Fatemeh Ghardashi, Roya Akbarzadeh, Roghayeh Zardosht, Mohammad Hossein Zadeh Hesari
Background: The prevalence of type 2 diabetes is a global health challenge that requires continuous care. Non-pharmaceutical interventions in controlling and treating type 2 diabetes can be less costly and have fewer complications. Accordingly, this study identifies non-pharmaceutical interventions in controlling and treating type 2 diabetes through systematic review. Methods: This study is a systematic review of the papers published in non-pharmaceutical interventions to control and treat type 2 diabetes. The authors have used the standard guideline of systematic review (PRISMA). A total of 41 papers were selected from 529 full-text articles published between 2014 and 2020. The search included the electronic data banks, including Medline, Science Direct, Embase, Scopus, Cochrane Library, and the Google Scholar search engine. Results: Non-pharmaceutical interventions were classified into four categories: Lifestyle, treatment devices, traditional treatment, and education. The results showed that lifestyle modification is the most effective non-pharmaceutical intervention for treating type 2 diabetes. Conclusion: Study findings show that applying non-pharmaceutical interventions effectively controls and prevents type-2 diabetes complications. Education is a part that needs to be given more attention.
{"title":"Investigating Education as the Key to Success in Non-pharmacological Interventions in the Control and Treatment of Type 2 Diabetes: A Systematic Review","authors":"Fatemeh Ghardashi, Roya Akbarzadeh, Roghayeh Zardosht, Mohammad Hossein Zadeh Hesari","doi":"10.32598/jrh.13.6.2219","DOIUrl":"https://doi.org/10.32598/jrh.13.6.2219","url":null,"abstract":"Background: The prevalence of type 2 diabetes is a global health challenge that requires continuous care. Non-pharmaceutical interventions in controlling and treating type 2 diabetes can be less costly and have fewer complications. Accordingly, this study identifies non-pharmaceutical interventions in controlling and treating type 2 diabetes through systematic review. Methods: This study is a systematic review of the papers published in non-pharmaceutical interventions to control and treat type 2 diabetes. The authors have used the standard guideline of systematic review (PRISMA). A total of 41 papers were selected from 529 full-text articles published between 2014 and 2020. The search included the electronic data banks, including Medline, Science Direct, Embase, Scopus, Cochrane Library, and the Google Scholar search engine. Results: Non-pharmaceutical interventions were classified into four categories: Lifestyle, treatment devices, traditional treatment, and education. The results showed that lifestyle modification is the most effective non-pharmaceutical intervention for treating type 2 diabetes. Conclusion: Study findings show that applying non-pharmaceutical interventions effectively controls and prevents type-2 diabetes complications. Education is a part that needs to be given more attention.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":"30 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Increasing the desire to have children is an important priority of the healthcare systems, which requires targeted planning. This paper describes the development of an intervention program using an intervention mapping approach (IMA) to increase the childbearing desires. Methods: From July to November 2022, the steps of the IMA process were completed. Starting with needs assessment, in this stage, we conducted a literature review, created focus groups, and conducted interviews with local stakeholders; meanwhile, the program objectives and the target audience were determined. Then, the road map for targeted interventions was prepared. Results: The needs assessment completed questionnaires (n=1288), the literature review, 3 focus groups (n=25 participants), in addition to interviews (n=30 participants) indicated that the most effective factors in the parents’ childbearing low desires were concern about the future of their children, economic problems, low parenting skills, and low skills to interact with their spouse. According to the PRECEDE-PROCEED model awareness, attitude, and self-efficacy were categorized as determinants at the individual level, perceived subjective norm at the family level, and organizational changes at the social level based on the results of the needs assessment. The findings from each step of the process informed successive steps. Conclusion: The IMA is a control-oriented, systematic, participation-based technique to design and implement targeted and ongoing health promotion programs.
