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Bahadori F, Abolfathi Momtaz Y, Mohammadi Shahboulaghi F, Zandieh Z. Information and Communication Technology Adoption Strategies Among Iranian Older Adults: A Qualitative Evaluation. Gerontol Geriatr Med 2024; 10:23337214241246315. [PMID: 38633750 PMCID: PMC11022677 DOI: 10.1177/23337214241246315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Revised: 02/22/2024] [Accepted: 03/09/2024] [Indexed: 04/19/2024] Open
Abstract
In today's world, it is unavoidable for older adults to use technology, which causes some challenges for them. In this qualitative study, we used grounded theory to evaluate information and communication technology (ICT) adoption strategies among Iranian older adults. The participants included 18 older adults, five experts, and five family members of older adults. The data collection method included conducting semi-structured interviews, taking field notes, and observation. The data were analyzed using the Corbin and Strauss approach. Three main themes were extracted as follows: support from others, effort for learning, and smart choice. The subthemes of support from others included creativity in educating older adults; having access to an educational supporter; and receiving informational, emotional, and financial support. The subthemes of effort for learning included utilizing aids, adaptive measures, shortcut techniques, and self-learning. The subthemes of smart choice included physical characteristics, technical features, price sensitivity, and availability of an active sales representative. Accordingly, it is essential to teach older adults to increase their ICT adoption rate and continued use of technology. In this respect, developing a standard ICT manual for older adults can be beneficial.
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Affiliation(s)
- Farzaneh Bahadori
- University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | | | | | - Zhale Zandieh
- University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Bandari R, Mohammadi Shahboulaghi F, Khankeh H, Ebadi A, Montazeri A. Cover Image. Nurs Open 2022. [DOI: 10.1002/nop2.1445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Shabani F, Maleki M, Noohi F, Taghavi S, Khalili Y, Shahboulaghi FM, Nayeri ND, Amin A, Nakhaei Z, Naderi N. Effect of Home Care Program on Re-hospitalization in Advanced Heart Failure: A Clinical Trial. Iran J Nurs Midwifery Res 2022; 27:274-279. [PMID: 36275336 PMCID: PMC9580576 DOI: 10.4103/ijnmr.ijnmr_123_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 09/28/2021] [Accepted: 03/06/2022] [Indexed: 11/04/2022]
Abstract
Background Heart failure is the leading cause of readmission in all medical and surgical patients. Home care studies have reduced hospitalization in heart failure. This study aimed to investigate the effect of home care program on readmission in advanced heart failure. Materials and Methods The study was a randomized clinical trial conducted at the Rajaie Cardiovascular, Medical and Research Center from September 2017 to March 2018. Ninety-eight patients with advanced heart failure were selected using census method and were randomly divided into experimental and control groups. For the experimental group, the home care program was implemented for 6 months. The date and frequency of hospitalization were recorded during 30, 90, and 180 days before and after the home care program. The quantitative data analysis was performed using Mann-Whitney and Wilcoxon's signed-rank tests and qualitative data analysis was performed using the Chi-square test. Results The number of hospitalization and length of hospital stay 30, 90, and 180 days after implementation of the home care program in the experimental group was significantly less than the control group (p < 0.001). The number of hospitalizations and length of stay in the experimental group decreased significantly after the program (p < 0.001). In the control group, 90 days after the intervention, the number of hospitalizations (p = 0.013) and length of stay increased significantly (p < 0.001), and 180 days after the intervention, increased significantly (p < 0.001). Conclusions The implementation of a designed home care program reduces readmission and the length of hospital stay in advanced heart failure.
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Affiliation(s)
- Fidan Shabani
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Majid Maleki
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Feridoun Noohi
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Sepideh Taghavi
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Yasaman Khalili
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | | | - Nahid Dehghan Nayeri
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Ahmad Amin
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Zahra Nakhaei
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Nasim Naderi
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran,Address for correspondence: Prof. Nasim Naderi, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. E-mail:
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Shariat M, Asghari F, Arani MM, Farrokhzad N, Mohammadzadeh Y, Mohammadi Shahboulaghi F, Abroun A, Mirzatavoli S, Janani Z, Nayeri FS. Decisions for Treatment of Neonates With Poor Prognosis: A Qualitative Study. ACTA 2022. [DOI: 10.18502/acta.v60i6.10041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Advances in medicine and medical technology have presented new moral challenges in terms of the management of extremely preterm infants and newborns with severe anomalies and advanced asphyxia. The aim of the present study was to examine the attitudes of health care providers and parents regarding decisions about the treatment of these neonates. The attitude of the Shia clerics is assessed in this study as well. In this qualitative content analysis research, data were collected through semi-structured interviews and focus group discussions (FGDs) with 98 participants, including physicians, nurse practitioners, medical ethicists, Shia clerics, and parents. Purposive sampling was employed by selecting those members of the community whom we thought would provide us with the best information and were also eager to participate. Data collection continued until data saturation was reached. Data analysis was carried out using conventional content analysis. Analysis of the data resulted in the extraction of 332 codes along with the following four categories: the necessity for preparation of a national guideline for the management of neonates with poor prognosis, the establishment of hospital neonatal-management committees, decision-making regarding the limits of viability, and parental support. This study affirms that the responsibility in terms of decision-making for neonates with poor prognosis lies upon hospital neonatal-management committees based on approved national guidelines such that decisions are made according to the aforementioned guidelines, Islamic moral codes, and scope of services available in medical units. This study dismisses individual decision-making and underlines the responsibility of a hospital neonatal-management committee in making decisions based on approved guidelines that conform to the regulations of national law and Islamic moral codes that determine the continuation or withdrawal of medical care and treatment of infants with a poor prognosis while bearing in mind that regulations, hospital facilities, resources, and other conditions differ in various hospitals within the country and with developed countries.
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Ranjbar M, Soleimani AA, Sedghpour BS, Shahboulaghi FM, Paton D, Noroozi M. Public Intention to Prepare for Earthquakes: Psychometric Prop-erties of Persian Version. ijph 2021; 50:1678-1686. [PMID: 34917539 PMCID: PMC8643528 DOI: 10.18502/ijph.v50i8.6815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Accepted: 01/10/2020] [Indexed: 11/24/2022]
Abstract
Background: People are still not prepared for earthquakes in vulnerable areas although preparedness considered an effective way of reducing the disastrous consequences. A proper tool was needed to assess the predicting factors of mitigation behaviors in a large vulnerable community who speak Persian. This study aimed to introduce the valid and reliable Persian version of public intention to prepare against earthquakes.
Methods: Translation, validation and reliability checking articulated according to the standard methodology for Forward-Backward translation and psychometric evaluation. Totally, 369 Tehran households were selected through stratified random sampling from Oct 2016 to Jun 2017. Exploratory Factor Analysis used to check the construct validity of all scales.
Results: Face, content and construct validity of all scales confirmed (S-CVR: .65) and (S-CVI/Universal: .98). The finalized Persian version (69 items in 8 scales) showed good reliability over time in test-retest (ICC: .92) and high internal consistency both in the pilot (α: .94) and main studies (α: .94). No significant floor and ceiling effects were found in any of scales.
Conclusion: Persian version of Earthquake Public Intention to Prepare is applicable as a valid and reliable instrument for research regarding disaster preparedness in Persian speaking communities.
