جستجوی مقالات مرتبط با کلیدواژه "protection motivation theory" در نشریات گروه "پزشکی"

Despite the introduction of the human papillomavirus (HPV) vaccine in China in 2016,the uptake rates of HPV vaccination were low. This study aimed to assess the status of HPV vaccination,identify associated factors influencing HPV vaccination among female medical college students in Hubei province.

Using a multistage sampling method,this was a cross-sectional study conducted in six colleges in Hubei province in 2023. The data were collected by web-based online software. Multiple logistic regression was applied to explore factors associated with the uptake of the HPV vaccine.

Overall,1148 female medical college students were enrolled in this study. Approximately 13.9% of participants reported receiving the HPV vaccine. About 85.5% of unvaccinated participants showed high levels of intention to receive an HPV vaccine in the future,and 89.1% of the participants had accessed information about the HPV vaccine from the Internet. Multiple logistic regression demonstrated that knowledge pertaining to HPV,the HPV vaccine,factors aligned with the protection motivation theory (PMT),and socio-variables such as the mother’s educational background,the presence of vaccinated family members were associated with the uptake of the HPV vaccine.

Our findings revealed that the HPV vaccination was associated with the knowledge,perceived susceptibility,perceived response efficacy,and self-efficacy of HPV,the HPV vaccine among female college students. Therefore,increasing HPV,HPV vaccine knowledge within the framework of PMT may serve as an effective strategy to promote HPV vaccination rates among college students.

 The early diagnosis of breast cancer through mammography is effective in reducing death. Therefore, this study aimed to determine the effect of an educational program based on the protection motivation theory (PMT) on mammography adherence among women in Yazd, Iran.

 In this experimental study, 144 women referring to the clinic were randomly assigned to test and control groups. The data collection tool was a valid and reliable researcher-made questionnaire with 56 items and 8 dimensions. The educational program was held in the form of 6 sessions for the test group, which included PMT–based essays, infographics, and videos. The 12-week follow-up period continued as telephone consultation, and then the data were collected and analyzed by SPSS software version 21 with a 95% confidence interval.

 The results showed that in the pre-training phase, the Mann-Whitney U statistical test did not reveal a significant difference between the two groups of women in terms of the mean mammography intention score (Z=2523.000, P value=0.775). Based on the results of the Wilcoxon test before and after the intervention, the protection motivation of women for mammography for the next month showed a significant difference in the test group. Furthermore, none of the women in the two groups were referred for mammography three months after the implementation of the training. In addition, the McNemar test results did not indicate a significant difference regarding mammography behavior in the two groups before and after the educational intervention.

 According to the results, the protection motivation of the majority of the women in the test group was in the stages of possible and definitive referral for mammography after the educational intervention, which indicates the effectiveness of the tailored educational program. In this study, all the constructs of the PMT act as interconnected building blocks with logical action and interaction to promote mammography adherence in women in Yazd.

Maintaining workers’ safety in the workplace can be achieved by promoting protective behaviors. The purpose of this study was to investigate the status of protective behaviors in relation to the theoretical structures of the protection motivation theory.

This cross-sectional study was conducted on 100 paint workers in Rafsanjan city. A researcher-made questionnaire was used to assess knowledge, attitude, protective behaviors, and theoretical structures. A structural equation model was employed to investigate the impact of motivational theory structures on protective intentions and behaviors.

The present study showed that, despite a relatively acceptable level of knowledge, the status of protective behavior in painting workers was not favorable. Correlation tests indicated that protective behaviors had a positive relationship with knowledge, self-efficacy, and response efficacy structures, while negatively and significantly related to the perceived cost structure. (p <0.05). Overall, the protection motivation theory structures had acceptable goodness of fit.

It is recommended that the structures of the protection motivation theory be utilized to persuade painting workers to comply with protective behaviors. Greater emphasis should be placed on creating a sense of threat caused by the lack of protective behavior in this group.

 Although researchers have performed several smoking-related investigations, limited achievements have been found in decreasing rates of smoking because most of them were not implemented based on the appropriate theory. This study aimed to apply the structural equation modeling (SEM) method to examine the relationships between protection motivation theory (PMT) constructs, health literacy, and smoking behavior among university students.

 In the current cross-sectional investigation, 542 students of Mashhad Universities of Applied Sciences were collected using cluster sampling on August 2022. The data collection tools were sociodemographic, PMT, and health literacy questionnaires. The collected data were analyzed using SPSS 24. Moreover, the SEM was implemented by applying Amos. Pearson correlation examination was performed to study the relationships between behavior and other variables. Moreover, SEM was performed using Amos 18, and several indexes were calculated, including chi-square/degrees of freedom (χ2 /df), goodness of fit index, root mean square error of approximation, comparative fit index, and Tucker Lewis index.

