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Phillips JM, Harper MG, Brecht ML, Li CY, DeVon HA. Effect of Virtual Reality Simulation Versus Traditional Education on Rates of Clostridium difficile Infection: An Experimental Cluster Randomized Controlled Trial and Return on Investment Analysis. J Contin Educ Nurs 2024:1-8. [PMID: 38466726 DOI: 10.3928/00220124-20240301-03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/13/2024]
Abstract
BACKGROUND Virtual reality simulation (VRS) is an innovative modality in nursing professional development that has the potential to affect patient outcomes. METHOD An experimental cluster randomized controlled trial was performed with RNs on two inpatient units at a large academic health system. The purpose of this study was to evaluate the effect of VRS compared with traditional education on Clostridium difficile rates. Return on investment of nursing professional development activities was also measured to support decision-making and resource allocation. RESULTS Rates of C. difficile infection were significantly lower for both groups for the 3-month postintervention period compared with the 10-month period preintervention. Financial analysis showed a return on investment for both modalities, with VRS having higher yields over time. CONCLUSION Findings showed that VRS was an effective instructional method. [J Contin Educ Nurs. 202x;5x(x):xx-xx.].
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Kouhi R, Panahi R, Ramezankhani A, Amin Sobhani M, Khodakarim S, Amjadian M. The effect of education based on health belief model on hand hygiene behavior in the staff of Tehran dentistry centers: A quasi-experimental intervention study. Health Sci Rep 2023; 6:e1408. [PMID: 37425231 PMCID: PMC10324357 DOI: 10.1002/hsr2.1408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Revised: 06/26/2023] [Accepted: 06/27/2023] [Indexed: 07/11/2023] Open
Abstract
Background and Aims Considering the increasing prevalence of dental services in the community and the impossibility of identifying each infected patient, hand sanitation is the most critical factor in controlling infection in these centers. Therefore, this study aimed to determine the effect of educational intervention on the hand health behavior of the staff of Tehran dentistry clinics based on the health belief model (HBM). Methods In this quasi-experimental study in 2017, 128 employees of the health centers were selected through a multistage sampling method and they were placed in two groups of intervention and control (each 64 people). The data was collected using a questionnaire devised by the researcher. The validity and reliability of the questionnaire were determined. The questionnaire consisted of demographics, knowledge, structures of the HBM, and behavior variables. Then, the intervention was administered based on HBM-based education. Data were analyzed by SPSS16 and independent t test, χ 2, and repeated measurement analysis of variance. Results Before the intervention, the two intervention and control groups did not differ significantly in terms of demographic variables, mean scores of knowledge, constructs of HBM, and hand hygiene behavior (p > 0.05), while the intervention group was scored higher significantly compared to the control one after the intervention (p < 0.001). Conclusion According to the findings, the HBM can be used as a framework for designing educational interventions to improve hand hygiene behavior to control infection in health centers.
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Affiliation(s)
- Reza Kouhi
- Department of Health Education, School of HealthShahid Beheshti University of Medical SciencesTehranIran
| | - Rahman Panahi
- Department of Public Health, Qaen School of Medical SciencesBirjand University of Medical SciencesBirjandIran
| | - Ali Ramezankhani
- Department of Public HealthShahid Beheshti University of Medical SciencesTehranIran
| | - Mohsen Amin Sobhani
- Department of Endodontics, School of DentistryAja University of Medical SciencesTehranIran
| | - Soheila Khodakarim
- Department of BiostatisticsShiraz University of Medical SciencesShirazIran
| | - Mohiadin Amjadian
- Department of English LanguageKurdistan University of Medical SciencesSanandajIran
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Kim NY. Social and Health Beliefs Related to College Students' COVID-19 Preventive Behavior. Healthcare (Basel) 2023; 11:1869. [PMID: 37444702 DOI: 10.3390/healthcare11131869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 06/26/2023] [Accepted: 06/26/2023] [Indexed: 07/15/2023] Open
Abstract
Coronavirus disease 2019 (COVID-19) infection prevention behaviors vary from individual to individual, and it is necessary to identify factors related to such behaviors. This study investigated how college students' social beliefs and health beliefs are related to their adherence to COVID-19 precautionary behaviors. An online survey was conducted among 200 Korean college students from 4 March to 30 June 2022. The variables associated with COVID-19 precautionary behaviors were evaluated, with social beliefs as the independent variable, health beliefs as the mediating variable, and COVID-19 precautionary behaviors as the dependent variable. A correlation analysis and confirmatory factor analysis were performed. The model fit was as follows: χ2/degrees of freedom = 1.64 (p < 0.001), Tucker-Lewis Index = 0.92, comparative fit index = 0.93, standardized root mean square residual = 0.06, and root mean square error of approximation = 0.06. Social complexity, as perceived by college students, was related to COVID-19 precautionary behaviors through mediating health beliefs (perceived benefits). To increase college students' compliance with COVID-19 precautionary behaviors, it is necessary to identify social beliefs and accordingly propose interventions that focus on personal health beliefs.
