جستجوی مقالات مرتبط با کلیدواژه "behavioral intention" در نشریات گروه "پزشکی"
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Background
Organ transplantation is one of the options to increase the life expectancy and quality of life (QOL) of patients waiting on the organ transplant list. The lack of body parts for transplants remains a worldwide concern. This study was designed and implemented to assess organ donation intention among the staff of government and non-government offices in Qom based on the theory of planned behavior (TPB).
MethodsUsing stratified random sampling, this cross-sectional and analytical study was conducted on 440 employees in Qom, Iran, in 2022. The data collection instrument was a researcher-designed questionnaire, including demographic characteristics, possession of an organ donation card or blood donation history, and constructs of the TPB. The data were analyzed using descriptive statistics, the Pearson correlation coefficient, multiple regression analysis, and structural equation modeling.
ResultsThe mean ± standard deviation age of participants was 38.21 ± 3.6. The results showed that 29.2% of participants (n = 116) had a signed blood donation card, and 107 participants (27%) had a blood donation history. The structural model fits the data well [χ2/df = 2.84, P < 0.001), CFI = 0.916, GFI = 0.902, RMSEA = 0.053]. The TPB constructs could predict 75% of the variance of the behavioral intention (P < 0.001). Finally, no statistically significant relationship was found between knowledge and intention to donate organs (β = 0.003, P = 0.93).
ConclusionThe result of the regression analysis of the relationship between TPB variables and organ donation intention indicated that perceived behavioral control (PBC) had a great influence on the organ donation intention of government and non-government employees.
Keywords: Behavioral intention, Organ donation, Theory of planned behavior, Structuralequation modeling -
Background
Athletes’ use of androgenic-anabolic steroids (AASs) is a significant health problem. This study aimed to determine factors associated with AAS in male bodybuilders by applying the theory of planned behavior (TPB).
MethodsUsing a multistage random sampling procedure, this descriptive-analytical cross-sectional study was performed on 429 athletes participating in gyms in Qom, Iran, in 2019. The data collection tool was a questionnaire, including demographic information and questions related to TPB constructs. Data were analyzed by descriptive statistics, Chi-square test, logistic regression, and linear regression using SPSS software, version 16.
ResultsThe results demonstrated that 188 (48.2%) athletes had a history of AAS use. The attitude (β=0.39), subjective norm (β=0.26), and perceived behavioral control (β=-0.36) predicted 38% of the variance of intention to AAS use. Further, behavioral intention was the statistically significant predictor of AAS use among the studied athletes (OR=0.83, 95% CI: 0.78-0.87). Variables such as having friends (OR=2.06, 95% CI: 1.28-3.30) or a sports coach using AAS (OR=3.1, 95% CI: 1.58-6.42) and having a history of supplementation use (OR=5.8, 95% CI: 2.65-12.8), along with age (OR=4.3, 95% CI: 0.35-53.6) had a significantly predictive role in using AAS.
ConclusionThe findings revealed that nearly half of the studied athletes had a history of using AAS and supplements. TPB is applicable to identify the determinants of beliefs, intention, and behavior to use AAS among athletes. These findings can be useful in designing appropriate programs to prevent AAS use.
Keywords: Sports, Behavioral intention, Health promotions, Exercise psychology -
Background
Coronavirus disease 2019 (COVID-19) vaccination is expected to end the pandemic; a high coverage rate is required to meet this end. This study aimed to investigate the prevalence of behavioral intention of free/self-paid COVID-19 vaccination and its associations with prosociality and social responsibility among university students in China.
MethodsAn anonymous online cross-sectional survey was conducted among 6922 university students in five provinces in China during November 1-28, 2020. With informed consent, participants filled out an online survey link distributed to them via WeChat study groups. The response rate was 72.3%.
ResultsThe prevalence of behavioral intentions of free COVID-19 vaccination was 78.1%, but it dropped to 57.7% if the COVID-19 vaccination involved self-payment (400 RMB; around 42 USD). After adjusting for background factors, prosociality (free vaccination: adjusted odds ratio [ORa] = 1.10, 95% CI: 1.09-1.12; self-paid vaccination: ORa = 1.08, 95% CI: 1.07-1.09) and social responsibility (free vaccination: ORa = 1.17, 95% CI: 1.14-1.19; self-paid vaccination: ORa = 1.13, 95% CI: 1.11-1.14) were positively associated with the two variables of COVID-19 vaccination intention.
ConclusionThe present study demonstrated the positive effects of prosociality and social responsibility on the intention of COVID-19 vaccination. Accordingly, modification of prosociality and social responsibility can potentially improve COVID-19 vaccination. Future longitudinal and intervention studies are warranted to confirm such associations across populations and countries.
Keywords: COVID-19, Behavioral Intention, Vaccination, Prosociality, Social Responsibility -
Background
The prevalence of coronavirus disease 2019 (COVID-19) vaccination is very critical in controlling COVID-19. This study mainly aimed to (1) investigate behavioral intentions of COVID-19 vaccination under various specific scenarios, and (2) associated factors of the afore-mentioned vaccination intentions.
MethodsA random anonymous telephone survey interviewed 450 Chinese adults from September 16-30, 2020 in Hong Kong, China. Nine scenarios of behavioral intentions of COVID-19 vaccinations were measured combining effectiveness (80% versus 50%), safety (rare versus common mild side effect), and cost (free versus HK$ 500).
ResultsThe prevalence of behavioral intentions of COVID-19 vaccination under the 9 specific scenarios was very low and varied greatly (4.2% to 38.0%). The prospective countries of manufacture also influenced vaccination intention (eg, Japan: 55.8% vs China: 31.1%). Only 13.1% intended to take up COVID-19 vaccination at the soonest upon its availability. The attributes of effectiveness and side effect influenced vaccination intention most. Positively associated factors of behavioral intentions of COVID-19 vaccination included trust/satisfaction toward the government, exposure to positive social media information about COVID-19 vaccines, descriptive norms, perceived impact on the pandemic, perceived duration of protectiveness, and life satisfaction.
