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Childhood maltreatment and vulnerability to substance use disorders: The mediating role of psychological security. 童年虐待与药物使用障碍的易感性:心理安全的中介作用。
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.42525
Behzad Shalchi, Maryam Nosrati Beigzadeh, Ali Reza Shafiee-Kandjani, Hassan Shahrokhi, Behnaz Hoseinzadeh Khanmiri

Background: Understanding the factors associated with the propensity for drug dependence might be helpful in providing the best strategies for substance use prevention among youth. The present study was conducted to examine the association between childhood maltreatment (CM) and susceptibility to substance use disorders (SUDs), taking into account the mediating role of psychological safety.

Methods: In this cross-sectional study, multistage cluster sampling was employed to recruit 400 male students from the three universities of Tabriz in 2019. Research instruments included the valid and reliable scales of substance abuse, childhood trauma, and mental safety. Data were analyzed using Pearson correlation, and structural equation modeling.

Results: The results showed positive significant relationships between vulnerability to SUDs, CM, and low levels of psychological safety. The evaluation of our hypothetical research model using fit indices showed that the model fits well the measurement model (CFI=0.97, GFI=0.95, RMSEA=0.058).

Conclusion: Our proposed theoretical model suggested psychological security as a mediator between CM and SUDs. CM explained addiction in college students through reducing psychological security. Investigating these interactive processes seems to be detrimental, considering that they may enhance our understanding of the ways to reduce the risk.

背景:了解与药物依赖倾向相关的因素可能有助于为预防青少年药物使用提供最佳策略。本研究旨在探讨儿童虐待(CM)与药物使用障碍(SUDs)易感性之间的关联,同时考虑心理安全的中介作用:在这项横断面研究中,采用了多阶段群组抽样法,招募了来自大不里士三所大学的 400 名男生。研究工具包括有效可靠的药物滥用、童年创伤和心理安全量表。数据采用皮尔逊相关和结构方程模型进行分析:结果表明,易受药物滥用、童年创伤和心理安全水平低之间存在正相关关系。使用拟合指数对我们的假设研究模型进行的评估表明,该模型与测量模型拟合良好(CFI=0.97,GFI=0.95,RMSEA=0.058):我们提出的理论模型表明,心理安全感是 CM 与 SUDs 之间的中介因素。CM通过降低心理安全感解释了大学生成瘾的原因。对这些互动过程进行研究似乎是有害的,因为它们可能会加深我们对降低风险的方法的理解。
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引用次数: 0
Utilization of the multi-theory model (MTM) of health behavior change to explain health behaviors: A systematic review. 利用健康行为改变的多理论模型(MTM)解释健康行为:系统综述。
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.42887
Sidath Kapukotuwa, Tara Nerida, Kavita Batra, Manoj Sharma

Background: The utilization of a theoretical framework is vital in health promotion research, particularly when endeavoring to modify health behaviors. This systematic review aimed at evaluating and synthesizing evidence through studies conducted using the fourth-generation multi-theory model (MTM) of health behavior change for its effectiveness.

Methods: A comprehensive article search was performed across MEDLINE, CINAHL, and Academic Search Premier. The search focused on studies utilizing MTM from 2016 to December 2023, following the PRISMA guidelines for systemic reviews.

Results: An initial pool of 7583 articles was narrowed down through screening of titles, abstracts, and full texts. A total of 69 articles met the inclusion criteria. These studies, encompassing a global range of diverse target groups and health behaviors, were categorized as qualitative, cross-sectional, or experimental. The six qualitative studies revealed MTM themes for diverse health behaviors. The fifty-six cross-sectional studies showed MTM constructs effectively predicting behavior change, albeit with varying statistical significance. The seven experiments demonstrated MTM's role in initiating and sustaining change. For the initiation model, operationalized by 49 studies, the mean adjusted R2 was 38.4% (SD=16.4%). For the sustenance model, operationalized by 45 studies, the mean adjusted R2 was 38.9% (SD=15.5%).

Conclusion: This systematic review corroborates the MTM as a potent framework for understanding, predicting, and facilitating health behavior changes. Its universal applicability and effectiveness underscore the model's potential as a foundational tool in designing future health promotion strategies and interventions aimed at positive and enduring behavior modifications.

