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Given that physical activity can improve health, the present study was conducted to affect education based on the theory of planned behavior on the promotion of physical activity and awareness in the prevention of diabetes in students. This parallel quasi-experimental study with two equal groups of intervention and control was carried out in three stages by multistage sampling method. Students who were physically ill or had absence were excluded from the study. Only the intervention group received the required intervention and the evaluation was done before, immediately after and 3 months after the intervention in both groups. The educational program was implemented in various forms such as oral, pamphlets, brain storming, group discussions, role play for behavior modeling, and written media such as posters, and exercise demonstrations. Data collection was performed in primary schools of Mashhad. The questionnaire was contained; demographic information, diabetes awareness, physical activity based on the theory of planned behavior and physical activity (IPAQ). Data analysis was done by SPSS-16 software using Fisher's exact test, Chi-square, and marginal longitudinal models at the significance level of 0.05. The mean scores of knowledge (p < 0.001), subjective norm (p < 0.001), perceived behavior control (p = 0.015) and physical activity (p < 0.001) immediately after the intervention were higher in the intervention group compared to the control group and the differences were significant. Results of this study supported the effectiveness of education based on theory of planned behavior in the promotion of physical activity and knowledge of students regarding diabetes prevention. [ABSTRACT FROM AUTHOR]

Objectives: Identifying those with inadequate oral health literacy is difficult because little is known about its various multiple dimensions. Accordingly, the present research investigated dimensions of the concept using a qualitative approach. Method: Participants (n = 15) who met inclusion criteria (Including having expertise in the fields of general dental, social dental, and health education and health promotion and having at least 5 years of relevant working experience) were recruited by purposive sampling via the public health and dentistry faculty in Tehran between December 2018 and October 2019. Thematic analysis was used to assess the data. Results: A total of 15 specialists (ranging in age from 28 to 61, mean 44) were included in the study. Their working experience averaged 15.5 years (SD = 7.7, Min = 6, Max = 30). Independent analysis of qualitative data by three researchers led to identification of seven themes and 18 sub‐categories, including need perception (feeling the need and paying attention to meeting the need), emotional literacy (valuation of oral health, formation of personality and taking care of oral health), planning literacy (planning and goal‐orientation), communicative literacy (choice in decision‐making, interpersonal communication skill and claiming), behavioural literacy (self‐care), cognitive literacy (knowledge, information comprehension, information use, and information analysis) and media literacy (the ability to use up‐to‐date technologies, the ability to search for and acquire the information, and judgment). Conclusions: Our findings provide insights into the dimensions of oral health literacy. It is hoped that these findings can be used to guide the development of interventions on OHL and that aspects of the concept can help to enhance levels of OHL and help to promote health at societal level. [ABSTRACT FROM AUTHOR]

The present research is a descriptive analytical study which is conducted on 540 students. Multistage random sampling method was used. Data gathered by questionnaire consist of demographic factors and spirituality assessment questionnaire and self-efficacy questionnaire. Data were analyzed using statistical tests including t test, Chi-square, one-way ANOVA and correlation between variables through SPSS16 and EQS6.1 Software. Positive coefficients in regression equations showed positive relationship of spiritual capability (P < 0.001, r = 0.932) and spirituality with perceived self-efficacy (P < 0.001, r = 0.394) so that an increase in one of them will lead to increase in another one; this result is matched with research hypothesis. It is recommended to officials and managers of universities to create some mechanisms in order to improve and promote spirituality in university to promote self-efficacy of students and also to adopt a spiritual approach in curriculums of higher education. [ABSTRACT FROM AUTHOR]

The present research aims to systematically analyse Iranian university students' awareness and attitude towards AIDS. We published human cross-sectional studies published in English and Persian between 1 January 1990 and 1 January 2018 in the following databases: MEDLINE, Embase Ovid, Scopus, Web of Science. The key terms searched were Student, HIV, AIDS, Iran, Knowledge, and Attitude. The operators used were AND, NOT, OR which led us to find related articles. The overall findings showed that about 30% of university students had a reasonable awareness of AIDS and 44% had an attitude towards AIDS. As the results showed, 37% of the medical students and 23% of the non-medical group had a good awareness of AIDS. This study showed the fact that despite the susceptibility of university students to high-risk behaviours, this population does not enjoy an adequate level of AIDS preventive programmes. [ABSTRACT FROM AUTHOR]

