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عضویت

جستجوی مقالات مرتبط با کلیدواژه « health education » در نشریات گروه « پزشکی »

  • Abrar Talib Eidan *, Adraa Hussein Shawq
    Background & Aims

    The role of the mothers is very important in providing care and monitor their children`s health in general. Their awareness concerning quality of foods which is needed for each child`s developmental stage can effect on nutritional status This Study assess the effect of an nutritional education Program on mother knowledge regarding their children nutritional status.

    Methods

    Sixty moms were chosen from Al-Ayn Social Care Foundation International in Al-Samawah City and take on using a quasi-experimental design. The researcher used a non-probability "purposive sample" and measured the height and weight for child before calculating the body mass index.

    Results

    The current study found a relationship between moms' educational level and knowledge regard to sociodemographic characteristics with a p-value of .001. However, there were no significant correlations observed between mothers' knowledge in the control group and their age, level of education, occupation, residency, monthly income, and sources of information.

    Conclusion

    Following the interventional program on nutrition-related health, the level of knowledge among the mothers in the study group was enhanced. The study suggested that the nutrition education program should be offered to all moms in order to enhance their understanding and enthusiasm regarding the significance of child nutrition. Additionally, it was advised that their education should be regularly updated.

    Keywords: Health Education, Knowledge, Nutritional Status, Nutritional Sciences}
  • لیلا روان یار*، داوود شجاعی زاده، رعنا حسینی، فرشته فرزیان پور
    زمینه و هدف

    بیماری ایدز با شیوع جهانی و عدم وجود راه های درمانی موثر یکی از مصائب بشری می باشد. لذا آموزش می تواند راهکاری موثر جهت پیشگیری محسوب گردد. این مطالعه با هدف بررسی تاثیر دو روش آموزشی بر آگاهی و نگرش دانش آموزان سال سوم دبیرستان انجام گرفته است.

    روش شناسی:

     این پژوهش مطالعه مداخله ای از نوع نیمه تجربی است که به صورت سرشماری و انتخاب تمام نمونه های ممکن (400 نفر) از دانش آموزان سال سوم دبیرستان های شهرستان چالدران در سال 1393 انجام گرفته است. جهت جمع آوری داده ها از پرسشنامه سه قسمتی مشتمل بر اطلاعات دموگرافیکی، آگاهی و نگرش که در دو مرحله پیش آزمون و پس آزمون تکمیل شده، استفاده شده است. برای اجرای طرحT  جمعیت تحت بررسی به سه گروه " گروه آموزشی با روش سخنرانی، گروه آموزشی با روش بحث گروهی و گروه شاهد" به صورت تصادفی تقسیم شدند. داده ها پس از جمع آوری توسط نرم افزارSPSS 16  مورد تجزیه و تحلیل قرار گرفته اند.

    یافته ها

    نتایج نشان داد که بین آگاهی دانش آموزان قبل و بعد از آموزش در سه گروه سخنرانی و بحث گروهی و شاهد اختلاف معنی داری از نظر آماری وجود داشت. (05.0p<) به طوری که در گروه سخنرانی میانگین نمره آگاهی از 46.17 به 54.20 و در گروه بحث گروهی از 85.17 به 38.22 و در گروه شاهد از 31.17 به 26.18 ارتقا یافته است. هم چنین اختلاف معنی داری در بین سطح نگرش دانش آموزان قبل و بعد از آموزش در بین سه گروه مشاهده گردید (05.0p<). در مقایسه دو روش آموزش در افرایش آگاهی و سطح نگرش اختلافی معنی دار مشاهده گردید  (05.0p<).

    نتیجه گیری

    نتایج حاکی از این است که با وجود تاثیر دو روش آموزشی بر آگاهی و نگرش دانش آموزان (باتوجه به گروه شاهد)، روش بحث گروهی اثربخشی بیشتری نسبت به سخنرانی داشته است و به عنوان یک روش به نسبت موثرتر در این مطالعه مورد تایید قرار گرفت.

    کلید واژگان: آموزش بهداشت, سخنرانی, دانش, نگرش, ایدز, دانش سلامت, نگرش ها و عملکرد}
    Leila Ravanyar*, Davoud Shojaei Zadeh, Rana Hosseini, Fereshteh Farzianpour
    Background & Objectives

    HIV is one of the human sufferings with its global prevalence and the lack of effective treatment methods. Therefore, education can be considered an effective solution to prevent new cases. This study was conducted with the aim of investigating the effect of two educational methods on the knowledge and attitude of third year high school students.

    Materials & Methods

    This research is a semi-experimental study in the form of a census of the survey and selection of all possible examples (400) students of third year high school Chalderan city has done. To collect questionnaire data from triploid including demographic information, knowledge and attitude by the research units in the two pre-test and post-test completed, has been used. People under consideration to three lectures, group discussions have been divided. Data collected by the Software spss16 descriptive and inferential statistical tests and analysis have been.

    Results

    The results showed that knowledge of students before and after training in three groups, lectures and group discussion and control of statistically significant differences existed. (p<0.001) as the group average speech awareness of 17.46 to 20.54 in group lecture, 17.85 to 22.38 in group discussions from 17.31 in the control group has improved to 18.26. Also, significant difference between the level of student attitudes before and after training among the three groups were observed (p<0.05). Comparing the two methods in education and the level of awareness improved of attitudes were significantly different (p<0.05).

    Conclusion

    The results suggest that despite the impact of two educational methods on knowledge and attitudes of students (the control group), the effectiveness of group discussion has more than lecture and as a more effective way than this study was accepted.

    Keywords: Health Education, Lecture, Knowledge, Attitude, Acquired Immunodeficiency Syndrome, Health Knowledge, Attitudes, Practice}
  • صنم امیری، محمدصادق عابدزاده زواره، محمود طاووسی، رضا جوروند*
    مقدمه

    هدف این مطالعه تعیین تاثیر آموزش نظریه محور بر رفتار های خود مراقبتی در زمینه بیماری های تنفسی در سالمندان شهر ایلام بود.