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Affiliation(s)
- Nam-Yi Kim
- College of Nursing, Konyang University, Daejeon 35365, Republic of Korea
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Yu M, Xu M, Liu Z, Ying Y, Weng Q, O'Subhi N, Zhang Y. Effectiveness of an optional breastfeeding course for multidisciplinary undergraduate healthcare students: A quasi-experimental study. Nurse Educ Pract 2023; 69:103609. [PMID: 36996554 DOI: 10.1016/j.nepr.2023.103609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 02/24/2023] [Accepted: 03/03/2023] [Indexed: 03/30/2023]
Abstract
AIMS This study aimed to examine and quantify the effectiveness of an optional breastfeeding course for multidisciplinary undergraduate healthcare students and to provide advice for education improvement based on students' characteristics and learning feedback. BACKGROUND Breastfeeding has received global awareness and educating undergraduate healthcare students is a prospective way to promote breastfeeding. This is the first report from mainland China to verify the education effects and formulate a proposal for improvement. DESIGN A quasi-experimental study with a one-group pretest-posttest design. METHODS An optional breastfeeding course covering eight topics based on the Health Belief Model was conducted for multidisciplinary students in a medical college. The Breastfeeding Knowledge Questionnaire, Iowa Infant Feeding Attitude Scale and Breastfeeding Promotion Intention Scale were completed for pre- and post-education comparison. The Wilcoxon signed-rank test, MannWhitney U test, KruskalWallis test and chi-square test were used for statistical analysis. The class average normalized gain and individual students' normalized gain were calculated to quantify the effectiveness from the perspective of learning gain. RESULTS From March to November 2021, 102 students specialized mainly in nursing, clinical medicine, medical imaging technology and midwifery took the course. Knowledge, attitudes and intention scores improved significantly (Z = 8.70, 8.72, 7.64, respectively, p < .001) and the class average normalized gains were 81.0%, 52.3% and 70.6%, respectively. Insignificant differences were found for students of different genders and categories of specialties (p > .05). Students of first year had significantly higher individual normalized gains (p < .05). In learning feedback, the top-ranked advice for course improvement was to increase practice and experience (75.5%). CONCLUSIONS This optional breastfeeding course produced medium to high learning gains for multidisciplinary healthcare undergraduates. Independent breastfeeding education based on behavioral theory for multidisciplinary students is recommended to be conducted in medical colleges. The addition of practice and experience may add value to such education.
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Albayrak S, Büyükgönenç LA. The impact of family-centered care interventions on neonatal and parental outcomes in a Turkish hospital. Collegian 2022. [DOI: 10.1016/j.colegn.2022.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Alriyami M, Al Omari O, Al-Daken L, Alriyami T, Al Rashdi R, Al Shukaili S, Al-Alawi T, Al Qadire M. Assessing knowledge of nosocomial infection among Omani student nurses: a cross-sectional study. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2022; 31:66-70. [PMID: 35094542 DOI: 10.12968/bjon.2022.31.2.66] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
BACKGROUND The total cost and negative health associated with nosocomial infection are high and early interventions are required. Assessing students' knowledge about nosocomial infection may contribute to solving this issue. AIMS The present study aimed to assess the level of knowledge of nosocomial infection among student nurses and to identify their main sources of information on the topic. METHODS A total of 330 student nurses at Sultan Qaboos University completed the online survey, which included participants' demographics and the Infection Control Standardized Questionnaire (ICSQ). FINDINGS The results of the study reveal the average total corrected score of the participants was 51.53 (SD=0.89) out of 100, with a minimum score of 16 and a maximum score of 96. Female students had a higher average score (13.9, SD=4.34) than male students (11.6, SD=3.2); t(328)=5.35. CONCLUSION The student nurses did not have a sufficient level of knowledge about nosocomial infection. This calls for a review of nursing curricula to pave the way for more pragmatic teaching of infection control.