Objective: The present research aimed to investigate the effect of an educational intervention based on the health belief model in pregnant women visiting the healthcare centers in the west of Tehran in 2016. Materials and Methods: The present experimental research was conducted on 135 pregnant women visiting the healthcare centers in the west of Tehran. The subjects were selected through a randomized multistratified sampling and were divided into an experimental and a control group. The collected data were then statistically analyzed in SPSS ver.16. To do so, descriptive statistics and inferential statistics were used including the independent‐samples t‐test, repeated‐measures one‐way ANOVA and paired‐sample t‐test. Results: The present findings revealed a statistically significant difference between the experimental and control groups in terms of immediate post‐test results including perceived sensitivity, severity, benefits, barriers, and self‐efficacy along with awareness and performance constructs (p ˂ 0.001). Moreover, two months after the intervention, except for the perceived sensitivity construct (p = 0.088), the two groups diverged significantly in terms of the other constructs (p ˂ 0.001). Conclusions: The educational intervention driven by the health belief theory showed to be effective on pregnant women and can help to promote preventive behaviors of tooth decay. [ABSTRACT FROM AUTHOR]

Background: The present research aimed to explore the association of self-efficacy and general health among nurses. Methods: This was a descriptive-analytical. A total of 470 nurses were selected through the stratified sampling method. To collect the required data, GSE-10 and GHQ-28 were used. Independent-sample T-test, Pearson correlation coefficient, Chi-squared test, and regression were also used to analyze the obtained data. Results: The results reveal a statistically significant correlation between general health and self-efficacy (t=-6.72, p <.001). Among general health parameters, social functioning has significantly predicted self-efficacy. Conclusions: As shown in the present findings, an acceptable level of self-efficacy can positively affect all aspects of nurses' general health. [ABSTRACT FROM AUTHOR]

Background: The present research is a qualitative one aiming to determine factors affecting hand-hygiene behavior of the nursing staff in Shariati Hospital of Tehran, Iran. Methods: This was a qualitative study performed using content analysis approach. Considering the aim of the study, 16 in-depth semi-structured interviews were held with the nursing staff of Shariati Hospital of Tehran University of Medical Sciences. A convenient sampling was performed and continued until data saturation and until no new codes and categories were obtained. Data were analyzed through a qualitative content analysis based on the Graham and landsman method. Directed qualitative content analysis was done in order to analyze the data. Results: The results of this study revealed 3 main themes in the Theory of Planned Behavior (TPB) (attitude, subjective norms and perceived behavioral control) and 8 main themes in the outside the framework (environment, perceptions, life style, morality, education, organizational culture, salience and personality). Conclusion: Due to the other factors also found in this study, an integration of theories and models for designing of interventions is recommended to increase adherence to hand hygiene behavior. [ABSTRACT FROM AUTHOR]

This paper attempts to assess the knowledge and attitude on HIV/AIDS among school students of Iran. The following data sources were searched for eligible studies: Medline, Science Direct, CINAHL, Scopus, Web of Science, SID, ISC, Magiran, and Google Scholar from 1990 to the end of 2016. The quality of the studies was evaluated using the 22-item STROBE checklist. The highest level of awareness belonged to sharing clothes (93.15) and blood transfusion, respectively (86.31), while the lowest level of awareness was related to transmitting HIV from mother to child (42.05). The study identified a substantial gap in the knowledge, negative attitude towards HIV/AIDS and its transmission among Iranian school students. Accordingly, schools should be regarded as one of the main focuses of activities in the strategies of AIDS risk reduction, and education of school students about all aspects of HIV/AIDS has to be considered seriously by the education policymakers. [ABSTRACT FROM AUTHOR]

The present cross-sectional research was conducted on 245 adolescents selected through a multi-stratified sampling method. The data collection instrument was the risky behavior scale (YRBSS). The collected data were statistically analyzed via SPSS ver19. Such indices as mean, standard deviation, min and max scores were used as descriptive statistics. The present findings showed that 17 subjects (6.9%) had carried cold weapons with them at least once before; 22 subjects (15.17%) had experienced drug consumption (opium and hash) at least; 52 subjects (21.3%) consumed alcohol; 45 (out of 108) (41.66%) had sexual affairs with the opposite sex and 108 (44.1%) experienced smoking. Certain measures can be taken to prevent and reduce the rate of risky behaviors: closer and stronger family ties between parents and teenagers, emphasis on positive examples set by peers, establishment of moral values, provision of sport facilities and public welfare, special attention to the key role of schools. [ABSTRACT FROM AUTHOR]