背景:在健康促进研究中,尤其是在努力改变健康行为时,利用理论框架至关重要。本系统性综述旨在通过使用第四代健康行为改变多理论模型(MTM)进行的研究,对其有效性的证据进行评估和综合:在 MEDLINE、CINAHL 和 Academic Search Premier 上进行了全面的文章检索。检索的重点是 2016 年至 2023 年 12 月期间使用 MTM 的研究,并遵循了系统性综述的 PRISMA 指南:通过筛选标题、摘要和全文,初步筛选出 7583 篇文章。共有 69 篇文章符合纳入标准。这些研究涵盖了全球不同的目标群体和健康行为,分为定性研究、横断面研究和实验研究。六项定性研究揭示了不同健康行为的 MTM 主题。56 项横断面研究表明,尽管统计意义各不相同,但心理疗法的构建有效地预测了行为的改变。七项实验证明了 MTM 在启动和维持改变中的作用。对于由 49 项研究操作的启动模式,平均调整 R2 为 38.4%(SD=16.4%)。对于由 45 项研究操作的维持模式,平均调整 R2 为 38.9%(标准差=15.5%):本系统综述证实,MTM 是理解、预测和促进健康行为改变的有效框架。该模型的普遍适用性和有效性凸显了其作为设计未来健康促进策略和干预措施的基础工具的潜力,这些策略和干预措施旨在实现积极而持久的行为改变。
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引用次数: 0
Risk factors for atherosclerotic cardiovascular disease (ASCVD) in healthcare professionals of Azar Cohort Study: A cross-sectional Study. 阿扎尔队列研究中医护人员罹患动脉粥样硬化性心血管疾病(ASCVD)的风险因素:一项横断面研究。
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.42568
Neda Roshanravan, Helda Tutunchi, Rezayat Parvizi, Sepideh Bastani, Mohammad Asghari Jafarabadi, Elnaz Faramarzi, Naimeh Mesri Alamdari, Zohreh Ghoreishy, Faezeh Tarighat, Kazem Mehravani, Milad Vahedinezhad, Nazli Namazi, Samad Ghaffari

Background: Atherosclerotic cardiovascular disease (ASCVD) is considered a worldwide health problem associated with high morbidity, mortality, and cost of care. In the present study, we examined risk-enhancing factors for ASCVD in healthcare workers of the AZAR cohort population.

Methods: Data from a total of 500 participants were used for this cross-sectional study. Demographic characteristics, anthropometric indices, biochemical factors, and blood pressure were assessed. To evaluate the associations of ASCVD with the parameters mentioned above, univariate and multivariate logistic regression analyses were conducted.

Results: The total frequency of subjects with severe (≥7.5) and low (<7.5) ASCVD was 7.6% (95% CI: 5.4-10.3), and 90.6% (95% CI: 87.7-93.0), respectively. The top strongest links were found between ASCVD and atherogenic index of plasma (AIP) (odds ratio [OR]: 12.8, 95% CI: 3.2-49.9), diabetes (OR: 7.6, 95% CI: 2.8-25), and daily smoking (OR: 7.0, 95% CI: 2.8-20). Based on a multivariate logistic regression model, low-density lipoprotein cholesterol (LDL-C)/apolipoprotein B (Apo b), diabetes, hematocrit, age, Triglycerides (TG)/high-density lipoprotein cholesterol (HDL-C), systolic blood pressure, HDL-C, apolipoprotein A-I (Apo A-I), hemoglobin, and Apo B/Apo A-I have significant associations with ASCVD severity.

Conclusion: In conclusion, the present study showed significant associations between the severity of ASCVD with some parameters among healthcare workers of AZAR cohort study.

背景:动脉粥样硬化性心血管疾病(ASCVD)被认为是与高发病率、高死亡率和高护理成本相关的世界性健康问题。在本研究中,我们研究了 AZAR 队列人群中医护人员的 ASCVD 风险增强因素:这项横断面研究共使用了 500 名参与者的数据。评估了人口统计学特征、人体测量指数、生化因素和血压。为了评估 ASCVD 与上述参数的关联,进行了单变量和多变量逻辑回归分析:结果:重度(≥7.5)和低度(≥7.5)的受试者的总频率(结论:重度(≥7.5)和低度(≥7.5)的受试者的总频率均高于重度(≥7.5):总之,本研究表明,在 AZAR 队列研究的医护人员中,ASCVD 的严重程度与某些参数之间存在显著关联。
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引用次数: 0
A systematic review of the impact of therapeutic education programs on the quality of life of people with Multiple Sclerosis. 治疗教育计划对多发性硬化症患者生活质量影响的系统性综述。
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.42619
Ilham Raji, Ibtissam El Harch, Mohammed El Amine Ragala, Mohamed Berraho, Fedwa Nejjar, Mohammed Faouzi Belahsen

Background: Faced with a deemed mediocre quality of life (QoL) in people with multiple sclerosis (pwMS), the effectiveness of therapeutic education (TPE) programs is called into question. This systematic review is conducted to examine the impact of the TPE programs on the QoL of pwMS.