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Affiliation(s)
- Maryam Ranjbar
- Department of Psychology and Social Sciences, Institute for Humanities and Social Studies, Tehran, Iran
- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation, Tehran, Iran
| | - Ali Akbar Soleimani
- Department of Psychology, University of Science and Culture, ACECR, Institute for Humanities and Social Studies, Tehran, Iran
- Corresponding Author:
| | - Bahram Saleh Sedghpour
- Faculty of Educational Sciences, Shahid Rajaee Teacher Training University, Tehran, Iran
| | | | - Douglas Paton
- School of Psychological and Clinical Sciences, Charles Darwin University, Darwin, Northern Territory, Australia
| | - Mehdi Noroozi
- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation, Tehran, Iran
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Amini R, Mohammadi Shahboulaghi F, Norouzi Tabrizi K, Setareh Forouzan A. Facilitators and Barriers to Social Participation of Community-dwelling Older Adults in Iran: A Qualitative Study. Salmand 2021. [DOI: 10.32598/sija.16.2.3052.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Objectives: Social participation in older adults is one of the key pillars of active aging. Social participation is influenced by multiple underlying factors. The present study aims to explore the facilitators and barriers to social participation in community-dwelling older adults in Iran. Methods & Materials: This is a qualitative study using the grounded theory approach. The study population consisted of community-dwelling older adults. Fifteen samples were selected using a purposive sampling method. Data were collected through in-depth semi-structured interviews. Information were collected until data saturation. Each interview lasted for 45-60 minutes. Analysis was done using the method of Corbin and Strauss (2015). Results: Three main categories and 11 sub-categories were found based on data analysis which were: Participatory elderly (with 5 sub-categories), participatory family (with 2 sub-categories), and community capacity for social participation (with 4 sub-categories). Conclusion: Facilitating social participation of community-dwelling older adults in Iran is associated by individual, family and community. Proper planning should be done in these areas. Providing facilitators for the development of social participation in the elderly can facilitate movement towards active aging.
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Bandari R, Mohammadi Shahboulaghi F, Khankeh H, Ebadi A, Montazeri A. Development and psychometric evaluation of the loneliness inventory for older adults (Lonely): A mixed-methods study. Nurs Open 2021; 9:2804-2813. [PMID: 34198367 PMCID: PMC9584472 DOI: 10.1002/nop2.983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Revised: 04/22/2021] [Accepted: 06/08/2021] [Indexed: 11/07/2022] Open
Abstract
Aim To develop and initially validate the Loneliness Inventory for Older Adults. Design Scale development and evaluation. Methods This was a two‐phase study. In phase 1, the initial items pool (126 items) was generated based on the concept analysis and literature review. Moreover, content validity was established by geriatric and psychometric experts. Phase 2 evaluated structural validity by performing item analysis, exploratory factor analysis and convergent validity. Reliability was evaluated by examining internal consistency, stability (ICC) and absolute reliability. Results Following the development process, 94 items were removed and a provisional version of the questionnaire with 32 items was subjected to psychometric evaluation. Three hundred and seventy older adults completed the questionnaire. After performing factor analysis, overall 3 items were removed due to low loading, and the questionnaire was reduced to 29 items tapping into five factors. The Cronbach's alpha for the instrument was 0.94, and the ICC value was 0.97.
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Affiliation(s)
- Razieh Bandari
- Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Farahnaz Mohammadi Shahboulaghi
- Iranian Research Center on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Hamidreza Khankeh
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.,Department of Clinical Science and Education, Karolina Institute, Stockholm, Sweden
| | - Abbas Ebadi
- Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.,Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Ali Montazeri
- Population Health Research Group, Health Metrics Research Centre, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran.,Faculty of Humanity Sciences, University of Science and Culture, Tehran, Iran
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Shabani F, Mohammadi Shahboulaghi F, Dehghan Nayeri N, Hosseini M, Maleki M, Naderi N, Chehrazi M. Optimization of Heart Failure Patients Discharge Plan in Rajaie Cardiovascular Medical and Research Center: An Action Research. Int J Community Based Nurs Midwifery 2021; 9:199-214. [PMID: 34222541 PMCID: PMC8242409 DOI: 10.30476/ijcbnm.2021.87770.1461] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Revised: 04/03/2021] [Accepted: 04/05/2021] [Indexed: 11/19/2022]
Abstract
BACKGROUND Chronic heart failure can lead to frequent hospitalizations. Improving the discharge planning is an approach to reduce hospitalization. Since there has not been enough structured and effective discharge plan in Iranian hospitals, the present study was designed to optimize this program. METHOD This is a participatory action research based on Hart and Bond's framework, conducted in a cardiovascular center in Iran from June 2016 to April 2018 during two cycles. Based on the optimization strategies obtained through semi-structured interviews with 15 participants, three focus group discussions and six expert panels, the operational discharge plan, including three areas of patient empowerment, telephone follow-up and home visit, was designed, implemented for three months and evaluated for 23 patients. European Heart Failure Self-Care Behavior Scale and information registration form to record the number of hospitalization and length of hospital stay were used to collect the quantitative data. The non-parametric Wilcoxon test was used to analyze the data by SPSS 16. Qualitative participatory evaluation was performed during a group discussion and analyzed based on qualitative content analysis method with conventional approach P<0.05 was statistically significant. RESULTS Considering the solutions provided by the participants, the operational discharge plan was designed and implemented with the cooperation of relevant stakeholders. Evaluation showed significant effects of designed discharge plan on self-care behavior (P<0.001), number of hospitalizations (P<0.001), and length of hospital stay (P<0.001). CONCLUSION Changes were made to improve the heart failure patients' discharge plan using action research, which resulted in reduced re-hospitalization and improved self-care behavior.
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Affiliation(s)
- Fidan Shabani
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | | | - Nahid Dehghan Nayeri
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammadali Hosseini
- Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Majid Maleki
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Nasim Naderi
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Mohammad Chehrazi
- Department of Biostatistics and Epidemiology, School of Public Health, Babol University of Medical Sciences, Babol, Iran
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Aroogh MD, Norouzi K, Shahboulaghi FM, Negarandeh R. Families' Experiences of End-of-Life Care at Home for Iranian Older Adults: A Qualitative Study. Indian J Palliat Care 2021; 26:468-475. [PMID: 33623307 PMCID: PMC7888428 DOI: 10.4103/ijpc.ijpc_10_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2020] [Revised: 03/26/2020] [Accepted: 03/26/2020] [Indexed: 11/24/2022] Open
Abstract
Aim: While the care of dying elderly patients at home is very complex and ambiguous, it has not been studied in Iran so far. Hence, this study aimed to explore the experience of a representative sample of the Iranian family caregivers from the end-of-life (EOL) care for their elderly relatives. Methods: The present study was conducted using a qualitative content analysis method. Twelve family caregivers caring for the chronically ill dying elderly were selected using purposeful sampling. The purposive sampling method was applied with an extreme variation in sampling, and data gathering was pursued until data saturation was achieved. Semi-structured interviews were utilized for data collection. Interviews were recorded and instantly transcribed verbatim. Inductive content analysis was used to analyze the data. Results: Four core themes and 13 subthemes emerged from the experiences of family's caregiver as fallow: (1) Committed to care: This is related to encounter with the end of stage disease of the relative, accepting the care role and priority of care, (2) challenges of Care: Caregivers, despite their efforts, provided ineffective care, so they sought to empower themselves and at the same time provide compassionate care, (3) the crisis of care including the complexity of care, fear, and wandering, helplessness, devastating tension, and vacuum of supporting, and (4) conditions after death that family members involved with a sense of loss and Tension control. Conclusion: When families had to take care of their elderly patients at home, although their wish to give the best care, they are completely powerless to provide care, and in an atmosphere of the vacuum of supporting, they encounter severe challenges and crisis. It is vital that palliative care centers in the society are arranged to care for EOL elderly with comprehensive insurance services.