{"title":"Practical Steps in Designing Intervention to Increase Childbearing Desires: An Intervention Mapping Approach","authors":"Fatemeh Darabi, Sevil Momeni Shabani, Afrouz Mardi, Nazila Nejhaddadgar","doi":"10.32598/jrh.13.6.821.1","DOIUrl":"https://doi.org/10.32598/jrh.13.6.821.1","url":null,"abstract":"Background: Increasing the desire to have children is an important priority of the healthcare systems, which requires targeted planning. This paper describes the development of an intervention program using an intervention mapping approach (IMA) to increase the childbearing desires. Methods: From July to November 2022, the steps of the IMA process were completed. Starting with needs assessment, in this stage, we conducted a literature review, created focus groups, and conducted interviews with local stakeholders; meanwhile, the program objectives and the target audience were determined. Then, the road map for targeted interventions was prepared. Results: The needs assessment completed questionnaires (n=1288), the literature review, 3 focus groups (n=25 participants), in addition to interviews (n=30 participants) indicated that the most effective factors in the parents’ childbearing low desires were concern about the future of their children, economic problems, low parenting skills, and low skills to interact with their spouse. According to the PRECEDE-PROCEED model awareness, attitude, and self-efficacy were categorized as determinants at the individual level, perceived subjective norm at the family level, and organizational changes at the social level based on the results of the needs assessment. The findings from each step of the process informed successive steps. Conclusion: The IMA is a control-oriented, systematic, participation-based technique to design and implement targeted and ongoing health promotion programs.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":"224 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135325925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Food waste is a severe problem, and Indonesia is the world’s second-largest producer of food waste. A limited waste management system will decrease environmental quality, such as air, water, and soil pollution. So far, the waste management system is limited to reducing waste generation. The life cycle assessment is a method to analyze environmental aspects or environmental impacts at all stages in a resource’s life cycle, from the initial process of raw materials to disposal. This study aims to analyze the environmental impact and provide waste management policies to obtain sustainable household waste management and environmental sustainability. Methods: The study design used in this research is cross-sectional by conducting direct observations and interviews at the Waste Bank. Interviews were conducted to identify more in-depth findings about waste management problems and the characteristics of respondents and waste characteristics. Observations were made to calculate waste generation that refers to Indonesian national standard methods of sample collection and measurement of urban waste generation and composition (SNI 19-3694-1994.) The sampling technique was carried out by the total sampling method, resulting in 100 households. Results: The research results with organic waste processing with the black soldier fly method. This method impacts global warming, acidification, eutrophication, and ozone depletion. Of the four elements that produce the most negligible impact is the impact of global warming of 0.281 kg CO2 eq compared to the other effects. Conclusion: BSF processing can reduce environmental impacts, especially global warming. Meanwhile, education affects people’s behavior in generating food waste; therefore, there are policy recommendations for Waste Bank stakeholders in processing food waste.
背景:食物浪费是一个严重的问题，印度尼西亚是世界上第二大食物浪费生产国。一个有限的废物管理系统将降低环境质量，如空气、水和土壤污染。到目前为止，废物管理系统仅限于减少废物的产生。生命周期评价是在资源生命周期的各个阶段，从原材料的初始加工到处置，分析环境因素或环境影响的一种方法。本研究旨在分析其对环境的影响，并提供废物管理政策，以获得可持续的生活废物管理和环境可持续性。方法:本研究采用横断面研究设计，在废物银行进行直接观察和访谈。我们进行了访谈，以确定有关废物管理问题、受访者特征和废物特征的更深入的调查结果。通过观察计算废弃物产生量，参照印度尼西亚城市废弃物产生量和成分的样本收集和测量国家标准方法(SNI 19-3694-1994)。抽样技术采用总抽样法，共抽样100户。结果:研究结果与有机废物黑兵蝇法处理有关。这种方法影响全球变暖、酸化、富营养化和臭氧消耗。在产生最可忽略影响的四个因素中，与其他影响相比，全球变暖的影响为0.281 kg CO2当量。结论:BSF加工可以减少对环境的影响，尤其是对全球变暖的影响。同时，教育影响人们产生食物浪费的行为;因此，我们为废物银行的利益相关者提供了处理食物垃圾的政策建议。
{"title":"Sustainability Life Cycle Assessment of Household Food Waste Management in Urban Areas","authors":"Devi Angeliana Kusumaningtiar, Gisely Vionalita, Prita Dhyani Swamilaksita","doi":"10.32598/jrh.13.6.2255.1","DOIUrl":"https://doi.org/10.32598/jrh.13.6.2255.1","url":null,"abstract":"Background: Food waste is a severe problem, and Indonesia is the world’s second-largest producer of food waste. A limited waste management system will decrease environmental quality, such as air, water, and soil pollution. So far, the waste management system is limited to reducing waste generation. The life cycle assessment is a method to analyze environmental aspects or environmental impacts at all stages in a resource’s life cycle, from the initial process of raw materials to disposal. This study aims to analyze the environmental impact and provide waste management policies to obtain sustainable household waste management and environmental sustainability. Methods: The study design used in this research is cross-sectional by conducting direct observations and interviews at the Waste Bank. Interviews were conducted to identify more in-depth findings about waste management problems and the characteristics of respondents and waste characteristics. Observations were made to calculate waste generation that refers to Indonesian national standard methods of sample collection and measurement of urban waste generation and composition (SNI 19-3694-1994.) The sampling technique was carried out by the total sampling method, resulting in 100 households. Results: The research results with organic waste processing with the black soldier fly method. This method impacts global warming, acidification, eutrophication, and ozone depletion. Of the four elements that produce the most negligible impact is the impact of global warming of 0.281 kg CO2 eq compared to the other effects. Conclusion: BSF processing can reduce environmental impacts, especially global warming. Meanwhile, education affects people’s behavior in generating food waste; therefore, there are policy recommendations for Waste Bank stakeholders in processing food waste.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":"228 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135326068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.32598/jrh.13.6.2183.3
