به جمع مشترکان مگیران بپیوندید!

تنها با پرداخت 70 هزارتومان حق اشتراک سالانه به متن مقالات دسترسی داشته باشید و 100 مقاله را بدون هزینه دیگری دریافت کنید.

برای پرداخت حق اشتراک اگر عضو هستید وارد شوید در غیر این صورت حساب کاربری جدید ایجاد کنید

عضویت

جستجوی مقالات مرتبط با کلیدواژه « Health Literacy » در نشریات گروه « پزشکی »

  • مرادعلی زارعی پور *، نجف احمدی، فاطمه رستم پور، علی صدقیانی فر، زینب نعمتی، محمد سعادتی
    زمینه

    بیماری کووید-19 یکی از مسایل مهم سلامت عمومی است و ارزیابی و بهبود سواد سلامت کووید-19 و خود مراقبتی می تواند در جلوگیری از گسترش آن موثر واقع گردد. این مطالعه با هدف بررسی سواد سلامت کووید-19 و ارتباط آن با خود مراقبتی در سفیران سلامت شهر ارومیه انجام گرفت.

    روش کار

    در این مطالعه توصیفی-تحلیلی، 400 نفر از سفیران سلامت شهر ارومیه با استفاده از روش نمونه گیری تصادفی خوشه ای در سال 1400 انتخاب شدند. ابزار گردآوری داده ها، پرسشنامه ای بود که خصوصیات جمعیت شناختی، سواد سلامت مرتبط با کووید-19 و خودمراقبتی افراد را مورد سنجش قرار می داد. داده ها با نرم افزار SPSS نسخه ی 19 و آزمون های آماری آنالیز واریانس و رگرسیون تجریه تحلیل شدند.

    یافته ها

    اکثریت سفیران سلامت میزان سواد سلامت مرتبط با کووید-19 را در سطح خوب (63/5%) گزارش کردند. همچنین سواد سلامت مرتبط با کووید-19 با سطح تحصیلات، همچنین، وضعیت اقتصادی و متغیر خودمراقبتی با سن، جنسیت، سطح تحصیلات و شغل ارتباط آماری معنی داری داشت (0/05<P). از سوی دیگر مطابق با نتایج حاصل از تجزیه و تحلیل داده ها، با افزایش میزان سواد سلامت مرتبط با کووید-19 مدلسازی رگرسیونی قادر به پیشگویی 22 درصد از رفتارهای خودمراقبتی در مشارکت کنندگان مطالعه حاضر بود.

    نتیجه گیری

    با توجه به اهمیت سواد سلامت مرتبط با کووید-19 و تاثیر آن بر خودمراقبتی در سفیران سلامت، نیاز به طراحی و اجرای برنامه های آموزشی توسط مراقبین سلامت جهت افزایش سواد سلامت مرتبط با کووید-19 که می تواند منجر به خودمراقبتی و اتخاذ رفتارهای بهداشتی در سفیران سلامت شود، ضروری است.

    پیامدهای عملی

    یافته های این مطالعه می تواند در اختیار معاونت بهداشتی و مراقبین سلامت قرار گیرد تا گامی برای ارتقای سواد سلامت و خودمراقبتی در راستای پیشگیری از اپیدمی های مشابه برداشته شود.

    کلید واژگان: سواد سلامت, کووید-19, خودمراقبتی, سفیران سلامت}
    Morad Ali Zareipour *, Najaf Ahmadi, Fatemeh Rostampor, Ali Sadaghianifar, Zynab Nemati, Mohammad Saadati
    Background

    The coronavirus disease 19 (COVID-19) is one of the most important public health issues, and the evaluation and improvement of COVID-19 health literacy and self-care can be effective in preventing its spread. This study was conducted to investigate the health literacy of COVID-19 and its relationship with self-care among the health ambassadors of Urmia in 2021.

    Methods

    In this descriptive-analytical study, 400 health ambassadors of Urmia were selected using the cluster random sampling method. The data-gathering tool was a questionnaire, including questions about self-care, COVID-19 health literacy, and demographic information. The data were analyzed by SPSS 19 using analysis of variance and regression tests.

    Results

    COVID-19-related health literacy was reported to be at a good level (63.5%) in most health ambassadors. In addition, it had a statistically significant relationship with the level of education and economic status. Similarly, there was a significant relationship between self-care and demographic characteristics such as age, gender, level of education, occupation, and economic status (P>0.05). On the other hand, according to data analysis results, with an increase in health literacy related to COVID-19, regression modeling could predict 22% of self-care behaviors in the participants of the present study.

    Conclusion

    Overall, there is a need for interventions by healthcare professionals for training to increase health literacy related to COVID-19 that results in self-care and adoption of health behaviors in health ambassadors, given the significance of COVID-19-related health literacy and its effects on self-care in these ambassadors.

    Practical Implications

    The findings of this study can be presented to the Deputy of Health and healthcare providers so that actions can be taken to promote health literacy and self-care and prevent similar epidemics.

    Keywords: Health Literacy, Covid-19, Self-Care, Health Ambassadors}
  • Zahra Hajagharezaloo, Nasrin Jafari Varjoshani *, Masoumeh Moqaddam, Ramezan Fallah
    Background

     A health-promoting lifestyle and optimal health literacy are among the determining health promotion and maintenance sources.

    Objectives

     The current study was conducted to determine the status of health-promoting lifestyle and its relationship with health literacy of employees of Zanjan University of Medical Sciences in 2020.

    Methods

     This cross-sectional descriptive-correlational study was conducted on 308 administrative employees of faculties, hospitals, and health centers in Zanjan. The participants were included in the study using a stratified random sampling method. Three questionnaires, including the demographic information questionnaire, the standard Health-Promoting Lifestyle Profile II (HPLPII) questionnaire, and the Health Literacy for Iranian Adults (HELIA) questionnaire, were used to collect data. Data were analyzed using descriptive and inferential statistics (Pearson’s correlation and stepwise regression) in SPSS 24.

    Results

     The mean age of the employees was 36.51(7.29) years, and most of the participants were female (53.2%), married (80.8%), and had a bachelor’s degree or higher (89.3%). The participants’ health literacy score was at an adequate level 75.85 (12.23) and their lifestyle score was at a desirable level 137.22 (21.15). The relationship between health literacy dimensions and the lifestyle total score was positive and significant (p>0.05).

    Conclusion

     According to the findings of the current study and the presence of a relationship between health literacy and lifestyle, particularly the predictive role of decision-making dimensions and accessibility of health literacy with the lifestyle of employees, it is suggested that programs be developed and implemented to empower the health literacy of employees.

    Keywords: Health-Promoting Lifestyle, Health Literacy, Employees, University Of Medical Sciences}
  • زهرا خوشخرام، الهام چارقچیان خراسانی*
    مقدمه

    سلامت دهان در سلامت کلی انسان نقش مهمی دارد. این مطالعه با هدف تعیین سواد سلامت دهان والدین و ارتباط آن با شاخص DMFT در دانش آموزان دختر یکی از مدارس شهر مشهد در سال  1402 انجام شده است.

