scholarly journals Behavioral Counseling of Theory of Planned Behavior-Based to Increase Sufferers' Intention in Preventing Recurrent Ischemic Stroke: A Randomized Control Trial

2021 ◽  
Vol 5 (1) ◽  
pp. 306-311
Author(s):  
Novian Mahayu Adiutama ◽  
Hera Hijriani ◽  
Aat Agustini ◽  
Wardah Fauziah ◽  
Nurizzi Rifqi Ferdian ◽  
...  

Introduction: Ischemic stroke has become the leading cause of premature death in the last two decades. The biggest problem in preventing recurrence ischemic stroke is the compliance of the sufferers and the obedient behavior will arise only if they are consistent and have a strong intention. This study aims to determine the effect of behavioral counseling in increasing the intention to prevent recurrent ischemic stroke by using the theory of planned behavior model approach. Methods: Randomized Control Trial was conducted on 64 patients after an ischemic stroke that was managed by a public health center in East Java, Indonesia. Simple random sampling technique was used to take samples in this study. We provided behavioral counseling regarding the prevention of ischemic stroke recurrence to the treatment group using the Behavioral module which was compiled based on the guidelines from the Theory of Planned Behavior (TPB), while the intention variable was measured using the intention measurement instrument from the TPB Questionaries. The data obtained were then analyzed by using an independent t test. Results: The result revealed that there was a significant difference in the mean value of the intention variable between the control group and the treatment group after the TPB-based behavioral counseling intervention for 1 month (p=0.015). Discussion: The behavioral counseling of TPB-based can be implemented as an alternative way in increasing the sufferers’ intention to prevent recurrence ischemic stroke. Further research in a broader scope is needed to prove the effectiveness of behavioral counseling on the structural values of the Theory of Planned Behavior.

Author(s):  
Bibi Haleema ◽  
Huma Riaz

Abstract Objective: The objective of study was to determine the effects of thoracic spine manipulation on interscapular pain and pain pressure sensitivity, thoracic mobility and disability due to active myofascial trigger points in rhomboid muscle. Methods: A randomized control trial was conducted at Women Institute of Rehabilitation Sciences Abbottabad, from July to December 2019.Ethical permission was taken fromResearch ethical committee of Riphah international university Islamabad. Participants were selected through non-probability purposive sampling technique as per inclusion criteria. It consisted of 60 participants with forward head posture having active trigger points in rhomboid muscle, with age ranging from 18 to 30 years. The participants were randomly allocated through sealed envelope method into two groups that are experimental and control. Experimental group has received thoracic manipulation along with conventional physical therapy (CPT) whereas control group has only received CPT including manual pressure release and therapeutic exercise. Intervention was applied with 2 sessions / week with 3 weeks in total. Pre and Post assessment was done with outcome measurement tools comprised of Numeric pain rating scale (NPRS) for pain severity, Algometry for pain pressure threshold(PPT), Inclinometer for Range of movement(ROM) and Neck disability index (NDI) for associated disability. Data analysis was done using SPSS-20 version. Results: Between group analysis has shown significant improvement of pain & pain pressure sensitivity with p value <0.01 and <0.05 respectively. All outcome measures have shown significant difference in pre post treatment (p<.000) in both groups. Continuous...


Author(s):  
Zahra Farzaneh ◽  
Zahra Asadollahi ◽  
Mohammad Asadpour ◽  
Zohre Rahaei ◽  
Farzaneh Sardari ◽  
...  