Satriya Pranata, Shu-Fang Vivienne Wu, Yunie Armiyati, Khoiriyah Khoiriyah, Lin Chun Shing, Ju-Han Liu
Background: A precision healthcare approach is needed in the context of the healthcare system, especially as an effort to improve the self-management activities of diabetes patients. Accordingly, this study explores the perception of the possibility of implementing a precision healthcare program in hospitals through interviews with policymakers and health professionals. Methods: The purposive sampling via one-on-one, in-depth semi-structural interviews was conducted to collect the data in this study. The data saturation was achieved after interviewing 17 policymakers and health professionals in the selected hospitals. The participants discussed the possibility of a program being implemented in Indonesia and the challenges to implementing the program, as well as discovering the solutions. The narratives were analyzed by the Colaizzi phenomenological analytic method. Results: The three themes that were identified to illustrate the perception of the possibility of implementing precision health care programs at hospitals in Indonesia were as follows: 1) Precision health care for diabetes related to genetics, big data, and patient preference; 2) Barriers to implementing precision health care in Indonesian hospitals; and 3) The implementation of precision health care succeeded step by step. Conclusion: More time is needed to implement Indonesia’s precision healthcare concept. It requires time; however, applying the concept has great potential to be developed in reducing the risk of complications caused by diabetes mellitus in the future.
{"title":"Implementing Precision Health Care Program at Hospitals in Indonesia","authors":"Satriya Pranata, Shu-Fang Vivienne Wu, Yunie Armiyati, Khoiriyah Khoiriyah, Lin Chun Shing, Ju-Han Liu","doi":"10.32598/jrh.13.6.2183.3","DOIUrl":"https://doi.org/10.32598/jrh.13.6.2183.3","url":null,"abstract":"Background: A precision healthcare approach is needed in the context of the healthcare system, especially as an effort to improve the self-management activities of diabetes patients. Accordingly, this study explores the perception of the possibility of implementing a precision healthcare program in hospitals through interviews with policymakers and health professionals. Methods: The purposive sampling via one-on-one, in-depth semi-structural interviews was conducted to collect the data in this study. The data saturation was achieved after interviewing 17 policymakers and health professionals in the selected hospitals. The participants discussed the possibility of a program being implemented in Indonesia and the challenges to implementing the program, as well as discovering the solutions. The narratives were analyzed by the Colaizzi phenomenological analytic method. Results: The three themes that were identified to illustrate the perception of the possibility of implementing precision health care programs at hospitals in Indonesia were as follows: 1) Precision health care for diabetes related to genetics, big data, and patient preference; 2) Barriers to implementing precision health care in Indonesian hospitals; and 3) The implementation of precision health care succeeded step by step. Conclusion: More time is needed to implement Indonesia’s precision healthcare concept. It requires time; however, applying the concept has great potential to be developed in reducing the risk of complications caused by diabetes mellitus in the future.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":"204 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135325827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: With the onset of the first wave of COVID-19 in Iran, along with the preventive quarantines, children who had to stay at home were in contact with drugs, alcohol, and disinfectants. This study compares the prevalence rates of poisoning for children and adolescents hospitalized during the first wave of COVID-19 to the previous year (pre-COVID-19 period in 2019). Methods: This analytic, cross-sectional study was conducted based on the administrative data obtained from the referral teaching hospital in Yazd and Taft cities, Iran. This study was conducted on children under the age of 15 years who were admitted to the hospital because of poisoning. The study was conducted from February 19, 2020, to February 18, 2021 (12 months during the COVID-19 pandemic) compared to 2019 as the reference period (pre-COVID-19). The data were analyzed by the SPSS software, version 20. Results: Multivariate regression analysis showed that by adjusting the effects of age and sex, the chance of alcohol poisoning (odd ratio [OR]=0.3, P=0.03), poisoning with oil and its derivatives (OR=0.33, P=0.05), and drugs-opioids poisoning in the period before the outbreak of COVID-19 was lower than during the outbreak of COVID-19. Additionally, the chance of poisoning with medications in the period before the outbreak of COVID-19 was 67% higher than during the outbreak of COVID-19 (OR=1.67, P=0.01). Conclusion: The results indicated a significant increase in poisoning with alcohol, drugs-opioids, oil, and its derivatives in children and adolescents in Yazd City, Iran, during the 12 months of the COVID-19 pandemic.