    مواد و روش ها

    این پژوهش یک مطالعه مقطعی از نوع توصیفی-تحلیلی بود که در یکی از مدارس دخترانه شهر مشهد انجام گردید. مدرسه به صورت در دسترس انتخاب شد و تمامی والدین و دانش آموزان مدرسه بصورت سرشماری وارد مطالعه شدند. 623 دانش آموز بهمراه والدینشان در این مطالعه شرکت کردند. والدین پرسشنامه استاندارد سواد سلامت دهان را تکمیل کردند و شاخص DMFT دانش آموزان، توسط بهداشتکار دهان و دندان سنجیده شد. داده ها با استفاده از نرم افزار آماری SPSS نسخه ی 26 مورد تجزیه و تحلیل قرار گرفت. سطح معنا داری 05/0 در نظر گرفته شد. 

    یافته ها

    میانگین سواد سلامت دهان والدین، 88/2±85/18 و میانگین شاخص DMFT دانش آموزان،27/2±04/2بود. نتایج آماری، ارتباط آماری منفی و معنی داری را بین سواد سلامت دهان والدین با شاخص (020/0=P) DMFT  و تعداد دندانهای پوسیده دائمی دانش آموزان نشان داد (026/0=P) از بین اطلاعات دموگرافیک بررسی شده، تنها عاملی که با شاخص DMFT در ارتباط بود، درآمد خانواده بود (027/0=P) . سن، جنس، تحصیلات، نسبت و شغل نیز با سواد سلامت دهان والدین در ارتباط بود (05/0=P)

    نتیجه گیری

    نتایج این مطالعه نشان داد که ارتقای سواد سلامت دهان والدین می تواند بر روی شاخص DMFT دانش آموزان تاثیر بگذارد. بنابراین به منظور بهبود شاخص DMFT در دانش آموزان باید مداخلاتی برای ارتقای سواد سلامت دهان والدین انجام داد.

    کلید واژگان: پوسیدگی, سواد سلامت, سلامت دهان, والدین}
    Zahra Khoshkharam, Elham Charoghchian Khorasani *
    Background

    Parents play a significant role in determining children’s oral health behaviors. Oral health literacy (OHL) refers to on one’s ability in understanding and employing oral health information in order to maintain good oral health. The aim of this study was to explore the relationship between parental OHL and children’s oral health status.

    Methods and Materials:

     This descriptive-analytical cross-sectional study included female students attending a private school in Mashhad, Iran. This school was selected according to availability sampling. Students and their parents were invited to participate in this study and were enrolled using a census-based sampling method. Parents were asked to complete the oral health literacy standard questionnaire and their daughter’s DMFT or dmft index was measured by an oral hygienist. Parents’ demographic and social information were also recorded. The data was analyzed using SPSS version 26.00 statistical software. P-value<0.05 was considered statistically significant.

    Results

    A total of 632 children participated in this study. Parents showed an average OHL score of 18.85±2.88. The average DMFT index of students was 2.04±2.27. There was a negative and statistically significant relationship between parent level of OHL and children’s DMFT index as well as the number of decayed permanent teeth (P=0.020 and P=0.026, respectively). There was a positive and statistically significant correlation between parental OHL and the number of primary teeth with fillings (P=0.019). Family income was the only social factor that was significantly associated with the child’s DMFT index (P<0.05). There was a significant correlation between parents’ age, gender, educational degree, and occupation and their level of OHL (P<0.05 for all).

    Conclusion

    The results of this study showed that promoting parental oral health can influence students' DMFT index. Therefore, developing interventions that can ameliorate parents’ level of oral health literacy can improve the oral health outcomes of students.

    Keywords: Dental Caries, Health Literacy, Oral Health, Parents}
  • ایمان بازیار، میترا حجاری دهقی، سید فاضل زینت مطلق، نرگس روستایی، سجاد قادری*
    زمینه و هدف

    سواد سلامت بیان گر ظرفیت فرد در دستیابی، تفسیر و درک اطلاعات ضروری برای خدمات مورد نیاز و تصمیم گیری های مناسب در زمینه سلامت است. در ایران اطلاعات ضد و نقیضی در مورد وضعیت سواد سلامت گروه های مختلف به خصوص دانشجویان رشته های پزشکی و دندان پزشکی وجود دارد، لذا هدف از این مطالعه تعیین و بررسی سطح سواد سلامت دانشجویان رشته پزشکی و دندان پزشکی دانشگاه علوم پزشکی یاسوج بود.

    روش بررسی

     این یک مطالعه توصیفی مقطعی می باشد که در سال 1402 بر روی 171 نفر از دانشجویان رشته دندانپزشکی و پزشکی دانشگاه علوم پزشکی یاسوج انجام شد. حجم نمونه به روش تصادفی سیستماتیک و نیز با استفاده از فرمول کوکران انتخاب شدند. اطلاعات با استفاده از پرسشنامه سواد سلامت، که به وسیله  منتظری و همکاران طراحی و روان سنجی شده است، به صورت خودگزارش دهی جمع آوری شد. داده های جمع آوری شده با استفاده از آزمون های آماری شاپیروویلک، تی مستقل، آنوا و ویلکاکسون تجزیه و تحلیل شدند.

    یافته ها

    از 171 دانشجوی شرکت کننده در پژوهش، 83 نفر مرد و 88 نفر زن بودند. 33 نفر از دانشجویان مورد مطالعه در رشته دندانپزشکی و 138 نفر در رشته پزشکی در حال تحصیل بودند. 4/75 درصد دانشجویان مورد بررسی، از سواد سلامت کافی و 4/6 درصد سواد سلامت عالی برخودار می باشند. بر اساس نتایج سواد سلامت دانشجویان و جنسیت، متاهل و مجرد بودن و وضعیت اقتصادی اختلاف آماری معنی داری وجود نداشت. از سوی دیگر بین سواد سلامت دانشجویان و سال ورودی و هم چنین سن اختلاف معنی دار آماری وجود داشت (05/0<p).

    نتیجه گیری

    با توجه به نقش فعال دانشجویان به ویژه دانشجویان رشته پزشکی و دندانپزشکی در قبال سلامتی خود و جامعه، دارا بودن سطح بالایی از سواد سلامت در بین این قشر از جامعه ضروری می باشد، که با توجه به نتایج مطالعه این مساله می تواند مسئولین و سیاستگذاران در خصوص فراهم کردن شرایط برای مداخلات لازم برای افزایش سطح سواد سلامت دانشجویان باشد، موثر باشد.

    کلید واژگان: سواد سلامت, دانشجویان دندانپزشکی, دانشجویان پزشکی}
    I .Bazyar, M. Hajariyan, SF. Zinatmotlagh, N. Roustaei, S. Ghaderi*
    Background & aim

    Health literacy expresses the capacity of a person to obtain, interpret and understand the necessary information for needed services and appropriate decisions in the field of health. In Iran, there is conflicting information about the health literacy status of people, especially medical and dental students, as well as the opinion that these students will enter the medical community later and it is necessary to check their literacy level; Therefore, in the present research, the level of health literacy of dental and medical students of Yasuj University of Medical Sciences was evaluated.