    مواد و روش کار

    مطالعه در دو بخش توصیفی و نیمه تجربی در سالمندان شهر ایلام اجرا شد. نمونه ها با روش تصادفی انتخاب شدند. در بخش توصیفی 200 و در بخش نیمه تجربی 140 نفر در دو گروه آزمون و شاهد در مطالعه شرکت کردند. مداخله آموزشی طی یک ماه و به صورت آموزش مجازی انجام شد. داده ها مداخله در دو مرحله به فاصله دو ماه و با استفاده از پرسشنامه روا و پایا و با روش مصاحبه تلفنی جمع آوری شده و با استفاده از نرم افزار SPSS نسخه 25 مورد تجزیه و تحلیل قرار گرفت.

    یافته ها

    نتایج مرحله توصیفی نشان داد که منافع درک شده و خودکارآمدی، قویترین سازه های پیش بینی کننده رفتار خودمراقبتی در سالمندان شهر ایلام هستند و نتایج مرحله تجربی نشان داد که پیش از مداخله، اختلاف معنادار بین گروه های آزمون و شاهد در سازه های الگوی اعتقاد بهداشتی و رفتار مشاهده نمی شود؛ درحالی که پس از مداخله آموزشی در همه متغیرها در گروه آزمون نسبت به گروه کنترل و نسبت به پیش از مداخله تفاوت معنادار بود.

    نتیجه گیری

    از آنجا که الگوی اعتقاد بهداشتی توانست رفتار خودمراقبتی پیشگیری کننده از عفونت های تنفسی نظیر کووید-19 در سالمندان شهر ایلام را پیش بینی کند؛ طراحی مداخلات آموزشی با استفاده از الگوی اعتقاد بهداشتی، برای ارتقاء خودمراقبتی سالمندان در زمینه بیماری های تنفسی به ویژه کووید 19 قابل توصیه است.

    کلید واژگان: سالمندان, کووید-19, عفونت تنفسی, خودمراقبتی, آموزش بهداشت, الگوی اعتقاد بهداشتی}
    Sanam Amiri, Mohamadsadegh Abedzadehzavareh, Mahmoud Tavousi, Reza Jorvand*
    Objective (s)

    To determine the effectiveness of theory-based education on self-care behaviors among the elderly in Ilam, Iran.

    Methods

    The study was conducted in two descriptive and semi-experimental phases among elderly. The samples were selected randomly. In the descriptive phase, 200 and in the semi-experimental phase, 140 eldrly participated in the study The educational intervention was conducted virtually during a month. The intervention data was collected in two stages using valid and reliable questionnaire and telephone interview method and analyzed using SPSS version 25 software.

    Results

    The results of the descriptive stage showed that perceived benefits and self-efficacy are the strongest predictors of self-care behavior among the elderly. The results of the experimental stage showed that before the intervention, there was no significant difference between the test and control groups in the constructs of the health belief model and behavior. After the educational intervention, there was a significant difference in all variables in the test group compared to the control group and compared to before the intervention.

    Conclusion

    It seems that the health belief model can predict self-care behavior among elderly. Therefore, it is recommended to design educational interventions using the health belief model to promote self-care of the elderly.

    Keywords: Elderly, Covid-19, Respiratory Infection, Self-Care, Health Education, Health Belief Model}
  • سارا بشارتی، مهدی مشکی، فاطمه محمدزاده، میترا دوگونچی*
    مقدمه

    تدوین برنامه های آموزشی در زمینه پیشگیری از عفونت های واژنیال، از ضرورت های بهداشتی در زنان محسوب می شود و با توجه به وجود درمان های متعدد، همچنان شاهد افزایش میزان عود مجدد این بیماری در زنان سنین باروری هستیم. از این رو، پژوهش حاضر با هدف بررسی تاثیر آموزش مبتنی بر مدل اعتقاد بهداشتی بر رفتارهای پیشگیری کننده از عفونت کاندیدایی در زنان سنین باروری انجام شد.

    روش ها

    این مطالعه از نوع کارآزمایی در عرصه شاهددار تصادفی بود که بر روی 108 نفر از زنان 49-15 ساله مراجعه کننده به مراکز جامع خدمات سلامت کاشمر انجام گردید. نمونه ها با استفاده از روش خوشه ای تصادفی انتخاب شدند. ابزار جمع آوری داده ها شامل چهار بخش «فرم اطلاعات جمعیت شناختی، پرسش نامه های محقق ساخته شامل سوالات آگاهی از عفونت کاندیدایی واژن، سوالات طراحی شده بر اساس تئوری اعتقاد بهداشتی و سوالات رفتار پیشگیری کننده از عفونت کاندیدایی واژن» بود. برنامه آموزشی مبتنی بر مدل اعتقاد بهداشتی، طی شش جلسه 30 دقیقه ای برای گروه آزمون انجام شد و گروه شاهد آموزشی دریافت نکرد. داده ها طی سه مرحله قبل، بلافاصله و سه ماه بعد از مداخله جمع آوری و با استفاده از روش معادلات برآوردی تعمیم یافته (Generalized Equation Estimation یا GEE) در نرم افزار SPSS مورد تجزیه و تحلیل قرار گرفت. 05/0 > P به عنوان سطح معنی داری در نظر گرفته شد.

    یافته ها

    میانگین سنی مشارکت کنندگان گروه های آزمون و شاهد به ترتیب 41/8 ± 17/35 و 94/7 ± 06/35 سال بود. نمرات سازه های آگاهی، حساسیت درک شده، شدت درک شده، منافع درک شده، راهنمای عمل، خودکارامدی و رفتارهای پیشگیری کننده پس از مداخله نسبت به قبل از مداخله در گروه آزمون به طور معنی‎ داری بیشتر بود (050/0 > P)، اما در میانگین نمرات سازه موانع درک شده، بین دو گروه پس از مداخله آموزشی تفاوت معنی داری مشاهده نشد (295/0 = P).

    نتیجه گیری

    برنامه آموزشی طراحی شده بر پایه مدل اعتقاد بهداشتی، در تغییر عقاید بهداشتی و ارتقای رفتارهای پیشگیری کننده از عفونت زنان تاثیرگذار می باشد. بنابراین، طراحی مداخلات آموزشی مبتنی بر این تئوری بدین منظور مناسب به نظر می رسد.

