zakieh sadat hoseini

Annually, more than half a million people worldwide are infected with brucellosis. Education is one of the basic strategies in controlling and preventing this disease. The PRECEDE model provides a clear framework for planning to change behavior. The factors affecting the behavior in the educational diagnosis stage of this model are categorized. This study aimed to determine the effect of educational intervention based on the educational phase of the PRECEDE-PROCEED model on the improvement of preventative behaviors of brucellosis.

 This semi-experimental study was carried out on 150 villagers of Minoodasht, Iran, in 2019. The subjects were selected by stratified sampling in two control and intervention groups. Seventy-five people were assigned to each group. Data collection tools were the valid and reliable questionnaire based on the educational structures of the PRECEDE-PROCEED model and a demographic questionnaire. Data of the two groups were collected before and three months after the educational intervention. Data were analyzed using SPSS 19 software through T, Chi-square, and exact Fisher tests.

 There was no significant difference between the two groups in demographic variables and enabling factors before the intervention (p>0.05). In contrast, there was a significant difference between the two groups in the enabling factors and preventive behaviors of brucellosis three months after the educational intervention (p<0.05). 

 The educational intervention based on the educational diagnosis phase of the PRECEDE-PROCEED model effectively promotes brucellosis prevention behaviors in the villagers.

Preventive measures such as training and preventive people skills are for personal protection in endemic areas that the aim of this study was to determine the predictors of preventive behaviors of cutaneous leishmaniasis in students based on Health Belief Model and BASNEF model.

In this descriptive-analytical study, 379 students of Neyshabur city were selected and studied by multistage cluster sampling. A questionnaire was designed to collect data and was completed based on the study patterns.

Significant correlation (P <.01) was found between all constructs of the models except perceived sensitivity and awareness with behavioral intention. Comparing the two models studied, the BASNEF model constructs predicted 32% of the total and the Behavioral belief model constructs 24% of the variance in intention to prevent leishmaniasis behaviors.

The prevalence of Leishmaniasis prevention behaviors in the studied community was moderate, which should be improved through educational interventions given that the disease is endemic in Neyshabur. Training programs aimed at enhancing attitudes, abstract norms, self-efficacy and perceived benefits as well as reducing perceived barriers can be effective in promoting leishmaniasis prevention behaviors.

Hypertension is one of the most common chronic health problems worldwide and self-care behaviors are an important part of managing blood pressure in these patients. Therefore, the present study was conducted to determine the effect of educational intervention based on the PRECEDE model on the promotion of self-care behaviors of patients with hypertension.

This randomized controlled trial was performed among 102 patients with hypertension who were selected by multi-stage cluster sampling in 2018. Data collection tools included demographic information and a standard questionnaire based on the PRECEDE model constructs which were completed by interview. The experimental group participated in 4 training sessions. Questionnaires were collected before and 3 months after the educational intervention from the participants of the experimental and control groups. Data were analyzed in SPSS 19 software using Chi-square, independent t-test, paired t-test, and linear regression.

The results showed that knowledge, attitude and enabling factors predicted 20% of the variance of self-care behaviors of patients with hypertension before the educational intervention. After the educational intervention, the mean scores of all structures of the PRECEDE model were statistically significant between the experimental and control groups (p<0.05), except for the enabling factors (p>0.05). Also, the mean score of self-care behaviors 3 months after the educational intervention in the experimental group was significantly increased compared to the control group (p<0.05).

Increasing the average of self-care behavior in patients undergoing educational intervention indicates the effective role of education in the use of self-care behaviors. Proper planning for educational interventions based on the PRECEDE model as well as providing the necessary structures is necessary to facilitate the realization of self-care behaviors in patients with hypertension.

Breast cancer is currently one of the main causes of women's death in the world. Having a healthy lifestyle and performing screening tests has an effective role in reducing the mortality due to this disease. The aim of the present study was to determine the effect of awareness and perceived self-efficacy of women of Neyshabur city on the preventive behaviors of breast cancer. This cross-sectional descriptive-correlational study was carried out on 248 women aged 30-69 years old who referred to Neyshabur Health Services Centers. The subjects were selected by cluster sampling method. Data were collected by a researcher-made questionnaire after assessment of its validity and reliability by a self-report method. Data were analyzed by SPSS 19 software, using Pearson correlation coefficient and linear regression method. There was a significant positive correlation between the mean scores of awareness (r=0.179; p=0.005) and perceived self-efficacy of women (r=0.211; p=0.001) with the preventive behaviors of breast cancer. Totally, self-efficacy and awareness variables significantly predicted %67 of the breast cancer preventive behaviors (p<0.05). Increasing of women's perceived self-efficacy and awareness can be effective on promoting the prevention behaviors of breast cancer.