Journal of School of Public Health and Institute of Public Health Research
مجله دانشکده بهداشت و انستیتو تحقیقات بهداشتی
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تأثیر مداخله آموزشی مبتنی بر نظریه خودکارآمدی بر سبک زندگی سالم
میانجیان سلامت شاغل در خانههای مشارکتِ مردم تحت پوشش دانشگاه علوم پزشکی تهران، 1403-1402
The Effect of Educational Intervention Based on the Self-Efficacy Theory on the Healthy Lifestyle of Health Brokers of People's Home for Participation in Health, Tehran University of Medical Sciences, 2024
بهداشت عمومی
Public Health
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span b="" lang="AR-SA" lotus="" style="font-family:">زمینه و هدف:</span></b><span b="" lang="AR-SA" lotus="" style="font-family:"> میانجیان سلامت وظیفه انتقال پیامهای مرتبط با سبک زندگی سالم را به جامعه هدفی بر عهده دارند که از طرف آنها در خانههای مشارکت مردم انتخاب شدهاند. اجرای مداخلات آموزش محور، میتواند خود کارآمدی میانجیان سلامت در انجام رفتارهای ارتقاءدهنده سلامت را تقویت کند. هدف مطالعه، تعیین تأثیر مداخله آموزشی مبتنی بر نظریه خودکارآمدی بر سبک زندگی ارتقاءدهنده سلامت میانجیانِ است</span><span b="" lang="FA" lotus="" style="font-family:">.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span b="" lang="FA" lotus="" style="font-family:">روش کار: </span></b><span b="" lang="AR-SA" lotus="" style="font-family:">مطالعه بهصورت نیمهتجربی و مداخلهای با طراحی پیشآزمون-پسآزمون و گروه کنترل در سال ۱۴۰3</span><span lang="AR-SA" new="" roman="" style="font-family:" times="">–</span><span b="" lang="AR-SA" lotus="" style="font-family:">۱۴۰2 انجام شد. جامعه آماری شامل میانجیان سلامت در خانههای مشارکت مردم وابسته به دانشگاه علوم پزشکی تهران بود. با روش نمونهگیری تصادفی ساده، ۴ خانه مشارکت به عنوان گروه آزمون و مابقی به عنوان گروه کنترل انتخاب شدند. تعداد کل شرکتکنندگان ۷۴ نفر بود. برای گروه آزمون، ۴ جلسه آموزشی ۲ ساعته برگزار شد </span><span b="" lang="FA" lotus="" style="font-family:">و </span><span b="" lang="AR-SA" lotus="" style="font-family:">مرور موضوعات، انجام تکالیف و پاسخگویی به سؤالات از طریق گروه آموزشی مجازی انجام شد. </span><span b="" lang="FA" lotus="" style="font-family:">گردآوری اطلاعات با پرسشنامههای استاندار «خودکارآمدی» و «</span><span b="" lang="AR-SA" lotus="" style="font-family:">سبک زندگی ارتقاءدهنده سلامت»</span><span b="" lang="FA" lotus="" style="font-family:"> و </span><span b="" lang="AR-SA" lotus="" style="font-family:">تحلیل دادهها</span><span b="" lang="FA" lotus="" style="font-family:"> با </span><span dir="LTR" new="" roman="" style="font-family:" times="">28</span> <span dir="LTR" new="" roman="" style="font-family:" times="">SPSS</span><span b="" lotus="" style="font-family:"> و آزمونهای کایدو، تی، پیرسون و </span><span b="" lang="AR-SA" lotus="" style="font-family:">کولموگروف-اسمیرنوف صورت گرفت.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span b="" lang="FA" lotus="" style="font-family:">ﻧﺘﺎیﺞ</span></b><span b="" lang="AR-SA" lotus="" style="font-family:">: پس از مداخله، نمره سبک زندگی ارتقاءدهنده سلامت (از 00/21</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" lotus="" style="font-family:">40/30 به 71/24</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" lotus="" style="font-family:">31/168) و خودکارآمدی سلامت (از 21/10</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" lotus="" style="font-family:">57/68 به 84/11</span><span cambria="" lang="AR-SA" style="font-family:">±</span><span b="" lang="AR-SA" lotus="" style="font-family:">57/84) در گروه آزمون بهطور معنیداری افزایش یافت ( </span><span b="" lang="FA" lotus="" style="font-family:">001/0</span> <span dir="LTR" new="" roman="" style="font-family:" times="">(p<</span> <span b="" lang="AR-SA" lotus="" style="font-family:">.</span> <span b="" lang="AR-SA" lotus="" style="font-family:">بالاترین همبستگی معنیدار بین نمره کل سبک زندگی و خودکارآمدی مشاهده شد (</span><span b="" lang="FA" lotus="" style="font-family:">741/0</span> <span dir="LTR" new="" roman="" style="font-family:" times="">(r=</span><span lang="FA" new="" roman="" style="font-family:" times="">.</span> <span dir="LTR" style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span b="" lang="AR-SA" lotus="" style="font-family:">ﻧﺘﯿﺠﻪﮔﯿﺮی:</span></b><span b="" lang="AR-SA" lotus="" style="font-family:"> یافتهها نشان میدهد که آموزش مبتنی بر نظریه خودکارآمدی میتواند موجب ارتقای رفتارهای مرتبط با سبک زندگی سالم در میانجیان سلامت شود و بهعنوان راهبردی مؤثر در آموزشهای سلامتمحور مورد استفاده قرار گیرد.