مقالات  دکتر همام‌الدین جوادزاده  


  Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran Journal of Education and Health Promotion 2012/1/1 PubMed Mahnoosh Reisi, Seyed Homamodin Javadzade, Firoozeh Mostafavi, Gholamreza Sharifirad, Fatemeh Radjati, Akbar Hasanzade 2nd
Background: Health literacy is a measure of an individual's ability to read, comprehend, and act on medical instructions. Limited health literacy can reduce the adults' ability to comprehend and use basic health-related materials, such as prescription, food labels, health education pamphlets, articles, appointment slips, and health insurance plans, which can affect their ability to take appropriate and timely health care action. Nowadays, low health literacy is considered a worldwide health threat. So, the purpose of this study was to assess health literacy level in older adults and to investigate the relationships between health literacy and health status, health care utilization, and health preventive behaviors. Materials and Methods: A cross-sectional survey of 354 older adults was conducted in Isfahan. The method of sampling was clustering. Health literacy was measured using the Test of Functional Health Literacy in Adults (TOFHLA). Data were collected using home interviewing. Health status was measured based on self-rated general health. Health care utilization was measured based on self-reported outpatient clinic visits, emergency room visits, and hospitalizations, and health preventive behaviors were measured based on self-reported preventive health services use. Results: Approximately 79.6% of adults were found to have inadequate health literacy. They tended to be older, had fewer years of schooling, lower household income, and were females. Inadequate health literacy was associated with poorer general health (P < 0.001). Health literacy level was negatively associated with outpatient visits (P = 0.003) and hospitalization (P = 0.01). No significant association was found between health literacy level and emergency room utilization. Self-reported lack of PSA (Prostate-Specific Antigen) test (P < 0.001) and fecal occult blood test (FOBT; P = 0.003) was higher among individuals with inadequate health literacy than those with adequate health literacy. No significant association was found between health literacy level and mammogram in the last 2 years. Conclusion: Low health literacy is more prevalent in older adults. It indicates the importance of health literacy issue in health promotion. So, with simple educational materials and effective interventions for low health literacy group, we can improve health promotion in the society and mitigate the adverse health effects of low health literacy.

http://www.jehp.net/article.asp?issn=2277-9531;year=2012;volume=1;issue=1;spage=31;epage=31;aulast=Reisi

  Factors associated with the fecal occult blood testing for colorectal cancer screening based on health belief model structures in moderate risk individuals, Isfahan, 2011 Journal of education and health promotion 2012/1/1 PubMed Homamodin Javadzade, Firoozeh Mostafavi, Akbar Hasanzade, Mahnoosh Reisi, Hossein Shahnazi, Gholamreza Sharifirad 1st
Background: Colorectal cancer is one of the most important and most common cancers and the second leading cause of cancer deaths worldwide. Every year, nearly 1 million new cases of colorectal cancer are recognized around the world and nearly half of them lose their lives due to the disease. The statistics reveal shocking incidence and mortality from colorectal cancer, therefore secondary prevention of this cancer is important and research has shown that by early diagnosis 90% of patients can be treated. Among the colorectal cancer screening tests, fecal occult blood test (FOBT) takes the priority because of its convenience and also low cost. But due to various reasons, the participation of people in this screening test is low. The goal of this study is to assess the factors that affect participation of population at average risk in colorectal cancer screening programs, based on health belief model structures. Materials and Methods: A cross-sectional survey of 196 individuals, more than 50 years old, was conducted in Isfahan. Ninety-eight people of the target group were selected from laboratories while they came there for doing FOBT test; the method of sampling in this group was random sampling. The method of data collection in the other 98 ­individuals was by home interview and they were selected by cluster sampling. The questionnaire used was based on health belief model to assess the factors associated with performing FOBT. The data collected were analyzed using descriptive and inferential statistical methods. Results: The mean score of knowledge in the first group was 48/5 ± 11/7 and in the second group was 36/5 ± 19/3. Individuals in the first group were more likely to be married, had more years of schooling, and better financial status. There were significant relationships between knowledge (P<0.001), perceived susceptibility (P<0.001), perceived severity (P<0.001), perceived barriers (P<0.001), and self-efficacy (P<0.001) in the two groups. There was no significant association between the perceived benefits in the two groups. Those people who have had FOBT test in last year in each group reported better score of Health Belief Model model structures. Conclusion: According to this study, it seems that there is an urgent need to pay more attention to this disease and its prevention through screening. With a better ­understanding of factors affecting the test, it can be a useful step to reduce the rate of death and costs, and ­improve the community health outcomes.

