Journal of Education and Health Promotion最新文献

Maternal mortality continues to pose a significant public health challenge, and the obstetric early warning system (EOWS) represents a critical strategy to reduce maternal deaths. Therefore, monitoring the advancement of relevant research and development trends is vital. The study aimed to measure the authors' nation, subject areas, growth trends, and thematic research to describe published articles on EOWS. A retrospective bibliometric analysis and descriptive statistics were applied. We retrieved published articles from 2000 to 2024 using the Scopus database. We screened the abstracts and titles for eligibility. Eligible papers were further reviewed using co-occurrence analysis. The data were categorized and visualized using VOS viewer software (version 1.6.17, Java version 1.8.0_333 Oracle Corporation). A total of 126 articles were relevant and included in the review. The countries that produced the most publications were the United States (US) and the United Kingdom (UK). The most relevant subjects were medicine and nursing. Four clusters emerged, reflecting the main topics, including maternal mortality, scoring system, hospitalization, and pregnant women. Current research terms included sequential organ failure assessment, electronic health records, length of stay, and oxygen therapy. This study suggests the need for further research on topics, such as "electronic medical record, primary health services, psychology, and cost-effectiveness" in relation to EOWS. Furthermore, this study encourages investigators and policymakers in the field of maternal health to expand their focus and explore interdisciplinary theories and approaches to address key issues in the field.

Background: E-health is the integration of information and communication technology into healthcare, and it has become essential in this digital age, particularly for medical professionals. However, its effective use hinges on e-health literacy, that is, the ability to access, understand, and apply digital health information. This study aimed to determine the independent predictors of e-health literacy among medical students of a medical college in Tamil Nadu, South India.

Materials and methods: A cross-sectional study was conducted from April 2024 to July 2024 among medical students attending a medical college in Tamil Nadu, South India. A pre-tested, structured questionnaire was used to collect the data. E-health literacy scale (e-HEALS) was used to assess e-health literacy among the students. The responses were scored, and the total score ranged from 8 to 40. The data were entered into Microsoft Excel, numerically coded, and analyzed using IBM SPSS v26. Descriptive analysis was conducted to characterize the study participants and was expressed in frequencies, percentages, and mean (±standard deviation). Independent samples t-test and one-way ANOVA were used to determine the significant difference between the mean e-HEALS score and the independent variables. A multivariable linear regression model was used to determine the independent predictors of the e-HEALS score. A P value < 0.05 was considered statistically significant.

Results: The study included a total of 481 medical students. The mean (±SD) age of study participants age was 21.15 ± 1.654 years. The mean (±SD) e-HEALS score among the study participants was 29.01 ± 4.81. The independent predictors that had a positive impact on e-HEALS scores were (1) intermediate family income (B = 2.20; 95% CI: 0.74-3.65) and (2) >40 hours of internet usage per week (B = 1.07; 95% CI: 0.36-2.38). The independent predictor that had a negative impact on e-HEALS scores was only one online health resource utilized (B = -1.30; 95% CI: -2.43 to 0.17).

Conclusion: Medical schools must prioritize cultivating e-health literacy to equip future healthcare professionals with evidence-based knowledge. Factors such as family income, internet access, and online health resource use seem to impact e-health literacy. A better understanding of these factors can improve the national medical education system.

Background: Repeated or prolonged experience of trauma can lead to complex post-traumatic stress disorder (CPTSD). This study aimed to determine the effectiveness of trauma-focused cognitive behavioral therapy (TF-CBT) on the quality of trauma-related memory, dissociative experiences, and body image dissatisfaction in adolescents with complex post-traumatic stress disorder (CPTSD).

Methods and materials: This study was conducted as a single-blind randomized controlled clinical trial with pre-test, post-test, and 6-month follow-up of experimental and control groups. Based on a convenience sampling method, 31 adolescents with CPTSD were selected from welfare correctional centers in the city of Zahedan, Iran, in 2022. In total, 15 and 16 people were randomly assigned to the experimental and control groups, respectively. The participants in the experimental group received 12 sessions of TF-CBT each for 45 min. The participants in the control group, however, received no intervention for the study. Data were analyzed using the SPSS-20 software, descriptive indices (frequency, percentage, mean, and standard deviation), Chi-square, independent t-test, and repeated measures analysis of variance (ANOVA) tests.

Results: The mean and standard deviation of participants' age in experimental and control groups were 14.60 ± 1.55 and 15 ± 1.71, respectively (t = -0.68, P = 0.502). The results of repeated measures ANOVA revealed that TF-CBT had a significant promoting effect on trauma-related memory quality, dissociative experiences, and body image dissatisfaction in adolescents with CPTSD (P < 0.05).

Conclusions: Overall, it is suggested that correction centers and other related centers utilize the results obtained from this study as scientific and practical guides to improve the mental health status of adolescents with CPTSD.