    کلید واژگان: آموزش بهداشت, مدل اعتقاد بهداشتی, عفونت کاندیدایی, سنین باروری}
    Sara Basharti, Mehdi Moshki, Fatemeh Mohammadzadeh, Mitra Dogonchi*
    Background

    The compilation of educational programs in the field of prevention of vaginal infections is considered as one of the health necessities in women. Despite the availability of numerous treatments, the recurrence rate of this disease among reproductive-aged women continues to rise. This study aimed to investigate the effect of education based on the health belief model (HBM) on the preventive behaviors of candida infection in women of reproductive age.

    Methods

    This was a randomized controlled trial (RCT) study conducted on a sample of 108 women aged 15-49 years referring to health service centers in Kashmar City, Iran. Samples were selected using random cluster sampling method. The data collection tool included 4 parts, a demographic information form, and researcher-made questionnaires containing knowledge questions about vaginal candidiasis infection; questions were designed based on the health belief theory, and preventive behavioral questions about vaginal candidiasis infection. The training program, based on the HBM, was conducted for the test group during six 30-minute sessions, and the control group did not receive training. Data were collected in three stages before, and immediately and three months after the intervention, and were analyzed using the method of generalized estimating equations (GEE). The resulting data were analyzed using SPSS software at the significance level of P < 0.050.

    Findings

    The mean age of the intervention and control groups was 35.17 ± 8.51 and 35.06 ± 7.94 years, respectively. Following the intervention, the test group showed significantly higher average scores in awareness, perceived sensitivity, perceived intensity, perceived benefits, action guide, and self-efficacy constructs and prevention behaviors, compared to the control group (P < 0.050 for all); however, a significant difference was not observed in the mean scores of the perceived barriers construct after the educational intervention (P = 0.295).

    Conclusion

    The results of this study showed that the educational program designed based on the HBM was effective in changing health beliefs and promoting infection prevention behaviors in women; therefore, the design of educational interventions based on this theory seems suitable for this purpose.

    Keywords: Health Education, Health Belief Model, Candidiasis, Gestational Age}
  • L. Fadliyah*, H. Hendarto, L. Sudaryanti, I. Susilo, A. Mardika, I. Iswatun, E. Sulfat, I.I. Hassan
    Aims

    Women aged 40-52 years who use contraception are highly motivated to prevent pregnancy. In this age group, women are beginning to transition into menopause, which is the phase marked by the cessation of menstruation and the end of reproductive function. Menopausal women no longer need contraception to prevent pregnancy. This study aimed to assess the impact of educational interventions on contraceptive discontinuation among menopausal women.

    Instrument & Methods

    This research utilized a quantitative approach with a pre-experimental research design employing a one-group pre-post-test design and purposive sampling of 112 women. Data collection involved questionnaire completion and testing using the Wilcoxon Signed Rank Test with a significance level set at p<0.05.

    Findings

    The pre- and post-test analysis revealed significant changes in knowledge (p<0.001) and contraceptive discontinuation among respondents. The results of the pre- and post-test analyses revealed a substantial improvement in respondents’ characteristics concerning knowledge about menopause. There was a significant rise in the average score from the pre-test to the post-test across all aspects examined, including understanding, signs and symptoms, and the impact of menopause. Utilizing the Wilcoxon Signed Rank test, the disparity in pre-test and post-test scores on the sub-variables of understanding, signs and symptoms, and management of menopause was statistically significant (p<0.05).

    Conclusion

    Implementing health education models for menopausal women is effective in enhancing knowledge and promoting independent decision-making regarding contraception cessation upon the detection of menopause.

    Keywords: Health Education, Knowledge, Contraception}
  • Kamila F Lima, Rayanne B S Lima, Victor M T Ruiz, Elizamar R R Mendes, Deyse Alves Rocha *, Leandro C S Brito, Monyka B L Santos, Luzia C C Ferreira, Maria W G Gaspar, Regina C O Melo, Camila B Dalcin, Lorena P Barbosa
    Background
    Asthma is the most common chronic disease in childhood which accounts for numerousannual hospitalizations due to a lack of management and proper management of the disease. Thus,this study aimed to evaluate the effect of using an educational booklet with or without combinationwith motivational interviewing (MI) on the self-efficacy of parents/caregivers in the control andmanagement of childhood asthma.
    Methods
    A clinical trial was carried out with 86 parents/caregivers of children with asthma agedbetween 2 and 12 years who were followed up in primary health care units from March 2019 toDecember 2020. Participants were randomly assigned to two groups: one of the groups read the bookletand the other read the booklet combined with the MI. The Brazilian version of the Self-Efficacy andTheir Child’s Level of Asthma Control scale was applied before and 30 days after the interventionfor assessment of self-efficacy. Data were analyzed using SPSS version 20.0 and R 3.6.3 software. Pvalues<0.05 were considered significant.
    Results
    There were 46 participants in the booklet group and 40 in the booklet and MI group. Bothgroups were effective in increasing total self-efficacy scores after the intervention (P<0.001). Nostatistically significant difference was found between the scores of the two groups (P=0.257).
    Conclusion
    The educational booklet with or without combination with MI can increase the selfefficacyof parents/caregivers of children with asthma. The findings could be considered by healthcareproviders for the empowerment of caregivers of children with asthma in the control and managementof their children’s asthma.Trial Registration Number: U1111-1254-7256.
    Keywords: Asthma, children, Self Efficacy, Health education, Nursing}
  • معصومه بابازاده، فرشیده ضامنی*، سعید صفاریان همدانی

