM PjBL was given. In addition, the increase in the average <em>N-Gain</em> score obtained by the experimental group is better than the control group.</p><strong>Abstrak:</strong><em> </em>Penelitian ini bertujuan menganalisis efikasi diri siswa menggunakan model pembelajaran <em>Project Based Learning</em> (PjBL) berbasis STEM. Desain penelitian menggunakan eksperimen kuasi yang terdiri dari dua kelompok yaitu kelompok eksperimen dan kelompok kontrol. Kelompok eksperimen mendapatkan treatment berupa pembelajaran PjBL STEM sedangkan kelompok kontrol menggunakan pembelajaran konvensional. Instrumen efikasi diri yang digunakan pada penelitian ini terbagi menjadi lima kategori. Data kuantitatif yang diperoleh dari penelitian dianalisis menggunakan <em>independent sample t – test</em> untuk mengetahui ada tidaknya perbedaan efikasi diri pada kedua kelompok. Efektivitas treatment yang diberikan pada kedua kelompok dianalisis menggunakan nilai Gain (<em>N – Gain</em>) rata – rata yang dicapai kedua kelompok. Berdasarkan analisis yang dilakukan, diperoleh bahwa efikasi diri siswa mengalami kenaikan setelah pembelajaran PjBL STEM diberikan. Selain itu, peningkatan skor rata – rata <em>N-Gain</em> yang diperoleh kelompok eksperimen lebih baik dibandingkan kelompok kontrol.


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