Showing 3 results for Intervention
Gholamreza Masoudy, Ashraf Sadat Dehghani, , Hossein Ansari, Mohammad Hadi Abbbsi, , Hossein Bagheri, Javad Shahraki,
Volume 1, Issue 2 (4-2022)
Abstract
Sedentary lifestyle in postmenopausal women decreases their health and quality of life. This study aimed to determine the effect of theoretical education on leisure-time physical activity in postmenopausal women.
In a quasi-experimental study, 200 women referring to health centers through a multi-stage sampling method and inclusion criteria were allocated to control and experimental groups. The data collecting tools were a standardized researcher-made questionnaire containing demographic and specific questions relating to the trans-theoretical model and the International Physical Activity Questionnaire.
After the need assessment, the educational program including content, media, and educational method was designed. The subjects in the experimental group participated in three training and three group walking sessions. The educational program continued for four months. After three months, the data in both groups were recollected and analyzed, using the descriptive statistics (Mean, Percentage) and analytic tests (Independent sample t-test, Spearman correlation coefficient test, and linear regression test). P-value was set at ≤ 0.05.
After the intervention, the percentage of people in the Pre-contemplation in the intervention group decreased significantly (80% to 17%). On the other hand, in the control group, there was not any meaningful decrease (89% to 79%). Also, the mean score of the leisure time in the intervention group, in comparison with the control group, increase significantly from 226.8 ± 579.9 to 903.6 ± 99.5, (P<0.05).
The results showed that the Trans-Theoretical Model is a suitable framework for promoting physical activities in postmenopausal women.
Hashem Heshmati, Hadi Alizadeh Siuki, Zahra Ghalichi Zaveh,
Volume 1, Issue 3 (9-2022)
Abstract
Considering the high prevalence of COVID-19 disease and the ineffectiveness of effective interventions for controlling this disease, it is necessary to design and implement comprehensive interventions with a holistic approach. Therefore, the aim of the present study was to design, implement and evaluate a complex intervention for COVID-19 control based on the intervention mapping approach.
This is a sequential mixed-methods study (a mixture of qualitative and quantitative methods) that aims to evaluate a complex intervention for COVID-19 control using the intervention mapping approach. The study was designed in four phases and six sub-studies. The first phase was designed based on the first step of intervention mapping, in the form of three sub-studies. In the first sub-study, preventive behaviors, behavioral determinansts as well as barriers and facilitators of COVID-19 prevention are determined at the individual, interpersonal, organizational, social, and political levels. In the second sub-study, a questionnaire is designed and validated to assess COVID-19 preventive behaviors and behavioral determinants. In the third sub-study, a cross-sectional study will be conducted to investigate COVID-19-preventive behaviors and behavioral determinants. In the second phase, the intervention is designed at the individual, interpersonal and organizational levels in the form of the fourth sub-study based on the second to sixth steps of intervention mapping. The third phase will be performed in the form of the fifth sub-study, which will be investigate the effect of complex intervention for COVID-19 control, Its related preventive behaviors as well as healthcare utilization based on intervention mapping approach in the population covered by Torbat Heydariyeh University of Medical Sciences in a randomized controlled trial. In the fourth phase, in the form of a national study, the subject will be set on the policy agenda and the project will be approved by the National COVID-19 Center using the fifth step of intervention mapping as well as the opportunity window. Finally, the project will be implemented nationwide. This protocol reports an example of developing a training course using intervention mapping (IM). This course could be applied for COVID-19 as well as similar communicable diseases.
Roya Sadeghi, Elham Shakibazadeh, Sara Mortaz Hejri, Abbas Rahimi Foroushani, Mohammad Masoud Vakili, Hashem Heshmati,
Volume 1, Issue 3 (9-2022)
Abstract
Given the importance of communication skills and undesirable status of these skills among Community Health Workers (CHWs) and lack of a comprehensive, theory- and competency-based questionnaire in this field, the current study aimed to develop and psychometrically assess competency-based communication skills questionnaire based on Intervention Mapping Approach (IMA) for CHWs.
This methodological study was performed at 2019. Firstly, through performing a qualitative study and literature review, CHWs’ competencies in regard to communication skills was determined. Then, behavioral determinants were determined based on literature review. Following primary designation of questionnaire, face and content validity was assessed, and then through fulfillment of questionnaire by 657 CHWs, construct validity was performed using Confirmatory Factor Analysis (CFA) by AMOS software. Finally, reliability of the questionnaire was assessed by determination of Cronbach’s alpha coefficient and Interclass Correlation Coefficient (ICC) by SPSS software version 20. Mean and standard deviation of age of CHWs was 37.35 ± 8.21 years. CVR and CVI of items of questionnaire were between 0.8 and 1, and the impact scores ranged from 3.6 to 5.Cronbach’s alpha coefficient for total questionnaire was 0.918, and Cronbach’s alpha coefficient of constructs of questionnaire ranged from 0.646 (knowledge construct) to 0.937 (performance construct). ICC for constructs ranged from 0.619 (knowledge construct) to 0.926 (performance construct). Indices of model fit were at acceptable range and confirmed sufficiency of the model. Development of the competency-based communication skills questionnaire based on IMA leads to develop a tool to evaluate communication skills with desirable indices. Therefore, it is recommended to use IMA to develop the questionnaire in context of communication skills, health education and behavioral change.