Methods: A search was performed in three databases (PubMed, Web of Science and Scopus) to identify relevant studies published between 2007 and 2022. The review followed the PRISMA guidelines. Two reviewers independently extracted data on the study and program characteristics. These data were presented in tables for detailed synthesis and descriptive analyses. The selected studies underwent assessment using recommended evaluation tools.

Results: Of the 21 studies included in the review, 13 found a significant improvement in QoL, which was maintained during follow-up testing in 42% of the studies. TPE programs that focused on patients' individual needs and aimed to develop their skills in a personalized manner appeared to promote QoL. Interaction formats (individual, group, remote), session duration [range=1.5-28] and number of sessions [range=1-18] varied between the studies reviewed.

Conclusion: Thoughtful, structured design of educational programs requires a match between the educational aspects specific to each individual and the appropriate choice of content, delivery modalities of the interventions and evaluation protocol, as well as a reasonable follow-up time. The conclusions drawn could serve as guidelines to direct future research towards optimal educational interventions.

Systematic review registration: PROSPERO CRD42022338651.

背景:多发性硬化症患者(pwMS)的生活质量(QoL)被认为很一般,因此治疗教育(TPE)项目的有效性受到质疑。本系统综述旨在研究治疗性教育项目对多发性硬化症患者生活质量的影响:在三个数据库(PubMed、Web of Science 和 Scopus)中进行了搜索,以确定 2007 年至 2022 年间发表的相关研究。审查遵循了 PRISMA 指南。两名审稿人独立提取了有关研究和项目特征的数据。这些数据以表格形式呈现,以便进行详细的综合和描述性分析。所选研究使用推荐的评估工具进行了评估:在纳入综述的 21 项研究中,有 13 项研究发现患者的 QoL 有明显改善,其中 42% 的研究在随访测试中保持了这种改善。注重患者个人需求、旨在以个性化方式发展其技能的 TPE 项目似乎能提高患者的 QoL。不同研究的互动形式(个人、小组、远程)、课程持续时间[范围=1.5-28]和课程次数[范围=1-18]各不相同:要深思熟虑、有条不紊地设计教育计划,就必须将每个人的具体教育内容与适当选择的内容、干预措施的实施方式和评估方案以及合理的随访时间相匹配。得出的结论可作为指导未来研究的准则,以实现最佳的教育干预:系统综述注册:prospero crd42022338651。
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引用次数: 0
Development of a new equation and validation of earlier resting energy expenditure predicting equations in adults living in Tehran. 在德黑兰成年人中开发新的静息能量消耗预测方程并验证早期的静息能量消耗预测方程。
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.42570
Yahya Jalilpiran, Neda Azizi, Kimia Alipoor, Sanaz Mehranfar, Mojdeh Ebaditabar, Sakineh Shab-Bidar, Alireza Ostadrahimi, Kurosh Djafarian

Background: Predictive equations have been considered as a practical approach for estimating resting energy expenditure (REE) across multiple populations, but their accuracy for each community remains to be determined. Thus, the purposes of this study were to determine the validity of REE predictive equations and to develop a new REE predictive equation in adults living in Tehran.

Methods: The study included 284 subjects (158 females) aged 18-60 years old from two cross-sectional studies conducted in Tehrani populations. Anthropometric measurements were assessed using standard protocols. REE was measured using indirect calorimetry (IC) and was estimated using preexisting equations. A new equation was also developed based on the REE from IC and variables such as age, sex, height, and weight. Measured REE was compared to new equation and preexisting predictive equations via correlation, linear regression, and Bland-Altman tests.

Results: The new equation and the equations by Mifflin-St. Jeor, Livingston, Frankenfield, Nichols, Müller, and Ganpule demonstrated the best predictive value at a group level (mean percentage error=-2.2 to 2.4 %). At an individual level, the new equation and the equations by Mara, Frankenfield, Roza, Nikooyeh, and Harris & Benedict showed the greatest accuracies compared to measured REE (accuracy prediction=50-53%).

Conclusion: This study highlights the importance of considering race when predicting REE. It also demonstrates that the newly developed equation is more appropriate in a clinical setting at group but not individual level. Thus, further research is needed to examine the new equation in an independent sample.

