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Bahador Haji Mohammadi, Mohammad Hassan Ehrampoush, Sepideh Khalatbari, Asiyeh Amiri, Sakineh Gerayllo, Motahareh Hosseini,
Volume 12, Issue 3 (1-2015)
Abstract

Background and Aim: Food poisoning occurs under circumstances where proper action for protecting foods from microbial contamination and chemical toxins is not taken. In the Iranian society women have an important role in preparing food in the home. The objective of this study was to assess the knowledge, attitude and practice (KAP) of women living in Yazd, Iran regarding food poisoning.

Materials and Methods: This was a cross-sectional descriptive study. Data were collected through interviewing 266 women living in Yazd, selected randomly by calling at their homes. Data analysis was performed using SPSS version 18. The minimum and maximum accessible scores for knowledge, attitude and practice were 0 and 15, 15 and 45 and 0 and 20, respectively.

Results: The mean (± SD) score of knowledge, attitude and practice was 11.13 ± 2.54, 39.98 ± 4.52 and 17.73 ± 1.96, respectively. Further analysis of the data showed that 63.2% of the women had no knowledge about safety of refrigerated cooked foods and 41.4% had an erroneous attitude about fruit and vegetable cleaning, believing that merely cleaning them would make them safe to eat. As regards practice, 68.8 % of the women prepared and ate semi-cooked eggs.

Conclusion: Yazdi women lack a sound knowledge about (a). some agents of food poisoning such as, for example, Salmonella and (2). food cooking and preserving temperatures. It is recommended to plan and execute educational programs aiming at promoting knowledge and improving practice of women in these areas.


Shayesteh Khosravi, Amir Mansour Alavi Naeini, Ahmad Reza Dorosti Motlagh, Mostafa Ghorbani, Zahra Shateri,
Volume 13, Issue 3 (12-2015)
Abstract

Background and Aim: Diabetes mellitus is one of the most common medical problems in pregnant women. Nutrition plays an important role in the prevention and control of this disease. Some studies have found a relationship between gestational diabetes mellitus (GDM) and food insecurity. The objective of this study was to investigate the association between food insecurity and GDM.

Material and Methods: : This case-control study included 274 pregnant women (137 GDM cases and 137 healthy controls) selected by convenience sampling. Data on the subjects’ food insecurity, demographic features and physical activity (MET) were collected by interviewing and their heights and weights measured. For the analysis of the data, the Chi-square test, independent sample t-test and multivariate and univariate logistic regression tests were used, the statistical software being SPSS 16.0.

Results: On the whole, 18.2% and 21.9% of the women in the case and control groups suffered from food insecurity, respectively. There were statistically significant differences between the case and control groups with regard to a previous history of pregnancy, a family history of diabetes in the first and second degree relatives, and a history of giving birth to a baby weighing over 4 kgs.

Further analysis of the data showed a family history of diabetes mellitus and a low socio-economic status to be independent risk factors for GDB.

Conclusion: No statistically significant difference was observed between food insecurity of the women and gestational diabetes mellitus in this study. Despite this finding, considering that there are associations between food insecurity and other types of diabetes mellitus, we recommend further studies on this subject to be able to either accept or reject the hypothesis on the association between food insecurity and gestational diabetes mellitus.


Foroughieh Dastouri, Afsaneh Motevallihaghi, Hossein Keshavarz, Mehdi Nateghpour, Ahmad Raeisi, Ali Khaloei, Mohammad Bagher Amirshekari,
Volume 13, Issue 3 (12-2015)
Abstract

Background and Aim: Malaria is still one of the major health problems in comparison with any other parasitic disease in Iran with considerable economic and mortality consequences. Sistan-and-Baluchestan, Hormozgan and Kerman are the most affected provinces in the country approximately 96% of the cases are reported from these three provinces. The aim of this study was to determine the frequency, distribution and rate of parasitaemia of human Plasmodium (P.) species in patients infected with malaria parasites in Kerman province.

Materials and Methods: A total of 92,798 peripheral blood smears were collected from suspected malaria patients during the period 2009-10. Thin and thick blood smears were prepared according to the World Health Organization (WHO) standard procedure. Percentage of parasitaemia was determined based on the number of parasites in the positive slides. The Chi-square test was used for data analysis.