{"title":"Poisonings During the COVID-19 Pandemic: Attention to Children and Adolescents Admitted to the Referral Teaching Hospitals of Yazd and Taft Cities, Iran","authors":"Mahdieh Momayyezi, Parisa Peigan, Hossein Fallahzadeh, Reyhane Sefidkar","doi":"10.32598/jrh.13.6.917.2","DOIUrl":"https://doi.org/10.32598/jrh.13.6.917.2","url":null,"abstract":"Background: With the onset of the first wave of COVID-19 in Iran, along with the preventive quarantines, children who had to stay at home were in contact with drugs, alcohol, and disinfectants. This study compares the prevalence rates of poisoning for children and adolescents hospitalized during the first wave of COVID-19 to the previous year (pre-COVID-19 period in 2019). Methods: This analytic, cross-sectional study was conducted based on the administrative data obtained from the referral teaching hospital in Yazd and Taft cities, Iran. This study was conducted on children under the age of 15 years who were admitted to the hospital because of poisoning. The study was conducted from February 19, 2020, to February 18, 2021 (12 months during the COVID-19 pandemic) compared to 2019 as the reference period (pre-COVID-19). The data were analyzed by the SPSS software, version 20. Results: Multivariate regression analysis showed that by adjusting the effects of age and sex, the chance of alcohol poisoning (odd ratio [OR]=0.3, P=0.03), poisoning with oil and its derivatives (OR=0.33, P=0.05), and drugs-opioids poisoning in the period before the outbreak of COVID-19 was lower than during the outbreak of COVID-19. Additionally, the chance of poisoning with medications in the period before the outbreak of COVID-19 was 67% higher than during the outbreak of COVID-19 (OR=1.67, P=0.01). Conclusion: The results indicated a significant increase in poisoning with alcohol, drugs-opioids, oil, and its derivatives in children and adolescents in Yazd City, Iran, during the 12 months of the COVID-19 pandemic.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":"62 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135326356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Failure to establish and maintain close romantic relationships with commitment can hinder an individual’s development and impose adverse effects on their well-being in life due to the potential emergence of serious problems. The present study investigates the relative effectiveness of acceptance and commitment therapy (ACT) and schema therapy on love trauma syndrome and self-compassion in unmarried girls with emotional breakdowns. Methods: The statistical population of this study included all unmarried girls with emotional breakdowns who visited counseling centers in Ahvaz, Khuzestan Province, Iran, in 2022. The convenience sampling method was employed to select 45 individuals randomly assigned to two experimental groups and one control group (n=15 per group). This quasi-experimental research adopted a pre-test-post-test design with a control group design and follow-up. The love trauma inventory and the self-compassion scale–short form were used to collect the data. The analysis of covariance was used for data analysis in the SPSS software, version 26. Results: The results indicated that ACT and schema therapy significantly affected the love trauma syndrome and self-compassion in unmarried girls with emotional breakdowns (P<0.001). Moreover, schema therapy had more significant effects than ACT on the participants’ love trauma syndrome and self-compassion (P<0.001). The results also demonstrated that the effectiveness of act and schema therapy on self-compassion and love trauma syndrome continued until the follow-up phase. Conclusion: Schema therapy is a more appropriate method for addressing the love trauma syndrome and self-compassion in unmarried girls with emotional breakdowns. Based on these results and considering the role of schema therapy, it is possible to help women with emotional breakdowns to enjoy self-compassion and reduce their love trauma syndrome by holding schema therapy sessions.
