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Showing 6 results for Self-Management
Utilizing the PRECEDE Model to predict quality of life related factors in patients with Ulcer Peptic Disease in Sanandaj, Kurdistan, Iran
A Falahi , H Nadrian , S Mohammadi , Mh Baghiyani Moghadam ,
Volume 3, Issue 2 (9-2009)
Abstract

Background and Aim: Peptic Ulcer Disease (PUD), which is a prevalent disease, can have a considerable impact on patients' quality of life (QOL). The aim of this study was to explore the factors related to QOL based on PRECEDE Model in patients with PUD in Sanandaj, Iran.

Materials and Methods: A non-probability sample of 120 outpatients with PUD, referring to Beasat Hospital, in the city of Sanandaj participated in the study. The study took place between March and June of 2009. A descriptive, cross-sectional design was employed and the data were collected using a survey questionnaire based on PRECEDE model, consisting of QOL, Health Status, predisposing, reinforcing and enabling factors and self-management behaviors constructs. The data collected by interview and analyzed by SPSS v. 11.5. The statistical analysis of the data included Pearson correlation, t- test, one-way ANOVA and linear regression.

Results: Health status (p<0.01), reinforcing (p<0.01) and enabling (p<0.05) factors and knowledge (p<0.05) as a predisposing factor were related to quality of life of peptic ulcer patients. Moreover, health status (p<0.05) and social support as a reinforcing factor (p<0.01) had significant relationships with self-management behaviors. Finally, all of PRECEDE variables accounted for 68.9% of the variation of quality of life in PUD patients.

Discussion and Conclusion: With respect to the results of this study, preparing an educational program to promote self-management behaviors and quality of life in peptic ulcer patients is proposed. It was concluded that the PRECEDE Model may be used in developing countries, like Iran, as a framework for planning intervention programs in an attempt to improve the quality of life of patients with PUD.


Design and Evaluation of Mobile Based Self-Management System for Tuberculosis
Reza Safdari, Hajar Hasan Nejadasl, Sharareh Rostam Niakan-Kalhori, Bahram Nikmanesh,
Volume 12, Issue 3 (9-2018)
Abstract
Background and Aim: In recent years, tuberculosis is a major cause of illness and mortality due to infectious diseases. In fact, one of the reasons for increasing the incidence of tuberculosis is that it is often associated with HIV infection. The present study aimed to design and establish a mobile-based self-care system for controlling tuberculosis.
Materials and Methods: The data required in this research for evaluating the information and designing the application were collected in two main steps: first, the data required in this research for information needs assessment and application design were collected by searching in library resources. A questionnaire was applied by physicians to validate and determine the significance of these elements.  Afterwards, based on information elements and the self-care, application was designed in the Android Studio environment.
Results: Information elements and functional capabilities required by the program were determined. Web-based services as a system interface, not only provided the communication between the patient and the care provider, also allowed for patient monitoring and disease control. Then evaluation of the performance and performance of the program was done by doctors and software experts. The findings showed user satisfaction with the application.
Conclusion: Monitoring of treatment electronically allows for less costly monitoring of the patient. In this study, we present a prototype of the relationship between self-care application and portal and its potential benefits, which will allow future studies to improve and add new capabilities.

Identification of Information Elements for Preeclampsia Android-Based Self-Management Application
Reza Safdari, Mozhgan Rahmanian, Shahrbanoo Pahlevany Nejad ,
Volume 12, Issue 6 (3-2019)
Abstract
Background and Aim: Preeclampsia is one of the most prominent cases of pregnancy related diseases that threatens health at global level, especially in developing countries. In Iran, with 14% of outbreak, it is the second most common cause of maternal mortality. The main goal of this study was to identify the information requirements of the Android-based preeclampsia self-Management application.
Materials & Methods: This was a descriptive study that was done in 2018 in Amir_Almomenin Hospital affiliated to Semnan University of Medical Sciences in two stages of reviewing the sources and the need for data elements. In the review phase, after studying the articles and study, the data requirements and factors which affecting the prevalence of preeclampsia were identified and a survey of qualified physicians was done by designing a researcher-made questionnaire.
Results: This research results indicate that 63.9% of the respondents assigned to the elements mentioned in the demographic findings. 75.9% of them identified health information elements as very important. Also, 77.85% of the research community considered the elements in the lifestyle sector to be of the highest importance. All participants recognized that reminder in the program was necessary. Approximately 33.33% of them reconsidered sport education to be at the lowest level, while 45.24% rated it as being of the highest importance.
Conclusion: The information requirements of this program were determined in 6 groups of health history, educational tips, lifestyle, alarms, referral, and reporting. These programs can help pregnant mothers with preeclampsia to control their disease to minimize complications by observing proper nutrition and principles of treatment.

