Pub Date : 2019-01-01DOI: 10.22038/EBCJ.2019.33473.1850
Seyed Abolfazl Tohidast, Leila Ghelichi, M. Kamali, A. Ebadi, Y. Shavaki, N. Shafaroodi, Banafshe Mansuri
Background: To date, there is no specific instrument to measure evidence-based practice (EBP) in Speech and Language Pathology (SLP). Therefore, it is essential to design a valid and reliable instrument in the EBP field for SLP. Aim: To develop a speech and language pathology evidence-based practice questionnaire (SLP-EBPQ) for the Iranian context and evaluate its psychometric properties. Method: This study was performed in two stages, first development of the instrument based on the literature review and semi-structured interviews with 14 speech and language pathologists and second the evaluation of the psychometric properties. Content validity of the instrument was assessed by SLP experts who were experienced in the field of EBP. Furthermore, exploratory factor analysis (EFA) and comparison of the recognized groups were conducted to determine the initial construct validity of the SLP-EBPQ. The reliability of the questionnaire was determined using internal consistency and test-retest reliability. A total of 280 speech and language pathologists completed SLP-EBPQ to evaluate construct validity and internal consistency. Furthermore, 30 speech and language pathologists completed the SLP-EBPQ after 2 weeks for test-retest reliability. Results: The developed instrument was a questionnaire with 77 items. The results of EFA demonstrated that the SLP-EBPQ contained nine factors with appropriate internal consistency (α=0.635-0.885). Moreover, the Intra-class Correlation coefficient of the factors was (r=0.814-0.966) in the test-retest reliability. Implications for Practice: The SLP-EBPQ is a valid and reliable instrument and can be applied to evaluate EBP among speech and language pathologists for educational, clinical, or research purposes.
{"title":"Development and Psychometric Evaluation of Speech and Language Pathology Evidence-Based Practice Questionnaire (SLP-EBPQ)","authors":"Seyed Abolfazl Tohidast, Leila Ghelichi, M. Kamali, A. Ebadi, Y. Shavaki, N. Shafaroodi, Banafshe Mansuri","doi":"10.22038/EBCJ.2019.33473.1850","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.33473.1850","url":null,"abstract":"Background: To date, there is no specific instrument to measure evidence-based practice (EBP) in Speech and Language Pathology (SLP). Therefore, it is essential to design a valid and reliable instrument in the EBP field for SLP. Aim: To develop a speech and language pathology evidence-based practice questionnaire (SLP-EBPQ) for the Iranian context and evaluate its psychometric properties. Method: This study was performed in two stages, first development of the instrument based on the literature review and semi-structured interviews with 14 speech and language pathologists and second the evaluation of the psychometric properties. Content validity of the instrument was assessed by SLP experts who were experienced in the field of EBP. Furthermore, exploratory factor analysis (EFA) and comparison of the recognized groups were conducted to determine the initial construct validity of the SLP-EBPQ. The reliability of the questionnaire was determined using internal consistency and test-retest reliability. A total of 280 speech and language pathologists completed SLP-EBPQ to evaluate construct validity and internal consistency. Furthermore, 30 speech and language pathologists completed the SLP-EBPQ after 2 weeks for test-retest reliability. Results: The developed instrument was a questionnaire with 77 items. The results of EFA demonstrated that the SLP-EBPQ contained nine factors with appropriate internal consistency (α=0.635-0.885). Moreover, the Intra-class Correlation coefficient of the factors was (r=0.814-0.966) in the test-retest reliability. Implications for Practice: The SLP-EBPQ is a valid and reliable instrument and can be applied to evaluate EBP among speech and language pathologists for educational, clinical, or research purposes.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"6 1","pages":"61-74"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80836978","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 : 2018-10-01DOI: 10.22038/EBCJ.2018.31619.1788
Shahin Salarvand, S. Hemati, P. Adibi, F. Taleghani, Reza Ghanei Gheshlagh