Background: Investing in and supporting the nursing workforce through innovative education and training opportunities are imperative. There is limited evidence to support the use of mobile learning (mLearning) in undergraduate nursing programs in India.

Materials and methods: This observational cohort study evaluated undergraduate nurses' acceptance and adoption of mLearning by analyzing a convenience sample of 74 third-year undergraduate nurses enrolled in a four-year Bachelor of Nursing program at a regional university in India in 2020. Students completed a four-week mLearning program that provided foundational knowledge about chronic disease management and primary health care via an experiential learning technology platform. An extended version of the Delone and McLean model for information system success questionnaire that included self-efficacy (SE) was administered pre- and post-learning programs to evaluate the acceptance and adoption. Partial least squares based on structural equation modeling were used to test the validity of the proposed model for mLearning acceptance and adoption.

Results: The findings support the role of SE, system quality, intention/actual use, and user satisfaction as important constructs for successful mLearning. Information quality and service quality were not key factors that influenced undergraduate nurses' acceptance and adoption of mLearning.

Conclusion: This study makes an important contribution to the literature as the first study to examine the acceptance and adoption of mLearning among nursing students in India. It provides valuable information for higher-degree educational program developers and designers. It recommends that universities implement pre-program workshops and/or training to build student SE and support their capacity to use mLearning.

Background: The increase in the elderly population with multiple chronic diseases and their unique needs has challenged the health system. Therefore, dentists need to have proper awareness and attitude toward the treatment of this group of society. Due to the lack of studies on geriatric dentistry in Iran, this study evaluated the knowledge and attitude of dentists and senior dental students regarding geriatric dentistry.

Materials and methods: This cross-sectional study was conducted from August to December 2023 in Yazd-Iran. Sixty-three students and 126 dentists participated. Data were collected using a self-administered questionnaire that included demographic information, knowledge about geriatric dentistry, and related attitude questions. Data analysis was performed using SPSS version 22 software, the Mann-Whitney U-test, and Spearman's correlation. A significance level of less than 0.05 was considered.

Results: None of the dental students and only 9.5% of dentists had the desired level of knowledge, but most of the students and dentists had a positive attitude toward geriatric dentistry. The mean knowledge score of senior dental students (5.71 ± 0.67) was significantly lower than that of general dentists (6.91 ± 1.10) (P value < 0.001). However, there was no significant difference between the mean attitude score of senior students (24.52 ± 1.89) and general dentists (24.30 ± 3.06) (P value = 0.266). A positive significant correlation was found between knowledge and attitude scores in senior students (P value < 0.001), but no significant relationship was observed in dentists (P value = 0.388).

Conclusion: There is a need to focus more on related issues in the general dental curriculum and hold more retraining courses in this field.

Background: Emotional regulation is essential for mental health, cognitive development, and academic success. Existing measurement tools rely on classical test theory, limiting precision and generalizability. Most instruments also focus on specific strategies rather than capturing the multidimensional nature of emotional regulation. This study developed and validated the Emotional Regulation Inventory (ERI) using the Rasch model to ensure a psychometrically robust assessment tool for high school students.

Materials and methods: A quantitative, cross-sectional survey was conducted in high schools across East Java, Indonesia, with 559 students (ages 14-18) from grades 10-12 participating through convenience sampling. The ERI was based on Gross's three-dimensional framework: goal activation, process engagement, and trajectory modulation. Initially containing 48 items, it was refined to 40 through expert review and pilot testing. Students responded using a four-point Likert scale. Data were analyzed using Rasch model-based psychometric testing in Winstepsoftware, assessing item fit, unidimensionality, reliability, rating scale functionality, and Differential Item Functioning (DIF).

Results: The ERI met unidimensionality criteria, demonstrated high reliability (person reliability = 0.89, item reliability = 0.99), and showed no significant bias across demographic groups. The Wright Map confirmed effective item distribution, ensuring precise measurement.

Conclusion: The ERI is a valid, reliable tool for assessing emotional regulation in high school students. Findings highlight cultural and social influences, supporting its integration into school curricula. Future research should explore cross-cultural applications and their role in enhancing students' resilience and academic success.

Background: Sleep disturbance is linked to cardiovascular disease and high blood pressure, with obesity being a major risk factor. Sleep quality has emerged as a crucial metric for assessing the health and wellbeing of adulthood. Our cross-sectional study has attempted to understand sleep, body mass index (BMI), and physical activity's impact on hypertension.

Materials and methods: Hypertension diagnosis was done using a digital sphygmomanometer among 168 subjects. The physical activity was assessed using the global physical activity questionnaire, developed by World Health Organization. Pittsburgh Sleep Quality Index (PSQI) was used for assessing sleep quality across the study population. Logistic regression was used for sleep quality and hypertension associations while controlling for potential confounders.