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Affiliation(s)
- Mallak Alriyami
- BSc Nursing Student, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Omar Al Omari
- Associate Professor, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Laila Al-Daken
- Associate Professor, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Thikra Alriyami
- BSc Nursing Student, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Ranin Al Rashdi
- BSc Nursing Student, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Shahad Al Shukaili
- BSc Nursing Student, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Tamouh Al-Alawi
- BSc Nursing Student, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Mohammad Al Qadire
- Associate Professor, College of Nursing, Sultan Qaboos University, Muscat, Oman
- Princess Salma Faculty of Nursing Al al-Bayt University, Mafraq, Jordan
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Pezhman B, Fatemeh R, Amir R, Mahboobeh R, Mohammad F. Nosocomial infections in an Iranian educational hospital: an evaluation study of the Iranian nosocomial infection surveillance system. BMC Infect Dis 2021; 21:1256. [PMID: 34911472 PMCID: PMC8672650 DOI: 10.1186/s12879-021-06948-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 12/06/2021] [Indexed: 12/14/2022] Open
Abstract
Background Nosocomial infection (NI) or cross-infection is a major health problem in hospitals worldwide. Aim This study aimed to report the status of NIs and to evaluate the Iranian nosocomial infection surveillance system (INISS) in a teaching hospital in the south of Iran. Methods This is a comparative historical study on the records of hospital admitted patients from 2018 to 2019. Data on patients who were diagnosed with NI was extracted from the INISS database. The database includes data on the incidence of different types of NIs in each hospital ward, the patient’s infection outcome, the agents involved, and the site of infection. Results The results indicated that the rate of NI (cases of NI/ 100 admissions) in the hospital was %2.95. The highest rate of NIs was reported from ICUs. Of the infected patients, 45.61% were female, 98.95% had underlying diseases, and 30.88% died due to nosocomial infections. The median (IQR) of the duration of hospital stay among infected patients was 13 (7–18). The most common site of infection was VAE (ventilator-associated events) (39.40%) and the most common isolated agent, irrespective of the organ involved, was Acinetobacter (spp.) (22.75%). Conclusions We reported ICU and Acinetobacter (spp.) as the most affected ward and most common agent involved in recorded NIs respectively. The rate of NI in the study hospital was exceptionally low when compared to its counterparts in a few other developed countries. The INISS needs to be further evaluated with regard to the completeness and representativeness of the surveillance system. Also, we need to evaluate the adherence to the INISS guidelines among staff and physicians in reporting the NIs.
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Affiliation(s)
- Bagheri Pezhman
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.,Non-communicable diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran
| | - Rezaei Fatemeh
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.,Department of Social Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.,Non-communicable diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran
| | - Roodgari Amir
- Division of Infectious Disease, Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Rokhsari Mahboobeh
- Ali-Asghar Educational Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Fararouei Mohammad
- HIV/AIDs Research Center, School of Health, Shiraz University of Medical Sciences, Razi street, Shiraz, Iran.