http://www.jehp.net/article.asp?issn=2277-9531;year=2012;volume=1;issue=1;spage=18;epage=18;aulast=Javadzade

  The relationship between functional health literacy and health promoting behaviors among older adults Journal of education and health promotion 2014/1/1 PubMed Mahnoush Reisi, Seyed Homamodin Javadzade, Akbar Babaei Heydarabadi, Firouzeh Mostafavi, Elahe Tavassoli, Gholamreza Sharifirad 2nd
Background: Health literacy is a measure of individual's ability to read, comprehend, and act on medical instructions. Older adults are one of the most important at risk groups affected by the impact of inadequate health literacy. Health promoting behaviors in older adults have potential impact on their health and quality of life and reduce the costs incurred to health care. Given the paucity of information health literacy and health promoting behavior, the purpose of this study was to examine health literacy level in older adults and the relationship between health literacy and health promoting behaviors. Materials and Method: A cross-sectional survey of 354 older adults was conducted in Isfahan. The method of sampling was clustering. Health literacy was measured using the Test of Functional Health Literacy in Adults (TOFHLA). Data were collected via home interviewing. Health promoting behaviors were measured based on self-reported smoking status, exercise, and consumption of fruit and vegetables. The collected data were analyzed using descriptive statistics and one-way ANOVA and c2 tests under SPSS 18 software. Results: The sample group averaged 67 ± 6.97 years in age. Approximately 79.6% of adults were found to have inadequate health literacy. They tended to be older, have fewer years of schooling, lower household income, and being female Individuals with inadequate health literacy were more likely to report limitations in activity and lower consumption of fruit and vegetables (P < 0.001). No significant association was found between health literacy and smoking status. Conclusion: Considering high prevalence of inadequate health literacy among older adults, and its inverse relationship with some health promoting behaviors. Simple educational materials and effective interventions for low health literacy people can improve health promotion in society and mitigate the adverse health effects of low health literacy

http://jehp.net/article.asp?issn=2277-9531;year=2014;volume=3;issue=1;spage=119;epage=119;aulast=Reisi

  Knowledge, Attitudes and Practice of Breast Self-Examination among Female Health Workers in Isfahan, Iran Health System Research 2011/3/8 ISC Gholamreza Sharifirad Mehnoosh Reisi, Homamodin Javadzadeh Correspond
Background: breast cancer as a most common organ cancer in women is the first cause of death among women with 40-45 years old. The only way to control this disease is early detection that it can be treated in about 90% of women with breast cancer. The best way for early detection of breast cancer is screening, and the best accessible way is breast self-examination (BSE). Considering this fact that female health workers are responsible for improvement of public health, in addition to self care, they can encourage the clients and help to improve healthy goals. Therefore this study, investigates the Knowledge, attitudes and practice of Breast Self - Examination among female health workers. Methods: This descriptive cross sectional study was done among 119 female health workers in Isfahan. The method of sampling was clustering. With KAP questioner knowledge, attitude and practice of theses participants was assessed. The data collected were analyzed using descriptive and inferential statistics methods. Findings: The mean age of participants was 38.3±7.27. The knowledge about breast cancer and doing breast self-examination (BSE) was good (79.8%) in most participants and (72.45%) of them have positive attitudes but only (39.5%) of the samples performed BSE regularly every month. A significant relationship was found between attitudes and the university degree of the health workers and also between age, university degree and the times of taking part in education classes with performing BSE in the best time for breast self-examination (P<0.005).12.6% of them did not have a good performance. Conclusion: considering that health workers can play an important role on encouraging the clients to perform healthy and preventive behaviors, their weak behavior is not acceptable in these groups. This result also shows that additional studies are needed to identify the factors that make women using screening services and encourage them for using these methods.