Background: Improvement of the quality ofcancer-related fatigue clinical practice guidelines (CPGs) is an important issue in oncology. Aim: This study aimed to determine the methodological quality of CPGs about cancer-related fatigue management using the AGREE II instrument. Method: This study involved a systematic search, followed by a descriptive study, to evaluate the methodological quality of CPGs about CRF using the AGREE II instrument in 2018. A comprehensive search was conducted on different websites and databases to find the eligible published guidelines from the observation time to Jan 2018. After screening the guidelines based on eligibility criteria, the selected CPGs were assessed by five independent appraisers by means of the updated AGREE II instrument developed in 2013. Results: According to the results, applicability and editorial independence domains had obtained low quality scores. However, the scores of the rest of the domains were indicative of a favorable quality level. Implications for Practice: It is essential to improve the quality of CRF CPGs and design high-quality CPGs especially in terms of applicability and editorial independence domains. Â
{"title":"Evaluation of the Quality of Cancer-Related Fatigue Clinical Practice Guidelines","authors":"Shahin Salarvand, S. Hemati, P. Adibi, F. Taleghani, Reza Ghanei Gheshlagh","doi":"10.22038/EBCJ.2018.31619.1788","DOIUrl":"https://doi.org/10.22038/EBCJ.2018.31619.1788","url":null,"abstract":"Background: Improvement of the quality ofcancer-related fatigue clinical practice guidelines (CPGs) is an important issue in oncology. Aim: This study aimed to determine the methodological quality of CPGs about cancer-related fatigue management using the AGREE II instrument. Method: This study involved a systematic search, followed by a descriptive study, to evaluate the methodological quality of CPGs about CRF using the AGREE II instrument in 2018. A comprehensive search was conducted on different websites and databases to find the eligible published guidelines from the observation time to Jan 2018. After screening the guidelines based on eligibility criteria, the selected CPGs were assessed by five independent appraisers by means of the updated AGREE II instrument developed in 2013. Results: According to the results, applicability and editorial independence domains had obtained low quality scores. However, the scores of the rest of the domains were indicative of a favorable quality level. Implications for Practice: It is essential to improve the quality of CRF CPGs and design high-quality CPGs especially in terms of applicability and editorial independence domains. Â","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"42 1","pages":"64-74"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88410134","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 : 2018-10-01DOI: 10.22038/EBCJ.2018.29148.1723
Narges Sadeghi Zarmehri, Farzaneh Hassanzadeh, N. Aghebati, F. Sharifipour
Background: Medical adherence is critical to peritoneal dialysis (PD) success. Accordingly, the self-regulation approach plays a crucial role in disease management and treatment progress through the formation of an organized pattern of beliefs in patients. Aim: The purpose of this study was to compare the effects of self-regulation theory (SRT) and self-care training on medical adherence in patients on PD. Method: This randomized clinical trial was conducted on 60 patients receiving PD admitted to Imam Reza and Ghaem Dialysis Centers in, Mashhad, Iran, 2017. They were assigned into two groups of SRT and self-care training using a drawing method. Both groups received SRT or self-care training in two 25-30-min sessions during 2 weeks. Medical adherence was measured by the End-Stage Renal Disease Adherence Questionnaire at the pre-intervention phase, as well as 3 and 6 weeks later. Data analysis was performed using repeated measures analysis of variance in SPSS software, version 25. Results: Both groups were homogeneous considering demographic variables. The mean scores of medical adherence at the pre-intervention phase and 3 and 6 weeks later in the SRT group was 99.0±16.0, 83.9±14.9, and 80.8±15.0, respectively. These values were 87.4±8.6, 79.4±7.6, and 78.3±7.1 in the self-care training group, respectively. There was a significant difference between the groups regarding these (P<0.001). Implications for Practice: Both SRT and self-care training could improve medical adherence in patients receiving PD.