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Silva MT, Galvao TF, Chapman E, da Silva EN, Barreto JOM. Dissemination interventions to improve healthcare workers' adherence with infection prevention and control guidelines: a systematic review and meta-analysis. Implement Sci 2021; 16:92. [PMID: 34689810 PMCID: PMC8542414 DOI: 10.1186/s13012-021-01164-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Accepted: 10/09/2021] [Indexed: 01/04/2023] Open
Abstract
Background The COVID-19 pandemic has challenged health systems worldwide since 2020. At the frontline of the pandemic, healthcare workers are at high risk of exposure. Compliance with infection prevention and control (IPC) should be encouraged at the frontline. This systematic review aimed to assess the effects of dissemination interventions to improve healthcare workers’ adherence with IPC guidelines for respiratory infectious diseases in the workplace. Methods We searched CENTRAL, MEDLINE, Embase, and the Cochrane COVID-19 Study Register. We included randomized controlled trials (RCTs) and cluster RCTs that assessed the effect of any dissemination strategy in any healthcare settings. Certainty of evidence was assessed using the GRADE approach. We synthesized data using random-effects model meta-analysis in Stata 14.2. Results We identified 14 RCTs conducted from 2004 to 2020 with over 65,370 healthcare workers. Adherence to IPC guidelines was assessed by influenza vaccination uptake, hand hygiene compliance, and knowledge on IPC. The most assessed intervention was educational material in combined strategies (plus educational meetings, local opinion leaders, audit and feedback, reminders, tailored interventions, monitoring the performance of the delivery of health care, educational games, and/or patient-mediated interventions). Combined dissemination strategies compared to usual routine improve vaccination uptake (risk ratio [RR] 1.59, 95% confidence interval [CI] 1.54 to 1.81, moderate-certainty evidence), and may improve hand hygiene compliance (RR 1.70; 95% CI 1.03 to 2.83, moderate-certainty). When compared to single strategies, combined dissemination strategies probably had no effect on vaccination uptake (RR 1.01, 95% CI 0.95 to 1.07, low-certainty), and hand hygiene compliance (RR 1.16, 95% CI 0.99 to 1.36, low-certainty). Knowledge of healthcare workers on IPC improved when combined dissemination strategies were compared with usual activities, and the effect was uncertain in comparison to single strategy (very low-certainty evidence). Conclusions Combined dissemination strategies increased workers’ vaccination uptake, hand hygiene compliance, and knowledge on IPC in comparison to usual activities. The effect was negligible when compared to single dissemination strategies. The adoption of dissemination strategies in a planned and targeted way for healthcare workers may increase adherence to IPC guidelines and thus prevent dissemination of infectious disease in the workplace. Trial registration Protocol available at http://osf.io/aqxnp.
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Affiliation(s)
| | - Tais Freire Galvao
- Faculty of Pharmaceutical Sciences, University of Campinas, Campinas, Brazil
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Khani Jeihooni A, Jormand H, Ansari M, Afzali Harsini P, Rakhshani T. The effect of educational intervention based on health belief model and social support on testicular self-examination in sample of Iranian men. BMC Cancer 2021; 21:685. [PMID: 34112094 PMCID: PMC8194024 DOI: 10.1186/s12885-021-08411-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 05/25/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Testicular Self-Examination (TSE) causes earlier diagnosis of Testicular cancer (TC). Hence, all men aged between15 to 35 years should perform TSE every month. This study aims to survey the effect of educational intervention based on health belief model and social support on testicular self-examination in men aged between 15 to 35 years of Fasa City, Fars province, Iran. METHODS In this quasi-experimental study, 200 men (100 in the experimental group and 100 in the control group) in Fasa City, Fars, Iran, were conducted from June 2018 to August 2019. The educational intervention for the experimental group consisted of six training sessions (testicular cancer, its prevalence and types, its risk factors, symptoms, infected areas, diagnosis, side-effects and its severity, understanding about testicular self-examination and its importance, benefits, and barriers of self-examination and correct way of doing TSE were discussed, role of social support). A questionnaire consisting of demographic information, knowledge, HBM construct, and social support was used to measure testicular self-examination before, 3 months after the intervention, and 6 months later. Data were analyzed using SPSS-22 via chi-squared, independent samples t-test, Mann-Whitney, and repeated measures ANOVA at a significance level of 0.5. RESULTS The mean age of the men was 27.26 ± 3.16 years in the experimental group and 27.39 ± 3.12 years in the control group. Three months after the intervention and 6 months after the intervention, the experimental group showed a significant increase in knowledge, perceived susceptibility, perceived severity, perceived benefits, self-efficacy, cues to action, social support, and testicular self-examination performance compared to the control group. CONCLUSION This study showed the effectiveness of the intervention based on the HBM constructs and social support in the adoption of testicular self-examination in 3 and 6 months post-intervention in men aged between 15 to 35 years. Hence, these models can act as a framework for designing and implementing educational interventions for testicular self-examination.