Results: A total of 571 samples were found to contain human Plasmodium species, including 523, 44, and 4 cases of P. vivax, P. falciparum and mixed infection, respectively. The results also showed that, as compared with the previous year, the total number of P. vivax cases

decreased in 2010 by 33.96%. The highest level of parasitaemia was observed in one of the patients infected with P. falciparum, with 77240 parasites/µl of blood, and the lowest in a patient infected with P. vivax, with 48 parasites/µl of blood. There were no differences between the positive and negative cases as regards parameters such as nationality, habitat or gender (Chi-square, p<0.05).  Furthermore, based on the Mann-Whitney test, there was no significant difference between the mean counts of P. falciparum and P. vivax (p-value = 0.464).

Conclusion: Considering that Iran is in the elimination stage of malaria, patient finding and rapid, timely diagnosis of the disease are very important, particularly cases coming from Pakistan and Afghanistan, helping sustainability of the elimination program.


Milad Azami, Zahra Darvishi, Milad Borji, Kourosh Sayehmiri,
Volume 14, Issue 1 (6-2016)
Abstract

Background and Aim: Anemia in pregnant women is a common disease in developing countries, the prevalence ranging between 35% and 100%. Based on a systematic review in 2005 anemia prevalence among Iranian pregnant women was estimated to be 12.4%. The objective of the present systematic review and meta-analysis was to determine anemia prevalence among Iranian pregnant women between 2005 and 2016.

Materials and Methods: This systematic review, using standard key words, included databases Magiran, Iranmedex, IranDoc, SID, Medlib, Scopus, PubMed, ScienceDirect, Cochran, Embase, Springer, Web of Science, and  Online Library Wiley, as well as the Google Scholar search engine of for the period 2005-2016. All the reviewed papers meeting the inclusion criteria were included in the study. Data were analyzed using the random effect model based on meta-analyses, the software being Stata Ver.11.1.

Result: Twenty-five studies with a total sample of 56610 pregnant women met the inclusion criteria.  The prevalence of anemia was estimated to be 17% (95% CI: 14-20). The highest (23%) and lowest (12%) prevalence rates were observed in the center and west of the country, respectively. The prevalence was estimated to be 21% in urban areas and 8% in the rural areas.

Conclusion: The prevalence of anemia in Iranian pregnant women has increased over the last 11 years. Therefore, appropriate intervention programs must be implemented in premarital counseling and pregnancy clinics.


Amirmansour Tehranchian, Saedeh Azizi Sales, Malihe Moradi,
Volume 14, Issue 2 (9-2016)
Abstract

Background and Aim: The main purpose of this study was to investigate the interrelationships between health capital and education in Iran during the period 1980-2013.

Materials and Methods:  The econometric vector error correction model was used to obtain patterns, using the Eviews 9 software for data analysis.

Results: The data showed that the coefficient related to the effect of education index on the health index and that related to the effect of health index on the education index were both negative. In other words, improvements in education had led to improvements in health capital and vice-versa.

Conclusion: It can be concluded that improvements in education can reduce child mortality and, consequently, improve health capital. Also, improvements in health capital can lead to improvements in education index. Therefore, it is empirically proven that these two indices are interrelated in Iran. This means that investment in both sectors can accelerate simultaneously improvements in both health capital and education indices. In Article 24 in chapter three of the Fifth National Economic, Social and Cultural Development Plan achieving a human development index (HDI) close to that in countries with high HDIs and coordination with regard to growth of education, occupation and health indices have received particular emphasis. So, considering the emphasis put on the health system in the Fifth Plan, the policy recommendation is that economic policy-makers should pay special attention to allocating financial resources to the health and education sectors in Iran.


Sajad Moradi, Leyla Khorrami , Fatemeh Zare, Sima Ali-Akbar, Zhila Maghbooli, Khadijeh Mirzaei,
Volume 14, Issue 4 (3-2017)
Abstract

Background and Aim: The role of physical activity in prevention of non-communicable diseases is now well known. The purpose of the present study was to find any possible association between physical activity and bone mineral density (BMD) in the hip and lumbar spine areas in women in postmenopausal years. 