Results: 48.2% of the hypertensive population showed poor quality of sleep in our study. The Global PQSI score was significantly increased (11.56 ± 3.4) in hypertensive subjects, and physical activity influenced the strength of the association between hypertension and sleep quality, with a significant sleep-physical activity interaction (P = <0.001). Higher adjusted odds of hypertension were also evident with overweight and obese subjects, and the relationship was statistically significant in subjects with high PQSI scores (P < 0.001).

Conclusion: Adults who get poor sleep have a higher chance of developing hypertension, and this association depends on their BMI and level of physical activity.

Background: Major depressive disorder (MDD) significantly impacts individuals' functioning by detrimentally influencing both their mental and physical well-being, consequently affecting their overall quality of life. This study aims to assess the impact of quality of life therapy (QOLT) on hope and health-related quality of life (HRQoL) among patients with MDD.

Materials and methods: This randomized clinical trial involved 56 patients with MDD who sought treatment at psychiatry clinics in Iran during the year 2022. Participants were selected through convenience sampling and subsequently assigned to control and intervention groups using a random blocked allocation method. Before the intervention, all patients completed the World Health Organization Quality of Life questionnaire and Snyder's hope scale as part of a pretest. The intervention group underwent a 10-week QOLT program, consisting of weekly 90-min sessions. Following the intervention, both control and intervention groups completed posttests by re-evaluating the research questionnaires. The collected data were analyzed using Statistical Package for the Social Sciences software version 26, employing independent two-sample t-tests and paired t-tests.

Results: Before the intervention, the two groups did not exhibit significant differences in demographic variables, HRQoL, and hopefulness (P > 0.05). However, after the intervention, significant differences emerged between the groups in terms of HRQoL and hopefulness (P < 0.05). Conversely, the control group showed no significant changes throughout the study period (P > 0.05).

Conclusion: This study showed that QOLT effectively improves HRQoL and hopefulness in patients with MDD. Consequently, QOLT can be considered as an impactful intervention for enhancing both HRQoL and hopefulness among patients with MDD.

Background: Menopause, a crucial stage in women's lives, is often accompanied by various symptoms. Phytoestrogen, found in many foods, has been shown to reduce these symptoms. Given the importance of phytoestrogen consumption, there is a clear need for educational interventions in this area. This study aimed to fill this gap by investigating and comparing the effects of virtual and face-to-face education on menopausal women's use of phytoestrogen.

Materials and methods: This quasi-experimental study was performed on 134 women in middle age 45-55 years old who have family physician databases of Jahrom University of Medical Sciences, south of Iran, 2022. The sampling method and assigning the subjects to two educational intervention groups (67 in the face-to-face group and 67 in the virtual group) were conducted randomly. The educational intervention for the face-to-face intervention group and the virtual group consisted of five 60-minute education sessions using the methods of lecture, question and answer, and group discussion, and the virtual education group would receive five short (3-4 minutes) video clips, text, and image messages through WhatsApp Messenger, respectively. Data were analyzed using SPSS 24 software, which used a paired t test, an independent t test, and a Chi-square.

Results: The results of the independent t test showed that before (P = 0.071) and after (P = 0.72) the educational intervention, no significant difference was observed between the two intervention groups in terms of phytoestrogen consumption however, according the paired test in regard to phytoestrogen consumption, significant increases in the amount of phytoestrogen consumed by both the virtual education group (P < 0.001) and face-to-face education group (P < 0.001) were seen. Moreover, after the intervention, there were no significant differences in mean scores of MRS (P = 0.37), somatic dimension (P = 1.00), Psychological dimension (P = 0.15), and urogenital dimension (P = 0.52).

Conclusion: This study demonstrates the potential of both virtual and face-to-face educational interventions in increasing women's knowledge and attitude about menopause symptoms and promoting the consumption of phytoestrogen-containing foods. These interventions, with a focus on enabling conditions, can significantly influence health-seeking habits among the menopausal population, offering a promising avenue for improving menopausal health.

Home-based physical activity (PA) programs have been identified as a potentially effective strategy for reducing sedentary behaviors and promoting physical health. This scoping review aims to collect strategies for increasing home-based PA for healthy adults. The search conducted in November 2022 encompassed PubMed, Scopus, Cochrane Database of Systematic Reviews, Web of Science, EMBASE, and Google Scholar. The focus of the search was to identify primary studies on strategies to increase home-based PA in healthy individuals. The extracted data from the identified studies were recorded in a data-charting form specifically designed. Two authors thoroughly reviewed the extracted data to ensure accuracy and consistency. To summarize and present the findings, a narrative synthesizing approach was employed. Strategies based on characteristics of PA, individual characteristics, social support, establishing suitable conditions at home, using technology to engage in PA, strategies based on theoretical foundations, and pursuing PA programs were analyzed. The valuable results of the present study can become the basis for increasing PA, especially at home and in developing societies. Health policymakers, health promotion professionals, researchers, and healthcare providers can implement the most appropriate strategies for PA at home.