    Methods

    The present descriptive-cross-sectional study was conducted on 171 students of dentistry and medicine at Yasuj University of Medical Sciences in 2022. The sample size was selected by systematic random method and using Cochran's formula. The Health Literacy Questionnaire of Montazeri and colleagues (HELIA) was used to collect information. The data was analyzed using SPSS ver. 25 software and a significance level of 0.05.

    Results

    Out of 171 students participating in the present study, 83 were male and 88 were female. Thirty-three of the participants were studying dentistry and 138 were studying medicine. 75.4% of students had sufficient health literacy and 6.4% had excellent health literacy. Based on the results, there was no statistically significant difference between the health literacy of dental and medical students of Yasuj University of Medical Sciences in terms of gender, being married or single, economic status and place of residence. According to the, entry year and age, there was a statistically significant difference (P<0.05).

    Conclusion

    Considering the active role of students, especially those in the fields of medicine and dentistry, in their own health and that of society, there is a need for a high level of health literacy among this segment of the population. The results of this study suggest that addressing this issue can be effective for officials and policymakers in creating conditions for necessary interventions to increase the health literacy level of students.

    Keywords: Health Literacy, Dental Students, Medical Students}
  • حسین ایزدی راد، فرشته نارویی*، پریسا محمدی
    زمینه و هدف

    زنان مراجعه کننده به مراکز بهداشتی یکی از مهمترین گروه های در معرض خطر بیماری می باشند. جهت داشتن سطح بالای سلامت نیازمند دارا بودن سواد سلامت می باشند. لذا هدف از انجام این تحقیق، پیش بینی کننده های جمعیت شناختی سواد سلامت در زنان مراجعه کننده به مراکز خدمات جامع سلامت شهر زاهدان بود.

    روش کار

    در این مطالعه توصیفی-تحلیلی، تعداد 400 زن به روش نمونه گیری تصادفی خوشه ای، از مراکز بهداشتی  شهر زاهدان  سال 1401 انتخاب و مورد بررسی قرار گرفتند. برای جمع آوری داده ها از فرم کوتاه پرسشنامه استاندارد  HELIAجهت سنجش سواد سلامت استفاده شد. داده ها به کمک نرم افزار SPSS-22 و آزمون های ANOVA  و همبستگی کندال و رگرسیون چندگانه مورد تحلیل قرار گرفت.

    نتایج

    افراد مورد مطالعه دارای بازه سنی 18 تا 60 سال بوده است. بیشترین اطلاعات مربوط به سلامت و بیماری در زنان مورد مطالعه از طریق پرسیدن از پزشک و کارکنان بهداشتی درمانی (حدود 52/25%) گزارش شد میانگین سواد سلامت کل زنان 23/34±69/91، خواندن 29/80±72/17، دسترسی 91/ ±27 34/73 ، فهم 29/43±71/41، ارزیابی 25/51±62/10، و حیطه تصمیم گیری و رفتار 20/27±71/49 بدست آمد. همچنین قویترین پیش بینی کننده سواد سلامت، تحصیلات می باشد، به طوری که با افزایش سطح تحصیلات، 0/53 واحد سواد سلامت فرد افزایش می یابد. همچنین متغیر های تحصبلات، میزان درآمد، سن و قومیت 55% از سطح سواد سلامت را پیش بینی می کنند.

    نتیجه گیری

    این مطالعه نشان داد نمره سواد سلامت با سن، سطح تحصیلات، وضعیت تاهل، شغل، وضعیت اقتصادی و قومیت ارتباط دارد. به طوری که سطح تحصیلات قوی پیش بینی کننده سطح سواد سلامت می باشد. بنابراین با توجه به شواهد بسیار در زمینه اهمیت سواد سلامت و عوامل مرتبط با آن و عواقب آن و با توجه به پایین بودن سطح سواد سلامت زنان در این مطالعه این افراد جهت کسب، پردازش و درک اطلاعات اولیه خدمات بهداشتی و درمانی جهت تصمیم گیری مناسب نیاز به دریافت اطلاعات ساده و قابل فهم و زمان بیشتر جهت برقراری ارتباط و درک اطلاعات سلامت دارند.

    کلید واژگان: سواد سلامت, زنان, متغییر های دموگرافیک}
    Hosein Izadi Rad, Fereshteh Narouei*, Parisa Mohammadi
    Background and Aim

     Women referring to health centers are one of the most important groups at risk of disease. Thus, in order to enjoy a high level of health, it is necessary for them to have health literacy. The purpose of this research was to find the demographic predictors of health literacy in women referring to comprehensive health service centers in Zahedan, Iran.

    Materials and Methods

    This was a descriptive-analytical study including 400 women selected by random cluster sampling from health centers under coverage of Zahedan University of Medical Sciences in 2022. The short form of the HELIA standard questionnaire was used to measure health literacy of the women. Data were analyzed using SPSS-22 software, the statistical tests being ANOVA, Kendall's correlation, and multiple regression.

    Results

    The subjects were between 18 and 60 years old. They were found to have obtained most of the information related to health and disease by asking doctors and healthcare workers (about 52.25%). The scores of the components of the subjects’ health literacy were as follows: average health literacy 69.91±23.34, reading 72.17±29.80, access 34.73±27.91, understanding 71.41±29.43, assessment 62.10±25.51, and the scope of decision-making and behavior 71.49±20.27. The strongest predictor of health literacy was found to be education, such that with an increase in the level of education, the health literacy of a woman would increase by 0.53 units. In addition, education variables, income level, age and ethnicity would predict 55% of the health literacy of the women.

    Conclusion

    This study shows that the health literacy score is related to age, education level, marital status, occupation, economic status and ethnicity, the strongest predictor of health literacy being the a high level of education. Therefore, considering the available evidence on the importance of health literacy and factors related to it and the low level of health literacy of women in this study, it is clear that women need to acquire, process and understand the basic information on health and therapeutic services in order to be able to make appropriate decisions. Briefly, women need to receive simple and understandable information and have more time to communicate with the health service personnel to understand health information.

    Keywords: Health Literacy, Women, Demographic Variables}
  • Sedigheh Mohammadesmaeil, Javad Gazi-Mirsaeed, Shiba Kianmehr
    Objectives

    The present study aimed to identify the dimensions and components of information therapy from the point of view of physicians and officials using fuzzy Delphi technique.

    Materials and Methods

    This applied research was conducted by a descriptive method (qualitative content analysis document study and fuzzy Delphi method) from 2019 to 2020. The thirty two valid document studies were used to examine the sources and extract the required components of the therapeutic information variable. The content analysis method was used to classify effective components. Participants in this study were 10 experts. Qualitative content analysis of the data obtained through software 2018 MAXQDA.