{"title":"Comparison of the Effects of Using Self-regulation Theory and self-care Education on Medical Adherence in Patients Receiving Peritoneal Kidney Dialysis","authors":"Narges Sadeghi Zarmehri, Farzaneh Hassanzadeh, N. Aghebati, F. Sharifipour","doi":"10.22038/EBCJ.2018.29148.1723","DOIUrl":"https://doi.org/10.22038/EBCJ.2018.29148.1723","url":null,"abstract":"Background: Medical adherence is critical to peritoneal dialysis (PD) success. Accordingly, the self-regulation approach plays a crucial role in disease management and treatment progress through the formation of an organized pattern of beliefs in patients. Aim: The purpose of this study was to compare the effects of self-regulation theory (SRT) and self-care training on medical adherence in patients on PD. Method: This randomized clinical trial was conducted on 60 patients receiving PD admitted to Imam Reza and Ghaem Dialysis Centers in, Mashhad, Iran, 2017. They were assigned into two groups of SRT and self-care training using a drawing method. Both groups received SRT or self-care training in two 25-30-min sessions during 2 weeks. Medical adherence was measured by the End-Stage Renal Disease Adherence Questionnaire at the pre-intervention phase, as well as 3 and 6 weeks later. Data analysis was performed using repeated measures analysis of variance in SPSS software, version 25. Results: Both groups were homogeneous considering demographic variables. The mean scores of medical adherence at the pre-intervention phase and 3 and 6 weeks later in the SRT group was 99.0±16.0, 83.9±14.9, and 80.8±15.0, respectively. These values were 87.4±8.6, 79.4±7.6, and 78.3±7.1 in the self-care training group, respectively. There was a significant difference between the groups regarding these (P<0.001). Implications for Practice: Both SRT and self-care training could improve medical adherence in patients receiving PD.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"13 1","pages":"35-45"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89596261","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 : 2018-10-01DOI: 10.22038/EBCJ.2018.32347.1817
M. Dehghani, R. Babazadeh, T. Khadivzadeh, Seyeheh Azam Pourhoseini, H. Esmaeili
Background: The most important factor affecting weight gain after birth is the type and mode of neonatal feeding. The most suitable nutrition is exclusive breastfeeding. However, breastfeeding can be accompanied with some difficulties, such as breast engorgement, which results in neonatal feeding complications. Breast Oketani-massage therapy is proposed as a treatment for breast engorgement. Aim: This study aimed to determine the effect of breast Oketani-massage therapy on neonatal weight gain among lactating women with breast engorgement. Method: This randomized controlled clinical trial was conducted on 100 postpartum (i.e., on the first five days of childbirth) women admitted to the Midwifery Clinic and Gynecology and Obstetric Department of Imam Reza Hospital, Mashhad, Iran, due to breast engorgement from August to November 2016. The subjects were divided into two groups, namely Oketani massage and routine care training, through random block allocation. The data were collected regarding neonatal weight gain before and after the intervention and analyzed in SPSS (version 20) using repeated measures ANOVA. Results: The results revealed no significant difference between the two groups in terms of neonatal weight gain on within days 1-5 day before the intervention (P=0.17). However, a statically significant difference was observed between the two groups in this regard 14 and 28 days post-intervention (P<0.001). Implications for Practice: This study showed that breast Oketani-massage in comparison to the routine care increased the neonatal weight gain among lactating women with breast engorgement.
{"title":"Effect of Breast Oketani-massage on Neonatal Weight Gain: A Randomized Controlled Clinical Trial","authors":"M. Dehghani, R. Babazadeh, T. Khadivzadeh, Seyeheh Azam Pourhoseini, H. Esmaeili","doi":"10.22038/EBCJ.2018.32347.1817","DOIUrl":"https://doi.org/10.22038/EBCJ.2018.32347.1817","url":null,"abstract":"Background: The most important factor affecting weight gain after birth is the type and mode of neonatal feeding. The most suitable nutrition is exclusive breastfeeding. However, breastfeeding can be accompanied with some difficulties, such as breast engorgement, which results in neonatal feeding complications. Breast Oketani-massage therapy is proposed as a treatment for breast engorgement. Aim: This study aimed to determine the effect of breast Oketani-massage therapy on neonatal weight gain among lactating women with breast engorgement. Method: This randomized controlled clinical trial was conducted on 100 postpartum (i.e., on the first five days of childbirth) women admitted to the Midwifery Clinic and Gynecology and Obstetric Department of Imam Reza Hospital, Mashhad, Iran, due to breast engorgement from August to November 2016. The subjects were divided into two groups, namely Oketani massage and routine care training, through random block allocation. The data were collected regarding neonatal weight gain before and after the intervention and analyzed in SPSS (version 20) using repeated measures ANOVA. Results: The results revealed no significant difference between the two groups in terms of neonatal weight gain on within days 1-5 day before the intervention (P=0.17). However, a statically significant difference was observed between the two groups in this regard 14 and 28 days post-intervention (P<0.001). Implications for Practice: This study showed that breast Oketani-massage in comparison to the routine care increased the neonatal weight gain among lactating women with breast engorgement.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"80 1","pages":"57-63"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90977202","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 : 2018-10-01DOI: 10.22038/EBCJ.2018.31572.1785
Hamid Barfarazi, T. Pourghaznein, Samira Mohajer, S. Mazlom, Seyed Mohsen Asgharinekah
Background: Reduced happiness is one of the consequences of aging. Happiness is a component of mental health that leads to life satisfaction and physical well-being. Aim: This study aimed to evaluate the effect of painting therapy on the happiness of the elderly. Method: This randomized clinical trial was conducted on 60 elderlies in 2017. The subjects were selected from two elderly care centers in Mashhad, Iran, through the convenience sampling method and randomly divided into two groups of intervention (N=30) and control (N=30). The data collection tools included a demographic characteristics form, research unit selection questionnaire, Cognitive Short Questionnaire, and Oxford Happiness Questionnaire. In addition, 12 sessions of painting therapy (three 50-60-minute sessions per week) were performed. At the end of the intervention, the Oxford Happiness Questionnaire was completed again by the subjects of both groups. In addition, data analysis was performed in SPSS, version 21. Results: In this study, the groups were homogenous in terms of demographic variables. In terms of mean happiness score before the intervention, no significant difference was observed between the intervention and control groups (55.6±2.1 vs. 57.6±5.0; P=0.06). However, after the intervention, the mean score of happiness was significantly higher in all its dimensions in the intervention group compared to the control group (P<0.001). Implications for Practice: Painting therapy can be used as an effective intervention to increase happiness in elderly care centers and nursing homes.