{"title":"Relative Effectiveness of Acceptance/Commitment and Schema Therapies on Love Trauma Syndrome and Self-compassion in Unmarried Girls With Emotional Breakdown","authors":"Rohollah Sharifi Nejad Rodani, Fatemeh Sadat Marashian, Masoud Shahbazi","doi":"10.32598/jrh.13.6.1973.3","DOIUrl":"https://doi.org/10.32598/jrh.13.6.1973.3","url":null,"abstract":"Background: Failure to establish and maintain close romantic relationships with commitment can hinder an individual’s development and impose adverse effects on their well-being in life due to the potential emergence of serious problems. The present study investigates the relative effectiveness of acceptance and commitment therapy (ACT) and schema therapy on love trauma syndrome and self-compassion in unmarried girls with emotional breakdowns. Methods: The statistical population of this study included all unmarried girls with emotional breakdowns who visited counseling centers in Ahvaz, Khuzestan Province, Iran, in 2022. The convenience sampling method was employed to select 45 individuals randomly assigned to two experimental groups and one control group (n=15 per group). This quasi-experimental research adopted a pre-test-post-test design with a control group design and follow-up. The love trauma inventory and the self-compassion scale–short form were used to collect the data. The analysis of covariance was used for data analysis in the SPSS software, version 26. Results: The results indicated that ACT and schema therapy significantly affected the love trauma syndrome and self-compassion in unmarried girls with emotional breakdowns (P<0.001). Moreover, schema therapy had more significant effects than ACT on the participants’ love trauma syndrome and self-compassion (P<0.001). The results also demonstrated that the effectiveness of act and schema therapy on self-compassion and love trauma syndrome continued until the follow-up phase. Conclusion: Schema therapy is a more appropriate method for addressing the love trauma syndrome and self-compassion in unmarried girls with emotional breakdowns. Based on these results and considering the role of schema therapy, it is possible to help women with emotional breakdowns to enjoy self-compassion and reduce their love trauma syndrome by holding schema therapy sessions.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.32598/jrh.13.6.2106.1
Mohammad Sarani, Azadeh Heydari, Parvaneh Isfahani
Background: The essential strategies to avoid diabetes complications are lifelong health education and self-care. This study determines the impacts of an educational intervention based on a health belief model. Methods: This quasi-experimental study was conducted on patients with type 2 diabetes using convenience sampling. They were randomly assigned to experimental (n=55) and control groups (n=55). A standard questionnaire was used to collect the data. The healthy behaviors were measured again after 3 and 6 months, and the data analysis was performed using the SPSS software, version 20. Results: The mean value of perceived susceptibility boosted in the intervention group from 18.94 before the training to 22.90 and 22.3 after 3 and 6 months of the intervention, respectively. The mean score perceived severity increased in the intervention group to 31.30 and 31.42 after 3 and 6 months of the intervention, respectively. Meanwhile, the mean score of perceived benefits increased in the intervention group from 10.06 before the training to 11.61 and 13.32 after 3 and 6 months of the intervention, respectively. The mean score of perceived barriers decreased in the intervention group from 19.50 before the training to 13.35 and 12.21 after 3 and 6 months of the intervention, respectively. The mean score of perceived self-efficacy boosted in the intervention group from 24.16 before the training to 29.44 and 29.48 after 3 and 6 months of the intervention, respectively. The mean value of cues to action boosted in the intervention group from 20.15 before the training to 22.2 and 23.2 after 3 and 6 months of the intervention, respectively. Conclusion: The results demonstrated the importance of designing educational programs based on the health belief model constructs over 3 and 6 months in adopting healthy behaviors by subjects with type 2 diabetes.