ConclusionIntention of COVID-19 vaccination was low in the Hong Kong general population, especially among younger people, females, and single people. Health promotion is warranted to enhance the intention. The significant factors identified in this study may be considered when designing such health promotion. Future research is required to confirm the findings in other countries. Such studies should pay attention to the specific context of cost, safety, and effectiveness, which would lead to different responses in the level of behavioral intention of COVID-19 vaccination (BICV).
Keywords: COVID-19 Vaccination, Behavioral Intention, Effectiveness, Safety, Cost, Hong Kong -
Introduction
One of the cancers that threatens womenchr('39')s health is cervical cancer, so the aim of this study was to investigate the predictors of behavioral intention of Pap smear testing based on the theory of protective motivation in women.
Material and MethodsThis is an analytical cross-sectional study. Participants in this study were 300 women referring to public clinics in one of the selected hospitals in Tehran. In this study, a reliable and valid questionnaire based on protection motivation theory was used to collect information. Data were analyzed using Spss software version 19 as well as correlation test and stepwise regression. The P value less than 0.05 was considered to be statistically significant.
ResultsOut findings revealed that the correlation coefficients of perceived sensitivity (r = 0.47), perceived intensity (r = 0.53), fear (r = 0.46), response costs (r = 0.54), response efficiency (r = 0.2), self-efficacy (r = 0.53), and behavioral intent were significant at a confidence level of 0.99 and in a positive directionThe ability of behavioral intention prediction for response costs (26.2%), self-efficacy (11.6%), fear (1.8%) and perceived sensitivity (3.2%) was recorded, these variables are able to predict about 42.8% of changes in behavioral intention for Pap smear testing.
ConclusionThe behavioral intent of having a Pap smear testing can be predicted based on the theory of protective motivation in women. Therefore, designing educational programs within the framework of this theory is recommended to improve Pap smear testing.
Keywords: Behavioral intention, Pap smear testing, Cervical cancer, Protective motivation -
Journal of Research Development in Nursing and Midwifery, Volume:17 Issue: 2, Autumn Winter 2020, PP 27 -31Background
Breast cancer is the most common cancer among women in Iran. Early diagnosis of breast cancer by mammography could decrease the rate of mortality and improve the survival rate. This study aimed to determine the predicting factors of mammography adherence among Iranian women based on transtheoretical model.
MethodsThis cross-sectional study was done on 300 married women in Yazd in 2018. Subjects was recruited using cluster sampling. Data were gathered through researcher-made questionnaire based on trans-theoretical model. The constructs of decisional balance, self-efficacy, stages and process of change were studied. Data were analyzed using chi-square test, one-way analysis of variance, Spearman correlation coefficient and regression analysis in SPSS-16 software.
ResultsThe mean age of women was 47.25±6.97 years old (ranged from 40 to 70). Most of the participants (86.4%) were in inactive stages of decision-making for performing mammography and only 5.3% were in active stages. The mean score of self-efficacy among the studied women was 24.54±6.5. According to linear regression test, the validity of the predicting trans-theoretical model by all of its constructs together was 47%.
ConclusionsResults of the present study showed that most of the women were at inactive stages of decision-making for mammography behavior and, based on the results, to improve the stages of the behavior, their self-efficacy should be improved.
Keywords: Breast neoplasms, Mammography adherence, Transtheoretical model (TTM), Behavioral intention -
Introduction
Some communicators resort to negative appeals such as fear to encourage consumers to healthy behaviors. Nonetheless, the effectiveness of this type of content is yet questioned. Present study has been conducted to investigate how fear intensity and fear type applied in anti-obesity advertisements prompt preventive behavior among consumers.
Methods208 college students in Tehran province were randomly classified in 7 groups (6 experimental and 1 control group) based on a factorial design; 2 (fear intensity: high and low) x 3 (fear type: physical, social, and reappraisal). Research hypotheses were tested applying appropriate statistical tests including structural equation modeling and analysis of variance, based on data gathered through questionnaire and interventions such as presenting participants with visual contents.
Findingsit was revealed that there is a significant and positive relationship between the perceived severity and perceived fear, as well as between perceived susceptibility and perceived fear, and also between perceived fear and behavioral intention. Analysis of variance confirmed the significant main effect of fear intensity on behavioral intention. The main effect of the fear type on behavioral intention was not approved. However, findings indicate the significant interaction effect of fear intensity and fear type on behavioral intention so that highly intense messages that representing physical harm and lowly intense messages that representing social harm stimulate more behavioral intention.
ConclusionIt is concluded that applying fear appeal in health warning advertisements is effective in inviting consumers to healthy behavior, especially once a proper combination of the type and intensity of fear is applied in messages.
Keywords: Social marketing, Obesity, Fear appeal, Severity, Susceptibility, Behavioral intention -
مقدمه
در بازار رقابتی خدمات پزشکی، ارایه خدمات با کیفیت و ایجاد یک رابطه قوی که وفاداری بیماران را شکل می دهد، به عنوان عامل کلیدی در به دست آوردن سهم بازار محسوب می شود. از این رو پژوهش حاضر با هدف تعیین میزان تاثیر عوامل محیطی بر میزان رضایتمندی، احساسات و نیت رفتاری در بیماران بستری انجام گردید.
روش بررسیمطالعه حاضر از نوع توصیفی - تحلیلی بود که به صورت مقطعی در نیمه اول سال 1398 انجام شد. 210 بیمار بستری در بیمارستان دولتی منتخب شهر شیراز با روش نمونه گیری تصادفی ساده، وارد مطالعه شدند. ابزار گردآوری داده ها پرسشنامه محقق ساخته بود. داده ها در نرم افزارهای SPSS نسخه 22 و Smart PLS نسخه 3 وارد شدند. به منظور آزمون فرضیه ها از تحلیل عاملی تاییدی و معادلات ساختاری استفاده گردید.