Materials and Methods: This was a cross-sectional study including 254 postmenopausal women aged 46 to 78 years. Body composition and BMD were determined using the bioelectrical impedance analysis (BIA) and DEXA methods, respectively, and for physical activity measurement the International Physical Activity Questionnaire (IPAQ) was used.

Results: The distribution (%) of  the subjects according to the level of physical activity ─  inactive, moderate and active ─ was 39.7%, 47.6% and 12.5% respectively. There was a positive association between physical activity level and lumbar spine BMD (P = 0.03) in the 55-year-old or younger women. No association was found between physical activity level and the hip BMD(P>0.05).

Conclusion: Based on the findings it may be concluded  that physical activity level can be used as a predictor of bone mineral density in the lumbar spine area in women in postmenopausal years (≥55 years old). 


Mir Masoud Fatemi, Narges Hamzenejad,
Volume 14, Issue 4 (3-2017)
Abstract

Background and Aim: This study aimed to investigate the association between religiosity and depression among mothers of children hospitalized in the oncology wards of affiliated hospitals of Kerman University of Medical Sciences (KUMS), Kerman, Iran.

Materials and Methods: Data were gathered using a religiosity questionnaire  and a depression questionnaire. The sample consisted of 115 mothers of children admitted to the oncology ward, KUMS, among whom the questionnaires were distributed during a 6-month period.

Results: The findings showed that there was an inverse association between religiosity and depression. As regards demographic variables, a statistically significant association was observed only between depression and income. Further analysis of the data revealed significant associations between religiosity on the one hand and income and mothers’ occupation on the other. 

Conclusion: Based on the findings it can be concluded that with an increase in the mothers’ religiosity level the rate of depression decreases in them. We recommend researchers to conduct similar studies to investigate possible associations between religiosity and such variables as anxiety and mental disorders related to it.


Seyed Mohammad Mojtahedzadeh, Kourosh Holakouie-Naieni, Shahrzad Nematollahi, Amir Hossein Mazarei,
Volume 15, Issue 1 (6-2017)
Abstract

Background and Aim: Considering the protection of, and safeguarding, the health of industrial workforce, this study was conducted to determine the prevalence of overweight and obesity in the personnel of Abadan oil refinery in the south-west of Iran and factors related to it.

Materials and Methods: The study included 721 oil refinery staff members randomly selected based on the yearly occupational health examination records. The information recorded included anthropometric measurements and blood test results; in addition, Breslow lifestyle and Global Physical Activity (GPAQ) questionnaires were completed for each subject.

Results: The mean body mass index (BMI) was 28.2 for men and 27.5 for women. The prevalence of obesity and overweight were 29.8% and 48.7%, respectively. Further analysis of the data showed that the prevalence rates were different between men and women; while 48.6% and 30.24% of the men suffered from overweight and obesity, respectively, the corresponding proportions among women were 50% and 15%. Overweight and obesity were associated with age, fasting blood glucose level, lipid profile and hypertension (in all cases    p < 0.001).

Conclusion: The prevalence of overweight and obesity among Abadan oil refinery staff is higher as compared to the mean values in the general population in Iran or to personnel of other industries globally. Development and implementation of public educational programs with particular emphasis on high-risk individuals, such as middle-aged people and those with a low socioeconomic status, and focusing on healthy lifestyle and rotation shift workers can be effective, resulting in improvements in physical and general health of the personnel.


Beyram Bayat, Bahram Mohebbi, Azar Tol, Roya Sadeghi, Mir Saeid Yekaninejad,
Volume 15, Issue 4 (3-2018)
Abstract

Background and Aim: Quality of life is considered as an effective indicator for general, as well as mental, health. With increasing longevity of individuals, health-promoting behaviors and rising quality of life will become much more important. This study aimed to determine the quality of life predictors among health volunteers in South Tehran Health Centers.
Materials and Methods: : This cross-sectional study was conducted on 200 health volunteers of South Tehran Health Centers selected by cluster sampling. Data were collected using valid and reliable questionnaires for demographic variables, Health-promoting Behaviors (HPLPII) and Quality of life (SF-36), as well as the BAZNEF model constructs, whose validity and reliability were assessed (α: %88). Data analysis was done using the SPSS24 software, the statistical tests being descriptive statistics and multi-linear regression; a p-value <0.05 was used to show statistical significance.
Results: Regression analysis revealed that the strongest predictors for the quality of life were  age (p=0.003), enabling factors (p=0.02) and general health-promoting behaviors (p<0.001).
Conclusion: The findings of this study confirm the suitability of the BAZNEF model for predicting health-promoting behaviors for the quality of life. Using this model can help in identifying factors influencing the quality of life of health volunteers and designing an appropriate educational program for them.
 
