Effectiveness of the Education Based on the Theory of Planned Behavior on Childbearing Intention in Single-child Women

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.

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Effect of Education Based on Extended Theory of Planned Behavior on Exclusive Breastfeeding in Pregnant Women in Darmian in 2017

Health Scope ◽

10.5812/jhealthscope.100277 ◽

2020 ◽

Vol 9 (3) ◽

Author(s):

Hajar Rasoli ◽

Gholamreza Masoudy ◽

Hossein Ansari ◽

Hossein Bagheri

Keyword(s):

Theory Of Planned Behavior ◽

Pregnant Women ◽

Planned Behavior ◽

Exclusive Breastfeeding ◽

Intervention Group ◽

Control Group ◽

Validity And Reliability ◽

Extended Theory ◽

The Mean ◽

And Control

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.

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

Journal of Nutrition and Food Security ◽

10.18502/jnfs.v4i2.771 ◽

2019 ◽

Author(s):

Esmat Rezabeigi Davarani ◽

Mohammad Reza Mahmoodi ◽

Narges Khanjani ◽

Mohammad Mehdi Fadakar

Keyword(s):

Theory Of Planned Behavior ◽

Planned Behavior ◽

Educational Intervention ◽

Intervention Group ◽

Educational Interventions ◽

Wilcoxon Test ◽

Control Groups ◽

Nutritional Behavior ◽

Significant Difference ◽

And Control

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.

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Effect of Educational Workshops on Disaster Risk Perception in Nurses

Journal of Rescue and Relief ◽

10.32592/jorar.2020.12.4.4 ◽

2020 ◽

pp. 270-278

Keyword(s):

Risk Perception ◽

Repeated Measures ◽

Intervention Group ◽

Round Table ◽

Disaster Risk ◽

National Standards ◽

Control Group ◽

Repeated Measures Analysis ◽

Post Hoc ◽

And Control

INTRODUCTION: The enhancement of nurses’ risk perception plays a significant role in their preparedness during disasters and emergencies. Therefore, this study aimed to investigate the effect of educational workshops on disaster risk perception in nurses METHODS: This randomized controlled field trial study included 62 nurses working at Razi Hospital, Birjand, Iran. The participants were divided into intervention and control groups. The intervention group was then requested to participate in a one-day intensive educational workshop based on the current national standards. The workshop content included a combination of lecturing methods, round-table exercises, and film display. The data were collected using the demographic characteristic form and researcher-made questionnaires measuring the nurses’ risk perception during disasters and emergencies. Subsequently, the data were analyzed using independent t-test, repeated measures analysis, and Bonferroni post hoc tests. FINDINGS: The mean total score of risk perception were significantly higher in the intervention group before, immediately, and two months after the workshop session, compared to those in the control group (P˂0.001). CONCLUSION: The implementation of nurses’ national preparation program during disasters and emergencies can result in an increase in the nurses’ risk perception during these events. Therefore, regarding the importance of nurses’ preparedness in confrontation with disasters and emergencies, it seems necessary to integrate the National Preparedness Program into the educational programs immediately after recruitment and in the form of in-service courses.

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Effectiveness of a Health Intervention using theory of planned behavior on Hand Washing Among residents receiving the COVID-19 vaccine: Randomized Controlled Trial

10.21203/rs.3.rs-876274/v1 ◽

2021 ◽

Author(s):

Lu Wang ◽

Zhengxin Guo ◽

Zhaokun Shi ◽

Wenjie Xie ◽

Binyu Wang ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Theory Of Planned Behavior ◽

Planned Behavior ◽

Content Validity ◽

Controlled Trial ◽

Intervention Group ◽

Health Intervention ◽

Hand Washing ◽

Control Group ◽

Randomized Controlled

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.

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The Effect of Foot Reflexology on Amnesia in Patients Undergoing Electroconvulsive Therapy: A Randomized Clinical Trial

Journal of Caring Sciences ◽

10.34172/jcs.2021.004 ◽

2021 ◽

Vol 10 (1) ◽

pp. 15-21

Author(s):

Hossein Namdar Areshtanab ◽

Saeed Alinejad Machiani ◽

Hossein Ebrahimi ◽

Parvin Sarbakhsh ◽

Sakineh Goljarian ◽

...