背景:幸福感下降是衰老的后果之一。快乐是心理健康的一个组成部分，它会导致生活满意度和身体健康。目的:探讨绘画疗法对老年人幸福感的影响。方法:2017年对60例老年人进行随机临床试验。选取伊朗马什哈德两家老年护理中心的研究对象，采用方便抽样法，随机分为干预组(N=30)和对照组(N=30)。数据收集工具包括人口统计学特征表、研究单位选择问卷、认知短问卷和牛津幸福问卷。此外，还进行了12次绘画治疗(每周3次50-60分钟)。在干预结束时，两组受试者再次完成了牛津幸福问卷。此外，数据分析使用SPSS软件，版本21。结果:在本研究中，就人口统计学变量而言，各组是同质的。干预前平均幸福得分方面，干预组与对照组无显著差异(55.6±2.1 vs. 57.6±5.0;P = 0.06)。但干预后，干预组各维度幸福感平均得分均显著高于对照组(P<0.001)。对实践的启示:绘画疗法可以作为一种有效的干预措施来增加老年护理中心和养老院的幸福感。
{"title":"Evaluating the Effect of Painting Therapy on Happiness in the Elderly","authors":"Hamid Barfarazi, T. Pourghaznein, Samira Mohajer, S. Mazlom, Seyed Mohsen Asgharinekah","doi":"10.22038/EBCJ.2018.31572.1785","DOIUrl":"https://doi.org/10.22038/EBCJ.2018.31572.1785","url":null,"abstract":"Background: Reduced happiness is one of the consequences of aging. Happiness is a component of mental health that leads to life satisfaction and physical well-being. Aim: This study aimed to evaluate the effect of painting therapy on the happiness of the elderly. Method: This randomized clinical trial was conducted on 60 elderlies in 2017. The subjects were selected from two elderly care centers in Mashhad, Iran, through the convenience sampling method and randomly divided into two groups of intervention (N=30) and control (N=30). The data collection tools included a demographic characteristics form, research unit selection questionnaire, Cognitive Short Questionnaire, and Oxford Happiness Questionnaire. In addition, 12 sessions of painting therapy (three 50-60-minute sessions per week) were performed. At the end of the intervention, the Oxford Happiness Questionnaire was completed again by the subjects of both groups. In addition, data analysis was performed in SPSS, version 21. Results: In this study, the groups were homogenous in terms of demographic variables. In terms of mean happiness score before the intervention, no significant difference was observed between the intervention and control groups (55.6±2.1 vs. 57.6±5.0; P=0.06). However, after the intervention, the mean score of happiness was significantly higher in all its dimensions in the intervention group compared to the control group (P<0.001). Implications for Practice: Painting therapy can be used as an effective intervention to increase happiness in elderly care centers and nursing homes.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"1 1","pages":"17-26"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82738610","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 : 2018-10-01DOI: 10.22038/EBCJ.2018.32995.1835
Zienab Rafiee, Abdolghader Assarroudi, M. Zare, H. Miri, Atefeh Behboudifar, F. Nabavi
smoking. Self-efficacy can be assumed as the best predictor of smoking behavior in adolescents. Aim: The present study aimed to investigate the effects of a school-based interventional program on smoking refusal self-efficacy in adolescent females. Method: This randomized controlled trial was conducted on 53 adolescent females in 2017. The participants were randomly divided into two groups of intervention (n=27) and control (n=26). The intervention group was provided with a smoking prevention program implemented five sessions a week in their school classrooms. On the other hand, the control group received the routine interventions. A researcher-made Smoking Refusal Self-Efficacy Questionnaire was completed before and one month after the intervention. Statistical analysis was performed in SPSS software (version 20.0) using Fisher�s exact test, t-test, and Mann-Whitney U test. Results: According to the results, 9 (34.6) and 7 (25.9) individuals in the control and intervention groups had smoking fathers, respectively. The two study groups were homogeneous in terms of smoking refusal self-efficacy before the intervention. Following the intervention, the mean self-efficacy scores in the intervention and control groups were estimated as 111.55±13.1 and 93.53±25.02, respectively. There was a significant difference between the two groups regarding this variable after the intervention (P=0.02). Implications for Practice: The school-based interventional program for smoking prevention in accordance with social skills training could effectively increase the level of smoking refusal self-efficacy in adolescent females.