Introduction: Theory of planned behavior can provide a framework for intervention to understand how to prevent health problems. The aim of this study was to determine the effect of training intervention based on the theory of planned behavior in promoting oral health behavior of pregnant women who visit health care centers of Rafsanjan. Methods: In this educational intervention trial, 100 pregnant women in Rafsanjan were selected by multi-stage sampling in 2016. Initially, four centers were randomly selected, followed by two centers selected as intervention groups and two centers as control groups. Data were collected using a three-part researcher-made questionnaire, that were completed by pregnant women in two periods, ie, before and three months after the intervention. Quantitative data were presented as mean ± SD and qualitative data as n (%). First, the homogeneity of the two groups was examined using an independent t-test and chi-square test. Data were analyzed with SPSS 18. The significance level of all tests was considered to be 0.05. Results: Findings showed that there was no statistically significant difference between the demographics of the two groups (p> 0.05). After the implementation of the program, the mean score of intervention in all constructs of the theory of planned behavior model was significant between the control and intervention groups (p < 0.001). Following the educational program, the oral health behavior of pregnant women increased in the intervention group (3.72 ± 4.22) which was significantly higher than the control group (1.48 ± 2.58) (p < 0.001). Conclusion: The results of this study showed that educational interventions can focus on the subjective norm which had fruitful results in the field of oral health. This theory can be used as an appropriate model for oral health promotion programs.


2019 ◽  
Author(s):  
Elham Mirzaei ◽  
Farbod Ebadi Fard Azar ◽  
Arash Ziapour ◽  
Nammam Ali Azadi ◽  
Mostafa Qorbani ◽  
...  

Abstract Aims Physical activity is the most critical determinant of physical health which reduces the health risks during life. This designed study aims to evaluate the effect of educational intervention based on the theory of planned behavior on promoting physical activity among middle-aged women attending the health centers in Karaj city during 2017-2018. Methods This research was a quasi-experimental controlled trial, and the study incorporated 140 Middle-Aged Women Referring to Karaj Health Centers assigned randomly to a control and intervention group (70 each group). Participants enrolling in the survey were asked to complete the International Physical Activity Questionnaire and also the theory of planned behavior measures at the baseline and the end of the study. The study applied Nonparametric Wilcoxon and Mann-Whitney tests and ANCOVA to interpret the results. Results The results revealed participants' age range between 30 to 50 years with the mean and standard deviation scores 40.07 (8.750) in training and 45.81 (8.513) at the control group. The intervention improved the theory of planned behavior measures and the physical activities of participants. The results showed a significant difference in the attitude score, the perceived behavioral control score, and the level of subjective norms between two training and non-training groups (P<0.001). The followed-up physical activity score also showed an improvement in the IPAQ score of participants in the training group (p<0.001). Conclusions The findings suggested the effectiveness of training based on the theory of planned behavior in the promotion of physical activity among middle-aged women.


Author(s):  
Elham Mirzaei ◽  
Farbod Ebadi Fard Azar ◽  
Arash Ziapour ◽  
Nammam Ali Azadi ◽  
Mostafa Qorbani ◽  
...  

Background Physical activity is the most critical determinant of physical health which reduces the health risks during life. This designed study aims to evaluate the effect of educational intervention based on the theory of planned behavior on promoting physical activity among middle-aged women attending the health centers in Karaj city during 2017–2018. Methods This research was a quasi-experimental controlled trial, and the study incorporated 140 Middle-Aged Women Referring to Karaj Health Centers assigned randomly to a control and intervention group (70 each group). Participants enrolling in the survey were asked to complete the International Physical Activity Questionnaire and also the theory of planned behavior measures at the baseline and the end of the study. The SPSS software were used, to analyze the data. The study applied Nonparametric Wilcoxon and Mann-Whitney tests and ANCOVA to interpret the results. Results The results revealed participants' age range between 30 to 50 years with the mean and standard deviation scores 40.07 (8.750) in training and 45.81 (8.513) at the control group. The intervention improved the theory of planned behavior measures and the physical activities of participants. The results showed a significant difference in the attitude score, the perceived behavioral control score, and the level of subjective norms between two training and non-training groups (P < 0.001). The followed-up physical activity score also showed an improvement in the IPAQ score of participants in the training group (p < 0.001). Conclusions The results of this specific study support the effectiveness of the theory of planned behavior for promoting the physical activity of women.


