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Aram Halimi, Goljamal Jorjani, Leyla Sharifi Aliabadi, Mohammad Reza Taherian, Haniyeh Yeganeh, Matin Shokrgozar, Gholamreza Ebrahimi, Mohammad Hossein Panahi,
Volume 22, Issue 1 (10-2024)
Abstract

Background and Aim: This study aimed to assess and prioritize the health needs of a community served by the Imamzadeh Ghasem Health Center in Tehran city, Iran.
Materials and Methods: This study was conducted based on the North Carolina model for comprehensive community health assessment. General information and available facilities were extracted from secondary sources, while insights into specific community needs were gathered through interviews with 76 individuals representing diverse demographics. The assessment was made by secondary data analysis and direct interviews.
Finally, the prioritization of health needs of the community was based on a scoring system based on severity, extent, and ease of being solved.
Results: The findings revealed that sewage problems, construction issues and waste management were considered to be the primary health concerns in the region. Comparative analysis with the situation in other regions in Iran emphasizes the unique challenges faced by the community in the present study.
Conclusion: The prioritized health issues highlight the community's urgent needs, requiring targeted interventions. Proposed solutions include legal measures, public education and municipal interventions to address the sewage, construction and waste management problems.
 
Zeynab Zaheri, Mohammad Kazem Fakhri, Shaaban Heydari,
Volume 22, Issue 2 (9-2024)
Abstract

Background and Aim: The purpose of this study was to determine the effectiveness of cognitive behavioral therapy on cognitive flexibility and executive functioning in epilepsy patients.
Materials and Methods: This research was a semi-experimental study with a pre-test and post-test format with a control group. The statistical population was all girls aged 7 to 14 years with epilepsy in Mazandaran province, Iran. The statistical sample included 40 girls (20 in the experimental group and 20 in the control group) selected by the available sampling method and randomly assigned in the two groups. The data collection tools were Dennis et al.'s Cognitive Flexibility (2010) and Coolidge's (2002) Executive Function questionnaires. Data analysis was done using SPSS software version 26.
Results: Multivariate analysis of covariance (MANCOVA) showed that the cognitive behavioral training program had a direct effect on cognitive flexibility and executive functioning of the girls with epilepsy. The effect on cognitive flexibility (F=5.44 (35,1)) and executive functioning (F=2.73 (1,35)) was significantly different at the 0.001 level (P>0.01).
Conclusion: It is concluded that cognitive behavioral therapy has an effect on the cognitive flexibility and executive functioning of epilepsy patients, and the patients affected by cognitive behavioral therapy improve their cognitive flexibility and executive functions.
 
Parisa Berimavandi, Narjes Shokri, , Masoud Karimi, Seyed Mansour Kashfi,
Volume 22, Issue 3 (3-2024)
Abstract

ABSTRACT
Background and Aim: The corona epidemic and home quarantine have affected the participation in physical activities of the elderly however the elderly, especially the frail older adult with obesity, have to do regular exercise to maintain or improve their health.the aim of this research effectiveness of Physical Exercises on the Cognitive Performance and Instrumental Activity of Daily Living of Frail older adult.
Materials and Methods: The statistical population in this semi-experimental research was the elderly women of Shiraz.  80 women participated in the research according to the goal-based method and according to the entry criteria, and were randomly divided into two groups of 40 people, test and control.  The test group received and performed their exercise program during 8 weeks in 3 sessions (one hour) via WhatsApp.  Before the intervention and one month after the last intervention session, the two groups of participants completed demographic questionnaires, Tilburg vulnerability index, short cognitive status test and Lawton index.  To analyze the data, independent team and paired t-tests were used in SPSS version 27 software.
Results: The results showed that performing movement exercises on the Frailty (Cohen’s d =1/39) (p<0/001), Cognitive status (Cohen’s d =1/41) (p=0/04) and doing instrumental life activities independently (Cohen’s d =0/40) (p=0/007) It had a positive effect on Frail Older Women.
Conclusion: The findings of this research support the dominant effect of the exercise protocol implemented in this research on the mentioned variables; Therefore, it is recommended to use these exercises during periods such as corona quarantine at home.
 
Azar Houri, Roya Sadeghi, Azar Tol, Mahdi Yaseri, Yaser Tedadi,
Volume 23, Issue 2 (9-2025)
Abstract

Background and Aim: Adolescence is a critical period for educational investment, which can enhance individual quality of life and reduce the future burden of disease and healthcare costs. This study aimed to compare the effectiveness of direct education and peer education on health-promoting behaviors among first-grade middle school students in Shush, Khuzestan, in 2024.
Materials and Methods: This quasi-experimental study with pre-test, post-test, and three-month follow-up was conducted on 448 female first-grade middle school students in Shush using multistage cluster sampling. In the peer education group, selected students served as peer educators after receiving training and passing written and practical evaluations. Data were collected using the Walker Health-Promoting Lifestyle Profile (HPLP-II). The intervention was delivered in eight 60–90-minute sessions. Data was analyzed using descriptive and inferential statistics in SPSS software version 27, with a significance level of 0.05.
Results: Both direct and peer education significantly improved health-promoting behaviors (p< 0.05). Direct education had greater effects on overall scores and the dimensions of health responsibility, physical activity, and stress management, which persisted up to three months. Peer education had the strongest impact on interpersonal relationships and spiritual growth.
Conclusion: Both direct and peer education are effective in promoting health behaviors; however, direct education provides more durable effects on core health dimensions, while peer education primarily enhances interpersonal and motivational aspects. A combination of these methods may yield better outcomes in promoting student health.
 

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