یافته ها:
عوامل محیطی بر نیت رفتاری، احساسات و رضایتمندی بیماران بستری به ترتیب با ضریب مسیر 0/377، 0/654 و 0/590 تاثیر داشت. رضایتمندی با ضریب مسیر 0/548 و احساسات با ضریب مسیر 0/001 بر نیت رفتاری تاثیر داشت. همچنین نقش میانجی احساسات و رضایتمندی در تاثیر عوامل محیطی بر نیت رفتاری بیماران بستری تایید شد.
بحث و نتیجه گیری:
بیمارستان باید به تامین و تقویت شاخص های محیطی و بهبود فضای فیزیکی توجه کند و آن ها در اولویت برنامه های آینده قرار دهد همچنین، بخش مجزایی از هزینه های سالانه بیمارستانی را به این امر اختصاص دهد.
کلید واژگان: عوامل محیطی, احساسات, رضایتمندی, نیت رفتاری, بیمار, بیماران بستریBackground & ObjectivesIn the competitive market of medical services, providing quality services and building a strong relationship that shapes patient loyalty is a key factor in gaining market share. Therefore, the present study was conducted to determine the effect of environmental factors on the level of satisfaction, emotions, and behavioral intentions in hospitalized patients.
MethodsThe present study was a descriptive-analytical cross-sectional one conducted in the first half of 2019. A total of 210 patients admitted to selected public hospitals in Shiraz were included in the study by simple random sampling. The data collection tool was a researcher-made questionnaire. Data were entered into SPSS software (version 22) and Smart pls (version 3). Confirmatory factor analysis and structural equations were used to test the hypotheses.
ResultsEnvironmental factors had an effect on behavioral intentions, emotions, and satisfaction of hospitalized patients with path coefficients of 0.377, 0.654, and 0.590, respectively. Satisfaction with a path coefficient of 0.548 and emotions with a path coefficient of 0.001 had an effect on behavioral intentions. Moreover, it was proved that emotions and satisfaction had a mediating role in the impact of environmental factors on the behavioral intentions of hospitalized patients.
ConclusionThe hospital should pay attention to providing and strengthening environmental indicators and improving the physical space and it should prioritize these factors in its future plans. Also, allocate a separate part of the annual hospital costs to this matter.
Keywords: Environmental factors, Emotions, Satisfaction, Behavioral Intention, Patient, Hospitalized patients -
Objectives
In modern communities, smoking is one of the most important causes of illness, disability, and premature death. It is regarded as a pervasive health problem in the world. The risk of death in the tobacco consumers is 80-90 percent higher than ordinary people. In this regard, this study aimed to investigate the variables of behavioral intention and subjective norms in reducing the smoking water pipe in intervention and control groups after an educational intervention in women over 15 years in Bandar Abbas in 2015.
Materials and MethodsIn this quasi-experimental study, 128 women over 15 years who had at least one waterpipe smoking a day were selected by the multi-stage cluster. They were classified into two groups of intervention and control groups. Data were collected using a validated and reliable questionnaire based on the Theory of Planned Behavior constructs and demographic information before and after the intervention. Collected data were assessed using an independent paired t-test, t-test, and chi-square test. In all tests, the significance level was set to 0.05.
ResultsThe results showed that there is a significant difference in mean score between behavioral intention and subjective norms in two groups after the intervention (P<0.05). In addition, compared to the control group, the frequency of waterpipe smoking among women in the intervention group significantly decreased after the intervention (P<0.05).
ConclusionThe results showed that behavioral intention and subjective norms based on constructs of Theory of Planned Behavior might be effective strategies to reduce tobacco use in women.
Keywords: Behavioral intention, subjective norms, women, water pipe -
ObjectivesThe present study was conducted with the aim of psychometric evaluation of a tool measuring behavioral intention in relation to interprofessional shared decision-making based on the theory of planned behavior and its assessment among medical and nursing students.MethodsThis descriptive study was carried out in two stages. In the first stage, the psychometric properties of the interprofessional shared decision-making (IP-SDM) tool were evaluated based on experts’ opinions. In the second stage, the participants’ behavioral intention was evaluated using the mentioned questionnaire. The questionnaire consisted of five domains of cognitive attitude (2 items), emotional attitude (2 items), subjective norms (3 items), perceived behavioral control (3 items), and intention to use interprofessional shared decision-making (3 items). Content validity of the questionnaire was evaluated qualitatively and quantitatively (using the content validity ratio (CVR) and content validity index (CVI)). Cronbach’s alpha coefficient and interclass correlation coefficient (ICC) were used to determine the reliability of the questionnaire. In the second stage, the data were analyzed using descriptive statistics (mean and standard deviation) and Pearson’s correlation test in SPSS software.ResultsQualitative and quantitative content validity of the questionnaire was confirmed based on experts’ opinions. The internal consistency of the tool, based on the Cronbach’s alpha coefficient, was 0.92, and the tool’s repeatability was calculated at 0.84 using ICC. Participants in the study intended to participate in interprofessional shared decision-making.ConclusionsThe behavioral intention measurement tool in relation to interprofessional shared decision-making based on the theory of planned behavior has good validity and reliability in Iran. Regarding the participants’ behavioral intention to participate in shared decision-making, it is suggested that a suitable platform for shared decision-making and teamwork between health team members be provided in educational systems.Keywords: Shared Decision Making, Decision Making, Shared Interprofessional, Theory Planned Behavior, Behavioral Intention
