sarah mohamadi

Adolescents experience many physical and psychological changes during adolescence. Not paying attention to the issue of girls’ puberty may have a negative impact on their mental health and self‑efficacy in future. The aim of this study was to compare the two methods of motivational interviews and peers on puberty health of female high school students.

This study was performed semi‑experimental intervention on 334 high school students in 2019 through multi‑stage randomization. Data using two demographic questionnaires and Scherrer self‑efficacy questionnaire in three stages (pre‑test, immediately after the test and one month after the test). It was collected that in the motivational interview group, 5 training sessions were presented, and in the peer group, only one training session was taught to the peers and the control group was not trained in any intervention.

Immediately after, and 1 month after the intervention, the two intervention groups had significantly better scores in self‑efficacy compared to the control group (P = 0.001). The mean score of self‑efficacy in the control group in the three time periods before, immediately, and one month after the intervention, respectively (50.75 ± 5.322, 50.45 ± 5.34, 50.45 ± 5.37), in the motivational interview group (50.56 ± 5.95, 53.63 ± 5.83, 56.03 ± 6.49) and in the peer group (50.10 ± 5.62, 54.40 ± 4.28, 59.19 ± 4.43) was. Moreover, there were significant differences in self‑efficacy scores within and between the groups by time (P < 0.001) in intervention groups.

This study showed that puberty health education increases students’ self‑efficacy, that correct information should be conveyed by peers and motivational interview, and motivational interview is more effective.

Context: 

Adolescence is one of the most important periods of a person’s life due to physical, mental andsocial maturity.

The aim of this study was to compare the motivational interview and peer groups in promoting mentalhealth and knowledge and performance about puberty health in adolescent girls. Setting and Design: This is a semi-experimental intervention study with two intervention groups and one control group. The study was conducted at the high schools during the academic year of 2018–2019 in Shahroud, Iran.

In this study, 334 female students (13–15 years old) were allocated to three groupsby assigning the schools to two intervention and one control groups through simple randomization. In intervention Group 1, five motivational interview sessions were held and in intervention Group 2, training was conducted by peers. The tools used in this study was a researcher-made questionnaire designed to assess knowledge and performance about puberty health and Symptom Checklist-25 to measure mental health. Statistical Analysis Used: In this study, data were analyzed using descriptive statistics and analytical statisticaltests include ANOVA, repeated measure, Pearson correlation, Chi-square.

Immediately after, and 1 month after the intervention, the two intervention groups had significantlybetter scores in knowledge, performance, and mental health compared to the control group. The scores were better in the peer group compared to the motivational interview group for all threevariables.

Both motivational interview and peer group were effective in increasing knowledge and performance in adolescent girls.

Adolescence is a critical stage of life with a significant role in reproduction and fertility. Interventions are needed to promote the health of adolescent girls as prospective mothers.

This study aimed to investigate the effects of motivational interviewing on adolescent girls’ puberty knowledge and practice.

This quasi‑experimental study was conducted in 2018 on 240 eighth‑grade female students recruited through multistage sampling from ten high schools in Shahroud, Iran. Schools were allocated into an intervention group and a control group through simple randomization. Participants in the intervention group received a five‑session puberty‑related motivational interviewing intervention. Puberty knowledge and practice in both groups were assessed before, immediately after, and 1 month after the intervention. Data were analyzed through the Chi‑square and the independent‑samples t‑tests and the repeated‑measures analysis of variance.

Participants’ age was 14.47 ± 0.51 years, on average. About 70% of them had poor or moderate puberty knowledge. Although there was no statistically significant between‑group difference respecting the mean scores of puberty knowledge and practice at pretest (P > 0.05), the mean scores of puberty knowledge and practice in the intervention group were significantly higher than the control group at both posttests (P = 0.001).

Motivational interviewing is effective in improving adolescent girls’ puberty knowledge and practice.

Mother's health and breastfeeding efficacy are affected by depression during pregnancy. The aim of study was to determine the effects of cognitive-behavioral therapy on the treatment of postpartum depression in mothers after childbirth.