背景:预测方程被认为是估算多种人群静息能量消耗(REE)的实用方法,但其对每个社区的准确性仍有待确定。因此,本研究旨在确定静息能量消耗预测方程的有效性,并在德黑兰成年人中开发一种新的静息能量消耗预测方程:研究对象包括在德黑兰人群中进行的两项横断面研究中的 284 名受试者(158 名女性),年龄在 18-60 岁之间。人体测量采用标准方案进行评估。使用间接热量计(IC)测量 REE,并使用现有公式进行估算。此外,还根据间接热量计得出的 REE 值以及年龄、性别、身高和体重等变量建立了一个新方程。通过相关性、线性回归和 Bland-Altman 检验,将测得的 REE 与新方程和已有的预测方程进行了比较:结果:新方程和 Mifflin-St.Jeor、Livingston、Frankenfield、Nichols、Müller 和 Ganpule 的方程在群体水平上显示出最佳预测价值(平均百分比误差=-2.2% 至 2.4%)。在个人层面上,新方程和马拉、弗兰肯菲尔德、罗扎、尼库耶以及哈里斯和本尼迪克特的方程与测量的 REE 相比显示出最大的准确性(预测准确率=50-53%):本研究强调了在预测 REE 时考虑种族因素的重要性。结论:本研究强调了在预测 REE 时考虑种族因素的重要性,同时也表明新开发的公式更适合临床环境中的群体而非个体水平。因此,还需要进一步研究,在独立样本中检验新方程。
{"title":"Development of a new equation and validation of earlier resting energy expenditure predicting equations in adults living in Tehran.","authors":"Yahya Jalilpiran, Neda Azizi, Kimia Alipoor, Sanaz Mehranfar, Mojdeh Ebaditabar, Sakineh Shab-Bidar, Alireza Ostadrahimi, Kurosh Djafarian","doi":"10.34172/hpp.42570","DOIUrl":"https://doi.org/10.34172/hpp.42570","url":null,"abstract":"<p><strong>Background: </strong>Predictive equations have been considered as a practical approach for estimating resting energy expenditure (REE) across multiple populations, but their accuracy for each community remains to be determined. Thus, the purposes of this study were to determine the validity of REE predictive equations and to develop a new REE predictive equation in adults living in Tehran.</p><p><strong>Methods: </strong>The study included 284 subjects (158 females) aged 18-60 years old from two cross-sectional studies conducted in Tehrani populations. Anthropometric measurements were assessed using standard protocols. REE was measured using indirect calorimetry (IC) and was estimated using preexisting equations. A new equation was also developed based on the REE from IC and variables such as age, sex, height, and weight. Measured REE was compared to new equation and preexisting predictive equations via correlation, linear regression, and Bland-Altman tests.</p><p><strong>Results: </strong>The new equation and the equations by Mifflin-St. Jeor, Livingston, Frankenfield, Nichols, Müller, and Ganpule demonstrated the best predictive value at a group level (mean percentage error=-2.2 to 2.4 %). At an individual level, the new equation and the equations by Mara, Frankenfield, Roza, Nikooyeh, and Harris & Benedict showed the greatest accuracies compared to measured REE (accuracy prediction=50-53%).</p><p><strong>Conclusion: </strong>This study highlights the importance of considering race when predicting REE. It also demonstrates that the newly developed equation is more appropriate in a clinical setting at group but not individual level. Thus, further research is needed to examine the new equation in an independent sample.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11403341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to: Examining associations between smartphone use, smartphone addiction, and mental health outcomes: a cross-sectional study of college students Kil N, Kim J, McDaniel JT, Kim J, Kensinger K. Health Promot Perspect. 2021;11(1):36-44. doi: 10.34172/hpp.2021.06. 更正:探讨智能手机使用、智能手机成瘾与心理健康结果之间的关联:一项针对大学生的横断面研究 Kil N, Kim J, McDaniel JT, Kim J, Kensinger K. Health Promot Perspect.Doi: 10.34172/hpp.2021.06.
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.43496
Namyun Kil, Junhyoung Kim, Justin T McDaniel, Jun Kim, Kari Kensinger

[This corrects the article DOI: 10.34172/hpp.2021.06.].

[此处更正了文章 DOI:10.34172/hpp.2021.06.]。
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引用次数: 0
Meditation modalities for ADHD in minority pediatric populations in the USA: a scoping review. 美国少数民族儿童多动症的冥想方式:范围界定综述。
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.42837
Shahrzad Bazargan-Hejazi, Christopher Martin, Bellamy Hall, Jeneane Hamideh, Miranda Lam, Antonia Osuna-Garcia, Darlene Parker-Kelly, Derek O Pipolo, Myra Usmani, Stacey A Teruya

Background: Roughly 10% of children aged 3 -17 in the USA are diagnosed with attention-deficit hyperactivity disorder (ADHD), and minorities are less likely to initiate common pharmacologic treatment. We conducted a review of the literature to examine meditation as a safe, effective, and low-cost alternative.