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IntroductionThe perceived usefulness and perceived ease of use have been considered as the main factors affecting the acceptance of the new technologies since last few decades. However, it appears that these only two factors cannot describe the users’ behavior in the environments like the Hospital Information System. From the technology acceptance standpoint at the individual acceptance level, the present paper tends to develop a Technology Acceptance Model with introducing some external factors.Material and MethodsThis study was conducted in 2017. The research population was included 185 nurses who works in Health Information Management (HIM) departments of Tehran University of Medical Sciences. A questionnaire was developed in order to gather the required data. The validity was obtained by panel of experts and the reliability was examined and then confirmed in a 50 person sample using the Cronbach’s Alpha (α=0.93). The Likert’s five item scale was applied. The data were analyzed using descriptive statistics, exploratory factor analysis, and path analysis.ResultsThe behavioral intention was affected significantly and positively by the factors of perceived usefulness, perceived ease of use, self-efficacy, end user support, social norm, trust, job relevance, and training, with trust having the highest level of effects. Also perceived ease of use had a significant effect on perceived usefulness along with an indirect effect on behavioral intention through perceived usefulness. The factors of anxiety, voluntariness, and facilitating conditions showed no significant effects on behavioral intention.ConclusionThe factors of trust, perceived usefulness, social norm, end user support, and self-efficacy have an impact on the behavioral intention of the users utilizing the Hospital Information System in the concerning hospitals. These factors could explain 72% of the changes of behavioral intention. Concentrating on them would lead to the improvement of the acceptance and Hospital Information System efficiency.Keywords: Hospital Information System, Technology Acceptance Model, Behavioral Intention, Perceived Usefulness, Perceived Ease of Use
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مقدمهتهیه پیام های بهداشتی موثر یکی از مهم ترین دغدغه های مروجان سلامت در هر جامعه است. هدف پژوهش حاضر بررسی تاثیر چارچوب بندی پیام های بهداشتی بر خوشبینی غیرواقعی، قصد عمل و حافظه پیام گیران با توجه به نقش سیستم های رفتاری گرایشی/اجتنابی بود. مواد و روش کار: پژوهش حاضر یک مطالعه مداخله ای بود که برای انتخاب افراد موردنظر برای آزمایش اصلی، ابتدا یک غربالگری بر اساس سیستم های رفتاری گرایشی/ اجتنابی بر روی 550 نفر از دانشجویان دانشگاه زنجان انجام شد که در نهایت 72 نفر (38 نفر دارای سیستم رفتاری فعال و 34نفر دارای سیستم رفتاری بازداری) به عنوان نمونه نهایی انتخاب شدند و سپس میزان خوشبینی غیرواقعی، قصد عمل و حافظه شرکت کنندگان بر اساس یک طرح عاملی مخلوط 3×2 (سیستم انگیزشی به عنوان عامل بین گروهی دارای 2 سطح، و چارچوب بندی پیام به عنوان عامل درون گروهی دارای 3 سطح) پس از مواجهه با پوسترهای تبلیغاتی تهیه شده در زمینه تخلیه استرس و نخ دندان، اندازه گیری شد.یافته هاتجزیه وتحلیل داده ها نشان داد، تاثیر چارچوب بندی پیام متاثر از نوع سیستم های انگیزشی مخاطبان است، به این نحو که افراد گروه فعال ساز بیشترین تاثیرپذیری را زمانی داشتند که پیام سودمحور دریافت می کردند و افراد گروه بازداری بیشترین تاثیرپذیری را هنگامی نشان دادند که پیام زیان محور دریافت کردند. اما این تاثیرات تنها در مورد پیام تخلیه استرس مشاهده شد و در مورد پیام نخ دندان مشاهده نشد. بحث و نتیجه گیری: به نظر می آید عامل تازگی و ناآشنا بودن موضوع پیام می تواند تاثیر چارچوب بندی و سیستم های انگیزشی بر خوشبینی، قصد عمل و حافظه را تحت تاثیر قراردهد.کلید واژگان: چارچوب بندی پیام, سیستم های رفتاری گرایشی - اجتنابی, خوشبینی غیرواقعی, قصد عمل, حافظهPayesh, Volume:17 Issue: 5, 2018, PP 563 -575Objective (s): Health messages should be able to create behavioral intention and remembering in the context of the health recommendation given in a message, along with the reduction of unrealistic optimism. The purpose of this study was to examine the influence of health messages framing on optimism, behavioral intention and remebering.MethodsA sample of students (550) screened based on the motivational systems from Zanjan University by stratified cluster sampling and 72 students (38 with behavioral activating system, and 34 with behavioral inhibition system) were selected as the final sample.ResultsData analysis showed that the impact of stress-relief message framing on optimism, behavioral intention, and memory of audiences after controlling for working memory scores was influenced by their motivational systems. The behavioral activating group was most influenced when they received the gain-framed message. The inhibition group was most influenced when they received the loss-framed message. However, these effects were not observed in dental floss messages.ConclusionThe results showed that consideration of the correspondence between the type of audience's motivational system and the message framing, and the novelty of the topic, are two important factors in the effectiveness of a health message. Indeed I seems that the topic and novelty in both gain-framed and loss-framed frameworks could make the most impact on the audience.Keywords: Message Framing, Behavioral Inhibition, Approach Systems, Unrealistic optimism, behavioral intention, remembering
