Leila Mohamadkhani Shahri, M. Simbar, Marzieh Bagherinia, Hengameh Mohamadkhani Shahri, M. Banaei
{"title":"Effects of Model-based Educational Interventions on Promoting AIDS Preventive Behaviors in Iranian Adolescents: A Systematic Review","authors":"Leila Mohamadkhani Shahri, M. Simbar, Marzieh Bagherinia, Hengameh Mohamadkhani Shahri, M. Banaei","doi":"10.32598/jpr.10.3.975.1","DOIUrl":null,"url":null,"abstract":"Background: AIDS is one of the perilous infectious diseases and according to the WHO, the only effective way to prevent AIDS is through health education. Therefore, high-risk and vulnerable groups, including adolescents, should be prioritized in educational programs. Objectives: This systematic review study aims to investigate the effects of model-based educational interventions on promoting AIDS preventive behaviors in Iranian adolescents. Methods: International databases, including Scopus, PubMed/MEDLINE, Web of Science, ISC, and Google Scholar, along with national databases, including Magiran, SID, IranDoc, and IRCT were consulted for eligible articles. The following keywords were selected based on MeSH and combined with Boolean (AND, OR) operators: “Adolescent, ” “Health model, ” “Education, ” “HIV, ” “Iran, ” and “Knowledge.” A total of 2969 articles published from April 1, 2005, to May 1, 2020, were extracted. Subsequently, two researchers reviewed the articles independently for screening and selection. The main inclusion criteria were Persian and English studies and model-based educational interventions. Data extraction was performed by two researchers via a researcher-made form independently according to the inclusion criteria. Results: Of the 12 final articles with a total sample size of 2013 adolescents, 8 articles were from the national databases and 4 from the international databases. Based on the results, although the health belief model is the most prevalent framework in designing educational interventions related to AIDS-preventive behaviors, it does not seem appropriate for changing long-term behaviors. It was also indicated that educational interventions based on the social cognitive theory did not have much effect on their attitudes, despite increasing adolescents’ awareness. Educational interventions based on the theory of planned behavior also improved attitudes and significantly increased rejection skills while delaying risky AIDS-related suggestions in students. Conclusions: Different types of health belief model, theory of planned behavior, and the social cognitive theory educational interventions can be effective in increasing the knowledge of adolescents and promoting their HIV-related preventive attitudes and cognitive perceptions. Given their effectiveness, the design and implementation of such interventions are recommended in schools.","PeriodicalId":43059,"journal":{"name":"Journal of Pediatrics Review","volume":" ","pages":""},"PeriodicalIF":0.3000,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatrics Review","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.32598/jpr.10.3.975.1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 1
Abstract
Background: AIDS is one of the perilous infectious diseases and according to the WHO, the only effective way to prevent AIDS is through health education. Therefore, high-risk and vulnerable groups, including adolescents, should be prioritized in educational programs. Objectives: This systematic review study aims to investigate the effects of model-based educational interventions on promoting AIDS preventive behaviors in Iranian adolescents. Methods: International databases, including Scopus, PubMed/MEDLINE, Web of Science, ISC, and Google Scholar, along with national databases, including Magiran, SID, IranDoc, and IRCT were consulted for eligible articles. The following keywords were selected based on MeSH and combined with Boolean (AND, OR) operators: “Adolescent, ” “Health model, ” “Education, ” “HIV, ” “Iran, ” and “Knowledge.” A total of 2969 articles published from April 1, 2005, to May 1, 2020, were extracted. Subsequently, two researchers reviewed the articles independently for screening and selection. The main inclusion criteria were Persian and English studies and model-based educational interventions. Data extraction was performed by two researchers via a researcher-made form independently according to the inclusion criteria. Results: Of the 12 final articles with a total sample size of 2013 adolescents, 8 articles were from the national databases and 4 from the international databases. Based on the results, although the health belief model is the most prevalent framework in designing educational interventions related to AIDS-preventive behaviors, it does not seem appropriate for changing long-term behaviors. It was also indicated that educational interventions based on the social cognitive theory did not have much effect on their attitudes, despite increasing adolescents’ awareness. Educational interventions based on the theory of planned behavior also improved attitudes and significantly increased rejection skills while delaying risky AIDS-related suggestions in students. Conclusions: Different types of health belief model, theory of planned behavior, and the social cognitive theory educational interventions can be effective in increasing the knowledge of adolescents and promoting their HIV-related preventive attitudes and cognitive perceptions. Given their effectiveness, the design and implementation of such interventions are recommended in schools.
背景:艾滋病是一种危险的传染病,根据世界卫生组织的说法,预防艾滋病的唯一有效方法是通过健康教育。因此,包括青少年在内的高危和弱势群体应在教育方案中得到优先考虑。目的:本系统综述研究旨在调查基于模型的教育干预措施对促进伊朗青少年艾滋病预防行为的影响。方法:查阅Scopus、PubMed/MEDLINE、Web of Science、ISC和Google Scholar等国际数据库以及Magiran、SID、IranDoc和IRCT等国家数据库中符合条件的文章。以下关键词是基于MeSH并结合布尔(and,OR)运算符选择的:“青少年”、“健康模式”、“教育”、“艾滋病毒”、“伊朗”和“知识”。共提取了2005年4月1日至2020年5月1日发表的2969篇文章。随后,两名研究人员对文章进行了独立审查,以进行筛选。主要纳入标准是波斯语和英语研究以及基于模型的教育干预。数据提取由两名研究人员通过研究人员根据纳入标准独立制作的表格进行。结果:在2013年青少年的12篇最终文章中,8篇来自国家数据库,4篇来自国际数据库。根据研究结果,尽管健康信念模型是设计与艾滋病预防行为相关的教育干预措施的最普遍框架,但它似乎不适合改变长期行为。还有人指出,基于社会认知理论的教育干预措施虽然提高了青少年的意识,但对他们的态度没有太大影响。基于计划行为理论的教育干预也改善了学生的态度,显著提高了拒绝技能,同时推迟了与艾滋病相关的风险建议。结论:不同类型的健康信念模型、计划行为理论和社会认知理论的教育干预可以有效地增加青少年的知识,促进他们对艾滋病毒的预防态度和认知。鉴于其有效性,建议在学校设计和实施此类干预措施。