 The resulting of the smoking behavior model demonstrated an acceptable fit with the studied data. Smoking behavior was significantly associated with higher intention extrinsic and intrinsic rewards and the perceived cost and lower response efficacy, self-efficacy, and perceived vulnerability; nonetheless, intention and self-efficacy had more effects, respectively (P<0.05).

 It can be more beneficial to increase the people’s self-efficacy in order to further trust themselves so that they can successfully avoid smoking via reinforcement of the coping skills.

Prevention of smoking is very important at a young age and during the student period. Because of the lack of a questionnaire based on the prevention of smoking behavior, this study was conducted to design and standardize a tool according to the protection motivation theory (PMT).

This was an analytical cross‑sectional study where information and opinions of experts and then designing tools and assessing the face validity in the first phase and content validity, construct validity, test–retest reliability, and internal consistency of questions in the second phase were examined. The initial themes and structures were determined based on the literature Review and the opinion of experts. Three hundred students of Yazd Universities were selected by cluster sampling and included in the study. All analyses were performed in SPSS and AMOS software version 24 with a significance level of less than 5%.

The final version of the scale had 39 questions in eight dimensions. The overall Cronbach’s alpha value was 0.89, and for each dimension, it was more than 0.7. The content validity ratio and content validity index for the whole tool were 0.87 and 0.94, respectively. The results of confirmatory factor analysis showed that the latent construct model had good fit (X2/df = 4.31; RMSEA = 0.07; CFI = 0.94; NFI = 0.92; TLI = 0.91, P < 0.001).

In this study, a valid and reliable tool based on PMT to predict smoking behavior in students was introduced. This tool can be used in interventional and etiological studies. It also has questions related to the coronavirus disease 2019 (Covid 19) virus and can be used in the coronavirus pandemic.

Uterine Cervical Neoplasms is one of the most common cancers in women. Uterine Cervical Neoplasms screening is one of the essential measures for preventing this disease, and its purpose is to detect lesions in the premalignant stage and reduce the risk of death due to this cancer. This study aimed to determine predictive factors for the utilization of cervical neoplasm screening services in Iranian women.This descriptive cross-sectional study was conducted on 200 women referred to health centers of Torbat Heydariyeh City by random cluster sampling method. The data was collected using a researcher-made questionnaire including demographic data and constructs of the Protection Motivation Theory (PMT) using self-report. Descriptive analysis was used to explain demographic variables and PMT dimensions. Regression and Fisher’s exact test using SPSS software version 22 with a statistical significance at P<0.5 was used for analyzing the data.The mean age and weight were 30.6 ± 9.0 and 66.1± 10.9 in participants. 97.5% were married and 67.5% had a diploma or academic education. Self-efficacy, response efficacy, and perceived sensitivity predicted the desired behavior. Adjusted R2=0.27 indicated that this model explained 27% of the behavioral score changes. Therefore, comprehensive planning for intervention, use of PMT and gaining knowledge about the cultural and socioeconomic factors for Uterine Cervical Neoplasms screening seem useful.

The aim of this study was to determine the effect of educational intervention on improving the preventive behaviors of fatty liver in women referring to comprehensive health service centers in Bardaskan using the protection motivation theory (PMT).

This quasi-experimental study was conducted on women aged 18-59 in Bardaskan in 2020. The sample size was determined as 128 according to the suggestion (Cohen), including 64 experimental and 64 control samples. The participants completed a researcher-made questionnaire consisting of three parts (demographic variables, constructs of PMT, and fatty liver prevention behaviors). The educational intervention for the experimental group was performed in 12 one-hour sessions over 4 weeks using lectures, group discussions, questions and answers, brainstorming, substitution experiences, and delivery of the designed educational booklet. Two months after the completion of the educational intervention, the questionnaire was completed again by all participants. The obtained data were analyzed by SPSS 21 using descriptive statistics, Chi-square test, independent t test, paired t test, ANCOVA test, and linear regression test.

There was a significant difference between the mean scores of perceived susceptibility (P<0.001), perceived severity (P=0.002), perceived external and internal rewards (P=0.010), response efficiency (P=0.010), perceived cost (P<0.001), and behavior (P=0.028) between the experimental and control groups after the educational intervention.

Educational intervention based on PMT led to behavior modifications to promote the preventive behaviors of the fatty liver.

Cervical cancer is one of the most common cancers of the female reproductive system. Despite the importance of cervical cancer screening in early detection, the uptake of screening is poor. The present study aimed to predict the factors that influence the cervical cancer screening behavior of Iranian women visiting health centers.