2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Zahra Farsi ◽  
Mahdieh Yazdani ◽  
Samantha Butler ◽  
Maryam Nezamzadeh ◽  
Jila Mirlashari

Background. The proper implementation of cardiopulmonary resuscitation (CPR) is crucial in saving patients. Purpose. This study was aimed at evaluating the difference in educating nursing students on CPR when using the traditional simulation training with a mannequin versus a more novel serious game training on the smartphone platform. Methods. This randomized control trial was conducted in 2018-2019. Through purposive sampling, 56 nursing students were selected and randomly assigned to three groups: a simulation-based CPR training, CPR training using a serious game on the smartphone platform, and a control group that received no CPR training. Each student was evaluated pre- and posttraining on CPR knowledge and skill. Results. Both the simulation and serious game training groups increased CPR abilities two weeks after training. The control group did not show improvement in skill or knowledge of CPR. The simulation and serious game intervention groups demonstrated better scores on the knowledge questionnaire and on the CPR skill demonstration in comparison to the control group. However, the simulation group and the serious game group showed no significant difference in knowledge ( 9.55 ± 2.81 vs. 7.77 ± 2.46 ; p = 0.065 ) or CPR skill demonstration ( 27.17 ± 2.81 vs. 25.72 ± 3.98 ; p = 0.988 ). The overall scores for CPR knowledge did not meet minimum expectations (70% score) in either the simulation (47.75%) or serious game (38.85%) group. However, both groups demonstrated adequate CPR skill on demonstration (simulation 87.64% and serious game 83.06%). Conclusions. Both the simulation and serious game training groups were found to increase CPR skill. CPR training would likely benefit from a multimodal approach to education.


2019 ◽  
Vol 26 (06) ◽  
Author(s):  
Hamid Raza ◽  
Ahmed Uddin Soomro ◽  
Maqsood Ahmed Siddiqui ◽  
Kamlaish ◽  
Muhammad Sheraz Raza Naqvi

Objectives: To evaluate the role of pre-operative lidocaine infusion for pain management in laparotomy procedures. Study Design: Prospective double blind randomized control trial. Period: 8 months duration from April 2017 to November 2017. Setting: Tertiary care hospital in Karachi, Pakistan. Method: N= 50 patients belonging to ASA Classification types I and II were selected to be part of this study. All the patients underwent major abdominal surgeries (laparotomy). The study group received lidocaine 2%, 1.5mg/kg IV bolus half an hour before induction, followed by an infusion of 1.5mg/kg/hour. The anesthesia was induced with fentanyl 3ug/kg, propofol 2mg/kg, followed by rocuronium 1mg/kg to intubate the patient. Maintenance was done with using 33% nitrous oxide in oxygen along with 0.8% of isoflurane. Fentanyl was administered as an infusion initiating prior to the procedure with a maximum dose of 1ug/kg/hour and ceasing the infusion half an hour prior to end of procedure. Visual analog scale was used to measure the pain intensity at an interval of twenty minutes during the first hour of the procedure, and at 2,4,8,12,24 and 48 hours after the end of the procedure. If the visual analog scale score was found to be more than 3, 1 to 3mg of Morphine was administered every ten minutes up to a dose of 0.1mg/kg intravenously. A proforma was used to collect data, data was analyzed using IBM SPSS version 21.0. Results: The study was conducted on n=50 patients, with a mean age of 38.35 years in the study group and 36.48 years in the control group. The intensity of pain was found to be significantly less in the case group as compared to the control group having a p value of <0.001 during the first 48 hours of the procedure. Decreased consumption of morphine was observed in patients in the study group, as compared to the control group with a statistically significant difference, having a p value of less than <0.05. In our study we did not observe any side effects related to toxicity levels of lidocaine or morphine. Conclusion: Our study confirms the results of previously done studies, and we found that in our patient population Perioperative lidocaine infusion decreased the post-operative pain experienced by the patient and decreased the need for consumption of analgesics. Thus we conclude that lidocaine infusion perioperatively is an effective pain management modality.


