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This randomized controlled trial investigated the effectiveness of a Healthy Living Awareness Program for the Prevention of Osteoporosis based on the Information-Motivation-Behavioral Skills Model (HLAPPO-IMB) in university students [intervention group ( n  = 43), control group ( n  = 44)]. The intervention group completed the online training to prevent osteoporosis in the information stage of the IMB. In the motivation stage, the researchers texted (WhatsApp) the intervention group spot and reminder notifications concerning the prevention of osteoporosis. They also provided them with telephone counseling. In the final stage, the researchers evaluated whether the intervention group participants developed target behavioral skills. The intervention group had significantly higher mean posttest and follow-up Osteoporosis Knowledge Test scores than the control group (respectively, r = .519, r =  .513, p <  .001), indicating a large effect size in the posttest and follow-up test. There was no significant difference in pretest and follow-up Osteoporosis Health Belief Scale, Osteoporosis Self-Effective Scale, and International Physical Activity Questionnaire-Short Form scores between the groups ( p > .05). The results showed that the HLAPPO-IMB helped the intervention group participants expand their knowledge of osteoporosis. However, it did not improve their self-efficacy in doing weight-bearing exercises, taking calcium, and engaging in physical activity.

Background: This randomized controlled trial evaluated the outcomes of simulation- and video-based training for teaching nursing students Leopold's maneuver. Their self-efficacy and anxiety levels were also explored., Method: Data were collected among 121 participants [low-fidelity simulator group (LFSG) n = 43; video training group (VTG) n = 41; control group (CG) n = 37] using a Student Information Form, Leopold's Maneuver Skill Checklist, Spielberger State Anxiety Inventory, and General Self-Efficacy Scale. The primary outcome measure was the participants' performance; the secondary outcome measures were their anxiety and self-efficacy levels and grade point averages., Results: The LFSG and VTG participants performed Leopold's maneuvers better than the CG participants. A negative correlation between anxiety and self-efficacy in the LFSG and CGs was found, while there was a positive correlation between grade point average and self-efficacy in the VTG., Conclusions: Educational institutions with an insufficient number of instructors and laboratory infrastructure can use video-based training as an alternative to simulation-based education to reach more students., Competing Interests: The authors declare no conflict of interest., (Copyright © 2022 Society for Simulation in Healthcare.)

While migration leads to massive changes in women's lives, it brings along reproductive health issues as well. Determining the issues experienced by migrant women on fertility, breastfeeding and use of contraceptive methods and providing recommended solutions are important for planning and quality of maternal and child health services to be provided to women. The aim of this study is to evaluate the breastfeeding behaviors and contraceptive use of Syrian refugee women who have given birth. The study was conducted at an obstetrics and gynecology clinic of a state hospital in Ankara, Turkey, in 2018-2019. The study used a phenomenological pattern as a qualitative research method. The sample of the study consisted of 15 married Syrian refugee women of reproductive age (from 18 to 49 years of age) who gave birth before. Data collected were grouped under five main themes as "initiation of breastfeeding," "maintenance of breastfeeding and traditional practices," "situations affecting the decision of introducing complementary feeding," "use and awareness of contraceptive method," and "having a child from individual and social perspectives." Our study determined that knowledge and use of contraceptive methods and breastfeeding by Syrian women are insufficient. It is important to overcome the barriers to access to safe motherhood, reproductive health and protective health services.