Journal of Education and Health Promotion最新文献

Background: Academic self-efficacy refers to the student's beliefs and attitudes toward their capabilities to achieve academic success, as well as belief in their ability to fulfil academic tasks and the successful learning of the materials. The influence of dyslexia on academic self-efficacy and psychological distress among Nigerian students is underresearched in this study. This study investigated the relationship between dyslexia, psychological distress, and academic self-efficacy.

Materials and method: A total of 460 undergraduates purposively drawn from the University of Lagos, Nigeria, of over 10,000 undergraduate population, with a mean age of 26 ± 5 years, responded to the Academic Self-Efficacy Scale, the dyslexia adult checklist, the 12-item General Health Questionnaire, and Adult Reading History Questionnaire. Data were analyzed descriptively, and the regression analysis and T-tests were used for statistical analysis, with a significance threshold of P < 0.05.

Results: The results showed that dyslexia is a significant predictor of academic self-efficacy (β = 0.34, t = 7.31, P < 0.01). Dyslexia strongly predicted performance in examination [β = 0.32, F = 48.18, P = 0.00], comprehension [β = 0.32, F = 33.54, P = 0.00], school adjustment [β = 0.32, F = 35.86, P = 0.00], reading skill [β = 0.21, F = 18.65, P = 0.00], working memory [β = 0.26, F = 28.5, P = 0.00], and time management [β = 0.21, F = 19.8, P = 0.00] among the undergraduates. In addition, dyslexia significantly predicted psychological distress [t 41) = 1.40, P = 0.65]. Gender had no significant influence on academic self-efficacy and psychological distress among the participants [t 41) = 1.33, P = 0.19].

Conclusion: Dyslexia is a strong predictor of academic self-efficacy and psychological distress. Male and female Nigerian undergraduates have similar academic self-efficacy and psychological distress.

Background: Mental disorders during student life can have destructive effects on students' learning and academic progress. This study was conducted to investigate the mediating role of anxiety variable in academic burnout and academic performance in students studying Rehabilitation at the Iran University of Medical Sciences (IUMS).

Materials and methods: The current research enjoys a descriptive and correlational design. The statistical population consisted of all rehabilitation students of IUMS in 2022. The total number of students was 475; finally, 213 were randomly recruited as samples. The sample size was obtained using Cochran's formula. Using Pearson's correlation coefficient, simple relationships of variables were used. The data was analyzed by SPSS software version 25, using the path analysis. The path analysis was used to investigate the mediating role of anxiety.

Results: There is a significant negative correlation between academic burnout and academic performance (P < 0.002; r = -0.223). Also, there is a negative and significant correlation between the mediator variable of anxiety and the dependent variable of academic performance (-0.247), and a positive and significant correlation exists between the mediator variable of anxiety and the independent variable of academic burnout (0.207).

Conclusion: Anxiety and academic burnout can reduce students' academic performance. Considering that most students will face stress during their studies for various reasons, coping strategies should be taught to them to prevent their academic burnout and academic failure.

Background: The Pender's Health Promotion Model is a comprehensive solution to improve health and reduce the risk of chronic conditions. This study aimed to determine the effect of a care program based on the Pender's Health Promotion Model on the caregiving burden of family caregivers of patients with chronic heart failure.

Methods: This semi-experimental study with a control group was conducted at the Imam Khomeini Heart Clinic in Saqqez in 2022-2023. In this study, 90 family caregivers from patients with chronic heart failure were randomized to intervention and control groups. Data were collected through a demographic information questionnaire and the Caregiver Burden Inventory (CBI) prior to and 50 days after the intervention. Data were analyzed using independent t-test, Chi-square, and paired t-test in SPSS V 25. A significance level of 5% was considered.

Results: The results of this study indicated that the control and intervention groups were homogeneous in terms of demographic characteristics (P = 0.643). The findings also showed a statistically significant difference in the mean scores of all dimensions of caregiving burden between the two groups after the intervention, such that the overall mean score of caregiving burden in the intervention group had a significant reduction (P < 0.0001).

Conclusion: The present study demonstrated that a care program based on the Pender's Health Promotion Model can reduce the caregiving burden of family caregivers of patients suffering from chronic heart failure. Additionally based on health policies, this program can play an effective role in improving the quality of life of families with chronic heart failure patients and reducing their medical costs as a comprehensive solution for improving health and reducing the risk of chronic diseases.