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مقدمهرفتارهای پرخطر جنسی از مهم ترین آسیب های اجتماعی و عوامل خطر در حیطه سلامت جنسی و باروری است و به نظر می رسد آموزش مبتنی بر تئوری های تغییر رفتار، یکی از اساسی ترین اقدامات در پیشگیری از آسیب های اجتماعی می باشد. پژوهش حاضر با هدف تعیین تاثیر اجرای برنامه آموزشی مبتنی بر تئوری رفتار برنامه ریزی شده بر قصد انجام رفتارهای پرخطر جنسی در زنان زندان وکیل آباد مشهد در سال 1392 انجام گردید.روشاین مطالعه از نوع پیش تجربی یک گروهه بود که بر روی 40 نفر از زنانی که به جرم روابط پرخطر جنسی در زندان به سر می بردند، انجام شد. ابزار جمع آوری اطلاعات، پرسش نامه پژوهشگر ساخته شامل اطلاعات فردی، فعالیت جنسی و سازه های تئوری رفتار برنامه ریزی شده بود. محتوای آموزشی مبتنی بر سازه های تئوری در هفت جلسه 70 دقیقه ای اجرا گردید. سپس نتایج در سه مرحله قبل، بلافاصله و چهار هفته پس از اجرای برنامه آموزشی با استفاده از آزمون های آماری توصیفی و استنباطی در نرم افزار SPSS مورد تجزیه و تحلیل قرار گرفت.یافته هاتفاوت معنی داری بین میانگین نمره سازه های نگرش، هنجارهای انتزاعی، کنترل رفتاری درک شده و پرهیز از قصد انجام رفتارهای پرخطر جنسی در مرحله قبل، بلافاصله بعد و چهار هفته بعد از اجرای برنامه آموزشی وجود داشت (P<0/001).نتیجه گیریبرنامه آموزش بهداشت طراحی شده بر پایه تئوری رفتار برنامه ریزی شده، استراتژی موثری در افزایش پرهیز از قصد انجام رفتارهای پرخطر جنسی است.کلید واژگان: آموزش, تئوری رفتار برنامه ریزی شده, قصد رفتاری, رفتارهای پرخطر جنسی, زنان زندانیBackground And AimsHigh-risk sexual behaviors are of the most important risky behaviours in the area of sexual and reproductive health. It seems that educational programs based on health behavioural change theories are of the most basic measures in prevention of social damages. Therefore, the present study was carried out to determine the effect of a training program based on the theory of planned behaviour (TPB) on sexual high-risk behavioural intentions in female prisonors in Vakil Abad Prison, Mashhad, Iran, in 2013.MethodsThis was a pre-experimental one group designed study on 40 women gotten prisoned due to doing high-risk sexual behaviours. Data were collected using self-structured questionnaires including demographics information, data related to sexual activity and constructs of the theory of planned behaviour. The training program was designed based on the constructs of this theory and was then implemented as seven 70-minute sessions. The questionnaires were completed before, immediately after, and four weeks after completing the training program. Data were analyzed using descriptive and inferential statistics tests via SPSS software.ResultsThere were significant differences between the mean scores of attitude, subjective norms, perceived behavioral control and behavioral intention for abstinence from high-risk sexual behaviors in female prisoners before, immediately after and four weeks after implementation of the training program (PConclusionDeveloped health educational program on the basis of theory of planned behavior was an effective strategy for abstinence from high-risk sexual behavioral intention in jailed women.Keywords: Education, Theory of planned behaviour, Behavioral intention, High, risk sexual behaviour, Female prisoners
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Introduction
Hepatitis C virus (HCV) infection is a major complex public health problem. Different resources have proved that healthcare workers more than the general population are at a risk of infection. Therefore, medical field students, due to the future occupational hazards, are included in the risk group.
AimThe purpose of the study was to evaluate the level of knowledge, public and individual risk perception, and behavioral intention about HCV, among medical sciences students of the Isfahan University of Medical Sciences. Settings and Design: This is a descriptive–analytical study that was conducted among 457 students of the Medical Sciences in the Isfahan University of Medical Sciences.
Materials and MethodsThe data was collected using a questionnaire. Sampling was done randomly. Statistical Analysis Used: The data was analyzed using the SPSS18software and statistical tests of Pearson, Spearman, T- test, and the analysis of variance (ANOVA); P < 0.05 was considered significant.
ResultsFour hundred and fifty-seven students (41.8% male and 58.2% female) in 29 fields of study (six categories) participated in this research. The mean age was 21.55 ± 2.6 years. The mean and standard deviations of the students' knowledge was 3.71 ± 2.9 (out of 8), and the behavioral intention to accruing information and performance of preventive actions related to HCV was 11.52 ± 3.16 (out of 20). Public risk perception was 20.1 ± 3.5 (out of 30); and personal risk perception was 6.96 ± 1.8 (out of 10). The ANOVA test showed that public perception of the risk among students of different academic fields was different (F = 1.52, P < 0.05).
ConclusionsAccording to the low knowledge of students of Medical Sciences in the Isfahan University of Medical Sciences about HCV, it was recommended that the University Policymakers design an educational intervention about it, in order to minimize the chances of being infected.
Keywords: Behavioral intention, hepatitis C. knowledge, risk perception -
Aim: Considering the fundamental role of parent's function and family dynamics including the importance role of family communication pattern on preventing early - onset substance use in children, the present study aimed to determine the correlation between family communication pattern and mother's preventive behavioral intentionregardingpreventing early - onset substance use in children.MethodsThis cross - sectional study was carried out among 234 Iranian mothers in Tehran who were randoml y selected to participate voluntarily in the study. The participants filled out a self - administered questionnaire including I - demographic information; II - family - based behavioral intention regarding preventing early - onset substance use in children; and I II - family communication pattern. Data were analyzed by the SPSS software (ver. 21.0) using Pearson's correlations, independent t - test, and ANOVA at 95% significant level.