{"title":"Investigating the Effects of Educational Intervention Based on the Health Belief Model in Adopting Healthy Behaviors by Type 2 Diabetic Patients in 2021","authors":"Mohammad Sarani, Azadeh Heydari, Parvaneh Isfahani","doi":"10.32598/jrh.13.6.2106.1","DOIUrl":"https://doi.org/10.32598/jrh.13.6.2106.1","url":null,"abstract":"Background: The essential strategies to avoid diabetes complications are lifelong health education and self-care. This study determines the impacts of an educational intervention based on a health belief model. Methods: This quasi-experimental study was conducted on patients with type 2 diabetes using convenience sampling. They were randomly assigned to experimental (n=55) and control groups (n=55). A standard questionnaire was used to collect the data. The healthy behaviors were measured again after 3 and 6 months, and the data analysis was performed using the SPSS software, version 20. Results: The mean value of perceived susceptibility boosted in the intervention group from 18.94 before the training to 22.90 and 22.3 after 3 and 6 months of the intervention, respectively. The mean score perceived severity increased in the intervention group to 31.30 and 31.42 after 3 and 6 months of the intervention, respectively. Meanwhile, the mean score of perceived benefits increased in the intervention group from 10.06 before the training to 11.61 and 13.32 after 3 and 6 months of the intervention, respectively. The mean score of perceived barriers decreased in the intervention group from 19.50 before the training to 13.35 and 12.21 after 3 and 6 months of the intervention, respectively. The mean score of perceived self-efficacy boosted in the intervention group from 24.16 before the training to 29.44 and 29.48 after 3 and 6 months of the intervention, respectively. The mean value of cues to action boosted in the intervention group from 20.15 before the training to 22.2 and 23.2 after 3 and 6 months of the intervention, respectively. Conclusion: The results demonstrated the importance of designing educational programs based on the health belief model constructs over 3 and 6 months in adopting healthy behaviors by subjects with type 2 diabetes.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":"25 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: After the difficulty of the pandemic process, managing the long-term effects that may occur after the coronavirus disease 2019 (COVID-19) is among the biggest concerns in the present era. This study aimed to explore factors affecting the physical activity level and investigate the relationship between physical activity level and stress perception of university students during the COVID-19 pandemic. Study Design: A cross-sectional study. Methods: Study data were collected via online survey, and volunteer participants completed the survey through the survey link between October 21 and December 31, 2021. Physical activity level was evaluated by "The International Physical Activity Questionnaire- Short Form" (IPAQ-SF), and stress level was evaluated by "Perceived Stress Scale" (PSS). The participants were asked questions about barriers and motivators for physical activity before and during the pandemic. Results: The study included 444 participants (81.3% female and 18.7% male) with an average age of 21±2.95 years. The results showed a negative-significant linear relationship between perceived stress score and total physical activity, vigorous-intensity physical activity, and walking scores (r=-0.157, P<0.01; r=-0.16, P<0.01; r=-0.13, P<0.05 respectively). During the pandemic, the perception of insufficient finance became less important as a barrier (P=0.029), and healthcare professional (HCP) recommendation became more important as a motivator for physical activity than the pre-pandemic conditions (P=0.035). Conclusion: The findings indicated that it is possible to reduce the level of perceived stress by increasing the level of physical activity. Current research will be a key for increasing and maintaining physical activity and reducing perceived stress.
背景:在经历了大流行过程的困难之后，管理2019冠状病毒病(COVID-19)后可能产生的长期影响是当今时代最大的问题之一。本研究旨在探讨新冠肺炎大流行期间大学生体育活动水平的影响因素，探讨体育活动水平与压力感知的关系。研究设计:横断面研究。方法:采用在线调查方式收集研究数据，志愿者于2021年10月21日至12月31日通过调查链接完成调查。采用《国际体育活动简易问卷》(IPAQ-SF)评价身体活动水平，采用《感知压力量表》(PSS)评价压力水平。向参与者询问了在大流行之前和期间进行身体活动的障碍和激励因素。结果:共纳入444例患者，其中女性81.3%，男性18.7%，平均年龄21±2.95岁。结果显示，感知压力得分与总体力活动、高强度体力活动和步行得分呈负显著的线性关系(r=-0.157, P<0.01;r = -0.16,术中;0.01;r=-0.13, p < 0.05)。在大流行期间，资金不足的看法作为障碍变得不那么重要(P=0.029)，卫生保健专业人员(HCP)的建议作为体育活动的激励因素变得比大流行前的条件更重要(P=0.035)。结论:研究结果表明，可以通过增加体育活动水平来降低感知压力水平。目前的研究将是增加和保持身体活动以及减少感知压力的关键。