Masoumeh Amiri Siavashani, Davoud Shojaeizadeh, Kamal Azam,
Volume 16, Issue 1 (6-2018)
Abstract

Background and Aim: Observance of the principles of infection control in dentistry is the basis of preventing the transmission of dangerous diseases such as AIDS, hepatitis and preventing the spread of diseases in the community. In view of the importance of dentistry education in the field of observance of the principles of infection control, the aim of this study was to determine the effect of educational intervention on infection control among dental students of Shahid Beheshti University of Medical Sciences.
Materials and Methods: The present study is a pre and post interventional study that the number of samples is 75 dental students referred to Endodontics Department of Shahid Beheshti University of Medical Sciences for endodontic treatment and radiotherapy of teeth during treatment in the academic year of 95-96 that were selected by available sampling method and after determining the sample size, a researcher-made questionnaire was prepared based on the Health Belief Model and verified in terms of validity and reliability, and completed in two stages before and after training with a 3 month interval. Three training sessions were conducted in this study for 15-30 minutes during the course of one month as group training and question and answer. During these meetings, students were given useful materials about infection control in dentistry, pathogenic microorganisms, transmission methods, and infection control guidelines in dentistry radiology. The data gathering tool was a questionnaire based on Health Belief Model. after data collection, spss21 software was used to analyze them. Non-parametric Kolmogorov-Smirnov tests, paired t-test and non-parametric Wilcoxon test were used for statistical analysis of the 0/05 significance level before and after the knowledge and structures of the health belief model.
Results: The results of statistical analysis showed that 62.7% of the participants were female students and 89.3% of single students, and the participants in the study were from 8,9,11 terms. The results of this study showed that the mean and standard deviation of knowledge and performance scores of students toward infection control before training were 11.48 ± 2.23 and 5.48 ± 0. 93, respectively, and after the training were increased to 14.75±0.57 and 9.36 ± 0.91. This difference was statistically significant by doing paired t-test (p  the comparison of the mean and standard deviation of the scores of other aspects of the health belief model regarding infection control among dentistry students also showed a significant increase.
Conclusion:  According to the results, it can be concluded that education based on the health belief model has been effective in controlling infection in dentistry students.
Ahmad Ali Noorbala, Hossein Malek Afzali, Nasrin Abedinia, Marzieh Akhbari, Alireza Moravveji, Fatemeh Vaseghi, Zahra Nakhi, Mamak Shariat, Maryam Mirzaeeneyestani, Fatemeh Sadat Ghoreishi,
Volume 16, Issue 3 (12-2018)
Abstract

Background and Aim: Stress during pregnancy can have a lasting effect on the mental health of women after childbirth. Statistics show that about 18% of pregnant women have major or partial depression during pregnancy, but many have not been screened or treated. Lack of treatment can have serious consequences for the mother and her child. The purpose of this study was to determine the mental health status and marital satisfaction of pregnant mothers in Kashan city, Iran in 2015.
Materials and Methods: This was an analytical cross-sectional study. Using the convenience sampling method 202 pregnant women were selected from four urban health centers in Kashan, Iran and entered the study. Data were collected using a Diagnostic Interview, the General Health-28 Questionnaire and the Golombok Rust Inventory of Marital State. Descriptive statistics was used for data analysis, the statistical tests being one-way ANOVA, chi-square test, Pearson correlation test and logistic regression.
Results: The results showed that 26.7% of the pregnant women were suffering from psychiatric disorders, the most and least serious disorders being related to physical activity and depression, respectively. About 80% of the women expressed very good marital satisfaction. Further analysis of the data showed statistically significant associations between depression and age and anxiety, insomnia and duration of marriage, marital satisfaction and delivery type, and mental health and marital satisfaction. Furthermore, marital satisfaction had a negative association with education. (p<0.05).
Conclusion: It seems that it is essential to develop and implement a therapeutic, psychiatric and health care model for women at risk of psychiatric disorders during pregnancy and after childbirth in the health service delivery system in Iran.
Niroomand Romiani, Bi Bi Sadat Miresmaili, Kamal Azam, Zahra Yousefi, Moslem Romiani,
Volume 16, Issue 3 (12-2018)
Abstract