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Affiliation(s)
- Manijeh Dehi Aroogh
- Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Kian Norouzi
- Department of Nursing, Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Farahnaz Mohammadi Shahboulaghi
- Department of Nursing, Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Reza Negarandeh
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Shirazikhah M, Mirabzadeh A, Sajjadi H, Joghataei MT, Biglarian A, Shahboulaghi FM, Raei M, Sarmadi S. Health services coverage: Physical access to rehabilitation facilities in Tehran compare with the country. J Educ Health Promot 2021; 10:4. [PMID: 33688513 PMCID: PMC7933624 DOI: 10.4103/jehp.jehp_515_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/16/2020] [Accepted: 06/30/2020] [Indexed: 06/12/2023]
Abstract
OBJECTIVE According to the World Health Organization, estimates about 1,800,000 people lived with disability in Tehran. Against there is little evidence of physical access to rehabilitation facilities in Tehran. This study is aimed to assess the physical access to physical rehabilitation facilities in Tehran and compare it with the country. METHODS This is a cross-sectional study conducted since January to April 2017. We used a master facilities list of rehabilitation facility that developed in Iran to collect the information. The samples of this study included all existing physical rehabilitation centers in Tehran province. Data analysis was done using the SPSSr version 21.0 (SPSS Inc., Chicago, IL). RESULTS The results showed that rehabilitation facilities existed at different levels, including inpatient (10.51), outpatient (224.28), community based (36.72), and long-term care (4.96)/1,000,000 populations. Rehabilitation services are provided by rehabilitation professional including: Physical medicine and rehabilitation specialists (8.7), physiotherapists (132.89), occupational therapists (57.4), speech therapists (42.11), and audiologists (48.84) (in 1,000,000 populations). CONCLUSION Tehran needs to increase the physical access to rehabilitation facilities and compared with country was disproportionate physical access to facilities in most cases. It is necessary to establish an interdisciplinary referral system between different rehabilitation providers.
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Affiliation(s)
- Marzieh Shirazikhah
- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Arash Mirabzadeh
- Department of Psychiatry, Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Homeira Sajjadi
- Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mohammad Taghi Joghataei
- Department of Anatomy and Neuroscience, Cellular and Molecular Research Center, Tehran, Iran School of Medicine, Iran Medical University, Tehran, Iran
| | - Akbar Biglarian
- Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Farahnaz Mohammadi Shahboulaghi
- Department of Nursing, Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mehdi Raei
- Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Sahar Sarmadi
- Medical Student, University of Pécs Medical School, Pécs, Hungary
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Papi S, Abolfathi Momtaz Y, Foroughan M, Mohammadi Shahboulaghi F, Araban M, Ramezani T. Comparing the Effect of Face-To-Face Education and E-learning on the Physical Activity of the Elderly. J Holist Nurs Midwifery 2021. [DOI: 10.32598/jhnm.31.1.2037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Introduction: Regular physical activity is very effective in preventing or delaying chronic diseases and premature death in the elderly. Objective: This study aimed to compare the effect of face-to-face education and e-learning methods on the physical activity of the elderly. Materials and Methods: This is a quasi-experimental study conducted in Karaj, Iran in 2018. The participants were 88 elderly people referred to a senior rehab center and then were assigned into three groups of face-to-face education (n=30), e-learning (n=28), and control (n=30).The study data were collected by a demographic form and the 41-item community healthy activities program for seniors questionnaire (CHAMPS) before the intervention, 1 month after the intervention, and 3-month follow-up. Face-to-face education and e-learning were presented to the two educational groups’ during eight 20-minute sessions. The obtained data were analyzed using ANOVA, Bonferroni post hoc test, the Chi-square test, and repeated measures ANOVA. The significance level was set at0.05. Results: Between the two educational groups, a significant difference was observed in the mean score of physical activity at three measurement phases (P = 0.001).The effect size was 0.61 for face-to-face education and 0.64 for e-learning. Based on the results of the Bonferroni post hoc test, there was no significant difference between e-learning and face-to-face education groups. Conclusion: Both face-to-face and e-learning methods were effective in promoting the physical activity behavior of the elderly. E-learning method can be used as one of the complementary methods of traditional education for improving the physical activity of the elderly.
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Bandari R, Mohammadi Shahboulaghi F, Montazeri A. Development and psychometric evaluation of the healthy lifestyle questionnaire for elderly (heal). Health Qual Life Outcomes 2020; 18:277. [PMID: 32787957 PMCID: PMC7424645 DOI: 10.1186/s12955-020-01529-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2019] [Accepted: 08/03/2020] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND The present study was conducted to design and evaluate the psychometric properties of a questionnaire for assessing the healthy lifestyle among older adults in Iran. METHODS First, items were generated based on a qualitative study, the literature review, and with help received from experts in gerontology and questionnaire design. Then, content validity was carried out. Accordingly, a cross sectional study was conducted to perform factor analysis and known groups comparison in order to examine the construct validity. Internal consistency was measured by the Cronbach's alpha coefficient and the stability of the questionnaire was evaluated by estimating interclass correlation coefficient (ICC). RESULTS In total 68 items was generated. Following development process 22 items were removed and a provisional version of the questionnaire with 46 items was subjected to psychometric evaluation. At this stage a sample of 390 elderly people attending the community centers in Tehran, Iran were entered into the study and completed the questionnaire. Most elderly were female (52.8%) and the mean age of participants was 67.97 (SD ± 7.77) years. After performing factor analysis, overall 10 items were removed due to low loading and the questionnaire was reduced to 35 items tapping into eight factors, which explained a total of 57.1% of the variance. In addition, the results obtained from known groups comparison indicated that the questionnaire well differentiated among participants who were differed in self-reported health condition. The Cronbach's alpha coefficient showed excellent internal consistency (alpha = 0.89). The intraclass correlation coefficient also indicated a good stability for the questionnaire (ICC = 0.94). CONCLUSION The healthy lifestyle questionnaire for elderly (Heal) can be used as a simple and an easy-to-use valid and reliable measure in determining healthy life style and the frequency of health-oriented activities among older adults.
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Affiliation(s)
- Razieh Bandari
- Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
| | - Farahnaz Mohammadi Shahboulaghi
- Full Professor of Iranian Research Center on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Ali Montazeri
- Mental Health Research Group, Health Metrics Research Centre, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
- Faculty of Humanity Sciences, University of Science & Culture, ACECR, Tehran, Iran
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Ghafouri S, Dehghani M, Summers F, Shahboulaghi FM. Process of object relation therapy based on transference and potential space in patients with major depressive disorder: A grounded theory study. Psychoanalytic Psychology 2020. [DOI: 10.1037/pap0000268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Shirazikhah M, Mirabzadeh A, Sajadi H, Joghataei MT, Biglarian A, Shahboulaghi FM, Sharif Nia H, A Allen K. Development and psychometric properties of the physical rehabilitation services acceptability questionnaire. Med J Islam Repub Iran 2019. [DOI: 10.47176/mjiri.33.34] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
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Foroughan M, Shahboulaghi FM, Jafari Z, Rashedi V, Biglarian A. Pain characteristics of older residents in Iranian nursing homes. East Mediterr Health J 2019; 25:205-212. [PMID: 31054231 DOI: 10.26719/emhj.18.045] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/05/2016] [Indexed: 11/09/2022]
Abstract
Background Pain is a common complaint among the aging population, particularly among the older residents of nursing homes. Aims The main aim of the study was to examine the pain characteristics among older residents of nursing homes in Tehran, Islamic Republic of Iran. Methods This was a cross-sectional study. The sample consisted of 394 older adults admitted to Tehran nursing homes. To gather the required data, Brief Pain Inventory and Abbreviated Mental Test score were used. Results 51% of the female and 26% of the male participants suffered from pain. Lower extremity and lower part of back were the most frequently affected. Pain interfered with general activity (P < 0.001), mood (P = 0.016), walking (P < 0.001), normal work (P < 0.001), relations with others (P = 0.043), sleeping (P = 0.002) and enjoyment of life (P = 0.019) of the older residents and these effects were more prominent in female sex. Factors such as age, gender and schooling were of significant relationships with pain (P < 0.001) and its intensity (P <0.001). Conclusions Chronic pain is common among older residents of nursing homes and deteriorates their quality of life. This study reconfirms the previously mentioned importance of using effective pain evaluation and pain management strategies in nursing homes.