2020 ◽  
Author(s):  
Feifei Wang

Abstract BackgroundThis study aimed to evaluate the longitudinal effects of a randomized control trial about a goal-setting aerobic walking intervention conducted among sedentary young adults.MethodsA 4-week daily aerobic walking (a. continually walking for at least 10 minutes; b. walk at least 60 steps per minute.) intervention was conducted to examine its effectiveness on sleep quality, stress and life satisfaction. Fifty-four participants aged 19–36 years old were assigned into two groups randomly (i.e. intervention group, control group). Sleep quality, stress and life satisfaction were assessed at baseline, post intervention and four weeks after the intervention by a battery of questionnaires. Omron HJ-112 pedometer and daily diary were used to facilitate the intervention process.ResultsThe comparison between intervention group and control group did not show significant difference in terms of sleep quality, stress and life satisfaction after intervention. Repeated measures ANOVA showed significant longitudinal effect with regard to stress (p = 0.03). Sleep quality was improved close to statistical significance (p = 0.06). Longitudinal analysis reported that the aerobic walking effect pertaining to life satisfaction rather than stress and sleep quality (p = 0.05).ConclusionsAerobic walking is an effective exercise for stress and sleep. Further studies are suggested to explore feasible intervention strategies that could bring long-term effectiveness to health.Trial registrationClinicalTrials.gov, NCT04427696. Registered 11June 2020- retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04427696?cntry=HU&city=Budapest&draw=2&rank=1


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
I Ketut Addy Putra Indrawan ◽  
I Ketut Yoda ◽  
I Nyoman Sudarmada

Abstrak Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan quick leap dan double leg speed hop terhadap peningkatan power otot tungkai. Rancangan penelitian ini adalah the non-randomized control group pretest posttest design. Subjek penelitian adalah siswa putri peserta ektrakurikuler bolavoli SMP Negeri 3 Mendoyo berjumlah 45 orang. Data dianalisis dengan uji F (one way anova) pada taraf signifikansi (α) = 0,05 dengan bantuan program SPSS 16.0. Hasil analisis data pada kelompok perlakuan quick leap terjadi peningkatan power otot tungkai sebesar 27,4 pada kelompok perlakuan double leg speed hop sebesar 11,6 dan pada kelompok kontrol sebesar 0,33. Hasil uji one way anova variabel power otot tungkai antara kelompok perlakuan dan kelompok kontrol didapat Fhitung sebesar 22,325 dan signifikasi 0,000 yang berarti terdapat perbedaan pengaruh antara pelatihan quick leap dan double leg speed hop terhadap power otot tungkai. Disimpulkan bahwa; (1) pelatihan quick leap dan double leg speed hop berpengaruh signifikan terhadap peningkatan power otot tungkai. (2) terdapat perbedaan pengaruh signifikan antara pelatihan quick leapp dan double leg speed hop terhadap peningkatan power otot tungkai. (3) pelatihan quick leap lebih baik dari pada double leg speed hop terhadap peningkatan power otot tungkai. Saran; (1) bagi pelatih disarankan dapat menggunakan pelatihan ini dalam meningkatkan power otot tungkai. (2) bagi atlet perlu memperhatikan set dan repetisi yang tepat karena setiap individu memiliki kemampuan berbeda. (3) bagi peneliti yang ingin melakukan penelitian sejenis disarankan menggunakan variabel dan sampel penelitian berbeda. Kata Kunci : Kata-kata kunci: quick leap, double leg speed hop, daya ledak otot tungkai. Abstract This study aims to determine the effect of leap quick and double leg speed hop research to increase leg muscle power. The design of this study is the non-randomized control group pretest post-test design. The subjects were female students who join volleyball extracurricular SMP Negeri 3 Mendoyo amounted to 45 students. Data were analyzed by F (one way anova) test at significance level (a) = 0.05 with the help of SPSS 16.0. The results of data analysis in the quick leap treatment group, an increase on lamb muscle power of 27.4, in the treatment group double leg speed hop of 11.6 and in the control group of 0.33. One way anova variable of limb muscle power variable between treatment group and control group was obtained Fcount 22.225 and significance 0.000, which means difference of influence between quick leap and double leg speed hop training toward leg muscle power. It was concluded that; (1) the influence between quick leap and double leg speed hop training significantly influenced the increase of leg muscle power, (2) there is significant difference of influence between quick leap and double leg speed hop training toward increasing leg muscle power, (3) quick leap training more Both on double leg speed hop against increased leg muscle power. Suggestion: (1) for trainers it is advisable to use this training in improving leg muscle power, (2) for athletes need to care for cells and proper repetition because each individual has different capabilities, (3) for researchers who want to do similar research is suggested using variables and Different research samples. keyword : Key Words: quick leap, double leg speed hop, explosive muscle limb power.