In this systematic review, the Web of sciences, PubMed, Scopus, Google Scholar, Iran Medex, Magiran & SID databases were used to access relevant documentation. To search for articles in the resource, the keywords depression and cognitive-behavior therapy and "perinatal or antepartum or childbirth" is used with all possible combinations of these words. Without time limitation, all related articles have been retrieved. Search was restricted to articles published in Persian and English. The quality of papers was examined using the Cochran risk of bias tool. Meta-analysis was performed using Rev 5.3.

We retrieved 621 titles, of which 12 were qualified after the qualitative synthesis. Meta-analysis revealed a statistically significant beneficial effect of CBT sessions as compared to routine postpartum care on long term management of postpartum depression. (Mean difference: -4.02 [-5.58, -2.47]). A pooled effect size with BID instrument was observed -6.32 [-8.54, -4.11] at 3 months, with EPDS were observed 2.83 [-6.56, 0.90] and -2.81 [-4.21, -1.41] at 3 and 6 months respectively.

CBT was shown to be effective however the evidence available is limited. It can be used as an effective psychological treatment without the side effect of drugs in PPD.

One of the most important causes of neonatal death is their low birth weight (LBW) (less than 2500 grams). LBW has a lot of risk factors and will cause physical, mental, and growth problems in the future. Concerning the importance of the issue, this study aimed to determine the prevalence rate and risk factors of LBW in Shahroud, Iran.

In a cross-sectional research, all mothers who had given birth at Bahar hospital from 2013 to 2015 were recruited in the study. The information of the mothers and neonates was extracted from their records. Data were analyzed using SPSS16 and t-test and Chi-square tests.

A total of 6677 mothers were enrolled in the study. The mean age of mothers was 27.20±5.43. Further, %4.8 of newborn babies had weights equal to or less than 2500 grams. There was a significant relationship between low birth weight and the mothers who were under 18 years, maternal addiction, and type of delivery (Pvalue=0.001). Also, there was a significant relationship between preterm labor and prevalence of LBW, and the need to revive and hospitalization of baby in NICU (Pvalue=0.001).

The infants' health is one of the main factors determining the quality of health services in a community. Since the rate of LBW is still high, and this leads to numerous problems for both family and society, preventive measures are recommended.

Adolescents are poorly aware of reproductive health issues. Regarding the high importance of reproductive health and selfesteem level, this study aims to determine the relationship between the awareness of reproductive health and self-esteem.

The population of this cross-sectional study consisted of the first-semester students who were admitted at the Shahroud university of medical sciences in january 2017. The demographic information, Cooper Smith scale for self-esteem, and reproductive health researcher-made scale, were completed by the students. SPSS16 software and T-test and Chi-square statistical tests were applied for data analysis.

A total of 105 students participated in the study. The average age of students was 20.2±1.8. The average score of reproductive health scale was 51.48±16.24, and the average score for self-esteem questions was 32.91±13.0. There was no statistical difference between the male and female groups. There was a significant relationship between the awareness of reproductive health and self-esteem level (r=0.25 and Pvalue=0.001).

In the current research, there was a significant relationship between the awareness of reproductive health and selfesteem level. It is suggested that the youth receive more education on reproductive health since this can lead to both mental and physical health.

Puberty is one of the most critical stages in the life of every girl in adolescence. The purpose of this study was to determine the impact of peer education on girls' knowledge and practice about puberty.

In this semi-experimental study, 10 eighth-grade classes were selected from ten high schools in Shahroud, Iran 2018, using multi-stage sampling. Random assignment of schools to two groups of control and intervention was done. A total of 217 students enrolled in this research. Demographic characteristics were recorded and students completed a researcher-made questionnaire on puberty before, immediately after, and one month after the intervention. The intervention group received peer education on puberty by trained individuals for one month. Data were analyzed using descriptive statistics. The alpha level of 0.05 was considered significant.

There were no significant differences between the two groups in the mean scores for knowledge and practice before the intervention (P= 0.17). The mean scores of knowledge and practice in intervention group were 28.18±3.85 and 121.59±10.32 immediately after the intervention, and 31.91±3.69 and 130.37±8.07 one month after the intervention, respectively which were significantly higher than those of the control group (P= 0.001).

Collaborative nature of peer education makes it an appropriate choice for educating puberty issues to adolescents.
 
(Clinical Trials Registry Number: IRCT20180209038675N1)