Journal of Education and Health Promotion最新文献

Background: Factors influencing the choice of subspecialty fellowship program vary between medical specialties. In dermatology, there is a disparity in the distribution of dermatologists across fellowship programs. This study aimed to determine the factors considered by Saudi-trained dermatology residents when choosing a fellowship program to aid in promoting program characteristics and refining mentorship.

Materials and methods: A descriptive cross-sectional study was conducted in six different regions in Saudi Arabia using a validated self-administered electronic questionnaire to investigate the factors that influence dermatology residents' choice of future subspecialty.

Results: The questionnaire was completed by 70 dermatology residents. Females represented 63% of the study sample. Of the study participants, only 40% decided on what subspecialty they wanted to pursue. Half of the included residents were from Riyadh, and 21% were from Jeddah. Quality of life was the most common factor influencing subspeciality choice, followed by earning potential and private practice opportunities. However, the least influential factors included the research potential of the subspeciality, family, and advice from doctors in other fields.

Discussion: Medical residents face a significant decision when choosing their subspecialty, as it can impact their career path. The factors influencing this decision vary between different medical specialties. For example, internal medicine residents tend to choose subspecialties that provide intellectual stimulation and complement their personalities, while orthopedic surgery residents prioritize their experience and interest in the subspecialty. Our study found that quality of life, income potential, and private practice opportunities are important factors that influence subspeciality choice in dermatology residents.

Background: In women with premenstrual dysphoric disorder (PMDD), emotional problems constitute most of their symptoms. This study aimed to identify the emotion schemes of women with PMDD and to determine the core emotional pains at the center of the emotion scheme of PMDD to facilitate the treatment of this disorder using an emotion-focused therapy (EFT) approach.

Materials and methods: This study was performed using the directed content analysis method by Hsieh and Shannon. The participants were selected by purposive sampling. The Premenstrual Symptoms Screening Tool (PSST) was used for the primary diagnosis of women, and the Structured Clinical Interview for DSM-5 (SCID-5) was conducted for the final diagnosis. A total of 10 participants were examined via in-depth interviews in this study. The emotion scheme matrix was used as a framework to identify the emotion scheme of PMDD.

Results: Based on the emotion scheme matrix, the participants' experiences were classified into two main themes, four categories, and eight subcategories, with 37 extracted codes.

Conclusion: Based on the present results, the primary and secondary emotions and behaviors in women with PMDD indicated perceptual-situational, bodily-expressive, motivational-behavioral, and symbolic-conceptual elements in line with the core emotional pains of desperation, despair, and feelings of worthlessness based on the primary maladaptive scheme of shame, which is responsible for different psychological symptoms.

Background: Health and QoL are essential for every individual. Regardless of their psychological status, every individual needs an optimum level of Self-satisfaction, Happiness, and QoL. The paper aimed to explore the QoL of the Indian population concerning their day-to-day needs.

Material and methods: The study used an online survey method to assess the QoL of Indian adults. The Questionnaires have been sent to more than 3000 participants through social media like Emails, Facebook, Instagram, Telegram, and WhatsApp. A total of 200 participants filled out the Google form completely. The data was collected from March 2022 to June 2022. The collected data was analyzed by using SPSS (version 24).

Results: The Overall mean was found to be 3.25 [N = 200, Range 18-36 above, Mean = 3.25 and SD = 1.04]. A few important dimensions are mentioned, such as QoL (50% people with mean = 4.00), Self-satisfaction (38% people with mean = 4.00), enjoyment in life (45% people with mean = 4.00), sleep (42% people with mean = 4.00), sex life (36.5% people with mean = 3.00), constant strain (33.5% people with mean = 3.00), loss of self-confidence (26% people with mean = 3.00).

Conclusion: The study indicates low scores on self-satisfaction, QoL, and above-average scores for happiness. There must be interventions to improve the levels of psychological functioning among adults concerning these variables, which would, in turn, help improve the overall adults' functioning. The relevant interventions need to be planned to improve self-satisfaction, happiness, and QoL by improving daily activities.

Background: The Youth Health Ambassador Programme (YHAP) is a health educational program aimed at empowering youths to become health ambassadors in the community through raising their health awareness and training them in primary health prevention. This study evaluates the effectiveness of YHAP in improving the knowledge, attitudes, and practices (KAP) of participants in physical and mental health.