Background and Aim: The Internet is a tool that responds to many human needs, but this technology can also have an impact on people's lives. This study aimed to examine the role of the Internet in family values.
Materials and Methods: This descriptive-analytic cross-sectional study was conducted in 2015 in Tehran, Iran. The research population consisted of all the students of Tehran University of Medical Sciences, Tehran, the sample size being 384. Data were collected using a questionnaire, as well as The Young's standard questionnaire, and analyzed by the SPSS software version 22, the statistical test being one-way analysis of variance.
Results: The findings showed statistically significant positive associations (p<0.05) between the student's dependence on the Internet on the one hand and the following variables on the other: intimacy among users, family awareness and information, and the extent to which the students were using the Internet. However, no statistically significant relationship was found between Internet use and anonymity on the Internet.
Conclusion: The constant use of the Internet and accepting it as the main reference and channel for obtaining information have caused negative effects on family life and the relationships and values within the family framework. Therefore, university students should try to make optimum, more proper use of the Internet. It is also recommended that responsible authorities adopt appropriate policies and implement cognitive-behavioral interventions aiming at changing the patterns of Internet use.
 
Mohsen Roshanpajouh, Roksana Mirkazemi, Mehrdad Ehterami, Houman Narenjiha, Hossein Malek Afzali, Hamidreza Sarrami, Majid Rezazadeh, Fatemeh Abbasi, Saeid Noroozi,
Volume 16, Issue 4 (3-2019)
Abstract

Background and Aim: Drug abuse is a long-standing social and public health problem in Iran. Access to accurate, reliable and up-to-date data related to drug use is essential for planning and policy-making for prevention of, treatment of, and harm reduction related to, drug abuse. The purpose of this study was to access accurate data regarding drug abuse prevalence and substance use in Tehran Province population.
Materials and Methods: This study was a cross-sectional household survey with a sample of 6024 individuals aged 15-64 years residing in Tehran Province. Data on demographic characteristics and drug use during the previous week, month and year and the whole lifetime were collected using a researcher-designed questionnaire.
Results: A total of 5646 individuals participated in the study. The lifelong prevalence of cigarette-smoking, hookah-smoking, alcohol consumption and drug use were 21.9%, 26.8%, 12.1% and 7.3%, respectively. The corresponding proportions during the previous week were 12.9%, 10.5%, 1.8% and 2.2%.
Conclusion: The prevalence of cigarette-smoking, hookah-smoking, alcohol consumption and drug use is high in Tehran Province. The prevalence of lifelong cigarette and hookah smoking and alcohol consumption is higher, while that of drug use is lower, than the respective national averages.
 
Samira Kazemi, Hadis Khoshnavaz, Masoumeh Ghorbanideh, Sakineh Varmazyar, Salman Sheikhi,
Volume 16, Issue 4 (3-2019)
Abstract

Background and Aim: In the household appliances industry, due to doing such work operations as manually moving pieces, there is the probability of occurring musculoskeletal disorders and muscle fatigue. Therefore, this study aimed to investigate muscle fatigue and its relationship with the prevalence of musculoskeletal disorders among personnel of a household appliances factory. Data were collected and analyzed using descriptive statistical and logistic regression tests.
Materials and Methods: This descriptive-analytical and cross-sectional study, including 150 employees of a household appliances factory, was conducted in 2016. Data about the prevalence of musculoskeletal disorders and muscle fatigue were collected using a standard Nordic and muscle fatigue assessment (MFA) questionnaire, respectively, and analyzed using the logistic regression test.
Results: The prevalence of musculoskeletal disorders in the lumbar region, knees and neck was 33.3%, 25.3%, and 21.3%, respectively. In addition, the results of MFA showed that reduction of the risk of muscle fatigue in the shoulders, wrists and arms needs corrective action as a top priority in 28.7%, 28%, and 26.7% of the employees, respectively. Statistical analysis showed no significant relationship between muscle fatigue and the frequency of musculoskeletal disorders.
Conclusion: Considering disorders in the lumbar region and risk of fatigue in the shoulder region, the risk can be reduced by proper corrective actions, such as increasing the height of pallets, using tables with adjustable heights, and layout of the parts in a normal access range.
 