    مربی گری یکی از روش های نوین در آموزش علوم پزشکی محسوب می شود که نقش اساسی در بهسازی یادگیرندگان دارد. لازمه ی مربی گری حرفه ای رشد و توسعه ی بالندگی اعضای هیئت علمی است. مسئله ی آموزش مربی گری و رشد و توسعه ی بالندگی اعضای هیئت علمی و نقش آن ها در آموزش بالینی در شرایط حاضر، بیش از هر زمان دیگری احساس می شود. ازاین رو، در پژوهش حاضر، روندی معکوس برای کالبدشکافی این دانش انجام شده است. لذا، این مطالعه با مروری بر به کارگیری رویکرد coaching در بالندگی اعضای هیئت علمی و به وی‍ژه کاربرد آن در آموزش عالی سلامت انجام شده است.
    مطالعه ی حاضر مرور سیستماتیکی است که  در آن، کلیدواژه ها براساس MESH تعیین شدند و سپس، جست وجو در پایگاه های اطلاعاتی Web of Science، Scopus، Cochrane، Google scholar، Pubmed، Iran Medex، SID، Uptodate و Magiran در بازه ی زمانی 2003-2021 به دو زبان فارسی و انگلیسی انجام گرفت و طی 5 مرحله بررسی، 34 مقاله به تعداد تکنیکی 17 مقاله ی انگلیسی و 17 مقاله ی فارسی یافت شد.
    بررسی نتایج این امر در علوم پزشکی بسیار اندک بوده است؛ اما بهره گیری از مدل های مربی گری و بالندگی اعضای هیئت علمی دانشگاه های دیگر می تواند کمک شایانی به روند ارتقای سازمانی آموزش عالی  سلامت کند. بر اساس بررسی نتایج مطالعات، کوچینگ نقش بسزایی در بالندگی اعضای هیئت علمی آموزش عالی سلامت و رویکردهای بهداشتی و درمانی دارد. تزریق مفهوم کوچینگ و نقش آن در بالندگی اعضای هیئت علمی نقشه ی راهی برای بهبود کیفیت آموزش عالی سلامت و به کارگیری اصول آن ها در برنامه ی عملیاتی سند تحول نظام سلامت و هدفی کاربردی در ارائه ی خدمات بهداشتی و درمانی است.

    کلید واژگان: اعضای هیئت علمی, آموزش عالی سلامت, آموزش علوم پزشکی, بالندگی, کوچینگ, مربی گری}
    Masoumeh Babazadeh, Farshideh Zameni*, Saeed Saffarian Hamedani

    Coaching is one of the new methods in medical science education that plays an important role in meeting the needs of learners. The requirement of professional coaching is the growth and development of faculty members. The issue of coaching education and the growth and development of faculty members and their role in clinical education is felt more than ever before. Therefore, in the current research, a reverse process has been done for the autopsy of this knowledge. Therefore, this study has been done with an overview of the application of the coaching approach in the growth of faculty members and especially its application in higher health education. The present study is a systematic review in which the keywords were determined based on MESH and then searched in Web of Science, Scopus, Cochrane, Google scholar, Pubmed, Iran Medex, SID, Uptodate, and Magiran databases in the period of 2003-2021. Two languages Persian and English were conducted and during 5 stages of review, 34 articles were found, including 17 English articles and 17 Persian articles. There has been very little examination of the results of this in the field of medical sciences; However, using the models of coaching and development of faculty members of other universities can greatly help the process of organizational improvement of higher health education. Based on the results of studies, coaching plays a significant role in the development of faculty members of higher health education and health and treatment approaches. Injecting the concept of coaching and its role in the growth of faculty members is a road map for improving the quality of higher health education and applying their principles in the operational plan of the health system transformation document and a practical goal in providing health and treatment services.

    Keywords: Coaching, Development, Faculty members, Health education, Medical education}
  • Eshagh Moradi*

    Dear Editor-in-Chief
    The complex process of learning, with all its principles, theories, actions, and reactions, is a continuous, necessary, and unavoidable phenomenon, not only for an educational system but also for human life. Learning is a process that, although many factors are involved in it (1), and some of these factors are known to us, the way information processing leads to learning, and, as a result, the way of learning itself is still not completely known. One of the debatable components related to learning is the generalization process.
    Generalization is a process that causes learning, and according to the opinion of behavioral psychologists, the learner desires to respond to related and similar stimuli; therefore, it is a factor that can cause learning in humans (2). The process of generalization occurs abundantly throughout human life, and although this generalization is not always positive and can be misplaced, it also has a significant role in learning. The fact is that generalization will happen (3), and the teacher must organize and design the teaching process in such a way that positive generalization leading to optimal learning occurs in the learner's mind and behavior. It seems that generalization also plays a significant role in creating mental schemas. Schemata are cognitive frameworks for organizing information (4) that help us save information for learning.
    The importance of its generalization becomes more apparent when we know that the majority of learning processes contribute, albeit a small one, to generalization. In other words, ultimately, it is the generalization that causes learning. With a broader view and expansion of the subject, we realize that what Ausubel stated in his meaningful learning theory (5) results from generalization. In other words, meaningful learning occurs when the learner can combine the new learning with the old learning and create a result or concept or new principles from it (5), which is possible without generalizing these events and learning. Therefore, it seems that learning about any subject in any way has streaks of generalization in it. The problem can arise when the educational system and subsequently the teacher ignore the generalization process in students' learning. It is suggested that teachers in their specialized fields, during or before the instructional design, compile some of the content of the courses that include various generalizations in that field and use it in their teaching so that a sequence and pattern of generalizations are formed in the student’s mind. The student can form the rest of the sequences in his mind according to what he/she has learned. As an example, the learner, by knowing how the splint works, in situations where a standard splint is not available, uses cardboard as a splint, and his generalization can include other cases as well. By being in a managerial structure, a person enters any other administrative structure, and he can learn about the administrative procedures and processes by making generalizations. By raising and educating one child, parents generalize from its sequence and educate their other children more easily and correctly. Also, parents’ anxiety and fear caused by care are eliminated or reduced. It becomes easy for a student to understand the subjects of medical physics when he has completed the physics course. Knowing a drug’s mechanism enables the pharmacy student to make generalizations and learn the mechanisms of all drugs belonging to that drug family more easily. Even the competency and skill acquired by a medical student from practicing on a simulator or mockup in clinical training and transferring it to the real environment and on the patient's bed, in the first place, requires the occurrence of a generalization process. For policymakers and managers of the health system, generalization can help them apply the changes or events that they have experienced in a past situation in new situations that are created for them, in other words, to learn from it.
    One of the cases worth mentioning is the use of generalization at the beginning of programs or training courses or the beginning of academic courses so that if the educational course is not held in a standard, attractive, and effective way, or if unpleasant events occur, the audience and learners of this course make incorrect generalizations and generalize these events to the entire course, teachers, and participants of the course. Of course, the reverse is also true.
    These are just some examples of generalization in medical sciences. Medical teachers must explain this fact to their students and learners and explain its logic and scientific reason. From this point of view, it is clear why students should study gradually and continuously throughout the course and not postpone it to the days, nights, or final weeks of the semester. This important matter should be taken into consideration in educational courses and faculty development programs for the empowerment of faculty members in universities of medical sciences (6).
    It can be stated that making and constructing more generalizations in lessons by the learner, in addition to facilitating his learning, can also reduce his anxiety and stress. From this point of view, the anxiety of studying on the night of the exam can be justified, and one of its causes is the student's reduced generalization during the course.
    With these words, six basic and effective roles for generalization in medical education processes can be listed, including the role of generalization in:1. Creating positive cognitive schemata
    2. Creating new and meaningful learning (in basic sciences and clinical education)
    3. Facilitating and strengthening hidden learning and making it explicit
    4. Reducing the exam anxiety and stress of learners
    5. Normal processes of human life (students and faculty members of medical sciences)
    6. Beginning of programs, educational courses, or training courses in medical sciences
    Finally, it can be concluded that although generalization is not all learning and various components are involved, we can see the shadow of generalization over the majority of learning processes, especially in medical education during learners’ learning. This serious issue should be considered by decision-makers in the educational system, faculty members, and students. Although these generalizations may occur unconsciously, the knowledge and understanding of teachers and students about the generalization process and its examples can increase the level of awareness and, subsequently, apply and consider it to facilitate learning.