    Results

    Two hundred and seventeen primary codes were extracted, reduced to 112 codes after continuous review, and finally these codes were divided in two main themes (categories), including: A- Information; health literacy (1- Information acquisition, 2- Information identification, 3- Information sharing, 4- Awareness-raising, 5- Information needs, and 6- Health knowledge), BTreatment; health services (7- Patient satisfaction, 8- Information-seeking behavior, 9- Treatment method and cost, 10- Participatory care and information use, 11- Health education, and 12- Disease prevention).

    Conclusions

    The results showed information therapy approach in medical centers of the country, as a dynamic platform to support clinical decisions of specific diseases (such as immunodeficiency diseases), requires long-term policy to improve research and educational activities. The services of the medical staff will be possible through the establishment of factors and effective elements in retrieving and accessing up-to-date information by the physician and the patient, and as a result, promoting health knowledge in this field.

    Keywords: Information Therapy, Health Literacy, Health Care, Immunodeficiency Diseases, Fuzzy Delphi}
  • اشرف صابر*، خدیجه برات محمودی، مرضیه محمودی منش، فاطمه رضایی، محسن امینی فر، سیده محبوبه رضاییان
    سابقه و هدف

    سواد سلامت پیش شرط و شاخص تضمین زندگی سالم است. سلامت معنوی یکی از ابعاد چهارگانه ی سلامت است. مطالعات گذشته بر پیوند بین معنویت و سلامت تاکید کرده است. این مطالعه به بررسی ارتباط سلامت معنوی با سواد سلامت طلاب حوزه ی علمیه ی شهرستان اسفراین پرداخته است.

    مواد و روش ها

    این مطالعه از نوع مقطعی (توصیفی تحلیلی) است که درباره ی 82 نفر از طلاب حوزه ی علمیه ی شهرستان اسفراین شامل آقایان و بانوان انجام شده است. نمونه گیری به روش دردسترس انجام شده است و از دو پرسش نامه ی سلامت معنوی پالوتزیان و الیسون و نسخه ی کوتاه سنجش سواد سلامت هلیا استفاده شده است.

    یافته ها

    میانگین سنی افراد حاضر در مطالعه برابر با 5/89 ± 15/21 سال (15 تا 45 سال) بود. هیچ یک از افراد سلامت معنوی پایینی نداشتند. در 61 درصد از افراد سلامت معنوی در سطح بالا قرار داشت. تنها 26 درصد از افراد با سلامت معنوی بالا سواد سلامت کمتر از حد کافی داشتند، درحالی که این مقدار برای افرا با سلامت معنوی متوسط 4/59 درصد بود. 61 درصد از افراد سواد سلامت کافی یا بیشتر از آن داشتند. در این مطالعه بین سواد سلامت و سلامت معنوی رابطه ی مثبت معناداری مشاهده شد (336/0r=، 0/002=P). میانگین نمره ی سلامت معنوی در بانوان (0/001>P) و افراد متاهل (0/006= P) بیشتر بود. ارتباط معناداری بین سطح درآمد و سطح تحصیلات با سلامت معنوی وجود نداشت (0/05<P).

    استنتاج

    با توجه به اثر هم افزایی و متقابل سواد سلامت و سلامت معنوی، توجه به هر دو بعد و برنامه ریزی برای ارتقای سواد سلامت و سلامت معنوی می تواند نقش بسزایی در افزایش سلامت روانی و جسمی داشته باشد.

    کلید واژگان: سواد سلامت, سلامت معنوی, طلاب حوزه ی علمیه}
    Ashraf Saber*, Khadijeh Baratmahmodi, Marzieh Mahmudimanesh, Fatemeh Rezaei, Mohsen Aminifar, Seyedeh Mahboobeh Rezaeean
    Background and Purpose

    Health literacy has been suggested as a prerequisite and index to ensure a healthy life. Spiritual health is one of the four dimensions of health. The literature review has indicated a connection between spirituality and health. This study investigates the relationship between spiritual health and health literacy among seminary students in Esfarayen City, North Khorasan Province, Iran.

    Materials and Methods

    This is a cross-sectional (descriptive-analytical) study that was conducted on 82 male and female seminary students in Esfarayen City. The samples were selected using the availability sampling method. The required data were collected through two questionnaires, namely the Paloutzian and Ellison’s Spiritual Well-Being Scale and the Health Literacy Instrument for Adults-Short Form.

    Results

    The mean age of the study subjects was 21.15±5.89 years (range: 15-45 years). None of the participants had low spiritual health. Spiritual health was at a high level in 61% of individuals. In samples with high spiritual health, only 26% had less than sufficient health literacy, while this value was 59.4% in those with average spiritual health. It was found that in 61% of the participants, health literacy was at an adequate level or higher. In this study, a significant positive relationship was observed between health literacy and spiritual health (r=0.336, P=0.002). The mean score of spiritual health was higher in women (P˂0.001) and married individuals (P=0.006). Spiritual health showed no significant relationship with income status and education level (P<0.05).

    Conclusion

    Considering the synergistic and mutual effect of health literacy and spiritual health, paying attention to both aspects and planning to improve health literacy and spiritual health can play a significant role in people’s mental and physical health.

    Keywords: Health Literacy, Seminary Students, Spiritual Health}
  • Farzaneh Golboni, Hakim Ahmadzadeh, Haidar Nadrian *, Towhid Babazadeh, Sarisa Najafi, Parvaneh Ghahremaninasab, _ Kamyar Pirehbabi, Haleh Heizomi, Hassan Mahmoodi
    Background

     Current evidence suggests that health literacy (HL) impacts self-care behaviors and quality of life (QOL) in patients with type 2 diabetes mellitus (T2DM). This study aimed to evaluate the impact of a short-time health literacy promotion program (HeLPP) on self-care behaviors and QOL in rural patients with type 2 diabetes.

    Methods

     Conducted from 2018 to 2019 in Chaldoran county, Iran, this randomized controlled trial followed the Solomon four-group design. Participants included 160 rural individuals with T2DM, who were divided into two intervention (A and C) and two control (B and D) groups. Pre-tests were conducted for intervention group A and control group B, with post-tests administered to all groups at three and six months. Interventions, consisting of five training sessions lasting 45 to 55 minutes, were planned and executed based on pre-test analyses. Primary outcomes were QOL and self-care behaviors, and secondary outcomes were glycated hemoglobin (HbA1c), HL and patients’ awareness of the disease.

    Results

     Prior to the intervention, there was no significant difference in awareness, HL, self-care behaviors, HbA1c, and QOL between intervention group A and control group B (P>0.05). However, at three and six months after the educational program, intervention group A exhibited significantly increased average scores in awareness, HL, self-care behaviors, and QOL, along with reduced HbA1c levels (P<0.05) compared to control group B. No interaction was detected between the pre-test and the primary and secondary outcome scores after intervention.

    Conclusion

     Implementing intervention programs like HeLPP focusing on enhancing practical HL and empowering T2DM patients seems to be promising in improving patients’ self-care behaviors and QOL, while reducing their HbA1c levels.