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Background and Aim:</span></b> <span lang="EN" new="" roman="" style="font-family:" times="">Health </span><span new="" roman="" style="font-family:" times="">brokers</span><span lang="EN" new="" roman="" style="font-family:" times=""> are responsible for conveying messages related to a healthy lifestyle to the target community, who are selected by them in the </span><span lang="EN" new="" roman="" style="font-family:" times="">public participation houses</span><span lang="EN" new="" roman="" style="font-family:" times="">, otherwise called People's Home for Participation in Health (PHPH). Implementing focused educational interventions can strengthen the self-efficacy of health </span><span new="" roman="" style="font-family:" times="">brokers</span><span lang="EN" new="" roman="" style="font-family:" times=""> in performing health-promoting behaviors. The aim of the study was to determine </span><span lang="EN" new="" roman="" style="font-family:" times="">the effect of educational intervention based on self-efficacy theory on the healthy lifestyle of health </span><span new="" roman="" style="font-family:" times="">brokers.</span> <span style="font-family:"Times New Roman",serif"></span></span></span></span></span>
<pre style="text-align:justify; text-indent:0in">
<span style="font-size:10pt"><span style="background:#f8f9fa"><span style="unicode-bidi:embed"><span style="font-family:Consolas"><span style="color:black"><b><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times="">Materials and Methods: </span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">This was a quasi-experimental and interventional study with a pretest-posttest design and a control group in 2024. The statistical population included health </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">brokers</span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> in </span></span><span lang="EN" new="" roman="" style="font-family:" times="">PHPHs</span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> affiliated with Tehran University of Medical Sciences</span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#0070c0">.</span></span></span> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Using the simple random sampling method 4 participating households were selected as the experimental group, the rest acting as the control group; the total number of participants was 74.</span></span> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Four 2-hour training sessions were held for the experimental group, and reviewing of the topics and assignment</span></span><span new="" roman="" style="font-family:" times="">s</span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> and answering questions were done through a virtual training group. Data were collected using standard "self-efficacy" and "health-promoting lifestyle" questionnaires and analyzed using SPSS 28, the statistical tests being Chi-square, T-test, Pearson, and </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Kolmogorov–Smirnov</span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> tests.</span></span></span></span></span></span></span></pre>
<pre style="text-align:justify; text-indent:0in">
<span style="font-size:10pt"><span style="background:#f8f9fa"><span style="unicode-bidi:embed"><span style="font-family:Consolas"><span style="color:black"><b><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><b> </b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">After the intervention, the health-promoting lifestyle score increased from 30.40±21.00 to 168.31±24.71 and the health self-efficacy from 68.57±10.21 to 84.57±11.84 in the experimental group (P<0.001). The highest significant correlation was observed between lifestyle dimensions and self-efficacy (r=0.741)</span></span></span></span></span></span></span></pre>
<span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Conclusion: </span></b><span new="" roman="" style="font-family:" times="">The findings of this study show that<b> </b>training based on self-efficacy theory can improve healthy lifestyle behaviors in brokers</span> <span new="" roman="" style="font-family:" times="">and can be used as an effective strategy in health education.</span></span></span></span><br>
میانجیان سلامت, خانه مشارکت مردم در سلامت, نظریه خودکارآمدی, سبک زندگی ارتقاءدهنده سلامت
Health Brokers, Peoples Home for Participation in Health, Self-Efficacy Theory, Health-Promoting Lifestyle
373
388
http://sjsph.tums.ac.ir/browse.php?a_code=A-10-1-264&slc_lang=other&sid=1
Marzieh
khounani
مرضیه
خونانی