Amirhossein Kalantari, Esmaeil Ayati, Hamid Rasoulipour,
Volume 16, Issue 4 (3-2019)
Abstract

Background and Aim: Distracted driving, specifically cell phone use while driving, has been found to be responsible for traffic accidents and road casualties throughout the world annually. The aim of this observational study was to determine the frequency of drivers' engagement in hazardous secondary activities on Mashhad urban roads, particularly cell phone use.
Materials and Methods: This was a 3-month cross-sectional study. Data on drivers’ secondary task management on 17 randomly selected sites and 42 arterial and collector roads were obtained from Mashhad Traffic and Transportation Organization records and analyzed using the Pearson's chi-squared test.
Results: The rate of cell phone use was 5.27%, the most widely observed related task being handheld conversation (3.15%) followed by texting (1.83%) and hands-free use (0.28%). In addition, 1.75% of the drivers were engaged in other risky tasks such as eating, drinking beverages and smoking. Distracted female drivers and drivers aged 26-35 years were significantly more likely to be engaging in cell phone use, while drivers under 26 years old were the dominant group as regards texting. Further analysis of the data showed significant differences between male and female drivers as regards as behaviors while driving.
Conclusion: Based on the findings it is concluded that there are serious problems related to drivers’ secondary activities while driving. Raising public awareness, educational interventions, law enforcement and tougher legislation will certainly minimize deaths due to car accidents, as well as financial and social damage, due to drivers’ distraction, in line with achieving a safe social environment.


Homeira Soleimannejad, Hamid Poursharifi, Jahansha Mohammadzadeh, Kourosh Sayemiri,
Volume 17, Issue 1 (6-2019)
Abstract

Background and Aim: Adolescents' attitude to suicide is one of the major problems in mental health.  Thus, research in this area is of utmost importance. The objective of this study was to determine the effectiveness of an integrated protocol in reducing the negative attitude toward problem solving as a determinant of suicidal tendency in adolescents and young people 15-24 years old in Ilam, Iran.
Materials and Methods: In this semi-experimental pretest-posttest study with a control group, a sample of 40 adolescents 15-24 years old were selected by random cluster sampling in Ilam city, Iran. All of the participants completed a suicidal attitude questionnaire, as well a negative- attitude-toward-problem solving questionnaire. Data were analyzed using the SPSS-V19 software, the statistical test being the multivariate covariance analysis (MANCOVA).
Results: Multivariate analysis of variance analysis showed that there was a significant difference in the attested scores of the two groups (P <0.01, F = 0.408, Wilk's Lambda = 0.506). The differences between the experimental and control groups were significant as regards all of the components of the negative attitude. The training based on the integrated approach to negative attitude in problem solving was found to have been effective. The post-test scores of two variables, namely, problem tendency-avoidance and personal control, decreased in the experimental group; however, one other variable, namely, trust in problem-solving, increased.
Conclusion: Based on the findings it can be concluded that education based on an eclectic (integrated) approach towards the negative attitude to problem solving can be effective in adolescents and the youth 15-24 years old with suicidal tendencies ─ suicidality. Hence, it is recommended to administer training programs such as problem-solving, emotional regulation and mindfulness to help psychologists, parents, adolescents, health professionals and social pathologists to reduce and prevent suicide in adolescents.
Nayereh Namazi, Amirmansour Alavi Naini, Firouzeh Mostafavidarani, Zahra Boroumandfar,
Volume 17, Issue 2 (9-2019)
Abstract