http://en.journals.sid.ir/ViewPaper.aspx?ID=263458

  Factors affecting cigarette smoking based on health-belief model structures in pre-university students in Isfahan, Iran Journal of education and health promotion 2014 PubMed Mahnoush Reisi, Seyed Homamodin Javadzade, Hossein Shahnazi, Gholamreza Sharifirad, Abdolrahman Charkazi, Mitra Moodi 2nd
Introduction: The goal of this study was to determine the association between constructs of the Health Belief Model (HBM) (i.e., perceived susceptibility to health-related problems due to smoking, perceived barriers to non-smoking, perceived benefits of non-smoking, perceived self-efficacy to non-smoking, and cues to action of non-smoking) and cigarette smoking among male pre-college students. Materials and Methods: A cross-sectional survey of 382 pre-college students was conducted in Isfahan, in 2010. The method of sampling was systematic randomized and students were selected from eight schools. The instrument was developed by the researchers based on the Health Belief Model. Statistical analyses were carried out using SPSS.V.18, Chi-square, and independent t-tests. Results: The mean age of the students was 17.72 ± 0.62 years. Overall 7.2% of the subjects reported having smoked in the past 30 days and 32.7% % of the samples reported ever having smoked in their life time. Results of the t-test showed that there were significant differences in knowledge, perceived susceptibility (P =0.03), benefits (t (246) = -2.51, P =0.01), self-efficacy (P < 0.001), and cues to action (P = 0.007), between smokers and non-smokers Conclusion: These results suggested that the constructs of HBM can be incorporated when examining the predictors of cigarette smoking and developing smoking prevention programs among pre-college students. Furthermore, with a better understanding of the factors affecting this complex behavior (cigarette smoking), it can be a useful step to reduce the rate of death, costs, and also improve the community health outcomes.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3977390/

  Barriers related to fecal occult blood test for colorectal cancer screening in moderate risk individuals Journal of education and health promotion 2014 PubMed Homamodin Javadzade, Mahnoush Reisi, Firouze Mostafavi, Akabar Babaei Heydarabadi, Elahe Tavassoli, Gholamreza Sharifirad 1st
Introduction and Objective: Colorectal cancer is one of the most important and most common cancer and second leading cause of cancer deaths worldwide. Through secondary prevention of this cancer, effective proactive measures would be taken to treat and to prevent the incidence of the disease. The fecal occult blood test (FOBT) has priority over other methods and is recommended for adults above 50 years. This study was carried out to assess perceived barriers related to participating in colorectal cancer screening programs among average risk population, based on health belief model. Materials and Methods: A cross-sectional survey of 196 individuals of more than 50 years was conducted in Isfahan. The target group consisted of people going to laboratories for doing FOBT test (n = 98), and those who refrained from going to laboratories (n = 98). The questionnaire was used based on barrier assessment question associated with performing fecal occult blood test. The data collected were analyzed using descriptive and inferential statistics methods. Results: The mean score of perceived barriers in the first group was 40.9 and in other group was 56.54, with significant difference statistically (P < 0.001). Lack of information, fear of cancer diagnosis, lack of recommendation by doctors, and not setting the priority of time for doing the test were some of barriers reported by the nongoing group. Discussion and Conclusion: According to this study, it seems that there is an urgent need to more information to be provided for the public about colorectal cancer and its prevention through screening, as important step to increase the rate of early detection and curb the mortality rate, costs, and improve community health outcomes

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4275626/

  Health Literacy and Health Promoting Behaviors among Older Adults Health System Research 2013 ISC M Raeisi, Homamodin Javadzade, Firouze Mostafavi, Elahe Tavassoli, GH Sharifirad Correspond

  FACTORS ASSOCIATED WITH CIGARETTE SMOKING BASED ON CONSTRUCTS OF HEALTH BELIEF MODEL IN PRE-UNIVERSITY STUDENTS IN 2011 IN ISFAHAN, IRAN Health System Research 2013-9-4 ISC HOSEIN SHAHNAZI, GHOLAMREZA SHARIFIRAD, MAHNOOSH REISI, HOMAMODIN JAVADZADE, FATEMEH RAJATI, ABDORAHMAN CHARKAZI, MITRA MOODY Correspond
Background: The present study aimed to determine the association between constructs of the health belief model (HBM) (i.e. perceived susceptibility to smoking health-related problems, perceived barriers to nonsmoking, perceived benefits of non-smoking, and perceived self-efficacy to non-smoking and cues to action of non-smoking) and cigarette smoking among male pre-university students. Methods: A cross-sectional survey of 382 pre-university students was conducted in Isfahan, Iran in 2011. The sampling method was systematic randomized and students were selected from eight schools. The instrument was developed by the researchers based on the HBM. Statistical analysis was carried out using chi square and independent t-tests. Findings: The mean age of students was 17.72±0.62 years. In total, 7.2% of the subjects reported smoking in the past 30 days and 32.7% of them also reported ever having smoked in their lifetime. Results of ttest showed that there were significant differences in knowledge, perceived susceptibility (P=0.03), benefits (P= 0.01), self-efficacy (P<0.01) and cues to action (P=0.07) between smokers and non-smokers. Conclusion: The results suggested that constructs of HBM can be incorporated when examining the predictors of cigarette smoking and developing smoking preventive programs among pre-university students. In addition, with a better understanding of factors affecting this complex behavior (cigarette smoking), it can be a useful step to reduce rate of mortality, costs, and improve community health outcomes.