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Affiliation(s)
- Mahshid Foroughan
- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Islamic Republic of Iran
| | - Farahnaz Mohammadi Shahboulaghi
- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Islamic Republic of Iran
| | - Zahra Jafari
- Department of Basic Sciences in Rehabilitation, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Vahid Rashedi
- School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.,Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Islamic Republic of Iran
| | - Akbar Biglarian
- Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Islamic Republic of Iran
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Shirazikhah M, Mirabzadeh A, Sajjadi H, Joghataei MT, Biglarian A, Mohammadi Shahboulaghi F, Sharif Nia H, Allen KA. Development and psychometric properties of the physical rehabilitation services acceptability questionnaire. Med J Islam Repub Iran 2019; 33:34. [PMID: 31456958 PMCID: PMC6708095 DOI: 10.34171/mjiri.33.34] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Indexed: 01/04/2023] Open
Abstract
Background: Access to rehabilitation services is considered to be a right for all people. One of the most important indicators for access to rehabilitation services is an individual's general acceptance of rehabilitation. This tool was designed based on relevant studies and experiences of rehabilitation specialists to design a questionnaire to specifically measure patient acceptability of physical rehabilitation services. Methods: In this study, an exploratory sequential mixed methods design was used. The first phase included a review of the literature and analysis of relevant studies, focus group discussions, and qualitative content analysis. In the second phase, construct validity was assessed by exploratory and confirmatory factor analysis. Also, convergent and divergent validity were measured. Reliability was evaluated by internal consistency (Cronbach's alpha and McDonald's Omega) and construct reliability. Statistical procedures were calculated by SPSS-AMOS24 and JASP0.9.2 software. Results: A total of 200 questionnaires were completed by members of Iranian Disability Campaign. Three factors and 25 items were identified according to results of the first phase of this study. In the second phase, face validity was confirmed. To assess the content validity ratio, 9 items, with the mean of content validity ratio (CVR) < 0.49, were deleted, while the content validity index (CVI) < 0.79 was revised. The kappa coefficient < 0.6 was fair and scale content validity index (SCVI) under 0.9 was considered appropriate. Results of exploratory factor analysis showed that 48% of the variance of the acceptability of physical rehabilitation services was based on patients' satisfaction, ethical behavior, and patient centered services. Confirmatory factor analysis confirmed the suitability of the final model. Convergent and divergent validity and reliability of the measure, the Physical Rehabilitation Services Acceptability questionnaire was fulfilled. Conclusion: Findings indicated that the proposed constructs that promoted the Acceptability of Physical Rehabilitation Services Questionnaire had good validity and reliability in participants with physical disabilities.
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Affiliation(s)
- Marzieh Shirazikhah
- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Arash Mirabzadeh
- Social Determinants of Health Research Center, Psychiatry Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Homeira Sajjadi
- Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mohammad Taghi Joghataei
- Cellular and Molecular Research Center, Department of Anatomy and Neuroscience, School of Medicine, Iran Medical University, Tehran, Iran
| | - Akbar Biglarian
- Department of Biostatistics, Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Farahnaz Mohammadi Shahboulaghi
- Iranian Research Center on Aging , Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Hamid Sharif Nia
- Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
| | - Kelly A Allen
- Melbourne Graduate School of Education, University of Melbourne, Melbourne, Australia
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Ghasemi S, Keshavarz Mohammadi N, Mohammadi Shahboulaghi F, Ramezankhani A, Mehrabi Y. Physical Health Status and Frailty Index in Community Dwelling Older Adults in Tehran. Salmand 2019. [DOI: 10.32598/sija.13.special-issue.652] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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18
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Bandari R, Khankeh HR, Shahboulaghi FM, Ebadi A, Keshtkar AA, Montazeri A. Defining loneliness in older adults: protocol for a systematic review. Syst Rev 2019; 8:26. [PMID: 30654846 PMCID: PMC6335854 DOI: 10.1186/s13643-018-0935-y] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2018] [Accepted: 12/26/2018] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND Socialization is an important part of the healthy aging process, but natural changes in the lifestyle and health of older people increased risk of loneliness. However, loneliness is not well defined and might differ in different cultures and settings. The main objective of this systematic review is to summarize literature on the topic and propose a definition that might help aging research and practice in the future. METHODS Eight databases including PubMed, Scopus, CINAHL, Web of Science, EMBASE, PsycINFO, Proquest, and Age Line bibliographic will be run individually to retrieve relevant literature on loneliness among elderly population using subject headings and appropriate MeSH terms. Inclusion and exclusion criteria will be developed and refined by the research team. Two reviewers will participate in each search stage including abstract/title and full text screening, data extraction, and appraisal. We will restrict our search to articles published in the English language biomedical journal between 2000 and 2017. The protocol adheres to the standards recommended by the PRISMA-P. DISCUSSION The results of this systematic review can present a more accurate definition of loneliness for researchers who aim at conducting new primary and secondary studies on this subject. SYSTEMATIC REVIEW REGISTRATION CRD42017058729.
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Affiliation(s)
- Razieh Bandari
- Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Hamid Reza Khankeh
- Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. .,Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. .,Department of Clinical Science and Education, Karolinska Institute, Solna, Sweden. .,Clinical Psychology and Psychotherapy, Leipzig, Germany.
| | - Farahnaz Mohammadi Shahboulaghi
- Iranian Research Center on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Abbas Ebadi
- Behavioral Sciences Research Center, Life Style Institue, Nursing Faculty, Baqiyatallah University of Medical Sciences, Teheran, Iran
| | - Abbas Ali Keshtkar
- Department of Health Sciences Education Development, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Montazeri
- Mental Health Research Group, Health Metrics Research Centre, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran. .,Faculty of Humanity Sciences, University of Science & Culture, ACECR, Tehran, Iran.
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Ajamzibad H, Foroughan M, Shahboulaghi FM, Rafiey H, Rassouli M. Development and validation of the elder’s spiritual health scale. Educational Gerontology 2018; 44:786-795. [DOI: 10.1080/03601277.2019.1565138] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/28/2023]
Affiliation(s)
- Hosein Ajamzibad
- Department of Nursing, Faculty of Nursing School, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
| | - Mahshid Foroughan
- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation, Tehran, Iran
| | - Farahnaz Mohammadi Shahboulaghi
- Iranian Research Center on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Hassan Rafiey
- Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Maryam Rassouli
- Pediatric Nursing Department, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Abstract
INTRODUCTION The rates of suicide in the elderly population are generally higher than other age groups. Models of suicide that explain the phenomenon of suicide in later life may have research, clinical and educational implications for the field of ageing. The primary purpose of this systematic review is to identify and review existing models of suicide that have a particular focus on the elderly. METHODS AND ANALYSIS The authors intend reviewing the findings of observational studies including cohort studies, cross-sectional studies, case-control studies, and qualitative studies such as grounded theory designs which are published in Google Scholar, Scopus, PsycINFO, PubMed, Web of Science, Cochrane Database of Systematic Reviews and research-related journals. Models of suicide which specifically describe, explain and predict late life suicides will be included. Therapeutic, interventional and rehabilitation models, as well as models related to assisted suicide, will be excluded. The EndNote software will be employed for data management. Two independent reviewers will extract data. Methodological quality and the risk of bias of quantitative studies will be assessed using the Newcastle-Ottawa Scale and the Newcastle-Ottawa Scale adapted for cross-sectional studies, while that of qualitative studies will be assessed using the Critical Appraisal Skills Programme and the evaluative criteria of credibility, transferability, dependability and confirmability. The final report will present a range of models of suicide with a list of different subgroups. ETHICS AND PUBLICATION There are no predictable ethical issues related to this study. The findings will be published in prestigious journals and presented at international and national conferences. PROSPERO REGISTRATION NUMBER CRD42017070982.