Findings: The results reported a correlation between conversation (r=0.509**& P≥0.00 1), conformity orientation (r= - 0.150*& P=0.022) and behavioral intention; as well as between conversation conformity orientation (r= - 0.382*& P≥0.001), and conversation (r=0.218**& P=0.001), conformity orientation (r= - 0.105& P=0.108) and age.ConclusionThe findings suggest that to develop a preventive program, it will be useful to increase family communication pattern, specially conversation orientation to prevent the onset of substance use in children.Keywords: Family, Cognitive factors, Conformity o, rientation, Conversation orientation, Behavioral intention -
پیش زمینه و هدفبا توجه به افزایش میزان سزارین در ایران به عنوان معضل بهداشتی و عوارض آن روی مرگ ومیر مادر این مطالعه باهدف بررسی پیش بینی انتخاب نوع زایمان با توجه به سازه های نظریه رفتار برنامه ریزی شده صورت پذیرفت.مواد و روش کارمطالعه حاضر به شیوه توصیفی – تحلیلی در نیمه دوم سال 1391 و نیمه اول سال 1392 بر روی 392 نفر از زنان باردار مراجعه کننده به کلینیک زنان بیمارستان های بقیه الله و نجمیه تهران، انجام گردید. ابزار گردآوری داده ها پرسشنامه ای بر مبنای متغیرهای نظریه رفتار برنامه ریزی شامل آگاهی، نگرش، کنترل رفتار درک شده، هنجار انتزاعی و قصد رفتاری بود. برای تجزیه وتحلیل داده ها از نرم افزار آماری SPSS نسخه 16 و همچنین آزمون رگرسیون لجستیک استفاده شد.یافته هامیانگین سن مادران موردمطالعه 27.6 + 4.5 سال بود. از بین 392 مادر باردار موردبررسی، 218 نفر (58.1 درصد) زایمان طبیعی و 157 نفر (41.9 درصد) سزارین را انتخاب نموده بودند. هنجار انتزاعی از بین عوامل نظریه رفتار برنامه ریزی شده، بیشتر نوع انتخاب آگاهانه زنان باردار را پیش بینی می کند (Wald=49.74). از بین عوامل موثر در مراحل بعدی به ترتیب می توان از آگاهی، نگرش و کنترل رفتاری درک شده نام برد.بحث و نتیجه گیریهنجار انتزاعی (عامل اجتماعی) به عنوان موثرترین عامل در پیش بینی انتخاب نوع زایمان بود؛ بنابراین توصیه می گردد به موازات تنظیم برنامه آموزشی در جهت ارتقاء آگاهی و اصلاح نگرش زنان و دختران جوان جامعه در خصوص زایمان طبیعی، کادر تخصصی زایمان ازجمله متخصصین زنان و زایمان نیز از طریق ایجاد لوایح قانونی و پایش اجرای آن، جهت اشاعه زایمان طبیعی ترغیب شوند.
کلید واژگان: سزارین, زایمان طبیعی, قصد رفتاریBackground and AimsDue to the increas ing of the cesarean operations in Iran as a health problem and its effects on maternal mortality, this study aims to determine the prediction of the type of delivery according to the T heory of Planed B ehaviors (TPB).Materials and MethodsThis study was conducted using descriptive-analytic method in the second half of 2012 and the first half of 2013 on 392 pregnant women admitted to the women’s clinics of Baqiyatallah and Najmieh hospitals in Tehran. The data were collected through a questionnaire based on the theory of planned behavior variables such as knowledge, attitudes, perceived behavioral control, subjective norm and behavioral intention. Data were analyzed u sing SPSS software version 16, and logistic regression.ResultsThe mean age of the mothers under study was 27.6 + 4.5. O ut of 392 pregnant studied wome n, 218 (58.1%) had chosen a vaginal delivery, while 157 (41.9%) had chosen cesarean delivery. Among the theory of planned behavior variables, the subjective norm variable can predict the pregnant women’s informed choice (Wald=49.74). Other effective variables are knowledge, attitudes and perceived behavioral control, respectively.ConclusionThe subjective norm (social factor) was identified as the most effective factor to predict informed delivery choice type. Therefore, along with educational programs to promote awareness and attitude of young women about natural delivery, it is recommended to encourage and promote natural childbirth by specialists including obstetric and gynecologists by using legislation and monitoring.Keywords: Cesarean Section, Delivery, Behavioral intention -
زمینه و هدفامروزه، آموزش الکترونیک یکی از پیشرفته ترین تکنیک های آموزشی است. از این رو شناسایی جنبه ها و عوامل مرتبط با استفاده از آموزش الکترونیکی در بین اعضای هیئت علمی از اهمیت خاصی برخوردار می باشد. لذا، این مطالعه با بهره گیری از تئوری رفتار برنامه ریزی شده و با هدف بررسی عوامل مرتبط با استفاده از آموزش الکترونیکی انجام گردید.روش بررسیاین مطالعه توصیفی تحلیلی بر روی 200 نفر از اعضاء هیئت علمی دانشگاه علوم پزشکی همدان که با روش نمونه گیری طبقه ای چند مرحله ای انتخاب شده بودند، انجام شد. ابزار جمع آوری داده ها مشتمل بر اطلاعات دموگرافیک و سازه های تئوری رفتار برنامه ریزی شده بود که روایی و پایایی آن مورد تایید قرار گرفته بود. داده ها با استفاده از آزمون تی دانشجویی، آنالیزواریانس یک طرفه و رگرسیون لجستیک در نرم افزار SPSS-16 مورد تجزیه و تحلیل قرار گرفت.یافته هاشرکت کنندگان به ترتیب 52/3، 49/5 و 61/5 درصد نمرات قابل اکتساب برای نگرش، هنجارهای انتزاعی و کنترل رفتاری درک شده را به دست آوردند. از بین شرکت کنندگان در مطالعه 42/5 درصد هیچ گونه قصدی جهت استفاده از آموزش الکترونیک در آینده نداشتند. طبق یافته های تئوری رفتار برنامه ریزی، نگرش و کنترل رفتاری درک شده بهترین فاکتورهای پیش بینی کننده قصد رفتاری استفاده از آموزش الکترونیکی بودند.نتیجه گیرینتایج مطالعه حاکی از قصد ضعیف اعضای هیات علمی نسبت به آموزش الکترونیکی بود؛ بنابراین، اجرای مداخلات آموزشی با بهره گیری از تئوری رفتار برنامه ریزی شده با تاکید بر نگرش و کنترل رفتاری درک شده بعنوان تسهیل کنندگان پذیرش آموزش الکترونیکی در برنامه های آموزشی آتی توصیه می گردد.