    Keywords: Type 2 Diabetes Mellitus, Health Literacy, Quality Of Life, Self-Care}
  • پویان رجبی*، برزو امیرپور
    مقدمه

    اعتیاد به عنوان یک اختلال روان پزشکی پیچیده و از معضلات بزرگ جوامع می تواند برای افراد معتاد و اطرافیان آنان رنج و پریشانی روان شناختی را به دنبال داشته باشد. این مطالعه با هدف تعیین اثربخشی رفتاردرمانی دیالکتیکی در کاهش پریشانی روان شناختی و افزایش سواد سلامت روان مردان عضو انجمن معتادان گمنام شهر کرمانشاه انجام شد.

    مواد و روش ها

    این پژوهش نیمه آزمایشی با طرح پیش آزمون-پس آزمون و گروه کنترل بود. جامعه آماری، تمامی مردان عضو انجمن معتادان گمنام شهر کرمانشاه در سال 1402 بودند. با روش نمونه گیری در دسترس تعداد 30 نفر انتخاب و به صورت تصادفی در گروه کنترل (15 نفر) و آزمایش (15 نفر) تقسیم شدند. گروه آزمایش به مدت 8 جلسه (هر هفته 90 دقیقه) تحت آموزش گروه درمانی مبتنی بر رفتاردرمانی دیالکتیکی قرار گرفتند، در حالی که برای گروه کنترل مداخله ای صورت نگرفت. برای جمع آوری داده ها از پرسش نامه های پریشانی روان شناختی Kessler و همکاران (2002) و مقیاس سواد سلامت روان Ekonor و Casey (2015)، استفاده شد. داده ها با استفاده از آنالیز کوواریانس چندمتغیره تجزیه وتحلیل شد.

    یافته ها

    نتایج نشان داد که مداخله آموزشی، بر کاهش پریشانی روان شناختی (011/0=p، 231/0=Eta، 506/7=F)، و افزایش سواد سلامت روان (002/0=p، 375/0=Eta، 619/12=F) مردان عضو انجمن معتادان گمنام به طور معنی داری اثرگذار بود.

    نتیجه گیری

    بر اساس نتایج و اثربخشی رفتاردرمانی دیالکتیکی بر کاهش پریشانی روان شناختی و افزایش سواد سلامت روان شرکت کنندگان، توصیه می شود از این شیوه درمانی نسل جدید رفتاردرمانی در مداخلات مرتبط با اعتیاد استفاده شود.

    کلید واژگان: رفتاردرمانی دیالکتیکی, سواد سلامت, اعتیاد, پریشانی روان شناختی}
    P .Rajabi *, B .Amirpour
    Introduction

    Addiction, as a complex psychiatric disorder and one of the major problems of societies, can lead to suffering and psychological distress for addicts and those around them. This research was conducted with the aim of determining the effectiveness of dialectical behavior therapy (DBT) in reducing psychological distress and increasing mental health literacy among men who were members of Narcotics Anonymous in Kermanshah.

    Materials and Methods

    This study was a quasi-experimental design with a pretest-posttest design and a control group. The statistical population included all men who were members of the Narcotics Anonymous Association of Kermanshah in 2022. Thirty people were selected by convenience sampling and randomly assigned into two equal groups. The experimental group received 8 sessions DBT (90 minutes session per week), but the control group did not receive any interventions. Demographic information checklist and Kessler et al psychological distress questionnaire and Ekonor & Casey's mental health literacy scale were used to collect data. Data were analyzed by multivariate analysis of covariance MANCOVA.

    Results

    The results of this research showed that the educational intervention reduced psychological distress (F=7.506, Eta=0.231, P=0.011), increased mental health literacy (F=12.619, Eta=0.375, P=0.002) of men who are members of Narcotics Anonymous has been significantly effective.

    Conclusion

    Based on the results of the current research and the effectiveness of dialectical behavior therapy on reducing psychological distress and increasing mental health literacy of the participants, it is recommended to use this new generation behavior therapy method in addiction-related interventions.

    Keywords: Dialectical Behavior Therapy, Health Literacy, Addiction, Psychological Distress}
  • Batool Zeidabadi*, Mahsa Khodayarian, Khadijeh Ahmadzadeh
    Background & Aims

    Mental health literacy training programs increase knowledge about mental health and mental illness among teenagers, which ultimately reduces the stigma associated with mental illness and increases help-seeking behavior. This study aims to investigate school-based mental health literacy programs in high school students.

    Materials & Methods

    This study is a scoping review aimed at examining school-based mental health literacy programs in high school students. Studies published from the first year of the article’s publication related to the topic until April 10, 2024, were reviewed. Databases including Scopus, Web of Science, PubMed, and ProQuest, as well as three Iranian scientific databases — Scientific Information Database (SID), Islamic World Science Citation Database (ISC), and Magiran for Persian studies, were searched using keywords of school-based mental health literacy, school-based mental hygiene literacy, school-based mental health, school-based mental hygiene, intervention, program, and curriculum.

    Results

    Considering the inclusion and exclusion criteria, the studies will be examined and analyzed, and the information pertaining to these studies will be reported in accordance with the type of school-based mental health literacy training program, the training framework of the program, the program's objectives, and the findings.

    Conclusion

    In student mental health literacy programs, if incorporating mental health education into school curricula is the ultimate goal, it makes sense for teachers to provide a classroom-based curriculum as they are likely to be the ones putting this into practice in the real world.

    Keywords: Adolescents, Guide, Health Literacy, Mental Health, Program, Review, Schools}
  • Mahnaz Solhi, Zahra Saboohi *, Mahsa Nazarnia, Fateme Gudarzi, Leila Roodaki, Roghayeh Nouri
    Background
    Adolescents’ mental health can have significant effects on their well-being; Inadequate Mental Health Literacy (MHL) is also a global concern. The present study investigated Mental Health Literacy and its relationship with positive mental health in Iranian adolescents.
    Methods
    This cross-sectional study was performed in Saveh, a city in the center of Iran, between April 15, 2023 to May 25, 2023. A total number of 400 adolescents in 8 schools were selected through a multi-stage cluster sampling technique. Mental health literacy and positive mental health were measured using the Mental Health Literacy Questionnaire (KAMHS) and the 14-item Mental Health Continuum Short Form (MHC-SF) questionnaire. The parameters linked to mental health literacy were found using a hierarchical multiple linear regression model. SPSS version 22 was used to analyze the data.
    Results
    The study results revealed that approximately half of the participants (52.5%) had moderate mental health. The mean and standard deviation of mental health literacy scores were 89 and 8.7, respectively. Gender (P=0.041), father’s level of education (P=0.043), mother’s level of education (P=0.031), father’s employment status (P=0.023), family income (P=0.035), familiarity with those with mental illness (P=0.01), and mental health status (P=0.005) were associated with mental health literacy. Also, results indicated significant differences in MHL (P=0.01) and good mental health behaviors (P=0.04), avoidance coping (P=0.03), and knowledge (P<0.001).
    Conclusions
    It is essential to implement suitable educational programs to improve the mental health status and mental health literacy of adolescents. The mental health status of individuals can act as a catalyst in promoting mental health literacy.
    Keywords: Mental Health, Adolescent, Health Literacy}
  • محسن رادپور، سید حسن حاتمی نسب*، شهناز نایب زاده
    مقدمه

    تاثیرات مثبت و منفی هم آفرینی ارزش و مشارکت بیمار در حوزه سلامت دیجیتال و بازخوردهای آن در کنار هم و در قالب یک مدل، موضوعی است که کمتر به آن پرداخته شده است. هدف اصلی پژوهش حاضر، بررسی تاثیرات هم آفرینی ارزش بر اثربخشی بسترهای سلامت دیجیتال در قالب یک مدل فرایندی پویا است.