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Affiliation(s)
- Mohammad Rostami
- Department of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Seyyed Jalal Younesi
- Department of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Farahnaz Mohammadi Shahboulaghi
- Associate Professor of Iranian Research Center on Aging, Nursing Department, University of Social and Welfare Sciences, Tehran, Iran, Tehran, Iran
| | - Seyed Kazem Malakouti
- Mental Health Research Center, Tehran Institute of Psychiatry–School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran
| | - Mahshid Foroughan
- Iranian Research Center on Aging, Department of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Ranjbar M, Soleimani AA, Sedghpour BS, Shahboulaghi FM, Paton D, Noroozi M. The predictors of earthquake preparedness in Tehran households. Electron Physician 2018; 10:6478-6486. [PMID: 29765572 PMCID: PMC5942568 DOI: 10.19082/6478] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Accepted: 12/28/2017] [Indexed: 11/20/2022] Open
Abstract
Background The high risk of an earthquake happening and the harmful consequences that it leaves, besides the unsuccessful policies for preparing the community for mitigation, suggested that social factors should be considered more in this regard. Social trust is an influencing factor that can have significant impact on people’s behavior. Objective To determine the relationship of the influencing factors on the preparedness of Tehran households against earthquake. Methods This was a cross-sectional study with 369 participants (February to April 2017) involved through stratified random sampling from selected urban districts of Tehran. The Persian version of an ‘Intention to be prepared’ measurement tool and a standard checklist of earthquake preparedness behaviors were used. The tool was evaluated for internal consistency and test-retest reliability in a pilot study (Cronbach’s α =0.94 and Intra Class Correlation Coefficient =0.92). Results Multivariate linear regression analysis showed that social trust is the most important predictor for the preparedness mean of changes in Tehran (R2=0.109, p<0.001, β: 0.187 for the Preparedness behavior; R2=0.117, β: 0.298, p<0.001 for Intention to be prepared; and R2=0.142, β: 0.345, p<0.001 for the Perceived preparedness). Conclusion The relationship between social trust and preparedness dimensions suggested that changing a social behavior is not possible through considering only individual characteristics of community members and not their social networks relations. The programs and policies which try to enhance the social trust in general, may be able to increase public preparedness against earthquakes in the future.
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Affiliation(s)
- Maryam Ranjbar
- Ph.D. Candidate of Psychology, Institute for Humanities and Social Studies; Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation, Tehran, Iran
| | - Ali Akbar Soleimani
- Ph.D. in Psychology, Assistant Professor, Department of Psychology, University of Science and Culture, ACECR, Institute for Humanities and Social Studies, Tehran, Iran
| | - Bahram Saleh Sedghpour
- Ph.D. in Educational Psychology, Associate Professor, Faculty of Educational Sciences, Shahid Rajaee Teacher Training University, Tehran, Iran
| | - Farahnaz Mohammadi Shahboulaghi
- Ph.D. in Nursing, Associate Professor, Social Determinants of Health Research Center, Department of Nursing, University of Social Welfare and Rehabilitation, Tehran, Iran
| | - Douglas Paton
- Ph.D. in Psychology, Professor, School of Psychological and Clinical Sciences, Charles Darwin University, Darwin, Northern Territory, Australia
| | - Mehdi Noroozi
- Ph.D. in Epidemiology, Assistant Professor, Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation, Tehran, Iran
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Ranjbar M, Soleimani AA, Saleh Sedghpour B, Mohammadi Shahboulaghi F, Paton D, Noroozi M. Associating Factors With Public Preparedness Behavior Against Earthquake: A Review of Iranian Research Literature. hdq 2018. [DOI: 10.29252/nrip.hdq.3.2.67] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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23
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Hasan Tehrani T, Seyed Bagher Maddah S, Fallahi-Khoshknab M, Ebadi A, Mohammadi Shahboulaghi F, Gillespie M. Respecting the privacy of hospitalized patients: An integrative review. Nurs Ethics 2018:969733018759832. [PMID: 29558850 DOI: 10.1177/0969733018759832] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND Privacy is a complicated and obscure concept, which has special meanings in the healthcare environment; therefore, it is essential for healthcare providers to fully understand this concept. However, there is no universally accepted definition for this concept in the texts, and it has been interpreted differently, based on its application. AIM To analyze and provide a clear and scientific definition for respect of privacy of hospitalized patients and identify the common aspects of this concept. RESEARCH DESIGN This study was conducted using the Whittemore and Knafl's modified framework as a conceptual analysis method. Ethical consideration: This study was approved by the Research Council of the University of Social Welfare and Rehabilitation Sciences. We have respected the ethical requirements required regarding the sources and authorship. Research context and data sources: Using integrative review, a search was performed using national and international databases, including CINAHL, Scopus, Medline, Web of Science, and ISI (with no date restriction). The keywords employed during the search process were "privacy of patients," "confidentiality," "and patients' rights." In total, 1345 articles were retrieved from the databases. After the elimination of repetitive studies and with regard to the study objectives, 124 articles, 3 books, and 4 theses were entered into the study. The data were analyzed using the conventional content analysis approach. FINDINGS The results were extracted in the form of four, seven, and two themes related to attributes such as physical, informational, social, and psychological and the antecedents and consequences of respecting patient privacy, respectively. CONCLUSION Respect for hospitalized patient privacy contains multiple dimensions. Factors affecting the achievement of this concept include individual backgrounds, nature of the disease, and rule of paternalism. The fulfillment of patient privacy leads to such consequences as protection and improvement of human dignity as well as improved communication between the patient and the health team.
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Affiliation(s)
| | | | | | - Abbas Ebadi
- Life style institute, faculty of nursing. Baqiyatallah university of Medical sciences, Teheran, Iran
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Zanjari N, Sharifian Sani M, Chavoshi MH, Rafiey H, Mohammadi Shahboulaghi F. Successful aging as a multidimensional concept: An integrative review. Med J Islam Repub Iran 2017; 31:100. [PMID: 29951401 PMCID: PMC6014811 DOI: 10.14196/mjiri.31.100] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Indexed: 11/18/2022] Open
Abstract
Background: Successful aging as an umbrella term with a large amount of literature has emerged with a variety of meanings and dimensions in different studies. This article aims at determining what dimensions contribute to constructing the concept of successful aging. Methods: The method used in this study is an integrative review of published literature related to successful aging. This method includes both qualitative and quantitative studies. Data searching was conducted during November and December 2014 and was then updated in October 2015. First, 2543 articles were identified, and after the screening phase, 76 articles were eligible for inclusion in the integrative review. Results: The results specified 14 subcategories and 5 main categories of successful aging: social well-being, psychological wellbeing, physical health, spirituality and transcendence, and environment and economic security. Conclusion: The present study provides a thorough understanding of successful aging dimensions and proposes the importance of the multidimensional concept of successful aging at the individual, interpersonal, and environmental levels for future studies and policymaking on population aging.
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Affiliation(s)
- Nasibeh Zanjari
- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Maryam Sharifian Sani
- Department of Social Welfare, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | | | - Hassan Rafiey
- Department of Social Welfare, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Karami K, Maddah SS, Abbaszadeh A, Shahboulaghi FM, Hosseini M, MousaviArfa N, Almasian M. Iranian Pediatric Nurse's Experience: The Facilitators of the Learning of Ethical Practices. Iran J Nurs Midwifery Res 2017; 22:490-496. [PMID: 29184591 PMCID: PMC5684800 DOI: 10.4103/ijnmr.ijnmr_104_16] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Background: Ethical care is a core value in nursing. Pediatric nurses are in direct and continuous contact with children and their parents. They manage their lives and health. As part of the pediatric nurses’ daily work, ethical issues play an important role in making decisions, are important to make decisions, and this capability is only achieved by ethical practice. This study aimed to explore the factors facilitating the learning of ethical practice among Iranian pediatric nurses. Materials and Methods: This study is a conventional qualitative content analysis based on the Graneheim and Lundman method. It was conducted through semi-structured interviews with two focus groups, incorporating 28 nurses working in pediatric wards. Unstructured observation and field notes were other methods of data collection. Purposive sampling continued until data saturation was ensured. All interviews were tape recorded and transcribed in verbatim. Results: Three main categories and 12 subcategories emerged from this study. The facilitating factors include (1) individual competencies (knowledge, experience, emotional intelligence, and loving children), (2) ethical imprinting (responsibility, reflection, empathy, and ethical beliefs), and (3) an environment that nurtures moral values (organizational, spiritual, family, and cultural environments) as facilitating factors. Conclusions: The promotion of nurses’ competencies, ethical virtues, and imprinting, as well as improvement of the quality of nursing care must be the top priority of the health team. Undoubtedly, the success of the health care system is not possible without ensuring that pediatric nurses learn ethical practices.