    Keywords: Generalization, Health professions, Health education, Learning}
  • Nurina Hasanatuludhhiyah, Abdul Purba, Annette D’Arqom, Idznika Wibowo, Visuddho Visuddho, Arifa Mustika *
    Background and Objectives
    The COVID-19 pandemic raises a concern about the urgent issue of low levels of digital health literacy (DHL). Adequate DHL may mitigate the negative impacts of proliferating misinformation. This study was aimed at examining the COVID-19 related DHL levels and social media use as digital health information sources among high school students in East Java, Indonesia. The differences in DHL levels across sociodemographic factors, medical history, and social media preferences were also analyzed.
    Material and Methods
    This was a cross-sectional study, conducted in 2021, and enrolled high school students aged 15-18. The subjects were selected for convenience, with a minimum sample size of 384. An online questionnaire was shared through a survey platform. The sociodemographic variables and medical history were collected. The DHL measuring items were adapted from the validated DHL instrument developed in the COVID-19 context.  Data were analyzed with SPSS 17.0.
    Results
    We collected 432 responses. More than half of respondents (56.5%) have adequate DHL. Although 81.7 percent of respondents reported that searching for online information was easy, only 53.5 percent reported ease in appraising the reliability aspect. Fathers’ education varied by DHL. Students whose fathers hold post-graduate degrees showed a significantly higher level of DHL than those of lower educational backgrounds. Students experiencing COVID-19 infection of their own or close relatives showed higher total DHL and information search scores. Instagram and TikTok were the most frequently chosen social media as digital health information sources, but no significant difference in DHL across the preference for social media.
    Conclusion
    Even though the information can be obtained easily, there are still difficulties in evaluating its reliability. Considering the proportion of respondents with inadequate DHL, stakeholders in the health and education sectors need to develop DHL-promoting strategies for adolescents. Improvement in evaluating reliability should be the target of focus.
    Keywords: COVID-19, Digital health literacy, health education, Health Information, adolescence}
  • ادریس اسلامی*، نوشین برادری
    زمینه و هدف

    مطالعه حاضر با هدف بررسی جایگاه آموزش سلامت در کتاب درسی سلامت و بهداشت پایه دوازدهم انجام شد.

    روش

     نوع پژوهش، توصیفی و روش آن، تحلیل محتواست .جامعه آماری، کتاب سلامت و بهداشت پایه دوازدهم متوسطه سال تحصیلی 1400-1399 و نمونه آماری، کل کتاب می باشد. ابزار گردآوری اطلاعات، سیاهه مولفه های آموزش سلامت است. روایی ابزار، صوری و برای پایایی آن، از روش ویلیام اسکات استفاده شده است. برای تجزیه وتحلیل داده ها از دو روش تعیین فراوانی و درصدگیری مولفه ها و آنتروپی شانون بهره گرفته شده است.

    یافته ها

    یافته ها نشان می دهد که 412 مورد ازمتن نوشتاری و فعالیت های یادگیری به مولفه های آموزش سلامت اختصاص دارد که در متن نوشتاری، بیشترین فراوانی به مولفه خودمراقبتی با 92 مورد (85/ 32 درصد) و کمترین فراوانی با 6 مورد به مولفه سلامت جسم (14/2 درصد) مربوط است و در فعالیت های یادگیری، بیشترین فراوانی به مولفه شناخت بیماری ها با 37 مورد (03/28 درصد) و کمترین فراوانی با 5 مورد به مولفه سلامت محیط (78/3 درصد) مربوط است.

    نتیجه گیری

    با توجه به یافته های این پژوهش می توان نتیجه گرفت که طراحان و مولفان کتاب های درسی به صورت متوازن به هریک از مولفه های آموزش سلامت توجه نکرده اند و این امر باعث می شود برخی از ابعاد مهم آموزش سلامت تا اندازه ای مغفول واقع شوند. بنابراین، توزیع و پراکندگی برخی از شاخص های آموزش سلامت در این کتاب درسی نامناسب است.

    کلید واژگان: آموزش بهداشت, خودمراقبتی, رفتار خطرناک, رژیم غذایی سالم}
    Nooshin Baradari*, Edris Islami
    Background

    The present study was conducted with the aim of investigating the place of health education in the 12th grade health and hygiene textbook.

    Methods

    The type of research is descriptive and its method is content analysis. The statistical community is the health and hygiene book of the twelfth grade of high school in the academic year 2020-2021 and the statistical sample is the entire book. The tool for collecting information is the checklist of components of health education. The validity of the instrument is formal, and William Scott's method is used for its reliability. For data analysis, two methods of determining frequency and percentage of components and Shannon entropy have been used.