{"title":"Effects of a School-Based Interventional Program on Smoking Refusal Self-efficacy in Adolescent Females","authors":"Zienab Rafiee, Abdolghader Assarroudi, M. Zare, H. Miri, Atefeh Behboudifar, F. Nabavi","doi":"10.22038/EBCJ.2018.32995.1835","DOIUrl":"https://doi.org/10.22038/EBCJ.2018.32995.1835","url":null,"abstract":"smoking. Self-efficacy can be assumed as the best predictor of smoking behavior in adolescents. Aim: The present study aimed to investigate the effects of a school-based interventional program on smoking refusal self-efficacy in adolescent females. Method: This randomized controlled trial was conducted on 53 adolescent females in 2017. The participants were randomly divided into two groups of intervention (n=27) and control (n=26). The intervention group was provided with a smoking prevention program implemented five sessions a week in their school classrooms. On the other hand, the control group received the routine interventions. A researcher-made Smoking Refusal Self-Efficacy Questionnaire was completed before and one month after the intervention. Statistical analysis was performed in SPSS software (version 20.0) using Fisher�s exact test, t-test, and Mann-Whitney U test. Results: According to the results, 9 (34.6) and 7 (25.9) individuals in the control and intervention groups had smoking fathers, respectively. The two study groups were homogeneous in terms of smoking refusal self-efficacy before the intervention. Following the intervention, the mean self-efficacy scores in the intervention and control groups were estimated as 111.55±13.1 and 93.53±25.02, respectively. There was a significant difference between the two groups regarding this variable after the intervention (P=0.02). Implications for Practice: The school-based interventional program for smoking prevention in accordance with social skills training could effectively increase the level of smoking refusal self-efficacy in adolescent females.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"66 1","pages":"46-56"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84791875","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 : 2018-10-01DOI: 10.22038/EBCJ.2018.31076.1772
M. Naz, A. Ebadi, Taybeh Darooneh, F. R. Fakari, F. K. Badr, V. Ghasemi, G. Ozgoli
Background: Beliefs of women play a very important role in efficacy of screening for cervical cancer. Therefore, it is necessary to investigate their points of view using appropriate tools with suitable validity and reliability. It seems that the Pap Smear Belief Questionnaire (PSBQ) can assess the attitudes and beliefs of women towards screening for Pap smear. Aim: This study aimed to evaluate cross-cultural adaptation of beliefs regarding cervical cancer screening in Iranian women. Method: In the present study, the cross-cultural adaptation was investigated in 318 married participants. Following the translation and re-translation processes of PSBQ, approval by author, and obtaining the views of the experts as well as participants, the face and content validities of questionnaire were determined qualitatively. Moreover, the construct validity was affirmed by exploratory and confirmatory factor analysis. The tool reliability was analyzed by internal consistency and test-retest methods. Results: The construct validity of the questionnaire had four subscales (exam-related factors, benefits, barriers, and vulnerability). Cronbach's alpha was obtained as 0.93 and the intracluster correlation coefficient was 0.98, indicating the reliability of the Persian version of this questionnaire. Implications for Practice: The Persian version of PSBQ had an acceptable validity and reliability among the Iranian female population. This reliable instrument can be used to assess the existing status, in addition to study the effectiveness of breast cancer screening beliefs.