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Affiliation(s)
- Kobra Karami
- Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran
| | | | - Abbas Abbaszadeh
- Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Mohammadali Hosseini
- Department of the Rehabilitation Administration, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Nazila MousaviArfa
- Reference Section Manager of Central Library, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Almasian
- Department of the English Language, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
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Shirazikhah M, Mirabzadeh A, Sajadi H, Joghataei MT, Biglarian A, Mousavi T, Shahboulaghi FM. National survey of availability of physical rehabilitation services in Iran: A mixed methods study. Electron Physician 2017; 9:5778-5786. [PMID: 29403619 PMCID: PMC5783128 DOI: 10.19082/5778] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Accepted: 09/02/2017] [Indexed: 11/20/2022] Open
Abstract
Background The prevalence of disability in Iran has increased due to ageing of the population and the presence of chronic diseases. However, little is known about the availability of rehabilitation services in Iran. Objective To study the availability of physical rehabilitation services in Iran. Methods This was a mixed method study. In the first phase, a qualitative design was conducted for designing an instrument with focus groups based on Service Availability and Readiness Assessment (SARA) instrument (developed by World Health Organization). Content analysis was used for data analysis. Then, in the second phase, a cross-sectional study was performed to collect the data with census method in Iran. This study was formed from June to October 2015, and samples consisted of all governmental, public non-governmental and private facilities established for rehabilitation centers affiliated with the Ministry of Health and Medical Education, Ministry of Labor, Cooperative and Social Welfare and the Iranian Red Crescent Society. Data analyses were performed using SPSS software (version 16). Descriptive statistical analysis (percentage and frequency) were calculated for quantitative data. Results In the first phase, the content analysis of qualitative data identified a Master Facilities List (MFL) of rehabilitation services and service providers in Iran. Results of the second phase showed that the rate of inpatient, outpatient, community-based and long-term care centers per 1,000,000 populations in Iran were 1.68, 89.24, 66.21 and 3.6, respectively. Also, that the rate of rehabilitation professionals including physical medicine and rehabilitation specialists, physiotherapists, occupational therapists, speech therapists, and audiologists were 3.90, 64.65, 22.09, 22.83 and 24.18 per 1,000,000 populations, respectively. Conclusion There is a need to increase the availability of rehabilitation services and to promote rehabilitation referrals by using an interdisciplinary team approach.
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Affiliation(s)
- Marzieh Shirazikhah
- MD, MPH, Ph.D., Candidate of Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Arash Mirabzadeh
- MD of Psychiatry, Professor, Social Determinants of Health Research Center, Psychiatry Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Homeira Sajadi
- MD of Community Medicine, Associate Professor of Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mohammad Taghi Joghataei
- Ph.D. of Neuroscience, Professor, Department of Anatomy and Neuroscience, Cellular and Molecular Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Akbar Biglarian
- Ph.D. of Biostatistics, Associate Professor, Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Tahmineh Mousavi
- Ph.D. of Occupational Therapy, Assistant Professor, Department of Occupational Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
| | - Farahnaz Mohammadi Shahboulaghi
- Ph.D. of Nursing, Associate Professor, Social Determinants of Health Research Center, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Fotokian Z, Mohammadi Shahboulaghi F, Fallahi-Khoshknab M, Pourhabib A. The empowerment of elderly patients with chronic obstructive pulmonary disease: Managing life with the disease. PLoS One 2017; 12:e0174028. [PMID: 28369069 PMCID: PMC5378379 DOI: 10.1371/journal.pone.0174028] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2016] [Accepted: 03/02/2017] [Indexed: 02/03/2023] Open
Abstract
Chronic obstructive pulmonary disease (COPD) is a serious health problem that has significant effects on the life status of elderly persons. Use of the empowerment approach is necessary for health promotion in older people with COPD, but little attention has so far been paid to all the dimensions of empowerment in the management of COPD, which would provide useful knowledge regarding elders with COPD. This article reports on a study exploring people's experiences of the empowerment of older people with COPD. This study adopted an exploratory qualitative design and was carried out using grounded theory methodology. Grounded theory was considered appropriate for this study because of its focus on how people respond to and act on the problems that they encounter. We collected data by conducting in-depth semi-structured interviews and taking field notes. Twenty-four participants were selected through purposive sampling. The results showed that in encountering the complexity of disease and in response to difficulties induced by COPD, three strategies were applied. Elderly persons with COPD, their family caregivers, and professional team members engaged in "managing life with COPD," "striving to keep abreast of life," "preparing for battle with disease," and "helping to stabilize the elder's life." The outcome of these strategies was "co-existence with disease." The potential of "managing life with COPD" was influenced by the following factors: "co-existence with ageing," "personal potential," "a challenged health system," and "weak social support." "Managing life with COPD" enables the elder to feel in control and live optimally. This is a fragile balance, however, and the unpredictability of COPD can tip the elder into "self-efficacy." Understanding the experiences of the empowerment process of older people with COPD can help health professionals provide more focused elderly care.
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Affiliation(s)
- Zahra Fotokian
- Department of Nursing, Ramsar Nursing Care Research Center, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Mazandaran, Iran
| | - Farahnaz Mohammadi Shahboulaghi
- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran
| | - Masoud Fallahi-Khoshknab
- Department of Nursing, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran
| | - Ali Pourhabib
- Department of Nursing, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Mazandaran, Iran
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Zibad HA, Foroughan M, Shahboulaghi FM, Rafiey H, Rassouli M. Perception of spiritual health: A qualitative content analysis in Iranian older adults. Educational Gerontology 2017; 43:21-32. [DOI: 10.1080/03601277.2016.1231521] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/28/2023]
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Abstract
Nursing errors are complex and take place frequently in the care of patients. However, despite their significance, they have not been properly defined or addressed in the literature. This integrative review of the literature explored the concept of nursing error, explained its definitions and described its attributes and measurements. The databases of Medline, CINAHL, Google Scholar and SID were searched using a number of keywords, including malpractice, adverse events and mistake, with and without the word nurse. The aim was to determine the definition of nursing error, regardless of the contextual aspects, in various scientific systems. After reviewing the relevant literature, content analysis (in MAXQDA) was applied to classify the definitions, attributes and measurements obtained on the basis of their similarities and differences. Ultimately, a definition was established for the concept of nursing error.
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Affiliation(s)
- Mohaddeseh Mohsenpour
- Assistant Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, IRAN,.
| | - Mohammadali Hosseini
- Associate Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, IRAN,.
| | - Abbas Abbaszadeh
- Professor, Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IRAN,.
| | - Farahnaz Mohammadi Shahboulaghi
- Associate Professor, Nursing Department, Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, IRAN,.
| | - Hamidreza Khankeh
- Professor, Research Center for Emergency and Disaster Health, University of Social Welfare and Rehabilitation Sciences, Tehran, IRAN,.
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Ajam Zibad H, Mohammadi Shahboulaghi F, Foroughan M, Rafiey H, Rassouli M. What is the meaning of spiritual health among older adults? A concept analysis. Educational Gerontology 2016; 42:795-808. [DOI: 10.1080/03601277.2016.1205349] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/28/2023]
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Nourian M, Mohammadi Shahboulaghi F, Nourozi Tabrizi K, Rassouli M, Biglarrian A. Resilience and Its Contributing Factors in Adolescents in Long-Term Residential Care Facilities Affiliated to Tehran Welfare Organization. Int J Community Based Nurs Midwifery 2016; 4:386-396. [PMID: 27713901 PMCID: PMC5045982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND Resilience is a quality that affects an individual's ability to cope with tension. The present study was conducted to determine resilience and its contributing factors in high-risk adolescents living in residential care facilities affiliated to Tehran Welfare Organization in order to help develop effective preventive measures for them. METHODS The present descriptive study was conducted on 223 adolescents living in 15 different governmental residential care centers in 2014. Participants were selected through convenience sampling. The data required were collected via the Wagnild and Young Resilience Scale with content validity (S-CVI=0.92) and a reliability of α=0.77 and r=0.83 (P<0.001). The data obtained were analyzed in SPSS-20 using descriptive and inferential statistics including Chi-square test, independent t-test and ANOVA. RESULTS The adolescents' mean score of resilience was 84.41±11.01. The level of resilience was moderate in 46.2% of the participants and was significantly higher in the female than in the male adolescents (P=0.006); moreover, the score obtained was lower in primary school children as compared to middle school and high school students (P<0.001). CONCLUSION Directors of care facilities and residential care personnel should adopt preventive resilience-based strategies in order to optimize resilience among adolescents, particularly the male. It is important to provide a basis to prevent adolescents' academic failure and place a stronger value on education than the past.