Keyword(s):

Olive Oil ◽

Repeated Measures ◽

Controlled Trial ◽

Intervention Group ◽

Invasive Technique ◽

Control Group ◽

Non Invasive ◽

Chi Squared ◽

Spss Software ◽

And Control

Abstract Introduction:Electroconvulsive therapy (ECT) is the oldest procedure among the early biological treatments introduced in psychiatry. However, the most debated and treatment-limiting adverse effect of ECT is amnesia. Therefore, due to the restriction of the use of drugs to manage amnesia in patients undergoing ECT, the present study investigated the effect of reflexology on amnesia. Methods:In this randomized controlled trial, 68 patients who met the inclusion criteria were randomly allocated to intervention and control groups. The intervention group received foot reflexology with olive oil 20 minutes a day for 3 days, while the control group was given a gentle foot rub with olive oil 20 minutes a day for 3 days. The amnesia rate of all patients was measured by the Galveston Orientation and Amnesia Test (GOAT) 30 minutes after the end of ECT. The data were analyzed using SPSS software version 11.5 and t-test, chi-squared test, and repeated measures ANOVA. Results:The results showed that reflexology significantly increased recalling scores in the intervention group compared to the control group. Foot reflexology seems to be effective in managing amnesia in patients after ECT. Conclusion:Foot reflexology, as a relatively simple, inexpensive, and non-invasive technique with few side effects, can be used to manage amnesia in patients after ECT.

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Effect of Foot Reflexology on Postoperative Pain in Patients Undergoing Tibia Plating Surgery: A Randomized Clinical Trial

Complementary Medicine Journal ◽

10.32598/cmja.10.3.1019.1 ◽

2020 ◽

Vol 10 (3) ◽

pp. 258-269

Author(s):

Fatemeh Imani ◽

◽

Ebrahim Nasiri ◽

Houshang Akbari ◽

Mohammad Reza Safdari ◽

...

Keyword(s):

Clinical Trial ◽

Postoperative Pain ◽

Randomized Clinical Trial ◽

Repeated Measures ◽

Intervention Group ◽

Control Group ◽

Control Groups ◽

Chi Square ◽

Chi Square Test ◽

And Control

Objective: One of the major problems of patients after orthopedic surgeries is acute pain. The present study aims to evaluate the effect of foot reflexology massage on postoperative pain in patients undergoing plating surgery for tibia fracture. Methods: This study is a randomized clinical trial conducted on 96 patients who were candidates for tibia plating surgery referred to Imam Ali Hospital in Bojnourd, Iran, randomly divided into intervention and control groups. Foot reflexology massage in the intervention group was performed on patients’ healthy feet for 10 minutes, one hour before surgery. In the control group, the foot sole was touched for one minute without any pressure. Pain intensity was measured using the standard Visual Analog Scale before and immediately after the intervention and 2, 4, 6, 12 and 24 hours after surgery. Data were analyzed using chi-square test, t-test, repeated measures ANOVA, Mann-Whitney U and Friedman tests. Results: The baseline pain scores in the intervention and control groups were reported 8.1±0.9 and 8.4±0.9, respectively. After the intervention, the pain score in these groups was reduced to 6.9±1.1 and 8.1±1.0, respectively (P<0.001). At other times, up to 24 hours after surgery, the pain reduction was higher in the intervention group (P<0.05). Conclusion: Foot reflexology massage reduces postoperative pain of patients undergoing tibia plating surgery. Therefore, this method can be used to reduce pain and anxiety in orthopedic surgery patients.