{"title":"Cross-Cultural Adaptation and Psychometric Evaluation of the Pap Smear Belief Questionnaire in Iranian Women","authors":"M. Naz, A. Ebadi, Taybeh Darooneh, F. R. Fakari, F. K. Badr, V. Ghasemi, G. Ozgoli","doi":"10.22038/EBCJ.2018.31076.1772","DOIUrl":"https://doi.org/10.22038/EBCJ.2018.31076.1772","url":null,"abstract":"Background: Beliefs of women play a very important role in efficacy of screening for cervical cancer. Therefore, it is necessary to investigate their points of view using appropriate tools with suitable validity and reliability. It seems that the Pap Smear Belief Questionnaire (PSBQ) can assess the attitudes and beliefs of women towards screening for Pap smear. \u0000Aim: This study aimed to evaluate cross-cultural adaptation of beliefs regarding cervical cancer screening in Iranian women. \u0000Method: In the present study, the cross-cultural adaptation was investigated in 318 married participants. Following the translation and re-translation processes of PSBQ, approval by author, and obtaining the views of the experts as well as participants, the face and content validities of questionnaire were determined qualitatively. Moreover, the construct validity was affirmed by exploratory and confirmatory factor analysis. The tool reliability was analyzed by internal consistency and test-retest methods. \u0000Results: The construct validity of the questionnaire had four subscales (exam-related factors, benefits, barriers, and vulnerability). Cronbach's alpha was obtained as 0.93 and the intracluster correlation coefficient was 0.98, indicating the reliability of the Persian version of this questionnaire. \u0000Implications for Practice: The Persian version of PSBQ had an acceptable validity and reliability among the Iranian female population. This reliable instrument can be used to assess the existing status, in addition to study the effectiveness of breast cancer screening beliefs.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"365 1","pages":"27-34"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76426428","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 : 2018-10-01DOI: 10.22038/EBCJ.2018.31495.1783
E. Mansouri, M. Kordi, Shapour Badiee Aval, M. Shakeri, Masoumeh Mirteimouri
Background: The cycle of pain, fear, and anxiety may lead to prolonged labor and cesarean section. Acupressure is one of the methods for pain relief. Aim: Therefore,this study aimed to compare the effect of acupressure on bladder-GV20 and gallbladder-GV20 points on the labor pain in primiparous women. Method: This randomized clinical trial was conducted on 158 primiparous women, who referred to the Um Al-Benin Specialized Women Hospital, Mashhad, Iran in 2017. The first stage of labor included five and four pressure cycles on acupressure points in bladder and gallbladder in the intervention groups 1 and 2, respectively. In the second stage of labor one pressure cycle on the same points were completed. The control group only received the routine cares. The duration of uterine contractions was assessed by touching the uterus apex. Moreover, the pain intensity was evaluated by the visual analog scale. All the data were analyzed by the SPSS version 25 Results: The mean pain intensity in both stages of the intervention groups was significantly different from the control group and was significantly lower in the gallbladder group (P<0.001). The mean duration of contractions in the first stage was significantly different between the three groups (P<0.001). Implications for Practice: According to the findings of this study,pressure on bladder-GV20 and gallbladder-GV20 points can attenuate pain intensity in the first and second stages of labor. Moreover, this technique prolongs the duration of contractions in the first stage of labor. Consequently, this method can be recommended as a complementary approach in labor.