    روش پژوهش:

     به منظور دست یابی به اهداف پژوهش، شاخص های اثربخشی بسترهای سلامت دیجیتال از جامعه اطلاعاتی منتخب در بازه زمانی سال های 2019 - 2022 گردآوری و استخراج گردید. در گام بعد و با استفاده از رویکرد پویایی شناسی سیستم و نرم افزار Vensim نسخه PLE ، نمودارهای علت و معلولی سه زیرسیستم مسئله ترسیم گردید و مدل پژوهش در قالب نمودار انباشت و جریان استخراج گردید.

    یافته ها

    در این پژوهش توانمندسازی بیمار به عنوان پل ارتباطی بین هم آفرینی ارزش و اثربخشی بسترهای سلامت دیجیتال در نظر گرفته شد. پس از انجام مراحل پژوهش، نمودارهای علت و معلولی سه زیرسیستم آمادگی فرایندی، شبکه ارزش و دستاوردهای فرایندی استخراج شد. سپس مدل پژوهش با افزودن پیچیدگی ها و پویایی های آن و در قالب نمودار انباشت و جریان تکمیل شد.

    نتیجه گیری

    مدل به دست آمده ضمن به تصویر کشیدن پویایی مسئله، می تواند به عنوان مرجعی برای شبیه سازی و آزمایش راهبردهای توسعه هم آفرینی ارزش در میزان اثربخشی بسترهای سلامت دیجیتال استفاده شود. اگرچه فرموله کردن و شبیه سازی مدل برای پیش بینی تاثیر هم آفرینی ارزش بر میزان اثربخشی بسترهای سلامت دیجیتال ضروری است، اما با توجه به غلبه بازخوردهای مثبت بر منفی در مدل به دست آمده، به نظر می رسد توجه به رویکرد هم آفرینی ارزش در توسعه بسترهای سلامت دیجیتال اثرات مثبتی داشته باشد.

    کلید واژگان: هم آفرینی ارزش, بسترهای سلامت دیجیتال, پویایی شناسی سیستم, سواد سلامت, توانمندسازی بیمار}
    Mohsen Radpour, Seyed Hassan Hataminasab*, Shahnaz Nayebzadeh
    Introduction

    The positive and negative effects of value co-creation and patient participation in the field of digital healthcare and its feedback together and in the form of a model is a topic that has been less addressed. The main goal of this research is to investigate the effects of value co-creation on the effectiveness of digital healthcare platforms in the form of a dynamic process model.

    Methods

    In order to achieve the goals of the research, the indicators of the effectiveness of digital health platforms were extracted from the selected information society. In the next step, using the system dynamics approach and Vensim PLE software, the cause and effect diagrams of the three subsystems of the problem were drawn, and the research model was extracted in the form of an accumulation and flow diagram.

    Results

    In this research, patient empowerment was considered as a bridge between value co-creation and effectiveness of digital health platforms. After carrying out the research steps, cause and effect diagrams of three process readiness subsystems, value network and process achievements were extracted. Then the research model was completed by adding its complexities and dynamics in the form of accumulation and flow diagram.

    Conclusion

    The obtained model, while depicting the dynamics of the problem, can be used as a reference for simulating and testing value co-creation development strategies in the effectiveness of digital health platforms. Although it is necessary to formulate and simulate the model to predict the effect of co-creation of value on the effectiveness of digital health platforms, but considering the prevalence of positive feedback over negative in the obtained model, it seems that paying attention to the approach of co-creation of value in the development of digital health functions has positive effects.

    Keywords: Value Co-Creation, Digital Healthcare Platforms, System Dynamics, Health Literacy, Patient Empowerment}
  • محمد ابراهیمی، فاطمه رئیسی، فهیمه قهوه چی حسینی، کوثر جعفری، فاطمه رحمتی*
    مقدمه

    سواد افسردگی یک مفهوم مهم است و داشتن سواد افسردگی کافی می تواند پیشگیری، تشخیص زودهنگام، مداخله و پیش آگهی افسردگی را بهبود بخشد. مطالعه حاضر گزارشی با هدف بررسی وضعیت سواد افسردگی در نیروهای نظامی است.

    مواد و روش کار

    روش این مطالعه توصیفی- تحلیلی بود. جامعه آماری این مطالعه شامل تمام افراد نظامی مراجعه کننده به کلینیک های مشاوره و روان شناختی نظامی شهر مشهد از اردیبهشت تا شهریور 1401 بودند (1500 مراجعه کننده). بر اساس فرمول حجم نمونه کوکران با روش نمونه گیری سرشماری 300 نیروی نظامی پرسش نامه های سواد افسردگی گریفیثت و همکاران و ویرایش دوم افسردگی بک همکاران را تکمیل کردند. یافته ها با نرم افزار SPSS-24 و آزمون همبستگی اسپیرمن تحلیل شد.

    یافته ها

    از بین شاخص های سواد افسردگی، آگاهی شرکت کنندگان از علائم شناختی- رفتاری و آگاهی از علائم روانی کمترین و بیشترین نمره را به ترتیب کسب کرد. همچنین، سابقه بیماری افسردگی و رسته نظامی بر مولفه علائم و نشانه های افسردگی تاثیر معنی دار داشت.

    نتیجه گیری

    مشاوران و روان درمانگران حاضر در پادگان ها به سربازانی که به تازگی دوره خدمت خود را شروع کرده اند آموزش دهند چه علائمی نشانه افسردگی است و عوامل زمینه ساز افسردگی در میان نظامیان و سربازان چه مواردی است.

    کلید واژگان: افسردگی, سواد سلامت, سواد, نیروهای نظامی}
    Mohamad Ebrahimi, Fatteme Raiisi, Fahimeh Ghahvehchi-Hosseini, Kosar Jafari, Fatemeh Rahmati*
    Objective(s)

    Depression literacy is an important concept and having adequate depression literacy can improve prevention, early diagnosis, intervention, and prognosis of depression. The current study is a short report on depression literacy in military personnel.