{"title":"Relationship Between Physical Activity Level and Stress Perception: Exploring Factors During COVID-19 Pandemic","authors":"Senay Çerezci-Duygu, Furkan Özdemir, Gökhan Karakaş","doi":"10.34172/jrhs.2023.120","DOIUrl":"https://doi.org/10.34172/jrhs.2023.120","url":null,"abstract":"Background: After the difficulty of the pandemic process, managing the long-term effects that may occur after the coronavirus disease 2019 (COVID-19) is among the biggest concerns in the present era. This study aimed to explore factors affecting the physical activity level and investigate the relationship between physical activity level and stress perception of university students during the COVID-19 pandemic. Study Design: A cross-sectional study. Methods: Study data were collected via online survey, and volunteer participants completed the survey through the survey link between October 21 and December 31, 2021. Physical activity level was evaluated by \"The International Physical Activity Questionnaire- Short Form\" (IPAQ-SF), and stress level was evaluated by \"Perceived Stress Scale\" (PSS). The participants were asked questions about barriers and motivators for physical activity before and during the pandemic. Results: The study included 444 participants (81.3% female and 18.7% male) with an average age of 21±2.95 years. The results showed a negative-significant linear relationship between perceived stress score and total physical activity, vigorous-intensity physical activity, and walking scores (r=-0.157, P<0.01; r=-0.16, P<0.01; r=-0.13, P<0.05 respectively). During the pandemic, the perception of insufficient finance became less important as a barrier (P=0.029), and healthcare professional (HCP) recommendation became more important as a motivator for physical activity than the pre-pandemic conditions (P=0.035). Conclusion: The findings indicated that it is possible to reduce the level of perceived stress by increasing the level of physical activity. Current research will be a key for increasing and maintaining physical activity and reducing perceived stress.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135295798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Colorectal cancer (CRC) is the third most prevalent cancer in Iran. This study aimed to assess the level of awareness regarding CRC warning signs, risk factors, screening program, and related factors among adults in North-Eastern Iran. Study Design: A cross-sectional study. Methods: The multi-stage sampling method was used to survey 2614 participants attending primary healthcare centers in Mashhad, Iran. The data collection tools were the demographics section and Bowel/ CRC Awareness Measure (Bowel/Colorectal CAM). The data were analyzed by SPSS, version 25. The significance level of the data analysis was less than 0.05. Results: Mean awareness for CRC warning signs and CRC risk factors were 2.85±2.13 and 3.63±1.85, respectively. Most participants (97.2%) had no awareness of the CRC screening program. There was a significant association between marital status, education, job, income, and family history of CRC with awareness of warning signs (P<0.001); moreover, there was a significant association between age, education, job, income, and family history of CRC with awareness of risk factors (P<0.001). The results of logistic regression indicated that there was a significant association between age (P=0.022, OR=1.794, 95% confidence interval [CI]: 1.087, 2.962), gender (P=0.005, OR=0.488, 95% CI: 0.296, 0.803) and warning sign awareness (P<0.001, OR=1.278, 95% CI: 1.124, 1.454) with awareness of the CRC screening program. Conclusions: In this study, most of the participants had low awareness of CRC. More aimed educational interventions are needed to promote Iranian adults’ awareness of CRC.
{"title":"Colorectal Cancer Awareness and Related Factors Among Adults Attending Primary Healthcare in North-Eastern of Iran: A Cross-sectional Study","authors":"Samira Olyani, Hossein Ebrahimipour, Mehrsadat Mahdizadeh Taraghdari, Jamshid Jamali, Nooshin Peyman","doi":"10.34172/jrhs.2023.124","DOIUrl":"https://doi.org/10.34172/jrhs.2023.124","url":null,"abstract":"Background: Colorectal cancer (CRC) is the third most prevalent cancer in Iran. This study aimed to assess the level of awareness regarding CRC warning signs, risk factors, screening program, and related factors among adults in North-Eastern Iran. Study Design: A cross-sectional study. Methods: The multi-stage sampling method was used to survey 2614 participants attending primary healthcare centers in Mashhad, Iran. The data collection tools were the demographics section and Bowel/ CRC Awareness Measure (Bowel/Colorectal CAM). The data were analyzed by SPSS, version 25. The significance level of the data analysis was less than 0.05. Results: Mean awareness for CRC warning signs and CRC risk factors were 2.85±2.13 and 3.63±1.85, respectively. Most participants (97.2%) had no awareness of the CRC screening program. There was a significant association between marital status, education, job, income, and family history of CRC with awareness of warning signs (P<0.001); moreover, there was a significant association between age, education, job, income, and family history of CRC with awareness of risk factors (P<0.001). The results of logistic regression indicated that there was a significant association between age (P=0.022, OR=1.794, 95% confidence interval [CI]: 1.087, 2.962), gender (P=0.005, OR=0.488, 95% CI: 0.296, 0.803) and warning sign awareness (P<0.001, OR=1.278, 95% CI: 1.124, 1.454) with awareness of the CRC screening program. Conclusions: In this study, most of the participants had low awareness of CRC. More aimed educational interventions are needed to promote Iranian adults’ awareness of CRC.