Development of Mobile Application for Self-management in Osteoporotic fractures care
Reza Safdari, Majid Alikhani, Foziye Tahmasbi, Zohre Javanmard,
Volume 14, Issue 1 (3-2020)
Abstract
Background and Aim: The incidence of osteoporotic fractures, which leads to morbidity and mortality in the elderly, is increasing worldwide. Mobile health application could empower patients to engage in managing their own health. This has a significant impact on improving health outcomes in chronic diseases. For this reason, this study was conducted to develop a mobile-based self-management application for patients with Osteoporotic fractures.
Materials and Methods: In this descriptive-developmental study, initially, the data required in this research were collected through searching in library resources, clinical guidelines and application review. Then, a questionnaire was applied by physician to validate and determine the significance of these elements and the rational design of application was provided with the obtained elements. Finally, the application was developed in Android Studio environment and then evaluated.
Results: The main application parts include: Disease prevention information, fracture risk assessment tool and information for self-management in osteoporotic fractures care which was divided into two parts: Hip fracture and other fractures. Moreover, provides functions like exercise program adjustments, reminders and patient records. The application functions were evaluated and was able to meet the expectations.
Conclusion: This is a mobile application with validated content and can be used to help patients with osteoporotic fractures to manage their disease and to obtain self-management skills.

Conceptual Model Design and Evaluation of a Preeclampsia Self-Management Application; Android based
Shahrbanoo Pahlevanynejad, Reza Safdari, Mojgan Rahmanian, Mohammad Saleh Safari,
Volume 16, Issue 1 (3-2022)
Abstract
Background and Aim: Preeclampsia is one of the most serious cases of high-risk pregnancies that endanger women’s health worldwide, especially in developing countries. Preeclampsia is a specific pregnancy syndrome with a prevalence of about 7-14%, which is one of the three leading causes of death in pregnant women. Preeclampsia is the second most common cause of maternal mortality in Iran and accounts for 14% of maternal mortality. The present study was conducted to design, create and evaluate mobile-based preeclampsia self-care application.
Materials and Methods: This study was conducted in four stages to assess the needs of information elements, design, create and evaluate preeclampsia self-care application. In needs assessment step, 42 specialists, assistants and personnel related to the subject working in the Amir Al-Momenin (AS) Educational, Research and Treatment Center affiliated to Semnan University of Medical Sciences participated. The program was then initially evaluated by 7 physicians, and finally the suggestions provided by users in the design of the program were applied and the final version of the program was completed. The application was designed in the Android Studio environment and then its usability was evaluated using the opinions of 20 mothers and the QUIS tool.
Results: The information elements and functional capabilities required by the program were determined. In addition, the program established communication between the patient and the provider, also created the possibility of care management and control of the disease process. The performance of the program was evaluated by physicians and experts and then evaluated by pregnant mothers in terms of usability. The findings showed that users were satisfied with the application.
Conclusion: The use of mobile-based applications is a useful way to increase knowledge and promote the health of pregnant mothers and facilitate their access to medical information and acquire the necessary skills in their disease. This program helps pregnant mothers with preeclampsia to control their disease by observing proper nutrition and treatment principles to minimize the complications of their disease.

Identifying the Role Players of the Gestational Diabetes Self-Management Network on Mobile Health (Based on the Social Network Analysis)
Mohammad Mehdi Sepehri, Minoo Fathi, Nasrin Taherkhani, Roghaye Khasha,
Volume 19, Issue 1 (4-2025)
Abstract
Background and Aim: The development of self-management application for gestational Diabetes based on mobile health, can increase the quality of life of pregnant mothers and reduce the cost of health care and treatment. In order to develop such an application, it is necessary to identify the key players of this system and examine the relationships between them. Then a gestational Diabetes self-management network based on mobile health tools can be presented.
Materials and Methods: The study was conducted in four phases. In the first phase, key players and roles were identified through literature review. In the second phase, interviews with experts were conducted to assess the identified players and their roles. The third phase involved identifying the relationships between players and their roles, accomplished by designing and completing questionnaires that explored the existence or absence of connections between them. In the final phase, the most critical roles and players were determined using social network analysis, employing three centrality indices: degree centrality, betweenness centrality, and closeness centrality.
Results: A total of 22 role players and 17 roles were identified. Based on the results, the Ministry of Health, with a degree centrality index of 41.12, was found to be the most influential and powerful role player in this network. The endocrinologist, nutritionist and obstetrician, with degree centrality indices of 38.52, 36.79, and 31.60. were ranked next. This indicates that the acceptance of this network by the medical community plays a critical role. Additionally, all three centrality indices showed that the role of patient education had the highest values, followed by roles such as education for specialists and healthcare staff, supporting patients in self-care behaviors, and ensuring patient safety and privacy, which were identified as the key roles.
Conclusion: This study aimed to identify various aspects of network design and the influential roles impacting the self-management of gestational Diabetes through mobile health. The Ministry of Health and the National Prevention Committee exhibited the most connections with each other in fulfilling their shared roles. Therefore, the Ministry of Health can fully delegate some roles to the National Prevention. Additionally, recognizing key roles underscores the necessity of prioritizing education and resource allocation for these roles.

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