    Methods

    This was a cross sectional study. The statistical population of this study consisted of all military personnel who were referred to the psychology and counseling clinics of the military in Mashhad, Iran from May to September 2022, which included 1500 clients. Based on Cochran's sample size formula, 300 military personnel completed the depression literacy questionnaires of Griffiths et al. and the second edition of Depression by Beck et al. The findings were analyzed with SPSS-24 software and Spearman`s correlation test.

    Results

    Among the indicators of depression literacy, awareness of cognitive-behavioral symptoms received the lowest score while awareness of psychological symptoms obtained the highest score. Moreover, having a history of depression and the military deployment had a significant effect on the component of the signs and symptoms of depression (P<0.05).

    Conclusion

    Psychotherapists in barracks should teach new soldiers about the symptoms of depression and what can be the underlying factors of depression in military personnel and soldiers.

    Keywords: Depression, Health Literacy, Literacy, Military Personnel}
  • فرینا حسن پور، فاطمه مهرآور، محمدتقی بادله، زهرا سبزی، حمیده منچری*
    زمینه و هدف

    تبعیت دارویی یکی از مسائل مهم بهداشتی و ابعاد کلیدی کیفیت مطلوب مراقبت در بیماران مبتلا به دیابت است که یکی ازعوامل مهم موثر برآن وضعیت سواد سلامت آنان می باشد. بنابراین مطالعه حاضر با هدف تعیین ارتباط بین سطح سواد سلامت و تبعیت دارویی در مبتلایان به دیابت نوع دو مراجعه کننده به مراکز جامع سلامت شهرستان گرگان طی سال 1402 انجام گردید.

    مواد و روش ها

    این مطالعه به روش مقطعی و بر روی 400 بیمار مبتلا به دیابت نوع 2 که به مراکز جامع سلامت شهرستان گرگان در سال 1402 مراجعه کردند انجام گردید. داده ها به روش نمونه گیری طبقه ای متناسب با حجم و در هر طبقه از نوع در دسترس جمع آوری شد. از پرسشنامه های تبعیت از درمان دارویی موریسکی (MMAS-8) و پرسشنامه سواد سلامت نسخه کوتاه (-SH HELIA) استفاده شد. داده ها در نرم افزار SPSS و با استفاده از آزمون های تی مستقل، مجذور کای، آنالیز واریانس و همبستگی پیرسون مورد تجزیه و تحلیل قرار گرفت.

    یافته ها

    میانگین نمره تبعیت از درمان دارویی و نمره کل سواد سلامت به ترتیب 01/46 ± 04/06 و 03/53 ± 36/47 بود. در بین شرکت کنندگان در مطالعه تنها 8/20 درصد بیماران تبعیت بالا و 16/80 درصد دارای تبعیت متوسط و بقیه (75درصد) تبعیت دارویی ضعیفی داشتند. تبعیت دارویی بیماران با ابعاد مهارت های پایه سواد سلامت (0/14=p= 0/004,=r) و مهارت های تصمیم گیری (r=0/15, p=0/003) ارتباط مستقیم و معناداری داشت.

    نتیجه گیری

    یافته های این مطالعه نشان داد که اکثریت بیماران تبعیت دارویی ضعیفی داشتند و سطح سواد سلامت با ابعاد تبعیت رژیم دارویی در بیماران مبتلا به دیابت نوع 2 مرتبط بود.

    کلید واژگان: تبعیت رژیم دارویی, سواد سلامت, دیابت نوع 2}
    Farina Hasanpour, Fatemeh Mehravar, Mohammadtaghi Badeleh-Shamushaki, Zahra Sabzi, Hamideh Mancheri*
    Background & Aim

    Medication adherence is one of the important health issues and key aspects of the desired quality of care in patients with diabetes, and one of the important factors affecting it is their health literacy. Therefore, the present study was conducted with the aim of determining the relationship between the level of health literacy and medication adherence in type 2 diabetes patients who referred to comprehensive health centers in Gorgan city during 2023.

    Materials & methods

    This study was conducted cross-sectional on 400 patients with type 2 diabetes who referred to comprehensive health centers in Gorgan city in 2023. The data was collected by stratified sampling method according to the volume and in each stratum of the convenience type. Moriski medication adherence questionnaires (MMAS-8) and short version health literacy questionnaire (HELIA-SH) were used. Data were analyzed in SPSS software using independent t-test, chi-square, analysis of variance and Pearson correlation.

    Results

    The average score of medication adherence and the total score of health literacy were 4.06 ± 1.46 and 36.47 ± 3.53, respectively. Among the participants in the study, only 8.20% of patients had high compliance and 16.80% had moderate compliance, and the rest (75%) had poor drug compliance. Patients' medication adherence had a direct and significant relationship with basic health literacy skills (P=0.004, r=0.14) and decision-making skills (P=0.003, r=0.15).

    Conclusion

    The findings of this study showed that the majority of patients had poor medication adherence and the level of health literacy was related to the dimensions of medication regimen adherence in patients with type 2 diabetes.

    Keywords: Medication Adherence, Treatment Adherence, Health Literacy, Diabetes}
  • Hakim Ahmadzadeh, Haleh Heizomi, Haidar Nadrian *, Shayesteh Shirzadi, Kamyar Pirehbabi, Behrouz Fathi, Sarisa Najafi, Leila Zhianfar, Towhid Babazadeh
    Background and Objective
    We developed a protocol for a health literacy promotion program (HeLPP) to promote self-care behaviors and quality of life (QOL) among T2DM patients in Chaldoran County, Iran. To develop the educational program, we primarily conducted a behavioral and educational assessment on the pre-test data collected from the participants. In this paper, we report a summary of the protocol and the primary results of the pre-test findings. 
    Materials and Methods
    The HeLPP protocol is naturally developed for a randomized controlled trial with Solomon four-group design. Developing the HeLPP, we will conduct it for both test groups. To plan the HeLPP and to find the main predictors of self-care behaviors and QOL, we firstly conducted a cross-sectional study (as a needs assessment phase). So, applying simple random sampling, data on 160 patients were collected and analyzed. The validated scales (Health Literacy Questionnaire (HLQ), Self-care activities scale, and Diabetes QOL Brief Clinical Inventory) were used to collect data.
    Results
    The mean age of participants was 61.08 ± 11.35. The most significant determinants of self-care behaviors were understanding (β: 0.26), reading skills (β: 0.23), and knowledge (β: -0.19). Self-care behaviors (β: 0.29) and decision-making (β: 0.28) were significant predictors of QOL. 
    Conclusion
    Considering the predicting role of understanding, reading skills, and decision-making for self-care behaviors and QOL of the rural T2DM patients, the focus of HeLPP should be on clear communication, goal-setting, and teach back strategies. The developed protocol seems to be helpful in promoting the outcome variables of the study.
    Keywords: Health Literacy, Self-Care Behaviors, Quality Of Life, Type 2 Diabetes, Health Promotion}
  • A. Ghorbani, E. Kareem Abed, Sh. Ghiyasvandian, M. Salami*
    Aims

    Health literacy is a critical factor in achieving good health, as it plays a central role in health and healthcare. Another important factor affecting health outcomes is medication adherence, especially in patients with chronic liver disease and cirrhosis. Therefore, this study aimed to investigate the association between health literacy and medication adherence in patients with cirrhosis.