http://en.journals.sid.ir/ViewPaper.aspx?ID=342186

  COMMUNICATIVE AND CRITICAL HEALTH LITERACY AND SELF-CARE BEHAVIORS IN PATIENTS WITH TYPE 2 DIABETES Iranian Journal of Diabetes and Metabolism 2016-14-3 Scopus Mahnoush Reisi, Firoozeh Mostafavi, Homamodin Javadzade, Behzad Mahaki, Elahe Tavassoli, Gholamreza Sharifirad 3rd
Background: Diabetes is a chronic disease that can cause severe complications such as cardiovascular disease, blindness and kidney failure. Given the importance of self-care in diabetic patients, and considering that inadequate health literacy is a serious barrier for the management of diabetes that can affect patients' participation in self-care, Therefore this study aimed to assess the status of health literacy in patients with type 2 diabetes in three domains of functional, communicative and critical and Determine the factors associated with self-care behaviors in these patients. Methods: A cross-sectional study on 187 diabetic patients referred to Hazrat Ali diabetes clinic in Isfahan. The samples were selected by randomly Convenience sampling method. The level of health literacy and Status of self-care behaviors in patients was assessed by a standardized questionnaire (FCCHL) and (DMSES) respectively. Collected data were analyzed Using the ANOVA, t-independent, Pearson correlation coefficient at SPSS v.21 statistical software. Results: The mean age of the study population was 57.40 ± 11.07. Average health literacy score and self-care behaviors of the participants were 2.28± 0.57 and 3.84 ± 1.56 respectively. There was significant relationship between total health literacy, communicational and critical health literacy with self-care behaviors. There was no significant relationship between functional health literacy and self-care behaviors. Communicational health literacy was associated with diet, physical activity, blood glucose monitoring and foot care. Critical health literacy was associated with physical activity, blood glucose monitoring, foot care, and taking medication. There was no significant relationship between Communicational health literacy and taking medication and also between critical health literacy and diet. Conclusion: Considering that communication and critical health literacy was associated with the self-care of patients with diabetes so Emphasis and consideration should primarily be given on skills related to these domains of health literacy. Since that Patients’ functional HL capabilities that was associated with basic skills in reading and writing was not related to self-care, therefore assessment of education levels alone in the clinical setting is not recommended.

http://ijdld.tums.ac.ir/browse.php?a_id=5369&slc_lang=en&sid=1&printcase=1&hbnr=1&hmb=1

  Impact of Health Literacy, Self-efficacy, and Outcome Expectations on Adherence to Self-care Behaviors in Iranians with Type 2 Diabetes Oman medical journal 2016-1 PubMed Mahnoush Reisi, Firoozeh Mostafavi, Homamodin Javadzade, Behzad Mahaki, Elahe Tavassoli, Gholamreza Sharifirad 3rd
Objectives Diabetic patients with higher health literacy (HL) may feel more confident in their ability to perform self-care behaviors and may have strong beliefs that diabetes-related behaviors will lead to specific outcomes. Our study aimed to document the relationships between HL, self-efficacy, outcome expectations, and diabetes self-care of patients with type 2 diabetes mellitus (T2DM) in Iran. Methods We conducted a cross-sectional observational study of 187 patients with T2DM. Participants completed the Functional Communicative and Critical Health Literacy scale, the Summary of Diabetes Self-Care Activities, the Diabetes Management Self-Efficacy Scale, Outcome Expectations Questionnaire, and a demographic questionnaire. Results Participants who received diabetes education (t = 5.79, p<0.001) and were married (F = 3.04, p<0.050) had better diabetes self-care behavior. There was a significant positive correlation between self-care behaviors and communicative HL (r = 0.455, p<0.010), critical HL (r = 0.297, p<0.010), self-efficacy (r = 0.512, p<0.010) and outcome expectations (r = 0.387, p<0.010). Diabetes education and marital status accounted for 16.9% of the variance in diabetes self-care. Self-efficacy, outcome expectations, communicative, and critical HL explained 28.0%, 1.5%, 3.7%, and 1.4% of the variance, respectively. Conclusions This study revealed that the potential impact of self-efficacy, outcome expectations, communicative, and critical HL should be considered in the education program for patients with diabetes. We found self-efficacy to be the most important predictor of diabetes self-care. Therefore, the use of self-efficacy theory when designing patient education interventions could enhance diabetes self-care. It is essential that health care providers assess patient’s HL levels to tailor health-related information specific to a domain of HL. This would fully inform patients and promote empowerment rather than simple compliance.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4720937/