Materials and methods: This study followed a single-group quasi-experimental design, with a pre- and postworkshop KAP survey. Participants were junior college (JC) and polytechnic students in Singapore enrolled in YHAP. In total, 131 responses were analyzed for changes in KAP for physical and mental health before and after the program. This article also studied the participants' barriers to educating others, including environment factors, intrinsic factors, and receptiveness of the target audience.

Results: Mean scores of all six KAP domains increased from the preworkshop survey to the postworkshop survey, with significant improvements (P < 0.05) in all domains except mental health knowledge. Individually, 16 out of 29 questions in the KAP sections had a significant increment in mean score after the program (P < 0.05). Mean scores for intrinsic barriers also decreased significantly (P < 0.001) postintervention, indicating that participants were less likely to agree that intrinsic factors were a barrier to educating people around them about health postintervention.

Conclusion: YHAP is effective in improving the KAP of physical health and the attitudes and practices of mental health JC and polytechnic students and may reduce the effect of intrinsic barriers that participants face when teaching others.

Background: Children often develop phobia toward needle pricks and invasive procedures. It is difficult for medical personnel to manage children's pain when they are in the hospital. When it comes to assessing and treating children's discomfort, nurses interact with them the most. The main objective of the study was to evaluate the effectiveness of the Buzzy Bee device on pain perception among children undergoing invasive needle pricks as part of their treatment.

Materials and methods: The study used a quantitative approach with a quasi-experimental design employing simple random sampling. A post-test-only design was used. After obtaining ethical clearance, data collection was done in the pediatric outpatient department and pediatric wards of Sultan Qaboos University Hospital, Muscat, Oman, between February 2020 and August 2021. Faces Pain Rating Scale for children was used to rate the pain during the procedure, which is a standardized tool. Data were analyzed using SPSS version 23. Descriptive and inferential statistical tests were done to analyze the data.

Results: Totally, 120 children along with their parents were interested in the study. After taking appropriate parental consent and children's assent, the participants were recruited by simple random sampling. They were equally divided into 60 in the experimental group and 60 in the control group. The mean age was 8.14 (+/-2.3) in both groups. Among the 120 samples, 63 (52.5%) of them were males and 57 (47.5%) were females. The majority of them had diagnoses like thalassemia, leukemia, and sickle cell and were getting cannulated for blood transfusion therapy. t-test shows that 51.7% (31 samples) reported no pain in the experimental group and 33.3% (20 samples) reported only mild pain, whereas in the control group, only 5.0% (3 samples) reported no pain and 21.7% (13 samples) reported mild pain. About 26.7% of the samples reported very much pain as against the 7% who reported very much pain in the interventional group. There was a statistically significant difference in the pain scores between the control group and the experimental group (likelihood ratio test, P = 0.0001). The Buzzy Bee method significantly reduced the pain.

Conclusion: The introduction of a toy-like, child-friendly device, which works on the mechanism of vibrations and cold application, lessened the pain intensity during the procedure and acted as a good distractive therapy for children.

Background: Production, publication, and effective of academic research in health policy-making are tools to strengthen interactions between policy-makers, the scientific community, and the public. The purpose of this study was to identify the key factors of knowledge translation in the policy-making of the health system in Iran using the structural analysis method.

Materials and methods: This future study was conducted using the foresight structural analysis method for a 10-year horizon in Iran from 2022 to 2031. Initially, 183 factors were identified by literature review and interviews with experts. In the next step, factors were reduced to 34 factors based on the research team's opinions by merging similar items and removing fewer related items. Then, 34 factors were sent to the experts through an online questionnaire. Nineteen factors were identified with importance and uncertainty above the average. Then, the average degree of cross-impact of the selected factors in the matrix was scored by 11 experts in a focus group meeting, ranged from 3 (strong) to 1 (weak). The cross-impact of these factors was analyzed using MICMAC software.

Results: Five factors, including "policy-making method," "role and function of universities," "specialized services of knowledge brokering," "international conflicts," and "policy-makers' trust in university researches," were identified as key factors due to their high influence and effectiveness.

Conclusion: The results of this study will help the research managers of the universities to be more informed and, therefore, more successful in their planning for more efficient utilization of the knowledge and evidence from academic research by knowing the factors influencing the translation of knowledge.

Background: Faculty satisfaction with online teaching is essential for having effective online courses, and student success. Hence, a standard and suitable measure for the evaluation of satisfaction from online learning is required. This study was conducted to psychometrically evaluate the Persian version of the Online Instructor Satisfaction Measure (OISM) in nursing-midwifery faculty members.