    Instruments & Methods

    This was a descriptive study on 141 cirrhosis patients from two teaching hospitals in Iraq between December 2022 and April 2023, recruited using a convenience sampling method. Data collection was carried out using three self-report questionnaires, including demographic characteristics, the All Aspects of Health Literacy Scale, and the Adherence to Refills and Medications Scale. Data analysis was performed using SPSS software version 16.

    Findings

    Most patients (92.90%) exhibited non-adherence to medication, with a medication adherence score of more than 16. Additionally, 75.88% of patients demonstrated a low level of health literacy. A positive and significant correlation was observed between medication adherence and total health literacy score (r=0.358, p<0.001).

    Conclusion

    The majority of patients exhibit low health literacy and non-adherence to medications.

    Keywords: Health Literacy, Medication Adherence, Liver Cirrhosis}
  • Samira Olyani, Nooshin Peyman *
    Background and Objective

    Low health literacy has been associated with less performance of preventive behaviors, but its impact on colorectal cancer (CRC) prevention is unclear. The aim of this study was to assess outcomes of health literacy interventions across the CRC prevention. 

    Materials and Methods

    This review study was based on PRISMA checklist. Searches in Scopus, PUBMED/MEDLINE, Web of Science and google scholar between 2011-2023 were conducted. Studies were included if they reported health literacy interventional programs across CRC prevention and were written in English. 

    Results

    Our search yielded 284 records. After identifying duplicates, 12 articles were deleted. In the next step, the titles and abstracts of the remaining 272 articles were reviewed and evaluated, and 210 articles were excluded from the study due to the irrelevance of the title or abstract. In the next stage, after assessing full text of remaining articles, 51 articles were deleted due to the lack of eligibility. Finally, 11 articles were systematically reviewed. The time of publication in all these articles was between 2011 and 2021 and the research method of all of them was interventional. Screening was the most prevalent primary outcomes. Of all eleven studies, ten studies worked on screening and one study worked on prevention. Overall, the selected articles demonstrated positive outcomes for CRC prevention.

    Conclusion

    Health literacy programs could increase the rate of performing CRC prevention.

    Keywords: Health Literacy, Prevention, Colorectal Cancer, Systematic Review}
  • Nasim Abbaszadeh, Zohreh Vafadar, Hosein Mahmoudi, Robabe Khalili *
    Background
    Delayed dyspnea and fatigue are prevalent symptoms among patients with COVID-19, and family caregivers play a crucial role in their care.
    Objectives
    This study aimed to investigate the effects of a health literacy-promoting intervention based on the Family-Centered Empowerment Model (FCEM) on delayed dyspnea and fatigue in patients with COVID-19.
    Methods
    A randomized controlled trial was conducted at Chamran Hospital in Tehran, Iran, in 2022, involving 70 pairs of COVID-19 patients and their primary family caregivers. Patients were randomly assigned to either the intervention group or the control group using a block randomization method. The intervention group received two 30-minute training sessions for primary family caregivers, while the control group received routine training. Data were collected using the Health Literacy Instrument for Adults, the Fatigue Severity Scale, and the Borg Dyspnea Scale before, one week after, and six weeks after the intervention. The chi-square and Fisher's exact tests, Mann-Whitney test, Friedman test, repeated measures analysis of variance, and Pearson correlation test were used to analyze the data.
    Results
    The mean baseline health literacy score was higher in the control group; however, the increase in health literacy was significantly greater in the intervention group (F=75.31; Df=1.73; P<0.000; Effect size=0.52). The intervention group also experienced a greater reduction in dyspnea during the study (F=13.90; Df=2; P<0.000; Effect size=0.17) and a greater reduction in fatigue (F=10.65; Df=1.18; P<0.001; Effect size=0.13) despite having a higher baseline fatigue score.
    Conclusion
    The health literacy-promoting intervention based on FCEM significantly improved family caregivers' health literacy and reduced delayed fatigue and dyspnea in patients with COVID-19. Nurses are encouraged to implement similar programs to mitigate delayed complications in patients with COVID-19.
    Keywords: Health Literacy, COVID-19, Nursing, Fatigue, Dyspnea}
  • Angga Wilandika *, Ah. Yusuf, Ninuk Kurniawati, Diah Sari
    Background and Objective

    HIV-related health literacy is essential to influence people's beliefs about HIV/AIDS. It is also expected to reduce social stigma in the community. This study aimed to develop a model of HIV health literacy based on information and motivation toward social stigma in society. 

    Materials and Methods

    Cross-sectional designs are applied in these studies, conducted in five administrative areas of Bandung City, West Java Province, Indonesia, between March and April 2023. Sample recruitment used proportional cluster sampling in which one hundred and sixty-one community members participated in this study with criteria: aged more than 19 years old, not having HIV disease, and having the ability to read and use digital communication tools. Data analysis used a structural equation modeling approach. 

    Results

    HIV information, situational factors, and motivation influenced HIV health literacy. However, individual beliefs about HIV/AIDS moderated the impact of health literacy on social stigma. The HIV Health Literacy model also has a high goodness of fit index of 0.502. 

    Conclusions

    Information and motivation factors effectively shape HIV health literacy in society. Adequate HIV health literacy can help change an individual's beliefs about HIV to prevent stigma and discrimination, thereby increasing social inclusion. The HIV Health Literacy model can be an alternative reference point in developing community HIV awareness and health literacy strategies.

    Keywords: Discrimination, Health Literacy, HIV, Society, Social Stigma}
  • Sedighe Badnava, Mahdi Moshki*, Majid Pakdaman, Hosein Sahebdel
    Background

    Spiritual health is one of the most important psychological factors for university students, and it is perceived differently in various cultures and societies. Accordingly, this qualitative study investigates the definition of spiritual health and the most important factors that affect the definition of spiritual health among Gonabad University students.

    Methods

    This is a qualitative-based study designed using semi-structured interviews with the faculty members and experts from Gonabad University of Medical Sciences and Gonabad Seminary from December 2022 to November 2023. For data collection, a total of 13 semi-structured in-depth interviews were conducted, and open-ended questions were asked. The data were analyzed using the framework analysis.

    Results

    A total of 13 participants (7 men and 6 women) with threatening behaviors took part in this study. The participants’ ages ranged from 30 to 60 years. After analyzing the data, the following 6 themes were identified through framework analysis: culture, family factors, education, justice, community characteristics, and modeling.

    Conclusion

    This qualitative study highlights diverse conceptions of spiritual health among Gonabad University students and provides valuable insights for promoting spiritual well-being in higher education settings and educating families on behavior guided by spirituality and corresponding values.

    Keywords: Spiritual Health, Health Literacy, Dimensions Of Health, Thematic Analysis}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
  • کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شده‌است. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
  • در صورتی که می‌خواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.
درخواست پشتیبانی - گزارش اشکال