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135295961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Intentional injuries, including self-harm, suicide, conflict, and interpersonal violence are a significant public health concern in Iran, but they have not been adequately documented. This study aimed to investigate intentional injuries in cases admitted to Sina Hospital in Tehran, Iran, affiliated with the National Trauma Registry of Iran. Study Design: A retrospective cohort study. Methods: A registry-based study on the characteristics of 852 intentional injury cases was conducted from 2016 to 2023. Information on various aspects, including baseline characteristics, injury characteristics, and injury outcomes was compared between groups of self-harm/suicide, conflict/interpersonal violence, and others (abuse and legal prosecution). Results: Of 6,692 registered trauma cases, 852 (12.7%) had intentional injuries. Men accounted for 92 (77.3%) self-harm/suicide and 650 (96.4%) conflict/interpersonal violence cases (P<0.001). Self-harm/ suicide mostly occurred at home in 89 (74.8%) cases, while 73 (10.8%) conflict/interpersonal violence cases happened at home (P<0.001). Falls were the cause of trauma in 12 (10.1%) self-harm/suicide cases compared to 7 (1.0%) conflict/interpersonal violence cases (P<0.001). Furthermore, blunt trauma was the cause of trauma in one (0.8%) case of self-harm/suicide and 66 (9.8%) conflict/interpersonal violence cases (P<0.001). Moreover, 14 (11.8%) self-harm/suicide and 34 (5.0%) conflict/interpersonal violence cases required ventilation (P=0.010). Additionally, 74 (8.7%) intentional injury cases had multiple traumas, which were seen in nine (7.6%) self-harm/suicide and 58 (8.6%) conflict/interpersonal violence cases (P<0.001). Conclusion: Men were the majority of self-harm/suicide and conflict/interpersonal violence cases. Self-harm/suicide incidents mostly occurred at home and resulted in more injuries from falls, while conflict/ interpersonal violence resulted in increased blunt traumas and multiple traumas.
{"title":"Epidemiologic and Clinical Characteristics of Intentional Injuries among Cases Admitted to Sina Hospital: Affiliated with the National Trauma Registry of Iran","authors":"Mahgol Sadat Hassan Zadeh Tabatabaei, Vali Baigi, Mohammadreza Zafarghandi, Vafa Rahimi-Movaghar, Sobhan Pourmasjedi, Armin Khavandegar, Khatereh Naghdi, Payman Salamati","doi":"10.34172/jrhs.2023.122","DOIUrl":"https://doi.org/10.34172/jrhs.2023.122","url":null,"abstract":"Background: Intentional injuries, including self-harm, suicide, conflict, and interpersonal violence are a significant public health concern in Iran, but they have not been adequately documented. This study aimed to investigate intentional injuries in cases admitted to Sina Hospital in Tehran, Iran, affiliated with the National Trauma Registry of Iran. Study Design: A retrospective cohort study. Methods: A registry-based study on the characteristics of 852 intentional injury cases was conducted from 2016 to 2023. Information on various aspects, including baseline characteristics, injury characteristics, and injury outcomes was compared between groups of self-harm/suicide, conflict/interpersonal violence, and others (abuse and legal prosecution). Results: Of 6,692 registered trauma cases, 852 (12.7%) had intentional injuries. Men accounted for 92 (77.3%) self-harm/suicide and 650 (96.4%) conflict/interpersonal violence cases (P<0.001). Self-harm/ suicide mostly occurred at home in 89 (74.8%) cases, while 73 (10.8%) conflict/interpersonal violence cases happened at home (P<0.001). Falls were the cause of trauma in 12 (10.1%) self-harm/suicide cases compared to 7 (1.0%) conflict/interpersonal violence cases (P<0.001). Furthermore, blunt trauma was the cause of trauma in one (0.8%) case of self-harm/suicide and 66 (9.8%) conflict/interpersonal violence cases (P<0.001). Moreover, 14 (11.8%) self-harm/suicide and 34 (5.0%) conflict/interpersonal violence cases required ventilation (P=0.010). Additionally, 74 (8.7%) intentional injury cases had multiple traumas, which were seen in nine (7.6%) self-harm/suicide and 58 (8.6%) conflict/interpersonal violence cases (P<0.001). Conclusion: Men were the majority of self-harm/suicide and conflict/interpersonal violence cases. Self-harm/suicide incidents mostly occurred at home and resulted in more injuries from falls, while conflict/ interpersonal violence resulted in increased blunt traumas and multiple traumas.","PeriodicalId":17164,"journal":{"name":"Journal of research in health sciences","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135295799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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