shahriar peyghani asl

Developing standards for Health Promotion Hospitals (HPH) plays a crucial role in hospital accreditation. This study aimed to compare the development of HPH standards in public and private hospitals in Tabriz, Iran in 2021.

This descriptive-analytical and cross-sectional study was conducted to evaluate all public and private hospitals in the city. Data were collected using observation and interviews through a valid and reliable HPH checklist. Data were analyzed using t test.

The study found that the standards for patients’ data and interventions (77.38%), continuity in treatment and cooperation (69.38%), management policy (61.92%), patient evaluation (60.76%), and providing a healthy workplace (42.7%) had the highest scores, respectively. Private hospitals scored higher than public hospitals in all dimensions. There was a significant difference between public and private hospitals regarding the total score (P = 0.001), management policy(P = 0.01), patient information and interventions(P = 0.003), and continuity in treatment and cooperation (P = 0.002).

The competitive atmosphere among private hospitals appears to have improved their status in HPP, while public hospitals were less concerned with competition and improving their performance in this field. Additionally, ignoring human resource management policies has made the managers of all hospitals feel the need for further upgrading in terms of standards for promoting a healthy work setting.

The prevalence of Diabetes type 2 has been increased significantly during recent years. So, prevention is necessary from adolescence. The aim of this study was to investigate the effect of HBM- based education on preventive behaviors of Diabetes type 2 in male adolescences.

This semi-experimental study was conducted on 208 secondary school students of Hamadan city (104 students in an experimental group and the rest in a control group) in 2018, who were selected using the stratified-proportional sampling method. Data were collected using a researcher-developed questionnaire. Afterward, educational intervention was implemented in the experimental group based on HBM in four 45-60 minute sessions. After one month, the data were recollected from the two groups and analyzed using Chi-square Tests, t-tests and linear regression by SPSS software version 16.

The mean age of the students was 13.22 ± 1.40 in the intervention group, and 13.55 ± 0.63 in the control group (p>0.05). Comparing the scores of awareness, HBM constructs, and student’s preventive practices revealed no statistically significant difference between the two groups at the beginning of the study (P>0.05). However, after the intervention, significant differences were observed between the two groups in terms of awareness, the HBM constructs, and student’s preventive practices (p<0.05). Linear regression analysis indicated that self-efficacy was the most important independent predictor of type-2 diabetes-preventative behavior (P<0.05).

HBM-based education was effective in promoting the type-2 diabetes prevention behaviors in students. Therefore, it can be used to train secondary school students.