کلید واژگان: یادگیری الکترونیکی, اعضای هیات علمی, آموزش پزشکی, قصد رفتاریBackground and AimNowadays, E-learning is one of the most advanced educational techniques. It is therefore important to identify aspects and related factors of e-learning utilize among faculty members; thus, this study used the on Theory of Planned Behavior (TPB) to examine factors related to utilize of e-learning method.Material And MethodThis descriptive-analytical study was carried out on 200 faculty members of Hamadan which were recruited with a stratified sampling method. The data-gathering tool consisted of a questionnaire based on the TPB constructs and demographic variables whose reliability and validity were approved by the experts. Data were analyzed using Student t-test, One-way ANOVA and Logistic regression in SPSS-16 software.ResultsThe subjects reported 52.3%, 49.5% and 61.5% of receivable scores of attitude, subjective norm and perceived behavior control, respectively. Among our sample, 42.5% indicated that they have no intention to use e-learning in the future. Also, attitude and perceived behavioral control were the best predictors for behavioral intention in the theory of planned behavior.ConclusionResults demonstrated the poor intention of faculty members toward e-learning. therefore, it is recommended to implementation educational intervention using the theory of planned behavior with emphasis on attitude and perceived behavioral control as facilitators of the adoption of e-learning in further education programs.Keywords: E, learning, Faculty Members, Medical Education, Behavioral Intention -
پیش زمینه و هدفبا توجه به افزایش میزان سزارین در ایران به عنوان معضل بهداشتی و عوارض آن روی مرگ ومیر مادر این مطالعه باهدف بررسی پیش بینی انتخاب نوع زایمان با توجه به سازه های نظریه رفتار برنامه ریزی شده صورت پذیرفت.مواد و روش کارمطالعه حاضر به شیوه توصیفی – تحلیلی در نیمه دوم سال 1391 و نیمه اول سال 1392 بر روی 392 نفر از زنان باردار مراجعه کننده به کلینیک زنان بیمارستان های بقیه الله و نجمیه تهران، انجام گردید. ابزار گردآوری داده ها پرسشنامه ای بر مبنای متغیرهای نظریه رفتار برنامه ریزی شامل آگاهی، نگرش، کنترل رفتار درک شده، هنجار انتزاعی و قصد رفتاری بود. برای تجزیه وتحلیل داده ها از نرم افزار آماری SPSS نسخه 16 و همچنین آزمون رگرسیون لجستیک استفاده شد.یافته هامیانگین سن مادران موردمطالعه 5/4±6/27 سال بود. از بین 392 مادر باردار موردبررسی، 218 نفر (1/58 درصد) زایمان طبیعی و 157 نفر 9/41 درصد) سزارین را انتخاب نموده بودند. هنجار انتزاعی از بین عوامل نظریه رفتار برنامه ریزی شده، بیشتر نوع انتخاب آگاهانه زنان باردار را پیش بینی می کند (74/49(Wald=. از بین عوامل موثر در مراحل بعدی به ترتیب می توان از آگاهی، نگرش و کنترل رفتاری درک شده نام برد.بحث و نتیجه گیریهنجار انتزاعی (عامل اجتماعی) به عنوان موثرترین عامل در پیش بینی انتخاب نوع زایمان بود. بنابراین توصیه می گردد به موازات تنظیم برنامه آموزشی در جهت ارتقاء آگاهی و اصلاح نگرش زنان و دختران جوان جامعه در خصوص زایمان طبیعی، کادر تخصصی زایمان ازجمله متخصصین زنان و زایمان نیز از طریق ایجاد لوایح قانونی و پایش اجرای آن، جهت اشاعه زایمان طبیعی ترغیب شوند.
کلید واژگان: سزارین, زایمان طبیعی, قصد رفتاریBackground and AimsDue to the increasing of cesarean operations in Iran as a health problem، and its effects on maternal mortality، this study aims to determine the prediction of the type of delivery according to the Theory of Planed Behaviors (TPB).Materials and MethodsThis study was conducted by using descriptive-analytic method in the second half of 2012 and the first half of 2013 on 392 pregnant women admitted to the women’s clinics of Baqiyatallah and Najmieh hospitals in Tehran. The data were collected through a questionnaire based on the theory of planned behavior variables such as knowledge، attitudes، perceived behavioral control، subjective norm and behavioral intention. Data were analyzed using SPSS software version 16 and also logistic regression.ResultsThe mean age of the mothers under study was 27. 6 + 4. 5. Out of 392 pregnant women، 218 (58. 1%)، and 157 (41. 9%) had chosen a vaginal delivery and cesarean delivery respectively. Among the factors of the theory of planned behavior، mostly the subjective norm predicts the pregnant women’s making an informed choice (Wald=49. 74). Other effective variables are knowledge، attitudes and perceived behavioral control، respectively.ConclusionThe subjective norm (social factor) was identified as the most effective factor in predicting the informed delivery choice type. Therefore، along with educational programs to promote awareness and correcting the attitude of young women about natural delivery، it is recommended that the specialists including obstetric and gynecologists be encouraged to promote natural childbirth.Keywords: Cesarean Section, Delivery, Behavioral intention -
مقدمهزایمان بعنوان یک تجربه بحرانی در دوران زندگی زنان تلقی می شودکه دارای ابعاد جسمی،اجتماعی، فیزیولوژیک،فرهنگی و روانی می باشد. تامین، حفظ و ارتقاء سلامت مادران و نوزادان بعنوان دو گروه آسیب پذیر جامعه اهمیت ویژه ای دارد. از این رو ترویج زایمان طبیعی در تمام سطوح نظام بهداشتی و درمانی کشور بعنوان سیاستی اساسی همواره مورد توجه قرار گرفته است.روش بررسیمطالعه حاضر توصیفی بود که برروی 130نفر اززنان باردارنخست زایی که درسه ماهه سوم بارداری به مراکزبهداشتی درمانی شهر یزد مراجعه کرده و به روش نمونه گیری تصادفی انتخاب شدند،در سال 1392 انجام شده است. داده ها با استفاده ازپرسشنامه محقق ساخته که دارای 4 بخش بود وروایی وپایایی آن مورد تاییدقرارگرفته بود جمع آوری گردید. داده های گردآوری شده با استفاده از نرم افزار آماری spss نسخه 18 و با استفاده از شاخصهای میانگین و انحراف معیار توصیف شد. رابطه بین سازه ها و متغیرهای دموگرافیک با استفاده از آزمونهای من ویتنی،کروسکال والیس و کای اسکوئر آنالیز شد.یافته هادر این پژوهش میانگین سنی زنان73/3 ± 36/24 و میانگین سن بارداری 35/2 ± 53/31 بود. از کل زنان باردار تحت مطالعه 2/26% قصد انجام زایمان به روش سزارین و 8/73% قصد انجام زایمان طبیعی را داشتند. بین قصد انتخاب روش زایمان و سازه های منافع درک شده (001/0= p)، موانع درک شد(001/0= p)، خودکارامدی درک شده(001/0= p) و حساسیت درک شده (002/0= p)ارتباط معنی دار وجود داشت اما بین قصد انتخاب روش زایمان و سازه شدت درک شده (505/0= p)و آگاهی (756/0= p)ارتباط معناداری وجود نداشت.نتیجه گیرینتایج نشان داد که مدل اعتقاد بهداشتی می تواند برقصد مادران تاثیر بگذارد، لازم است برنامه آموزشی مناسب براساس یافته های بررسی تنظیم وبه زنان ارائه شود.