    Results

    The findings show that 412 items from the written text and learning activities are dedicated to the components of health education. In the written text, the highest frequency is related to the self-care component with 92 items (%32.85) and the lowest frequency with 6 items is related to the physical health component (% 2.14), and in learning activities, the highest frequency is related to the disease recognition component, with 37 cases (%28.03) and the lowest frequency with 5 cases is related to the environmental health component (%3.78).

    Conclusion

    According to the findings of this research, it can be concluded that the designers and authors of the textbooks have not paid attention to each of the components of health education in a balanced way, and this causes some important aspects of health education to be neglected to some extent. Therefore, the distribution and dispersion of some health education indicators in this textbook is inappropriate.

    Keywords: Dangerous Behavior, Health Education, Self Care, Healthy diet}
  • محمدحسین تقدیسی، حمید الله وردی پور، فاطمه استبصاری، زهرا رحیمی خلیفه کندی*
    زمینه و هدف

    با تحولات بنیادین در مفهوم سلامت و رویکرد جدید سازمان جهانی بهداشت در ارتقای سلامت فرد، سازمان و جامعه آموزش بهداشت و ارتقای سلامت یک رشته نوپا در ایران در عرصه علوم پزشکی و بهداشتی می باشد که هنوز به عنوان یک رشته تخصصی در سطوح مختلف معرفی نشده است. از این رو، هدف از مطالعه حاضر، واکاوی چالش های کیفیت آموزشی و جایگاه رشته آموزش بهداشت و ارتقای سلامت می باشد.

    مواد و روش ها

    مطالعه حاضر یک پژوهش کیفی با رویکرد تحلیل محتوای قراردادی می باشد. در این پژوهش، 24 نفر از متخصصین و دانش آموختگان آموزش بهداشت و ارتقای سلامت،. از مهر 1401 تا اردیبهشت 1402 به روش نمونه-گیری هدفمند انتخاب شدند و با استفاده از مصاحبه های نیمه ساختاریافته دیدگاه افراد مختلف در مورد چالش های رشته آموزش بهداشت و ارتقای سلامت مورد کنکاش قرار گرفت و بعد از 22 مصاحبه کد جدیدی استخراج نگردید اما برای حصول اطمینان دو مصاحبه دیگر ضبط گردید و نمونه گیری تا اشباع داده (24 مصاحبه) ادامه یافت. برای تجزیه و تحلیل داده ها از روش    Graneheim and Lundman استفاده شد.

    یافته ها

    چالش های رشته آموزش بهداشت و ارتقای سلامت از نگاه مشارکت کنندگان در تحقیق شامل 2 مولفه اصلی ظرفیت های علمی با مولفه های فرعی بهبود کوریکولوم، ارتقای توانمندی اساتید ودانشجویان و مولفه اصلی ظرفیت های ساختاری با مولفه های فرعی ایجاد جایگاه برای رشته آموزش بهداشت و ارتقای سلامت و تعیین ردیف سازمانی اشتغال بود. 

    نتیجه گیری

    بر اساس یافته ها با بهبود کوریکولوم و ارتقای اساتید و ایجاد جایگاه برای رشته می توان کیفیت رشته آموزش بهداشت و ارتقای سلامت را بهبود بخشید. در همین راستا معرفی رشته در سطوح مختلف جامعه می تواند در جذب افراد با انگیزه و توانمند برای تحصیل در مقاطع بالاتر و تربیت اساتید از نظر علمی و اخلاقی برجسته در این رشته موثر باشد. لذا پیشنهاد می گردد که یک اصلاح کلی در کوریکولوم در جهت متناسب سازی با اهداف رشته آموزش بهداشت و ارتقای سلامت صورت گیرد و همچنین جلساتی با سیاست گذاران جهت معرفی رشته به سطوح تصمیم گیری برگزار گردد.

    کلید واژگان: آموزش بهداشت و ارتقای سلامت, چالش .مطالعه کیفی, دانش آموختگان}
    MohammadHosein Taghdisi, Hamid Allahverdipour, Fatemeh Estebsari, Zahra Rahimi Khalifeh Kandi*
    Background and Objectives

    Despite fundamental advancements in the understanding of health and the new strategy of the World Health Organization in enhancing the health of the individual, organization, and society, health education and promotion is a relatively new major in Iranian medical and health science. However, it has not yet been introduced as a specialist major at various levels. This research aims to investigate the challenges of educational quality and the position of health promotion and education.

    Materials & Methods

    The current study employs a qualitative research with a structured content analysis approach. In this research, 24 health education and health promotion specialists, and graduates were chosen using a purposive sampling method From September2022 to May 2023. Using semi-structured interviews, different people’s perspectives on the challenges of health education promotion were investigated, and After 22 interviews, no new code was extracted, but two more interviews were recorded to make sure, and sampling continued until data saturation (24 interviews). The collected data were analyzed using the Graneheim and Lundman approach.

    Results

    The challenges of the major of health education promotion from the perspective of the research participants include two main components: 1) scientific capacities (with sub-components of improving the curriculum and empowerment of professors and students) and 2) structural capacities (with sub-components of creating a position for the major of health education and promotion and determining the organizational level of employment).

    Conclusion

    According to the findings, the quality of health education and health promotion may be enhanced by upgrading the curriculum, elevating professors, and providing a space for the major. In this respect, introducing the major at various levels of society can be useful in attracting motivated and talented people to study at higher levels and training scientifically and ethically outstanding professors in this major. As a result, to adapt to the aims of health education promotion and to apply it and the way professors teach, it is suggested to implement a broad curriculum reform and hold meetings with policymakers to expose the area to decision-making levels.

    Keywords: Health Education, Promotion, Challenge, Qualitative Study, Graduates}
  • Aurang Zeb *, Erika Sivarajan Froelicher, Abel Jacobus Pienaar, Khairunnisa Dhamani
    Background

    Obesity is a significant health problem worldwide and an alarming problem in the developed world including the United States of America and European populations. Subsequently, obesity can lead to different health problems, such as non‑communicable diseases. However, it can be prevented through a healthy diet, exercise, and lifestyle modification. The study’s purpose was to analyze the published literature on community‑based obesity interventions and to present a comprehensive summary of how to reduce the body weight, Body Mass Index (BMI), and Waist Circumference (WC) among overweight and obese individuals in the community through health education and behavior interventions.