Objective: Investigate the health literacy of pregnant women in the south of Iran. Materials and methods: The present descriptive-analytical study was conducted on 775 pregnant women in the south of Iran (including Boushehr, Ahvaz, Zahedan and Bandar Abbas cities) through the clustering sample selection method. The data were collected through the Test of Functional Health Literacy in Adults: TOFHLA, and were analyzed statistically via SPSS 16 through independent-sample t-test and ANOVA. Results: The average age of the subjects was 31.89 ± 7.54 years. The results indicated that 15.5% of the subjects had an inadequate level of health literacy; 41.7% had a border-line level of health literacy, and 42.8% had an adequate level of literacy. Significant correlations were found between each of these variables and the subjects' level of health literacy: education, age, occupation and care provision during pregnancy (p ˂ 0.05). The highest mean score of health literacy belonged to Ahvaz while the lowest belonged to Boushehr. Conclusion: According to the results, the health literacy level of pregnant women in the target geographical areas showed to be inadequate or on a border-line. Moreover, subjects' education, age and occupation showed to be significantly correlated with health literacy. Therefore, promoting pregnant women's health literacy through simplifying health-related information, use of audio-visual media, improving communicative skills among the health staff and mothers can be effective. [ABSTRACT FROM AUTHOR]

Objective: To anticipate the type of childbirth according to the health belief model. Materials and methods: The present cross-sectional research was conducted on 222 primiparous women visiting the healthcare center in Khorram Abad. A combination of simple randomization and clustering was used to do the sampling. The data collection instrument was a validated four-part questionnaire the first part of which contained demographic information. The second part was comprised of awareness questions while the third dealt with the constructs of the health belief model. The final part consisted of the behavioral intention derived from the logical action theory. SPSS 16 was used to statistically analyze the data and the significance level was set at p = 0.05. Results: The average age of the participants was 27.40 ± 6.07 years. Intention to go for a vaginal birth showed to be significantly correlated with awareness, perceived sensitivity, intensity, barriers and benefits (p = 0.001) as well as self-efficacy (p = 0.025). The best predictor of the type of childbirth turned out to be the perceived barriers (OR = 1.153, p = 0.001) and only then awareness (OR = 1.108, p = 0.001). Conclusion: Strategies to remove the barriers of preferring vaginal childbirth, raising women's awareness of the side effects of C-section and the benefits of vaginal birth, strategies to enhance women's beliefs in their capability of natural childbirth can be used to reduce the prevalence of unnecessary C-sections. [ABSTRACT FROM AUTHOR]

Background: Food safety manual was developed by the World Health Organization (WHO) to train professionals to reduce the burden of foodborne diseases as a global strategy. The present pioneering research aimed to explore the effectiveness of an intervention based on the manual of five keys to safer food by WHO in enhancing the knowledge, attitude and behavior of Iranian Female Community Health Volunteers (FCHVs).Methods: In the present quasi-experimental research, FCHVs (n = 125) were selected and assigned to two groups, an intervention and a control. A modified version of the questionnaire based on WHO manual was used to measure knowledge, attitude and behavior of the sample. The questionnaire was first completed at the outset of the study (pre-test) and then once again in 2 months of the intervention (post-test). Face and content validity of the questionnaire was tested and confirmed. Cronbach's alpha was used to test the reliability of the questionnaire along with the test-retest method of testing reliability. The data entered SPSS16 for statistical analysis. To this aim, Chi-squared test, dependent and independent samples T-test, ANOVA and ANCOVA were run. Partial population attributable risks were calculated and corresponding 95% confidence intervals (95% CIs) were estimated using a bootstrap method.Results: The two groups showed no statistically significant difference in the pretest (p > .05). In the post-test, the mean scores for all variables was higher in the intervention group than the control, and this difference between the two research groups was statistically significant (p < .001). When the volunteers were adjusted for age and experience in healthcare centers, the mean scores were significantly higher in the intervention group than the control (p < .001).Conclusion: It was revealed in the present study that the educational intervention based on five keys to food safety manual by WHO managed to improve participants' knowledge, attitude and behavior. Translation of the target guideline in future can be a great help to researchers in prospective research.Trial Registration: Retrospectively registered: Iranian Registry of Clinical Trials IRCT20160822029485N4, at 2020-03-16. [ABSTRACT FROM AUTHOR]