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Affiliation(s)
- Manijeh Nourian
- Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran;
| | - Farahnaz Mohammadi Shahboulaghi
- Social Determinants of Health Research Center, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran;
| | - Kian Nourozi Tabrizi
- Social Determinants of Health Research Center, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran;
| | - Maryam Rassouli
- Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Akbar Biglarrian
- Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Mohsenpour M, Hosseini M, Abbaszadeh A, Shahboulaghi FM, Khankeh H. Iranian nurses’ experience of “being a wrongdoer”: A phenomenological study. Nurs Ethics 2016; 25:653-664. [DOI: 10.1177/0969733016660880] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: Patient safety, which is a patient’s right, can be threatened by nursing errors. Furthermore, nurses’ feeling of “being a wrongdoer” in response to nursing errors can influence the quality of care they deliver. Research objectives: To explore the meaning of Iranian nurses’ experience of “being a wrongdoer.” Research design: A phenomenological approach was used to explore nurses’ lived experiences. Nurses were recruited purposively to take part in semistructured interviews, and the data collected from these interviews were analyzed using Van Manen’s thematic analysis. Participants and research context: Eight nurses working in three private or governmental hospitals in Tehran, Iran. Ethical consideration: The research design was approved in each participating hospital, and all interviews were carried out at a predetermined time in a private place. Findings: Five themes were extracted from the data: “wandering in unpleasant feelings” (with two subthemes: “unpleasant physical feelings” and “unpleasant emotions”), “wandering in the conscience court” (with three subthemes: “being the accused,” “being the victim,” and “being the judge”), “being arrested in time,” “time for change” (with three subthemes: “promoting accountability,” “promoting learning,” and “strengthening supportive relationships”), and “spiritual exercise.” Discussion: Some of our results are supported by the model of self-reconciliation and the recovery trajectory of “second victims” theory. Conclusion: The meaning of “being a wrongdoer” has positive and negative aspects. Feelings of wandering provide nurses the opportunity to reflect on and re-embrace the professional and moral responsibility of nursing. Nursing managers can convert their “defeats” into a prelude to learning, increase their accountability, and improve the quality of nursing care.
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Affiliation(s)
| | - MohammadAli Hosseini
- Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Abbas Abbaszadeh
- School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Farahnaz Mohammadi Shahboulaghi
- Social Determinants of Health Research Center, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - HamidReza Khankeh
- Research Center in Emergency and Disaster Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Zanjari N, Sharifian Sani M, Hosseini Chavoshi M, Rafiey H, Mohammadi Shahboulaghi F. Perceptions of Successful Ageing Among Iranian Elders: Insights From a Qualitative Study. Int J Aging Hum Dev 2016; 83:381-401. [PMID: 27380778 DOI: 10.1177/0091415016657559] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The aim of this article is to explore the perceptions of successful ageing among Iranian elderly. The data were collected in Tehran city on 60 older adults using a semistructured interview. The collected data were analyzed using directed content analysis. The findings revealed various dimensions of successful ageing among Iranian older adults. Social well-being is the most prevalent dimension of successful ageing, followed by psychological well-being, physical health, spirituality and transcendence, financial security, and an elder-friendly environmental and social context. Also, the findings from this study provide a new understanding of successful ageing in the context of Iran and contribute additional elements. This qualitative study highlights the importance of multidimensional and contextual viewpoints to successful ageing. In conclusion, to achieve multidimensional successful ageing, the interaction between all levels of successful ageing such as individual, family, and environment must be considered.
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Affiliation(s)
- Nasibeh Zanjari
- Department of Social Welfare, School of Education Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Maryam Sharifian Sani
- Department of Social Welfare, School of Education Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Meimanat Hosseini Chavoshi
- Crawford School of Public Policy, College of Asia and the Pacific, Australian National University, Australia
| | - Hassan Rafiey
- Department of Social Welfare, School of Education Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Karahroudy FA, Shahboulaghi FM, Hosseini MA, Rassouli M, Biglarian A. Translation and psychometric properties of the Persian version of self-management of type 1 diabetes for adolescents. J Pediatr Endocrinol Metab 2016; 29:761-7. [PMID: 27124671 DOI: 10.1515/jpem-2015-0403] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2015] [Accepted: 01/29/2016] [Indexed: 11/15/2022]
Abstract
BACKGROUND The present study was conducted to translate and assess the validation of the measure of self-management of type 1 diabetes for adolescents that developed by Schilling et al [Schilling LS, Knafl KA, Grey M. Changing patterns of self-management in youth with type I diabetes. J Pediatr Nurs 2006;21:412-24]. METHODS The first stage of the study involved the translation of the measure of self-management of type 1 diabetes for adolescents into Persian based on the model proposed by Wild et al. in two versions [Wild D, Grove A, Martin M, Eremenco S, McElroy S, et al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health 2005;8:94-104; Wild D, Eremenco S, Mear I, Martin M, Houchin C, et al. Multinational trials - recommendations on the translations required, approaches to using the same language in different countries, and the approaches to support pooling the data: the ISPOR patient-reported outcomes translation and linguistic validation good research practices task force report. Value Health 2009;12:430-40]. The translated versions were reviewed in consultation sessions with experts and the more appropriate items were selected and the final version was translated back into English in two versions and was then sent to the measure's designer for confirmation. The content validity of the measure was then evaluated by a group of experts and found to be acceptable. The next stage evaluated the measure's construct validity. This measure contains 52 items classified under five subscales. The confirmatory factor analysis was performed to assess the measure's construct validity and was found to be acceptable. For evaluating the reliability of the measure, its internal consistency was assessed through calculating its Cronbach's alpha and intra-class correlation. The measure's consistency was measured through calculating its test-retest reliability. RESULTS The assessment of the measure's content validity revealed a content validity index of 0.98. For the construct validity of the measure using the confirmatory factor analysis, the following figures were obtained: NFI=0.97, RMSA=0.001, AGFI=0.81, IFI=0.833, GFI=0.83. In the assessment of the measure's reliability, the intra-class correlation showed an overall Cronbach's alpha of 0.88. The test-retest showed a consistency of 0.73 for the measure. CONCLUSIONS The validation of the 48-item measure revealed that it can be used in the population of Iranian adolescents with type 1 diabetes (8 items changed their subscales and 4 items were removed).