{"title":"Comparison of the Effect of Pressure on Bladder-GV20 and Gallbladder-GV20 on Labor Pain Intensity among the Primiparous Women: A Randomized Clinical Trial","authors":"E. Mansouri, M. Kordi, Shapour Badiee Aval, M. Shakeri, Masoumeh Mirteimouri","doi":"10.22038/EBCJ.2018.31495.1783","DOIUrl":"https://doi.org/10.22038/EBCJ.2018.31495.1783","url":null,"abstract":"Background: The cycle of pain, fear, and anxiety may lead to prolonged labor and cesarean section. Acupressure is one of the methods for pain relief. Aim: Therefore,this study aimed to compare the effect of acupressure on bladder-GV20 and gallbladder-GV20 points on the labor pain in primiparous women. Method: This randomized clinical trial was conducted on 158 primiparous women, who referred to the Um Al-Benin Specialized Women Hospital, Mashhad, Iran in 2017. The first stage of labor included five and four pressure cycles on acupressure points in bladder and gallbladder in the intervention groups 1 and 2, respectively. In the second stage of labor one pressure cycle on the same points were completed. The control group only received the routine cares. The duration of uterine contractions was assessed by touching the uterus apex. Moreover, the pain intensity was evaluated by the visual analog scale. All the data were analyzed by the SPSS version 25 Results: The mean pain intensity in both stages of the intervention groups was significantly different from the control group and was significantly lower in the gallbladder group (P<0.001). The mean duration of contractions in the first stage was significantly different between the three groups (P<0.001). Implications for Practice: According to the findings of this study,pressure on bladder-GV20 and gallbladder-GV20 points can attenuate pain intensity in the first and second stages of labor. Moreover, this technique prolongs the duration of contractions in the first stage of labor. Consequently, this method can be recommended as a complementary approach in labor.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"36 1","pages":"7-16"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78598261","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 : 2018-07-01DOI: 10.22038/EBCJ.2018.27934.1668
Mojtaba Askari, S. Mazlom, Samira Mohajer, A. Azhari
Background: Physical activity, whether in water or on land, can improve motor disorders in the elderly. However, the more effective type of exercise remains inconspicuous. Aim: To compare the effects of aquatic and land-based exercises on the bio-motor abilities of elderly men. Method: This clinical trial was performed on 60 elderly men visiting Imamat and Daneshamuz health centers in Mashhad, Iran, in 2016. The eligible volunteers were randomly assigned to two groups (n=30 each). In one group, the subjects attended aquatic exercise sessions for six weeks, while the other group participated a land-based exercise program. Bio-motor abilities of the subjects including motor ability, flexibility, and general endurance were evaluated before and immediately after the intervention and recorded in a researcher-made checklist. Data were analyzed in SPSS, version 16, using the independent t-test, paired t-test, Chi-square test, Fisher’s exact test, and exact Chi-square test. Results: The mean ages of the aquatic exercise and land-based exercise groups were respectively 69.9±5.1 and 68.0±5.0 years. Post-intervention, the aquatic exercise group showed significantly higher motor ability (P=0.01) and general endurance (P=0.02) than did the other group. However, the difference in final flexibility of the groups was not significant (P=0.252). Paired t-test showed a significant improvement in bio-motor abilities of both groups post-intervention (P<0.001). Implications for Practice: Since the aquatic exercise program had a greater impact on bio-motor abilitiesthan did the land-based program, it is recommended for achieving better results among elderly men.
{"title":"Comparing the Effects of Aquatic and Land-based Exercises on the Bio-motor Abilities of Elderly Men","authors":"Mojtaba Askari, S. Mazlom, Samira Mohajer, A. Azhari","doi":"10.22038/EBCJ.2018.27934.1668","DOIUrl":"https://doi.org/10.22038/EBCJ.2018.27934.1668","url":null,"abstract":"Background: Physical activity, whether in water or on land, can improve motor disorders in the elderly. However, the more effective type of exercise remains inconspicuous. Aim: To compare the effects of aquatic and land-based exercises on the bio-motor abilities of elderly men. Method: This clinical trial was performed on 60 elderly men visiting Imamat and Daneshamuz health centers in Mashhad, Iran, in 2016. The eligible volunteers were randomly assigned to two groups (n=30 each). In one group, the subjects attended aquatic exercise sessions for six weeks, while the other group participated a land-based exercise program. Bio-motor abilities of the subjects including motor ability, flexibility, and general endurance were evaluated before and immediately after the intervention and recorded in a researcher-made checklist. Data were analyzed in SPSS, version 16, using the independent t-test, paired t-test, Chi-square test, Fisher’s exact test, and exact Chi-square test. Results: The mean ages of the aquatic exercise and land-based exercise groups were respectively 69.9±5.1 and 68.0±5.0 years. Post-intervention, the aquatic exercise group showed significantly higher motor ability (P=0.01) and general endurance (P=0.02) than did the other group. However, the difference in final flexibility of the groups was not significant (P=0.252). Paired t-test showed a significant improvement in bio-motor abilities of both groups post-intervention (P<0.001). Implications for Practice: Since the aquatic exercise program had a greater impact on bio-motor abilitiesthan did the land-based program, it is recommended for achieving better results among elderly men.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"13 1","pages":"7-17"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85441041","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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