    Material and Methods

    The meta‑analysis was conducted in February–July 2021, searching CINAHL, Cochrane Library, Google Scholar, PubMed, and Science Direct databases. Studies published during the prior 12 years on community‑based obesity intervention for weight, BMI, and WC were included in this review. Cochrane Revman software was used for meta‑analysis.

    Results

    Seventeen studies met the selection criteria for the review. A meta‑analysis of the studies on health education and behavioral intervention studies resulted in a statistically significant reduction at 95% confidence intervals in the mean differences of BMI ‑1.19 (‑1.77, ‑0.62) and WC ‑1.11 (‑1.54, ‑0.68).

    Conclusions

    Community‑based obesity interventions through health education and behavior interventions effectively reduce the body weight, BMI, and WC. Implementing community‑based health education and behavioral interventions effectively prevents and treats obesity in communities.

    Keywords: Behavioral modification, body mass index, community‑based, health education, obesity}
  • Xinlong Zhang *, Shaolei Lang, Fei Liu
    Background

    Gastric cancer patients often feel physically tired and weak, lacking confidence and enthusiasm for relevant treatments. We aimed to explore the impacts of health education based on the theory of protective motivation on the emotional state, cancer-related fatigue, and hope levels of gastric cancer patients.

    Methods

    A total of 160 gastric cancer patients admitted to the Sanmenxia Central Hospital, Henan, China, from May 2019 to March 2022 were selected as subjects. The control group (n=80) received routine health education, while the observation group (n=80) received health education based on the theory of protective motivation. Intervention evaluations included the Morisky medication compliance score, Plain Mood State Scale (POMS), Cancer Fatigue Scale (CFS), Herth Hope Scale (HHI), and Simple Health Survey Scale (SF-36).

    Results

    After intervention, both groups showed an improvement in Morisky’s medication compliance score, HHI scale score, and SF-36 scale score (all P<0.05). Additionally, the observation group exhibited greater improvement than the control group (P<0.05). There were no significant differences in POMS scale score and CFS scale score between the two groups before and after intervention. However, after intervention, both groups experienced a decrease in POMS scale score and CFS scale score (both P<0.05), with the observation group showing a more significant decrease compared to the control group (P<0.05).

    Conclusion

    Health education based on the theory of protective motivation effectively enhances the mood state, reduces cancer-related fatigue, and increases hope levels among gastric cancer patients, thereby improving their medication compliance and overall quality of life.

    Keywords: Protective motivation, Health education, Gastric cancer}
  • حدیث احسانی، علی جعفری، امیرحسین علی اکبری، علی اصغر نادی قرا، اعظم نحوی*
    سابقه و هدف

    آموزش بهداشت دهانی در سنین نوجوانی، می تواند سبب تغییر دانش و رفتار بهداشتی ایشان شده و در نهایت به پیشگیری از بروز بیماری های پریودنتال دوره بلوغ منجر شود. مطالعه حاضر با هدف مقایسه اثرگذاری آموزش بهداشت دهانی توسط انیمیشن و آموزش شفاهی به روش معمول در تغییر دانش، رفتار و شاخص های پریودنتال نوجوانان، انجام پذیرفت.

    مواد و روش ها

    در مطالعه مداخله ای نیمه تجربی حاضر، 371 دانش آموز 13 تا 15 ساله مدارس منتخب ساری، که توسط نمونه گیری خوشه ای برگزیده شد و دارای معیارهای ورود و فاقد معیارهای خروج بودند، به دو گروه کنترل با آموزش شفاهی (187 نفر) و مداخله با آموزش توسط انیمیشن(184 نفر) تقسیم شدند. پرسشنامه و معاینات بالینی شاخص های لثه ای (GI)، پلاک (PI) و خونریزی از سالکوس لثه (SBI) پیش از مداخله و چهار هفته پس از مداخله انجام شد و داده ها در نرم افزار SPSS ver23 وارد شد. از آزمون های t مستقل و کوواریانس جهت آنالیز داده ها استفاده شده و 0/05 <p معنی دار در نظر گرفته شد.

    یافته ها

    پس از مداخله، میانگین نمرات شاخص های دانش، رفتار، GI، PI و SBI به ترتیب از  6/27، 5/90، 1/10، 0/85 و 0/31 به 7/53،     7/08 ، 0/73، 0/53 و 0/21 تغییر یافت. تمامی شاخص ها در گروه کنترل نیز بهبود یافتند؛ با این حال، پس از مداخله، اختلاف چشمگیری میان گروه انیمیشن و گروه کنترل در تمامی شاخص ها، به استثنای رفتار بهداشتی، به ثبت رسید (0/05<p).

    استنتاج

    آموزش بهداشت دهانی توسط انیمیشن رویکردی نوین و تاثیرگذار است که می تواند جذابیت بیش تری برای نوجوانان داشته و در پیشگیری از بیماری های پریودنتال موثر باشد.

    کلید واژگان: آموزش بهداشت, انیمیشن, بلوغ, بیماری های پریودنتال, شاخص های پریودنتال}
    Hodis Ehsani, Ali Jafari, Amirhosein Aliakbari, AliAsghar Nadi Ghara, Azam Nahvi*
    Background and purpose

    Utilizing engaging techniques, such as animation, to educate adolescents about oral health can significantly impact their knowledge and behavior, resulting in the prevention of periodontal diseases. The current study aimed to compare the effectiveness of health education utilizing animation vs traditional education methods in improving adolescents' attitudes, behavior, and periodontal markers.

    Materials and methods

    In this interventional study, 371 students aged 13 to 15 were randomly selected by cluster sampling and divided into two groups: control (187 students) and intervention (184 students). Questionnaires and clinical examinations of the Gingival Index (GI), Plaque Index (PI), and Sulcus Bleeding Index (SBI) were completed before and four weeks following the intervention, and the data were entered into the SPSS software (v. 23). The independent t-test and covariance analysis were used to analyze the data, and P<0.05 was considered significant.

    Results

    After the intervention, the average scores of knowledge, behavior, GI, PI, and SBI indices were changed from 6.27, 5.90, 1.10, 0.85, and 0.31 to 7.53, 7.08, 0.73, 0.53, and 0.21, respectively. All indices in the control group also improved; however, after the intervention, a significant difference was recorded between the animation group and the control group in all indices, except health behavior (P<0.05).