2021 ◽  
Author(s):  
Ali Khani Jeihooni ◽  
Zhila Fereidouni ◽  
Mina Bahmandoost ◽  
Pooyan Afzali Harsini

Abstract Objectives. The purpose of this study was designed and conducted so that the educational intervention based on the theory of planned behavior be performed in order to promote preventive behaviors of knee osteoarthritis in women over 40 living in, Fars, I.R.IranMethods. This research is a quasi-experimental study. The subjects of the study were 100 women over the age of 40 who were under the coverage of Health Centers. The data collection tool was a questionnaire TPB. The educational intervention program consisted of 8 training sessions on the adoption of preventive behaviors from knee osteoarthritis based on the theory of planned behavior (TPB). Results. There was a significant difference between the experimental and control groups in terms of the scores for attitude, subjective norms, perceived control behavior, intention and behavior before and after the intervention. However, three months after the intervention, there was a significant increase in each of the constructs in the experimental, but there was no such a significant difference in the control group.Conclusion. With regard to the findings of this study, performing educational intervention based on theories and changing behavior modes particularly the TPB aiming at reducing knee osteoarthritis can lead to its morbidity reduction.


2010 ◽  
Vol 50 (4) ◽  
pp. 187
Author(s):  
Tri Sunarti Wahyutami ◽  
Soedjatmiko Soedjatmiko ◽  
Agus Firmansyah ◽  
Rulina Suradi

Background Baby massage is one of the touch stimulation that could be applied as soon as possible after birth. Giving massage regularly will affect the behavior of newborn.Objectives To explore the effects of ten-day massage on infant's behavior.Methods A randomized control trial was done from December 200S to March 2009. Full-term newborm were randomly assigned into massage group or control group. Babies in massage group were given massage by their mothers and supervised by midwives. All babies were evaluated twice, i.e., on day 1 and day 11, using Brazelton Scale (Neonatal Behavior Assessment Scale). The behavior was compared between the two groups.Results A total of 72 full-term newborn infants appropriate for gestational age were included in this study. Infants in the massage group sbowed significant difference in adaptive behavior compared to control group. Those adaptive behavior consisted of habituation (WMD 1.08 CI 95% 0.67 to 1.49, P<0.0001), social interaction (WMD 1.54 Cl 95% 1.23 to 1.84, P<0.0001), motor system (WMD 1.35 CI 95% 1.14 to 1.55, P<0.0001), organization state (P<0.0001), range of state (WMD 1.35 CI 95% 0.95 to 1.55, P< 0.0001), autonomic system (WMD 0.53 CI 95% 0.23 to 0.84, P<0.0001), end reflexes (P<0.0001).Conclusions Massage gives better adaptive behavior and reflexes of full-term newborns compared to those without massage.


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