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Effectiveness of Mobile Phone Reminders in Improving Adherence and Treatment Outcomes of Patients on Art in Adamawa State, Nigeria: A Ramdomized Controlled Trail

TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH ◽

10.21522/tijph.2013.09.01.art020 ◽

2021 ◽

Vol 9 (1) ◽

pp. 197-211

Author(s):

Kabiru Usman Suru

Keyword(s):

Repeated Measures ◽

Hiv Transmission ◽

Opportunistic Infections ◽

Controlled Trial ◽

Intervention Group ◽

Control Group ◽

Chi Square ◽

Successful Treatment Outcome ◽

Group Data ◽

And Control

Adherence to antiretroviral therapy (ART) among people living with human immunodeficiency virus (PLHIV) is very imperative in achieving successful treatment outcome and decreased risk of HIV transmission to uninfected people. This is a randomized controlled trial study conducted in Adamawa State, Nigeria. 244 patients were randomized to intervention or control group. Data obtained from the study was analyzed using SPSS Version 21. Frequencies distributions, descriptive statistics were presented, Inferential statistics such as Pearson Chi square, McNemar’s test, Paired T test, correlation and repeated measures ANOVA were used to measure the strength of associations and relationships between the various variables and probability of statistically significant level set < 0.05 at 95% Confidence interval. The response rates in the intervention and control groups were 99% and 96.7% at 3 months; 97.5% and 92.6% at 6 months, respectively. Individual socio-demographic characteristics were not found to be associated with adherence levels in this study. At six months follow up the proportion of the respondents who had good adherence (>95%) was higher (89.1%) and statistically significant (p= 0.001) in the intervention group compared to control group (63.1%) and (p= 0.617). A significantly higher frequency in missed clinic appointments (7.98 vs 1.68) (p=0.024) was noticed in the control group, and a statistically significant increase in the proportion of participants who reported an increase in weight (p=0.001), CD4 cells counts (p=0.001) and decrease in the presence of tuberculosis and other opportunistic infections were observed among patients in the intervention group.

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The Effect of Educational Intervention Based on the Theory of Planned Behavior on The Performance on Pap Smear Test Screening in Iranian Women

10.21203/rs.3.rs-58161/v1 ◽

2020 ◽

Author(s):

Maryam Heidari Sarvestani ◽

zahra moradi ◽

Ali Khani Jeihooni ◽

Azizollah Dehghan

Keyword(s):

Theory Of Planned Behavior ◽

Planned Behavior ◽

Pap Smear ◽

Behavioral Control ◽

Intervention Group ◽

Control Group ◽

Perceived Behavioral Control ◽

Cross Sectional ◽

Pap Smear Test ◽

Smear Test

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).

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Rubric-based debriefing to enhance nursing students’ critical thinking via simulation

BMJ Simulation and Technology Enhanced Learning ◽

10.1136/bmjstel-2019-000523 ◽

2020 ◽

Vol 7 (1) ◽

pp. 11-16

Author(s):

Janet Yuen Ha Wong ◽

Maggie Mee Kie Chan ◽

Vivien Wai Yin Tsang ◽

Michelle Tsz Ha Pang ◽

Claudia Kor Yee Chan ◽

...

Keyword(s):

Critical Thinking ◽

Nursing Students ◽

Qualitative Data ◽

Intervention Group ◽

Estimating Equation ◽

Vital Role ◽

Simulated Patients ◽

Control Group ◽

Quasi Experimental ◽

And Control

IntroductionDebriefing plays a vital role in effective simulation-based learning by providing feedback to students to foster their development of critical thinking in the learning.ObjectivesWe evaluated the effects of rubric-based debriefing on students’ critical thinking, level of confidence in performing tasks and communication.MethodThis is a quasi-experimental study. Final year nursing undergraduates (n=204) of a local university participated in the study. In the intervention group, students performed two 20 min simulation sessions individually with simulated patients followed by a 15 min individual rubric-based debriefing between the two sessions and had a 5 min of that at the end. In the control group, students performed the same simulation sessions followed by a 20 min individual rubric-based debriefing at the end. The primary outcome was comparing the critical thinking of students between two groups, which was assessed by The Northeastern Illinois University Critical Thinking Rubric. The qualitative data were collected by an open-ended question.ResultsBased on generalised estimating equation models, the intervention effect over time was found to be statistically significant (β=2.06, 95% CI 1.04 to 3.08) in enhancing students’ critical thinking. No statistically significant differences were reported in the self-perceived confidence levels between the intervention group and control group. Qualitative data reflected positive feedback from students on simulation activities.ConclusionsThis is the first study to provide evidence that a rubric-based debriefing enhances students’ critical thinking in simulation learning.

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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.

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