Background: The increase in deaths due to COVID-19 has increased anxiety among the treatment staff. Therefore, the purpose of this research was to model the structural equations of the anxiety level of corona based on psychological hardness and physical activities in the treatment staff of Ilam province with the mediator role of professional identity.

Materials and methods: Based on the purpose, the method of this research is applied and based on how to obtain the data it is descriptive-correlational. The statistical population of the research includes all the treatment staff of Ilam province, with the number of 1900 people who were selected using Morgan's table, 320 people with the stratified sampling method as the sample. To collect the data, four standard questionnaires were used: Alipour et al. (2020) coronavirus anxiety questionnaire, Kiamarsi et al. (1998) psychological hardness, Baecke et al. (1982) physical activity, Hao et al. (2014) professional identity, and their validity and reliability were also confirmed. To analyze the data, from the indicators of descriptive statistics, Pearson's correlation coefficient test and structural equation model method (SEM) were used using SPSS and Amos software.

Results: The results of the research showed that psychological hardness, physical activities, and professional identity have a significant and inverse effect on the anxiety caused by corona, and the mediator role of professional identity in the relationship between physical activities and corona anxiety was confirmed, but this role was not confirmed in the relationship between psychological hardness and corona anxiety.

Conclusion: To reduce the anxiety of the coronavirus in the treatment staff, the managers of the health and treatment centers of Ilam province should pay special attention to the employees' perceptions of psychological hardness, physical activities, and professional identity and provide them with the opportunity to create sports activities.

Background: Since in most families, mothers are more responsible for taking care of children and have more responsibility than fathers for monitoring the child, taking care of a disabled child can have a more negative effect on the psychological state of mothers. This study aimed to investigate the effectiveness of behavioral activation (BA) and acceptance and commitment therapy (ACT) in depression and rumination in mothers with children with cerebral palsy.

Materials and methods: This research was quasi-experimental field research with a pre-posttest and control group. The study population comprised 237 mothers with children who had cerebral palsy and were referred to occupational therapy centers in Ilam, Iran. The sample consisted of 60 participants selected by convenience sampling, who were randomly divided into two experimental groups (BA and ACT) and a control group (n = 20 per group). Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 27.0 with descriptive and inferential statistics, such as mean, standard deviation, and multivariate analysis of covariance (MANCOVA).

Results: The results of both BA and ACT were effective in reducing depression (P < 0.01) and rumination (P < 0.01) in the two experimental groups compared with the control group in the posttest phase. Furthermore, the effectiveness of the ACT in reducing depression and rumination was found to be more significant than the effectiveness of BA (P ≤ 0.05).

Conclusion: The findings of the study suggest that both BA and ACT are effective in reducing depression and rumination in the research participants. However, the study also found that ACT was more effective than BA in reducing depression and rumination. Thus, both approaches can be used to strengthen treatment interventions to lessen depression and rumination in the research participants.

Background: Population aging is an emerging global trend. Because of decreasing fertility rates and improved healthcare, the lifespan of elderly population increased. Consequently, proportion of elderly population is increasing at an alarming rate. This is accompanied by an increased recognition of the occurrence of multimorbidity and associated mortality risks. So, the purpose of this study was to determine the prevalence and predictors of multimorbidity among elderly population in Maharashtra with its variation among socio-demographic spectrum, functional health and health behaviors.

Materials and methods: Sample of elderly population aged > 60 years were selected to examine multimorbidity and its associated risk factors. Statistical methods such as Chi-square test were used to show the association between multimorbidity and other covariates. Binary logistic regression analysis was used to understand the effects of predictor variables on multimorbidity. Receiver Operating Characteristic (ROC) Curve Analysis was carried out to improve the performance of the classification model by using a modified cut-off probability value. Z scores were calculated to compare model performance in training data and test data.

Results: The prevalence of multimorbidity in Maharashtra in training data and test data was found to be 32.8% and 32.9%. Residence, living arrangement, MPCE Quintile, marital status, work status, education, tobacco consumption, physical activity, Instrumental Activities of Daily Living (IADL), Activities of Daily Living (ADL) and self-rated health of elderly population were important determinants that exert a significant adverse effect on multimorbidity.