Background and Aim: The present study aimed to determine the stages of changes and cognitive and behavioral processes (Transtheorical model) in the use of nutrients in overweight middle-aged women.
Materials and Methods: The present study was a descriptive-analytic. The research sample consisted of 281 middle-aged women with overweight referring to comprehensive health centers in Isfahan. Personal characteristics, stage of change and behavior and cognitive behavioral processes, and FFQ questionnaire (168-item) were completed by Questioning, and then the information entered the N4 and SPSS 18 software, and information was analyzed using descriptive and analytical tests.
Results: 57.7% of the people were inactive (pre-thinking, thinking, preparation) and 42.3% of them were in active phase. There was a significant difference between the different stages of change and the use of behavior change processes (p=0.001) And Benfrown's test shows the increasing use of cognitive and behavioral processes during the stage of change in use of nutrients (p<0.001).
Conclusion: The difference in the mean of changes processes during the stage of change show the impact of these processes on the nutritional individual's behavior, which is recommended to use stage of change and behavioral change processes for education nutrition behavioral.
Mir Masoud Fatemi, Mohammad Kharrazi Afra,
Volume 17, Issue 4 (3-2020)
Abstract


Zahra Mansurnejad, Mokhtar Malekpour, Amir Ghamarani,
Volume 18, Issue 3 (11-2020)
Abstract

Background and Aim: Childhood and adolescent externalizing behavior is a serious public health issue, and the family, as an underlying factor, may play an important role in preventing or reducing behavioral problems in childhood and adolescence. The aim of this study was to investigate the effective of parental autonomy support training on school students' externalizing behavior.
Materials and Methods: Thirty school students who had got high scores in the Child Behavior Checklist (CBCL) were selected and randomly assigned to an experimental (N=15) or control (N=15) group. Mothers of the pupils in the experimental group participated in seven 90-minute sessions receiving parental autonomy intervention training; the control group did not received any training. The CBCLs were completed before and after the intervention and compared. The data were analyzed using the multivariate covariance analysis (MANCOVA).
Results: Multivariate covariance analysis showed a statistically significant difference between the scores of the experimental and control groups (p <0.01, F = 21.123, Wilk's Lambda = 0.266). However, no significant difference was found between the two groups as regards aggression, breaking the law and externalized behavior. Further analysis of the data revealed that parental autonomy support skills training favorably influenced the school students' aggression, law-breaking and externalized behavior.
Conclusion: Based on the findings it can be concluded that parental autonomy support training can be effective in decreasing externalized behavior in school students.  Hence, it is recommended to develop and implement training programs for parents and school teachers in areas of meaningful rationales, use of non-controlling language and offering meaningful choices aiming to reduce and prevent externalized behavior in school students.
Saeedeh Pakdel Varjoei, Azar Tol, Roya Sadeghi, Mir Saeed Yekaninejad, Bahram Mohebbi,
Volume 18, Issue 3 (11-2020)
Abstract

Background and Aim: Patient education is an essential component of diabetes control, and increasing the health knowledge of diabetic patients based on suitable educational theories is crucial. This study aimed to determine the effect of educational intervention using the Transtheoretical Model (TTM) on improving the nutritional habits among patients with type-2 diabetes mellitus in Maragheh city, Iran during 2017-2018.
Materials and Methods: This study was a randomized controlled trial conducted on 136 diabetic patients under coverage of Maragheh health centers, Maragheh city, Iran, randomly divided into two groups of intervention and control (68 participants in each group). The data collection tool was a three-part questionnaire with questions/items related to demographic characteristics and nutritional habits, as well as constructs of TTM and HbA1c based on the TTM. The educational program included four weekly sessions of 45-60 minutes each. The data were analyzed using the SPSS16 software, the statistical tests being descriptive and inferential tests such as ANCOVA; the significance level was set as a p-value < 0.05.
Results: Before the intervention, the comparison and control groups did not differ significantly as regards demographic variables, HbA1c, TTM constructs and nutritional habits (p<0.05). After the educational intervention, the mean scores of nutritional habits, constructs of TTM and HbA1c were statistically significant in patients with type 2 diabetes (p <0.01).
Conclusion: The study results reveal that the application of transtheorical model can improve the nutritional habits of diabetic patients.

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