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Ghasemi S, Mohammadi NK, Shahboulaghi FM, Ramezankhani A. Older Adults’ Perception of Their Needs in Tehran: A Cry for Emotional and Social Support. Glob J Health Sci 2016. [DOI: 10.5539/gjhs.v9n2p134] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
<p><strong>INTRODUCTION: </strong>Background and purpose: Human’s longevity has increased with advances in health and better management of communicable diseases. Therefore, the number of older adult is increasing in developed and developing countries. A glimpse at studies reveals that identifying elderly’s health needs has been mainly based on the experts’ understanding, while older adult themselves have rarely expressed their own opinions. This study aimed to better understand Tehran, Iran elderly’s perception of their own health needs.</p><p><strong>METHODS: </strong>In this qualitative study, with purposeful sampling, data was collected by conducting deep semi-structured interviews with elderlies aged 60-84 years, residing at their private houses. After 19 interviews, the data achieved saturation. The content of the interviews was analyzed through content-analysis approach.<strong></strong></p><p><strong>RESULTS: </strong>Data analyses led to extracting main categories of needs in different domains. The main health needs in physical health domain included: having a healthy lifestyle, independence and safety. Regarding elders’ mental health, coping with their aging, inner tranquility; regarding their spiritual health, the need to have a meaning in life and faithfulness in religion were identified as main groups of needs. And the most important among their main social health needs were the needs for emotional and social support, social involvement and instrumental social support. <strong></strong></p><p><strong>CONCLUSION: </strong>Although, a wide range of physical, mental and social needs were raised, some were more important. Fulfilling the emotional needs in social health had the highest frequency among the needs expressed by the contributors. Following that with a notable difference were the frequencies of having a healthy lifestyle, independence and inner tranquility. This means that attempts to address elderly health needs should avoid focusing mainly or even only on disease related needs and serious attention should be paid to their emotional and social needs.</p>
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Sadegh Moghadam L, Foroughan M, Mohammadi Shahboulaghi F, Ahmadi F, Sajjadi M, Farhadi A. Validity and reliability of the Persian version of the Brief Aging Perceptions Questionnaire in Iranian older adults. Clin Interv Aging 2016; 11:507-11. [PMID: 27194907 PMCID: PMC4859524 DOI: 10.2147/cia.s101620] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Perceptions of aging refer to individuals' understanding of aging within their sociocultural context. Proper measurement of this concept in various societies requires accurate tools. OBJECTIVE The present study was conducted with the aim to translate and validate the Brief Aging Perceptions Questionnaire (B-APQ) and assess its psychometric features in Iranian older adults. METHOD In this study, the Persian version of B-APQ was validated for 400 older adults. This questionnaire was translated into Persian according to the Wild et al's model. The Persian version was validated using content, face, and construct (using confirmatory factor analysis) validities, and then its internal consistency and test-retest reliability were measured. Data were analyzed using the statistical software programs SPSS 18 and EQS-6.1. RESULTS The confirmatory factor analysis confirmed construct validity and five subscales of B-APQ. Test-retest reliability with 3-week interval produced r=0.94. Cronbach's alpha was found to be 0.75 for the whole questionnaire, and from 0.53 to 0.77 for the five factors. CONCLUSION The Persian version of B-APQ showed favorable validity and reliability, and thus it can be used for measuring different dimensions of perceptions of aging in Iranian older adults.
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Affiliation(s)
- Leila Sadegh Moghadam
- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Nursing Department, Gonabad University of Medical Sciences, Gonabad, Iran
| | - Mahshid Foroughan
- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Department of Ageing, University of Social Welfare and Rehabilitation, Tehran, Iran
| | - Farahnaz Mohammadi Shahboulaghi
- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Fazlollah Ahmadi
- Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Moosa Sajjadi
- Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran
| | - Akram Farhadi
- Department of Ageing, University of Social Welfare and Rehabilitation, Tehran, Iran
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Derakhshanrad SA, Piven E, Hosseini SA, Shahboulaghi FM, Nazeran H, Rassafiani M. Exploring the Nature of the Intention, Meaning and Perception Process of the Neuro-occupation Model to Understand Adaptation to Change. Occup Ther Int 2015; 23:29-38. [DOI: 10.1002/oti.1402] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2014] [Revised: 07/06/2015] [Accepted: 07/09/2015] [Indexed: 11/08/2022] Open
Affiliation(s)
| | - Emily Piven
- Health Matters First of Florida, Inc.; Oakland FL USA
| | - Seyed Ali Hosseini
- Department of Occupational Therapy; University of Social Welfare and Rehabilitation Sciences; Tehran Iran
- Social Determinants of Health Research Center; University of Social Welfare and Rehabilitation Sciences; Tehran Iran
| | | | - Homer Nazeran
- Department of Electrical and Computer Engineering; University of Texas; El Paso TX USA
| | - Mehdi Rassafiani
- Iranian Research Center on Aging, Nursing Department; University of Social Welfare and Rehabilitation Sciences; Tehran Iran
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Fotoukian Z, Mohammadi Shahboulaghi F, Fallahi Khoshknab M, Mohammadi E. Barriers to and factors facilitating empowerment in elderly with COPD. Med J Islam Repub Iran 2014; 28:155. [PMID: 25695013 PMCID: PMC4322331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2014] [Accepted: 10/27/2014] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Empowerment of elderly people with chronic obstructive pulmonary disease (COPD) can increase their quality of life and feeling of well-being. However, few researches focused on the obstacles and factors facilitating empowerment in elderly people with COPD; and an adequate determining of these factors need an in-depth understanding of the meaning of these factors which influences empowerment. The objective of this study was to explore the barriers to and factors facilitating empowerment in elderly people with COPD. METHODS This study was conducted with a qualitative approach using content analysis. Twenty- four participants were selected based on purposeful sampling. Data were collected through conducting in-depth semistructured interviews and making filed notes. Data analysis was performed according to the proposed steps by Granhym & Lund man (2004). RESULTS The potential to empower the elderly with COPD was influenced by mediating factors; the nature of aging, the difficult nature of COPD, fear and hopelessness, the cultural values and beliefs, poor formal support systems and poor economic status were found to be the barriers; and incentive, trust to health care providers, the educable status of the elderly and increased experience were found to be facilitating factors. CONCLUSION It seems that empowerment of the elderly with COPD was affected by many factors which mainly rooted in social factors, health care systems and personal resources.
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Affiliation(s)
- Zahra Fotoukian
- 1. Doctorate Candidate, Nursing Department, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran.
| | - Farahnaz Mohammadi Shahboulaghi
- 2. Associate Professor, Iranian Research Center on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran.
| | - Masoud Fallahi Khoshknab
- 3. Associate Professor, Nursing Department, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran.
| | - Eesa Mohammadi
- 4. Associate professor, Nursing Department, Tarbiat Modares University, Tehran, Iran.
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Fotoukian Z, Shahboulaghi FM, Khoshknab MF, Mohammadi E. Corrigendum to Concept Analysis of Empowerment in Old People with Chronic Diseases Using a Hybrid Model [Asian Nursing Research 8 (2014) 118–127]. Asian Nurs Res (Korean Soc Nurs Sci) 2014. [DOI: 10.1016/j.anr.2014.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
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Fotoukian Z, Shahboulaghi FM, Khoshknab MF, Mohammadi E. Concept analysis of empowerment in old people with chronic diseases using a hybrid model. Asian Nurs Res (Korean Soc Nurs Sci) 2014; 8:118-27. [PMID: 25030644 DOI: 10.1016/j.anr.2014.04.002] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2013] [Revised: 11/11/2013] [Accepted: 01/21/2014] [Indexed: 02/03/2023] Open
Abstract
PURPOSE The purpose of this study was to clarify the meaning and the nature of empowerment concept in some Iranian old people suffering from chronic diseases. METHODS Concept analysis was undertaken according to the hybrid model, which consists of three phases: an initial theoretical phase, a fieldwork phase and a final analytical phase. After an extensive review of the literature in order to describe the characteristics and definition of the concept, a fieldwork phase followed in order to empirically elucidate the empowerment concept in the Iranian old people with chronic diseases. In the third phase, attributes of empowerment were extracted from the first and second phases. Purposive sampling was done for 13 participants consisted of 7 old people with chronic diseases, 3 family caregivers of elderly adult with chronic disease and 3 health care providers with experience of care with elderly patients with chronic disease. RESULTS The review of literature in theoretical phase determined the attributes of the concept, including "active participation", "informed change", "knowledge to problem solve", "self-care responsibility", "presence of client competency", and "control of health or life". Fieldwork phase determined attributes such as "awareness promotion", "sense of control", "the development of personal abilities", "autonomy", and "coping". In the final analytical phase, the critical attributes of old people with chronic diseases were investigated. They included "social participation", "informed change", "awareness promotion to problem solve", "presence of client competency", and "control of health or life", "autonomy", "coping" and "the development of personal abilities". CONCLUSION The concept analysis of empowerment showed some of the required conditions for the empowerment of older people with chronic diseases in nursing care, which have not been mentioned in the literature.
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Affiliation(s)
- Zahra Fotoukian
- Department of Nursing, University of Social and Welfare Sciences, Tehran, Iran
| | | | | | - Easa Mohammadi
- Department of Nursing, Tarbiat Modares University, Tehran, Iran
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