Methods: We searched PubMed and other journals using "meditation," "mindfulness," "minority," related keywords, and relevant MeSH terms. Eligible studies involved racial/ethnic minorities in the USA, reported quantitative psychosocial outcomes, and were published in a peer-reviewed, English-language journal.

Results: Out of 119 "hits," 111 were eliminated as duplicates or were not relevant. A full-text review of the remaining eight revealed that none fully met our eligibility criteria. Besides the obvious lack of studies, those reviewed reported incomplete demographic and clinical data. They also employed different and inconsistent research methodologies, interventions and modalities, and statistical analyses. This hindered understanding exactly which populations may benefit from meditation, and for which specific symptoms.

Conclusion: We recommend a socio-ecological model in examining intervention modalities, especially in the context of intrapersonal, interpersonal, organizational, environmental, and policy domains. We also suggest the possible inclusion of research older than 10 years, conducted outside of the USA, on minority and non-minority populations, for supplementary and confirmatory data. We advocate for consistency in study design and data collection, which would help align research conducted in different countries. Searches should also include variations of meditation such as "mindfulness" and "guided imagery," and associated symptoms and comorbidities of ADHD, including "learning disorder" and "behavioral problems."

背景:在美国,3-17 岁的儿童中约有 10% 被诊断出患有注意力缺陷多动障碍 (ADHD),而少数群体接受普通药物治疗的可能性较低。我们对文献进行了综述,研究冥想这种安全、有效、低成本的替代方法:我们使用 "冥想"、"正念"、"少数群体"、相关关键词和相关 MeSH 术语搜索了 PubMed 和其他期刊。符合条件的研究涉及美国的少数种族/民族,报告了定量的社会心理结果,并发表在同行评审的英文期刊上:在 119 项 "命中 "研究中,111 项因重复或不相关而被剔除。对其余 8 项研究的全文审查显示,没有一项完全符合我们的资格标准。除了明显缺乏研究外,所查阅的研究报告中的人口统计学和临床数据也不完整。它们还采用了不同且不一致的研究方法、干预措施和模式以及统计分析。这妨碍了人们准确了解哪些人群可能从冥想中受益,以及冥想对哪些特定症状有帮助:我们建议在研究干预方式时采用社会生态模式,特别是在个人、人际、组织、环境和政策领域。我们还建议,在补充和确认数据时,可以纳入 10 年以上的研究、在美国以外进行的研究、针对少数群体和非少数群体的研究。我们主张在研究设计和数据收集方面保持一致,这将有助于统一在不同国家开展的研究。搜索范围还应包括冥想的变体,如 "正念 "和 "引导想象",以及多动症的相关症状和合并症,包括 "学习障碍 "和 "行为问题"。
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引用次数: 0
Effects of a Short-time health literacy promotion program (HeLPP) on biochemical factors, self-care and quality of life among rural patients with type-2 diabetes: A field trial with Solomon four-group design. 短时健康素养促进计划(HeLPP)对农村 2 型糖尿病患者的生化因素、自我护理和生活质量的影响:采用所罗门四组设计的实地试验。
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.42787
Farzaneh Golboni, Hakim Ahmadzadeh, Haidar Nadrian, Towhid Babazadeh, Sarisa Najafi, Parvaneh Ghahremaninasab, Kamyar Pirehbabi, Haleh Heizomi, Hassan Mahmoodi

Background: Current evidence suggests that health literacy (HL) impacts self-care behaviors and quality of life (QOL) in patients with type 2 diabetes mellitus (T2DM). This study aimed to evaluate the impact of a short-time health literacy promotion program (HeLPP) on self-care behaviors and QOL in rural patients with type 2 diabetes.

Methods: Conducted from 2018 to 2019 in Chaldoran county, Iran, this randomized controlled trial followed the Solomon four-group design. Participants included 160 rural individuals with T2DM, who were divided into two intervention (A and C) and two control (B and D) groups. Pre-tests were conducted for intervention group A and control group B, with post-tests administered to all groups at three and six months. Interventions, consisting of five training sessions lasting 45 to 55 minutes, were planned and executed based on pre-test analyses. Primary outcomes were QOL and self-care behaviors, and secondary outcomes were glycated hemoglobin (HbA1c), HL and patients' awareness of the disease.

Results: Prior to the intervention, there was no significant difference in awareness, HL, self-care behaviors, HbA1c, and QOL between intervention group A and control group B (P>0.05). However, at three and six months after the educational program, intervention group A exhibited significantly increased average scores in awareness, HL, self-care behaviors, and QOL, along with reduced HbA1c levels (P<0.05) compared to control group B. No interaction was detected between the pre-test and the primary and secondary outcome scores after intervention.