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Affiliation(s)
- Ali Khani Jeihooni
- Departement of Public Health, School of Health, Shiraz University of Medical Sciences, 7153675541, Shiraz, Iran
| | - Hanieh Jormand
- Departement of Health Education and Promotion, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mehdi Ansari
- Departement of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran
| | - Pooyan Afzali Harsini
- Department of Public Health, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Tayebeh Rakhshani
- Departement of Public Health, School of Health, Shiraz University of Medical Sciences, 7153675541, Shiraz, Iran.
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Pokorná A, Dolanová D, Pospíšil M, Búřilová P, Mužík J. Compliance with standard precautions in inpatient healthcare settings in the Czech Republic: a cross-sectional survey. Cent Eur J Public Health 2020; 28:167-177. [PMID: 32997471 DOI: 10.21101/cejph.a5942] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 06/03/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVE The study evaluates compliance with declared hygienic standards carried out by healthcare professionals in clinical practice within their scope of direct patient care and the maintenance of medical tools and devices in healthcare facilities in the Czech Republic. METHODS Cross-sectional questionnaire study focused on the standards of safe health care. All 80 addressed healthcare providers were also involved in the 2018 Adverse Event Reporting System (AERS) pilot project. Responses were scored on a 6-level scale, from "always" (100 points) to "never" (0 points). The evaluation was performed according to the frequency of responses and the average index (max. 100 points). Data analysis was performed using IBM SPSS Statistics version 22 (level of significance 1% and 5%). RESULTS There were statistically processed 2,016 questionnaires (100%). Most respondents stated their job classification as non-medical healthcare professionals (NHP) working at a patient's bedside (73%), physicians (16%), or other NHP (11%). As per their medical specialty, 43% of the respondents practice internal medicine, 28% surgery, 14% psychiatry, 9% long-term inpatient care, and 6% stated other fields of medicine. The lowest declared compliance was registered in the statement "I use a face mask when exposure to air-transmitted pathogens is anticipated" (rating index 80 points). The highest compliance (99.4 points) was registered in the statement: "I discard used sharp materials into sharps containers." CONCLUSION In the surveyed healthcare facilities within the Czech Republic, overall compliance with hygiene standards is at a good level. Declared differences in compliance with hygiene standards in the selected items of the questionnaire are influenced by multiple factors. Generally, a higher level of compliance is linked to increasing age, years of practice, and a higher level of education. When comparing professional groups, a higher level of compliance with hygiene standards was registered in the NHP group.
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Affiliation(s)
- Andrea Pokorná
- Department of Nursing and Midwifery, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Dana Dolanová
- Department of Nursing and Midwifery, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Michal Pospíšil
- Department of Nursing and Midwifery, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Petra Búřilová
- Department of Nursing and Midwifery, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Jan Mužík
- Department of Nursing and Midwifery, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
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Khani Jeihooni A, Ghasemi M, Mobaraei AH, Jamshidi H, Afzali Harsini P. The Application of PRECEDE Model on Preventing Osteoporosis in Women. Clin Nurs Res 2019; 30:241-252. [PMID: 31434510 DOI: 10.1177/1054773819865874] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The aim of this study is investigating the efficiency of educational intervention based on PRECEDE model on promotion of osteoporosis prevention behaviors in women. This quasi-experimental study was conducted on 200 women registered in two health centers of Fasa city, Fars province, Iran in 2017 to 2018. A questionnaire including items evaluating demographic information and PRECEDE model constructs was used for measuring nutrition and walking performance of studied women in osteoporosis prevention before and 12 months after intervention. Bone mineral density (BMD) was recorded at the lumbar spine and femur before and 12 months after intervention. One year after intervention, the intervention group showed a significant increase in knowledge, attitude, self-efficacy, reinforcing factors, enabling factors, nutrition, and walking performance compared to the control group. Also, the value of lumbar spine and hip BMD T-Score of the intervention group was increased, while this value was reduced in the control group. Our findings showed that educational interventions based on PRECEDE model can positively affect prevention behaviors from osteoporosis by improving subjects' knowledge, attitude, enabling factors (resources such as health care access and services that can provide motivation for prevention behaviors from osteoporosis in women), self-efficacy, and reinforcing factors.
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Affiliation(s)
- Ali Khani Jeihooni
- Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran
| | - Maryam Ghasemi
- Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran
| | - Amir Hossein Mobaraei
- Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran
| | - Hassan Jamshidi
- Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran
| | - Pooyan Afzali Harsini
- Department of Public Health, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
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