Conclusion: Prediction percentages indicate that appropriate actions should be undertaken to ensure good quality of life for all the elderly in Maharashtra.

Background: Dissatisfaction with one's physique is the most common issue among cancer patients, and it is correlated with stress, anxiety, and hopelessness. The current study aimed to assess how the Nurse-Led short psychosocial intervention affected cancer patients' body image distress and treatment compliance.

Materials and methods: 67 patients above 18 years of age and undergoing cancer treatment were enrolled in the study through complete enumeration sampling. The individuals were divided into experimental and control groups using simple randomization. A nurse-led brief psychosocial intervention program was implemented for 15 days for the experimental group while the control group was on standard treatment. The intervention's effects were measured on the 15^th day using a structured body image distress scale and self-structured treatment compliance scale. The consolidated norms of reporting trials (CONSORT) statement was used to perform the study. Utilizing SPSS, descriptive and inferential statistics were performed to analyze the data.

Results: Post-intervention on the 15^th day of the program revealed a reduction in Body image distress (Mean, SD and P value; 2.73, 1.72 (experimental), 4.90 ± 2.23 (control) and <0.001). The program also resulted in improved treatment compliance (Mean, SD and P value; 3.66, 2.23 and (experimental) and 5.83, 1.62; and <0.001).

Conclusion: According to the study's findings, nurses are essential to the care of cancer patients. Nurse-led intervention can be an effective strategy to address these psychological issues and concerns.

Background: Traditional teaching methods alone are no longer sufficient to meet the needs of modern societies. This study aimed to compare the effectiveness of central venous pressure teaching through multimedia and lecture method on learning rate of anesthesia technologist students.

Materials and methods: In this quasi-experimental study, 41 undergraduate students of anesthesia technologist were selected through the census method and randomly divided into two groups: multimedia- and lecture-based teaching. The educational content was the same for both groups and was taught by the same educator. A pre-test was administered to both groups, and a post-test was conducted two weeks after the intervention. The data were analyzed using descriptive statistics, independent t-test, and paired t-test with SPSS software version 26.

Results: Before the intervention, there was no significant difference in the mean scores between the two groups (P = 0.648). However, after the intervention, the learning rate significantly improved in both teaching methods (P < 0.001). Furthermore, the mean scores obtained from post-test increase in the multimedia-based group were significantly higher than the lecture-based group (P = 0.004).

Conclusion: The results of this study indicate the effectiveness of both methods. However, considering the advantages of multimedia-based teaching, such as responding to various learning styles and higher mean scores obtained from post-test of the multimedia-based group compared to the lecture-based group, it is recommended to utilize this teaching method in medical science courses.

Background: Couples experience maladjustment and serious problems in establishing and maintaining intimate relationships. Therefore, therapists employ different methods for helping couples experience more intimate and compatible relationships. Nowadays, professionals are more interested in using integrative approaches than ever before. Integrative behavioral couple therapy (IBCT) is an exemplar of such methods. This study aimed to analyze the effects of IBCT on communication patterns and marital adjustment.

Materials and methods: This study included pretest and posttest steps with a control group. The statistical population included couples aged 20-45 years old visiting the counseling and psychological service centers of Tehran for marital conflicts in 2022. After the initial evaluation, 76 couples were selected as the sample through convenience sampling. They were then randomly assigned to the test and control groups. All participants were asked to fill out the Spanier Dyadic Adjustment Scale (DAS) and the Communication Patterns Questionnaire (CPQ) one week before the first intervention session and one week after the last intervention session. Participants in the test group attended eleven 90-minute sessions of IBCT, whereas those in the control group received no interventions in this period. The one-way ANCOVA was used for data analysis in SPSS 26.

Results: The results indicated that IBCT managed to significantly improve marital adjustment and constructive communication patterns. It reduced two communication patterns called "mutual avoidance" and "demand/withdraw" in the test group (P = 0.001). However, since the effect size of "demand/withdraw" was 0.26, this result should be interpreted cautiously.

Conclusion: According to the research findings, Iranian couple therapists can employ IBCT to improve constructive communication patterns and mitigate destructive ones in couples. Given the effect size, IBCT increased dyadic cohesion, affection, dyadic satisfaction, and dyadic consensus as well as improving the marital adjustment of participants.