Conclusion: Implementing intervention programs like HeLPP focusing on enhancing practical HL and empowering T2DM patients seems to be promising in improving patients' self-care behaviors and QOL, while reducing their HbA1c levels.

Trial registration: Identifier: IRCT20131116015422N7; https://irct.behdasht.gov.ir/trial/35569.

背景:目前的证据表明,健康素养(HL)会影响2型糖尿病(T2DM)患者的自我护理行为和生活质量(QOL)。本研究旨在评估短期健康素养促进项目(HeLPP)对农村2型糖尿病患者自我护理行为和QOL的影响:这项随机对照试验于2018年至2019年在伊朗恰尔多兰县进行,采用所罗门四组设计。参与者包括 160 名农村 T2DM 患者,他们被分为两组干预组(A 组和 C 组)和两组对照组(B 组和 D 组)。对干预组 A 和对照组 B 进行了前测,并在三个月和六个月时对所有组别进行了后测。干预措施包括五次培训课程,每次 45 至 55 分钟,根据前测分析进行计划和实施。主要结果为QOL和自我护理行为,次要结果为糖化血红蛋白(HbA1c)、HL和患者对疾病的认识:干预前,干预组 A 和对照组 B 在认知、HL、自我护理行为、HbA1c 和 QOL 方面没有明显差异(P>0.05)。然而,在教育项目结束后的三个月和六个月,干预组 A 在认知、HL、自我护理行为和 QOL 方面的平均得分都有了明显提高,同时 HbA1c 水平也有所下降(结论:HeLPP 等干预项目的实施,不仅能提高患者的生活质量,还能改善他们的健康状况:实施像HeLPP这样的干预项目,重点是增强T2DM患者的实际HL和能力,这似乎有望改善患者的自我护理行为和QOL,同时降低他们的HbA1c水平:试验注册:Identifier:IRCT20131116015422N7; https://irct.behdasht.gov.ir/trial/35569.
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引用次数: 0
Intervening to reduce sedentary behavior among African American elders: the "Stand Up and Move More" intervention. 减少非裔美国老人久坐不动行为的干预措施:"站起来,多走动 "干预措施。
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.42548
Brianna N Leitzelar, Neda E Almassi, Susan J Andreae, Rachelle Winkle-Wagner, Lisa Cadmus-Bertram, Luis Columna, Kevin M Crombie, Kelli F Koltyn

Background: Reducing sedentary behavior is a promising intervention target for improving health for older adults; however, few interventions include African American communities. The purpose of this research was to extend the reach of an effective sedentary behavior intervention to African American elders.

Methods: Two pilot studies assessed the feasibility (retention, adherence, and safety) and acceptability (participant and leader perspectives) of a 4-wk "Stand Up and Move More" (SUMM) intervention. Sedentary behavior (self-reported and monitor-derived), function (short physical performance battery), and quality of life (SF-36) were measured at baseline (wk0), postintervention (wk4), and follow up (wk12; study 1) to examine preliminary effectiveness of the intervention. Participants (N=26) attended SUMM or an attention-matched stress management intervention (study 2). The magnitude of treatment effects were determined using Hedge's g effect size calculations [small (g=0.20 to 0.49), moderate (g=0.50 to 0.79), large (g>0.80)].

Results: Retention and adherence rates ranged from 50%-100% and 80%-100%, respectively. There were no adverse events. Participants expressed high satisfaction, and the leader of the SUMM intervention indicated that the intervention content was beneficial. Hedges' g revealed negligible to small changes in sedentary behavior (g<0.50) following SUMM. There were moderate to large improvements in function (g=0.51-0.82) and quality of life (g=0.54-1.07) from wk0 to wk4 in study 1; and moderate to large improvements in function (g=0.51-0.88) from wk0 to wk4 in study 2. There was a moderate improvement in quality of life (SF-36 emotional role limitations g=0.54) in the SUMM group only.

Conclusion: Given its feasibility, safety, and acceptability, SUMM may be a promising intervention to improve functioning and well-being among African American elders.