This cross-sectional study was performed on 661 women of reproductive age referred to health centers in Karaj, Iran, in 2021, who were selected by convenience sampling. Data collection was performed with a multi-sectional questionnaire designed to collect information about demographic characteristics and constructs of Protection Motivation Theory (PMT) and emotional support. Data analysis was performed using SPSS version 24.0, and AMOS version 24.

The mean age of the participants was 38.2±13.77. Most of the participants had a high school diploma and a moderate socioeconomic status. The results showed the direct effect of intention on behavior (β=0.54) and the direct effect of fear on intention (β=-0.66). Perceived self-efficacy had the greatest indirect effect on behavior through intention (β=0.34). All protection motivation constructs except response cost (β=0.06) showed a significant effect on cervical cancer screening behavior. Model fit indices showed the good capability of the extended protection motivation model to predict cervical cancer screening behavior.

Perceived self-efficacy is the strongest predictor of cervical cancer screening behavior, and emotional support affects this behavior through self-efficacy and intention. Therefore, it is recommended to pay attention to these factors when designing and planning educational interventions for improving cervical cancer screening behavior.

Patients with ischemic heart disease (IHD) gradually reduce their follow-up treatment due to the vulnerable physical condition and high involvement with the disease-related treatment process. The purpose of this research was to investigate the effect of intervention based on the protection motivation theory (PMT) on treatment adherence in patients with IHD.

This quasi-experimental research used a pretest-posttest design with a control group. The statistical population included all patients with IHD referred to the Payambar Azam hospital in Bandar Abbas, Iran for more than once between March 2019 and May 2020. A total of 16 patients were selected through the matched targeted sampling and randomly assigned into two equal groups of experimental and control (n = 8 each). The test group received an intervention based on the PMT in six 90-minute sessions within 45 days. We used the Modanloo Treatment Adherence Questionnaire (TAQ), and the data were analyzed using the analysis of covariance (ANCOVA) in the SPSS23 statistical software.

The results of ANCOVA showed that the intervention based on the PMT significantly increased the treatment adherence and its subscales in patients with IHD (P<0.001).

Intervention based on the PMT can be used as an effective intervention to increase treatment adherence in patients with IHD, depending on proper nutrition training, self-care skills, awareness-raising, and relaxation exercises.

Osteoporosis is considered a health problem that can be simply prevented by lifestyle modifications in adolescence. Therefore, this study was conducted to investigate the effects of protection motivation theory (PMT)‑based training on osteoporosis‑preventive behaviors in female high school students in Zahedan, Iran.

The present quasi‑experimental study was performed on 240 female high school students who were selected by a multistage sampling technique in Zahedan in 2019–2020. To collect the data, a multipart questionnaire was distributed among the participants in three stages, namely at the baseline, immediately, and 2 months after the intervention. This instrument consisted of demographic information, socioeconomic status, knowledge, PMT constructs, and preventive behaviors. The intervention group was subjected to educational content. The collected data were analyzed in SPSS software (version 22) by descriptive and analytical tests (i.e., Chi‑square, independent t‑test, and ANOVA).

Based on the results, the intervention and control groups showed no significant difference in terms of the mean score of knowledge, theoretical constructs, and preventive behaviors at the baseline (P > 0.05). However, the two groups were significantly different in terms of the mentioned variables immediately and 2 months after the intervention (P = 0.001). Mean score of preventive behaviors, the two groups also demonstrated a significant difference (i.e., calcium intake, physical activity, and sunlight exposure) 2 months after the intervention, compared to before the intervention. (P = 0.001).

The findings of the present study were indicative of the PMT effectiveness, which can, therefore, be used as a framework for designing educational programs regarding osteoporosis prevention.

Parents act as a role model for children in showing health behaviors. This study investigated factors affecting the preventive behavior in elementary school students’ parents based on protection motivation theory (PMT).

This cross‑sectional study was conducted in Tehran (Iran) in 2020. Multistage sampling was used to choose 660 elementary school students’ parents. The data collection instrument was a multi‑sectional questionnaire, including sections on demographic characteristics, PMT constructs, self‑reported health, and information sources related to COVID‑19. In this study, descriptive statistics (mean and standard deviation) and analytical statistical methods (Pearson correlation and path analysis) were used to analyze the data. The range of Cronbach’s alpha of the study instrument varied from 0.71 to 0.97.

The results of the current study revealed significant association between all PMT constructs and preventive behaviors. Knowledge from both direct and indirect paths was related to preventive behaviors (B = 0.76). Preventive behaviors had the strongest, direct relationship with age (B = 0.76). Based on the final fitted model, knowledge had the greatest impact on preventive behaviors through indirect and direct routes.

Knowledge was the most important variable which influenced preventive behavior, and it should be noticed in prevention programs.