    Conclusion

    Oral health education through animation is a novel and effective approach that can be more appealing to adolescents and beneficial in reducing periodontal diseases in young patients.

    Keywords: adolescence, animation, health education, periodontal diseases, periodontal indices}
  • P. Parsaei-Mohammadi, Z. Sabaghinejad*, Sh. Ghaed-Amini Harouni
    Aims

    Numerous and diverse tools have been designed and validated for measuring health literacy. The aim of this study was the validation and adaptation of the HeLIA instrument for measuring health literacy in thalassemia major patients in Iran.

    Instrument & Methods

    This is a cross-sectional study, and data collection was done from October to December 2022. The research population included patients with thalassemia major hospitalized at Shahid Baghaei 2 Hospital in Ahvaz. The statistical population was 300 people, and the sample size was 170. The pre-validation population included 50 patients and ten experts for validation. Reliability was calculated using Cronbach’s alpha (for internal consistency). The Kuder-Richardson's (KR) test checked the consistency between the questions. Using Kaiser-Meyer-Olkin (KMO) was the measure of sampling adequacy. The Pearson correlation coefficient was used in this study. Also, SPSS 24 and Amos 24 were used.

    Findings

    The HeLIA is valid based on face validity, content validity, and construct validity. Cronbach’s alpha was 0.891 and showed the validity of the tool. Explanatory factor analysis showed a model with four factors named “understanding,” “reading, access and evaluation,” “care measures,” and “decision and using,” which can explain 53.149% of health literacy variances. Also, IFI=0.823, CFI=0.816, NFI=0.713, and RMSEA=0.08 show the model's fitness, and, the KR21=0.89, indicated the reliability of the tool. Pearson’s correlation coefficient showed significant correlations between all factors.

    Conclusion

    The findings of this study confirm the validity and reliability of the HeLIA in thalassemia major patients in Iran.

    Keywords: Health Education, Health Literacy, Holistic Health, Major Thalassemia}
  • M. Jalilian*, S. Shahbazi, R. Chenary, A. Mirzaei, H. Kakaei
    Aims

    This study aimed to investigate the effect of a health education program on empowering mothers to prevent home accidents among rural children under five years old in Ilam County.

    Materials & Methods

    This research was a randomized controlled trial involving 88 mothers with children under five years old attending healthcare houses in Ilam County in 2022-2023 who were randomly assigned to the intervention and control groups. A one-month online educational intervention was implemented for the intervention group using the WhatsApp application, while the control group received no education. Data were collected using a questionnaire assessing the constructs of the health belief model regarding home accidents in children, completed online by the participants at baseline and three months later. Data were analyzed using SPSS 16 software, employing an independent sample t-test and paired sample t-test.

    Findings

    No significant difference was found between the two groups in the mean scores of the health belief model constructs regarding preventing home accidents in the pre-test phase (p>0.05). The results of the independent sample t-test showed a significant increase in the mean scores of health belief model constructs in the intervention group compared to the control group after a three-month follow-up (p<0.05).

    Conclusion

    Designing interventions based on the health belief model effectively empowers mothers to prevent accidents in rural children under five years old.

    Keywords: Adult Children, Mothers, Empowerment, Accidents, Home, Health Belief Model, Health Education}
  • Angga Wilandika *, Ah Yusuf, Ninuk Kurniawati, Suzana Yusof, Anggriyana Widianti
    Background and Objectives
    Efforts to reveal the factors that drive health literacy toward eradicating stigma in people with HIV/AIDS are significant. This study aimed to identify and extract the factors that promote health literacy in eliminating HIV stigma in society. 
    Material and Methods
    The scoping reviews study was used to map out the evidence for recommendations based on PRISMA-ScR. Systematically search through Scopus, Web of Science (WOS), CINAHL via EBSCOhost, and SpringerLink to find articles published during 2017-2022. Studies were selected based on inclusion criteria, focusing on factors that mediate health literacy in eradicating HIV/AIDS stigma. 
    Results
    Twenty-eight articles met the criteria and were used in the review. After reviewing the articles, the factors that promote health literacy in eradicating HIV stigma in society were divided into three main dimensions: personal characteristics, societal and environmental factors, and situational factors regarding the disease, with 16 component factors. 
    Conclusion
    Health literacy impacts reducing social stigma against people with HIV in society. Factors influencing health literacy must be considered to optimize social stigma reduction. The factors mentioned comprise individual traits, knowledge, motivation, social support, information media, awareness of the disease, fear of HIV transmission, perception of the disease, and personal beliefs about HIV disease. Health professionals could use this evidence to promote health literacy to address the social stigma against people living with HIV based on the factors related to health literacy.
    Keywords: Information Literacy, health education, Stereotyping, Social Inclusion, Social Stigma}
  • Ajeng Galuh Wuryandari *, Muhammad Rusdi, Asni Johari, Guspianto Guspianto
    Background and aims

    Healthcare establishments must treat people who are deaf or hard of hearing equally. As several experimental studies have yielded different outcomes, some studies on health education techniques must be conducted to examine the effects of health education on hearing loss. This study outlines how researchers educate deaf people about health issues.

    Methods

    This study was conducted in June 2023 in Jambi, Indonesia. A comprehensive search strategy for each database was developed using the following search terms: “deaf,” “hearing impairment,” “health education,” “adolescent,” and “adult.” A comprehensive assessment of the references from all the studies included in the analysis was also conducted. The forthcoming PRISMA 2020 rules are approaching. Researchers employ Roanalyze to analyze the potential for bias in a study and use the Critical Appraisal Skills Programme (CASP) to evaluate the authenticity of the study. The writers autonomously acquired the data, whereas external sources reassessed and evaluated the results.

    Results

    The review database successfully incorporated twenty-one studies relevant to its themes and objectives. Sign language plays a crucial role in health education by enhancing communication and literacy for deaf individuals through visual learning methods and telemedicine.

    Conclusion

    Sign language plays an essential role in health education, as it improves accessibility for deaf individuals by utilizing visual aids and multimedia-based approaches to learning.

    Keywords: Health Education, Deafness, Health Literacy, Systematic Review}
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