背景:减少久坐行为是改善老年人健康状况的一个很有前景的干预目标;然而,很少有干预措施包括非裔美国人社区。本研究的目的是将有效的久坐行为干预措施推广到非裔美国老人:两项试点研究评估了为期 4 周的 "站起来,动起来"(SUMM)干预措施的可行性(保持率、坚持率和安全性)和可接受性(参与者和领导者的观点)。在基线(第 0 周)、干预后(第 4 周)和随访(第 12 周;研究 1)对久坐行为(自我报告和监测)、功能(短期体能表现电池)和生活质量(SF-36)进行了测量,以检查干预的初步效果。参与者(26 人)参加了 SUMM 或注意力匹配的压力管理干预(研究 2)。治疗效果的大小采用海杰效应大小计算法[小(g=0.20至0.49)、中(g=0.50至0.79)、大(g>0.80)]:保留率和坚持率分别为 50%-100%和 80%-100%。没有发生不良事件。参与者的满意度很高,SUMM 干预的领导者表示干预内容有益。赫奇斯 g 显示,在研究 1 中,从第 0 周到第 4 周,久坐行为(gg=0.51-0.82)和生活质量(gg=0.54-1.07)的变化微乎其微;在研究 2 中,从第 0 周到第 4 周,功能(gg=0.51-0.88)有中度到大幅改善。仅 SUMM 组的生活质量(SF-36 情感角色限制 g=0.54)有中度改善:鉴于其可行性、安全性和可接受性,SUMM 可能是一项很有前景的干预措施,可改善非裔美国老人的功能和福祉。
{"title":"Intervening to reduce sedentary behavior among African American elders: the \"Stand Up and Move More\" intervention.","authors":"Brianna N Leitzelar, Neda E Almassi, Susan J Andreae, Rachelle Winkle-Wagner, Lisa Cadmus-Bertram, Luis Columna, Kevin M Crombie, Kelli F Koltyn","doi":"10.34172/hpp.42548","DOIUrl":"https://doi.org/10.34172/hpp.42548","url":null,"abstract":"<p><strong>Background: </strong>Reducing sedentary behavior is a promising intervention target for improving health for older adults; however, few interventions include African American communities. The purpose of this research was to extend the reach of an effective sedentary behavior intervention to African American elders.</p><p><strong>Methods: </strong>Two pilot studies assessed the feasibility (retention, adherence, and safety) and acceptability (participant and leader perspectives) of a 4-wk \"Stand Up and Move More\" (SUMM) intervention. Sedentary behavior (self-reported and monitor-derived), function (short physical performance battery), and quality of life (SF-36) were measured at baseline (wk0), postintervention (wk4), and follow up (wk12; study 1) to examine preliminary effectiveness of the intervention. Participants (N=26) attended SUMM or an attention-matched stress management intervention (study 2). The magnitude of treatment effects were determined using Hedge's <i>g</i> effect size calculations [small (<i>g</i>=0.20 to 0.49), moderate (<i>g</i>=0.50 to 0.79), large (<i>g</i>>0.80)].</p><p><strong>Results: </strong>Retention and adherence rates ranged from 50%-100% and 80%-100%, respectively. There were no adverse events. Participants expressed high satisfaction, and the leader of the SUMM intervention indicated that the intervention content was beneficial. Hedges' <i>g</i> revealed negligible to small changes in sedentary behavior (<i>g</i><0.50) following SUMM. There were moderate to large improvements in function (<i>g</i>=0.51-0.82) and quality of life (<i>g</i>=0.54-1.07) from wk0 to wk4 in study 1; and moderate to large improvements in function (<i>g</i>=0.51-0.88) from wk0 to wk4 in study 2. There was a moderate improvement in quality of life (SF-36 emotional role limitations <i>g</i>=0.54) in the SUMM group only.</p><p><strong>Conclusion: </strong>Given its feasibility, safety, and acceptability, SUMM may be a promising intervention to improve functioning and well-being among African American elders.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11403339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining the quality of life among pregnant women diagnosed with gestational diabetes mellitus: A systematic review and meta-analysis for women's health promotion. 研究被诊断患有妊娠糖尿病的孕妇的生活质量:促进妇女健康的系统回顾和荟萃分析。
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.2024.05
Majid Mobasseri, Mehrnoush Mobasseri, Ayda Alizadeh, Sara Hakimzadeh, Seyedeh Sara Ebadi, Samin Imani, Nima Pourgholam, Saber Azami-Aghdash

Background: Quality of life (QoL) of women with gestational diabetes mellitus (GDM) is one of the fundamental issues and public health challenges. This study examines the QoL among pregnant women with GDM through a systematic review and meta-analysis.

Methods: A search was conducted in Scopus, PubMed, and the Web of Science databases for articles published until Jan 30, 2024. Manual searches of gray literature, Google Scholar, reference checks, and citation checks were conducted. The JBI's Critical Appraisal Checklist for Analytical Cross-Sectional Studies was utilized to assess the quality of the articles' reporting. The random model implemented in Stata software (version 16; Stata Corp.) was utilized to conduct the meta-analysis.