کلید واژگان: روش زایمان, قصد رفتاری, مدل اعتقاد بهداشتی, مادران باردارTolooe Behdasht, Volume:12 Issue: 4, 2014, PP 105 -116IntroductionChildbirth is considered as a crisis in the life of women because it has physical، social، psychological، cultural and psychological dimensions. Securing، providing، maintaining and improving the health of mothers and children as a vulnerable group is important in society. Therefore، promoting the natural labor at all levels of the health system has been considered as the basic policy.MethodsIn this descriptive study، the participants were 130 nulliparous women in their third trimester of pregnancy who had referred to health centers of Yazd in 2013. Samples were selected by random sampling and data were collected by a researcher-made questionnaire in 4 parts the validity and reliability of which had been confirmed. The collected data were analyzed by SPSS 18 and indicators of mean and standard deviation were determined. The relationship between structural and demographic variables were analyzed using Mann-Whitney، Kruskal-Wallis and Chi-square tests.ResultsIn this study، the mean age of the women was 24. 36 ± 3. 73 and their mean gestational age was 31. 53 ± 2. 35. The intention of 26. 2% of the participants was cesarean delivery and 73. 8% normal delivery. There was significant difference between intended delivery method and perceived benefits (p=0. 001)، perceived barrier (p=0. 001)، self efficacy (p=0. 001) and perceived susceptibility (p=o. oo2). There was no significant difference between intended delivery method and perceived severity (p=0. 505) and knowledge (p=0. 756).ConclusionThe results showed that HBM can bear on the intention of women. Therefore، there is need for an educational program based on the findings.Keywords: Delivery method, Behavioral intention, HBM, Pregnant -
مقدمهاز آنجا که بیماری های منتقله از راه جنسی اغلب از طریق رفتارهای قابل اجتناب و تغییرپذیر کسب میشوند، آموزش راهکاری موثر جهت پیشگیری از موارد جدید ابتلا محسوب میگردد. این مطالعه با هدف تعیین تاثیر مداخله آموزشی بر آگاهی، نگرش، و قصدهای رفتاری دانش آموزان دبیرستانهای پسرانه شهر بوانات درخصوص HIV/AIDS در سال 1389 انجام گردیده است.روش کاردر این مطالعه نیمه تجربی پس از انتخاب دبیرستانهای واجد شرایط، تمام دانش آموزان پسر پایه دوم (جمعا 99 نفر) انتخاب شدند. ابزار گردآوری داده ها پرسشنامه ای محقق ساخته بود که روایی و پایایی آن با روش های مربوطه مورد تایید قرار گرفت. پس از پیش آزمون، مداخله آموزشی انجام شد و بلافاصله و 5/1 ماه پس از پایان آموزش به ترتیب، پس آزمون اولیه و ثانویه صورت گرفت. داده های جمع آوری شده با استفاده از نرم افزار SPSS14 مورد تجزیه و تحلیل قرار گرفت. مشارکت افراد در این مطالعه آگاهانه و داوطلبانه بود.یافته هامیانگین و انحراف معیار نمرات آگاهی و نگرش دانش آموزان قبل از آموزش با بلافاصله و 5/1 ماه بعد از آموزش متفاوت بود (001/0< p). قصدهای رفتاری پیشگیری کننده از HIV/AIDS نیز قبل از آموزش با بلافاصله و 5/1 ماه بعد تغییر معنیدار یافت (001/0< p).بحث و نتیجه گیریبا توجه به افزایش آگاهی و نگرش دانش آموزان در این مطالعه پیشنهاد می شود آموزشهای مداوم و جدید در برنامهریزی درسی دانش آموزان این مقطع تحصیلی گنجانیده شود.
کلید واژگان: آموزش, HIV, AIDS, آگاهی, نگرش, قصد رفتاریIntroductionSexually transmitted diseases were acquired through avoidable and changeable behaviors, so education should be considered as an effective strategy to prevent new HIV infections. This study aims to determine the effect of educational intervention on knowledge, attitudes and behavioral intentions of the second grade students in male high schools of Bavanat about HIV/AIDS in the year 2011.Materials and MethodsIn this semi-experimental (before & after) study, after selection of schools that have study condition from 5 high schools, all 99 students of two high schools were selected. The data gathering tool was a valid and reliable researcher designed questionnaire. After pre-test, educational intervention was conducted immediately and 45 days after educating, respectively. Primary and secondary post-tests were performed. Participation in the plan was voluntary and informed. In this study, the collected data have been analyzed using the SPSS version 14 software.ResultsThe findings showed that the mean scores of knowledge have significant difference after intervention (p<0.001). In addition, the difference between pre and post intervention about mean scores of attitude and behavioral intentions was statistically significant (p<0.001). Discussion &ConclusionRegarding promotion of students’ awareness and attitudes, continuing and new educations in curricula of students is suggested.Keywords: Education, HIV, AIDS, Knowledge, Attitude, Behavioral Intention
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