Materials and methods: A cross-sectional methodology study was conducted among Iranian nursing-midwifery faculty members (n = 400) from April to May 2020. After forward-backward translation, the face and content validity were assessed. The construct validity of the questionnaire was evaluated through exploratory and confirmatory factor analyses and its convergent and discriminant validities were evaluated. The reliability of the questionnaire was also evaluated through Cronbach's alpha and McDonald's omega.

Results: Five factors (instructor-student interaction, student-student interaction, affordance, institutional support, and course design/development/teaching interaction) were identified in the exploratory factor analysis (χ ² (241) = 379.43, P < .001, χ ²/df = 1.574, GFI = 0.888, CFI = 0.939, IFI =.940, TLI =.930, RMSEA (90% C.I.) =.049 [.039.,058]). The questionnaire had acceptable content and convergent validity. The questionnaire had acceptable reliability.

Conclusions: The findings of the study supported the adequate reliability, factorial, and convergent validities of OISM in a sample of Iranian nursing-midwifery faculty members.

Background: Student assessment is one of the main parts of educational planning, and improves the quality of education. Students understanding and feeling about assessment might affect significantly on learning and academic achievement. Considering the importance of this issue, and the lack of a valid and reliable Persian tool in medical universities for measuring this concept to measure students' perceptions and understandings of assessment, the current study aim was to determine the psychometric properties of (Students' Conceptions of Assessment - SCoA) inventory during the basic sciences students in medicine, dentistry, pharmacy in Kermanshah University of Medical Sciences.

Methods and materials: This is a cross-sectional study design. In order to carry out this study, SCoA inventory was translated and culturally adopted. To measure validity, reliability, and normalize the inventory, it was distributed among the study population composed of 302 students of Kermanshah University of Medical Sciences during the academic year 1400-1401 who met the inclusion criteria. The collected data were analyzed by confirmatory factor analysis (CFA) and Cronbach's alpha using SPSS version 23 and Amos software.

Results: The results of data analysis showed that of the 302 participants, 119 were men and 183 were women. The mean age of students was 21.69 ± 2.16 years. Content validity was calculated, and it was reported 0.88. Cronbach's alpha was used to determine the internal consistency, and its value was 0.775. The construct validity of SCoA inventory was assessed using CFA by EQS version 6.1. The value of root mean square error of approximation (RMSEA) was 0.092 with a 98% confidence interval, and the Goodness of fit index (GFI) value was 0.99. CFA for all items loaded across four factors, and this four-factor inventory showed a good fit in the Iranian community.

Conclusion: For the first time, the psychometric test of SCoA inventory has been carried out at Kermanshah University of Medical Sciences. The Persian version of this inventory has good validity and reliability in Iran and is a useful tool for measuring the SCoA in medical university. Researchers and those interested in medical education and development centers can benefit from the results of this study. Also, this inventory has been applicable to determine the attitude and perceptions of students about assessment.

Background: Learning in medical education involves a multitude of practical tasks and skills that are amenable to feedback provision. Though passive feedback is given, there is a consistent gap in feedback provision and its receipt. This study aims to assess provider perspectives on feedback and learner attributes influencing the receipt of feedback in medical educational settings.

Materials and methods: A parallel mixed methods study was conducted in September 2023 at a tertiary care teaching institute. A convenience sample of 40 medical teachers comprising two faculties per department and 30 students were included. Focus group discussions (FGDs) were conducted with students from each academic year for assessing the student-level factors (facilitators and barriers) in the receipt of feedback.

Results: Among the 40 medical teachers who were interviewed, the majority of 23 (57.5%) were assistant professors and nearly half of them (18; 45.0%) were below the age of 30 years. The majority of the respondents (28; 70.0%) were females, and 34 (85.0%) of them were postgraduates. Most of them (24; 60.0%) had worked for more than 10 years at the institute. It was observed that 80.0% of the respondents had given feedback to their students at some point in their careers. The major barriers for providing feedback were lack of curricular guidelines, fear of affective responses from students, burden of clinical, administrative work, and lack of perceived need by both students and teachers. DESTEP analysis of the student-level factors governing the receipt of feedback shows the effects of institutional ethics and culture, feedback model utilized, and the influence of learner behaviors, motivations, and teacher attributes.

Conclusion: The study elucidates mentor- and mentee-level influencers for providing and receiving feedback. Effective teacher-student partnerships along with an optimal skill set are required to recognize the need, opportunities, and processes to provide and seek feedback. Shifting the focus from feedback giving to active feedback seeking would be a step toward creating effective and pragmatic feedback systems.