Results: Among the 516 studies obtained from the literature, only 15 were deemed suitable for inclusion. Most studies (73.3%) were conducted in nations with high-income levels. Additionally, general QoL was assessed in most studies (11 studies). The SF-36 and WHOQOLBREF questionnaires were the most often utilized. Based on the SF-36 measure, there was no statistically significant difference in the QoL of patients with GDM compared to the control group in most of dimensions. The WHOQOL-BREF instrument was utilized to estimate the QoL score at 49.69. The EQ-5D-5L tool revealed a difference in QoL scores between the GDM and control groups (MD=-7.40). The research findings were highly heterogeneous. The median evaluation score for the reporting quality of the articles was calculated to be 5, with a mean of 4.8 out of 7.

Conclusion: The results of the present study showed that GDM reduces the QoL of pregnant women, especially in terms of mental and social health. Therefore, interventions and support programs should be designed and implemented to improve these women's QoL.

背景:妊娠期糖尿病(GDM)妇女的生活质量(QoL)是基本问题和公共卫生挑战之一。本研究通过系统综述和荟萃分析对妊娠糖尿病孕妇的生活质量进行了研究:方法:在 Scopus、PubMed 和 Web of Science 数据库中检索 2024 年 1 月 30 日之前发表的文章。还对灰色文献、谷歌学术、参考文献和引文进行了人工检索。采用 JBI 的分析性横断面研究批判性评估检查表来评估文章的报告质量。使用Stata软件(版本16;Stata Corp.)中的随机模型进行荟萃分析:在从文献中获得的 516 项研究中,只有 15 项被认为适合纳入。大多数研究(73.3%)是在高收入国家进行的。此外,大多数研究(11 项)对一般 QoL 进行了评估。最常用的是 SF-36 和 WHOQOLBREF 问卷。根据 SF-36 测量,与对照组相比,GDM 患者的 QoL 在大多数维度上都没有统计学意义上的显著差异。采用 WHOQOL-BREF 工具估算的 QoL 得分为 49.69。EQ-5D-5L工具显示,GDM组和对照组的QoL得分存在差异(MD=-7.40)。研究结果差异很大。据计算,文章报告质量的评估得分中位数为 5 分,平均值为 4.8 分(满分 7 分):本研究结果表明,GDM 降低了孕妇的生活质量,尤其是在心理和社会健康方面。因此,应设计并实施干预措施和支持计划,以改善这些妇女的生活质量。
{"title":"Examining the quality of life among pregnant women diagnosed with gestational diabetes mellitus: A systematic review and meta-analysis for women's health promotion.","authors":"Majid Mobasseri, Mehrnoush Mobasseri, Ayda Alizadeh, Sara Hakimzadeh, Seyedeh Sara Ebadi, Samin Imani, Nima Pourgholam, Saber Azami-Aghdash","doi":"10.34172/hpp.2024.05","DOIUrl":"https://doi.org/10.34172/hpp.2024.05","url":null,"abstract":"<p><strong>Background: </strong>Quality of life (QoL) of women with gestational diabetes mellitus (GDM) is one of the fundamental issues and public health challenges. This study examines the QoL among pregnant women with GDM through a systematic review and meta-analysis.</p><p><strong>Methods: </strong>A search was conducted in Scopus, PubMed, and the Web of Science databases for articles published until Jan 30, 2024. Manual searches of gray literature, Google Scholar, reference checks, and citation checks were conducted. The JBI's Critical Appraisal Checklist for Analytical Cross-Sectional Studies was utilized to assess the quality of the articles' reporting. The random model implemented in Stata software (version 16; Stata Corp.) was utilized to conduct the meta-analysis.</p><p><strong>Results: </strong>Among the 516 studies obtained from the literature, only 15 were deemed suitable for inclusion. Most studies (73.3%) were conducted in nations with high-income levels. Additionally, general QoL was assessed in most studies (11 studies). The SF-36 and WHOQOLBREF questionnaires were the most often utilized. Based on the SF-36 measure, there was no statistically significant difference in the QoL of patients with GDM compared to the control group in most of dimensions. The WHOQOL-BREF instrument was utilized to estimate the QoL score at 49.69. The EQ-5D-5L tool revealed a difference in QoL scores between the GDM and control groups (MD=-7.40). The research findings were highly heterogeneous. The median evaluation score for the reporting quality of the articles was calculated to be 5, with a mean of 4.8 out of 7.</p><p><strong>Conclusion: </strong>The results of the present study showed that GDM reduces the QoL of pregnant women, especially in terms of mental and social health. Therefore, interventions and support programs should be designed and implemented to improve these women's QoL.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11403342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Health Promotion Perspectives
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