  Assessment of Some Predicting Factors of Self-efficacy in Patients with Type 2 Diabetes Iranian Journal of Endocrinology and Metabolism 2015-6-15 Scopus Mahnoush Reisi, Firoozeh Mostafavi, Seyed Homamodin Javadzade, Behzad Mahaki, Gholamreza Sharifirad 3rd
Introduction: Increasing patient empowerment in order to improve diabetes self-care plays an important role in disease control. One of the most important measures/steps in this field is promoting patients' self-efficacy which can lead to greater participation of the patient in treatment and prevention of serious complications in patients. The purpose of this study hence was to determine the predictors of self-efficacy for self-care behavior in patients with type II diabetes In order to plan educational interventions in health promotion strategies. Materials and Methods: This is a descriptive study conducted on 187 diabetic patients referred to Hazrat Ali diabetes clinic in Isfahan, using the convenience sampling method. Health literacy, self-efficacy and diabetes knowledge in patients were assessed by standard questionnaires i.e FCCHL, DMSES and DKQ respectively. The data collected was analyzed, using descriptive and inferential statistics by means of SPSS vr.17 software. Results: There was a statistically significant association between functional, communicative, and critical, health literacy and diabetes knowledge with patient’s self-efficacy for diabetes self-care. Pearson's correlation coefficient revealed that all of these factors had a linear and direct relationship with self-efficacy and the predictive power (R2) was equal to 0.37. Functional health literacy is a better predictor of self-efficacy for self-care behaviors in diabetic patients. Conclusion: Considering the importance of self-efficacy in educational interventions for improving diabetes self-care, well documented in various studies, raising patient levels of knowledge and health literacy as predictors affecting self-efficacy is imperative.

http://ijem.sbmu.ac.ir/browse.php?a_code=A-10-1899-1&slc_lang=en&sid=1

  Relationship between knowledge and implementing health literacy strategies in patient education Military Caring Sciences 2015-5-15 ISC Homamodin Javadzade, Firoozeh Mostafavi, Mahnoush Reisi, Behzad Mahaki, Mahmoud Nasr Esfahani, Gholamreza Sharifirad 1st
Introduction: Communication is one of the basic and most important skills for health care providers. Using health literacy strategies in patient education as a communication tactics by nurse practitioners make the information understandable for patients and also the effectiveness of the education will increase dramatically. The aim of this study was to assess nurse practitioners knowledge and practice of health literacy strategies in patient education and the correlation between these two factors. Materials and Methods: This descriptive cross-sectional study was done in May and June 2014 on 148 nurse practitioners of Al-Zahra educational hospital, Isfahan and Iran. Data collected via researcher made standardized questionnaire consist of three parts respectively: Demographics, Knowledge about health literacy and its strategies, and health literacy strategies practice. Data analyzed by SPSS v.17 using descriptive-analytic statistics. Results: The mean score of knowledge was dramatically low 5.89±2.1 (from maximum available score of 14) and the mean score of nurses in health literacy strategies practice was 21.74±3.47. There was a positive relationship between total knowledge of respondents and their practice and also there was statistically significant correlation between basic facts about health literacy and standards for designing health materials subscales and practice. Discussion and Conclusion: According to the findings nurse practitioners have limited knowledge about health literacy strategies and don’t have desirable use of health literacy strategies in practice. Considering that nurses who had better knowledge about health literacy had also better practice in using health literacy strategies in patient education and the key role of health literacy in high quality patient centered health care, it seems retrain courses for nurses with aim of empowering them in this field is necessary.

http://mcs.ajaums.ac.ir/browse.php?a_id=38&slc_lang=en&sid=1&printcase=1&hbnr=1&hmb=1

  Predictors of Nurses’ Intention and Behavior in Using Health Literacy Strategies in Patient Education Based on the Theory of Planned Behavior Materia socio-medica 2015-2 PubMed Gholamreza Sharifirad, Firoozeh Mostafavi, Mahnouush Reisi, Behzad Mahaki, Homamodin Javadzade, Akbar Babaei Heydarabadi, Mahmoud Nasr Esfahani Correspond
Background: Health literacy is one of the most important priorities for improving health care quality through enhancing patient-provider communication. Implementing health literacy strategies enable nurses to provide information and instructions for patients in a manner that is more commensurate and understandable. The purpose of this study was to investigate the factors affecting nurses’ intention to implement health literacy strategies in patient education based on theory of planned behavior. Methods: A cross-sectional study was done on 148 nurse practitioners of AL-Zahra educational hospital in Isfahan, Iran, using a descriptive-analytic method. Data collected via a standardized questionnaire based on theory of planned behavior constructed and analyzed by SPSS v.17 using ANOVA, Independent T-test, Pearson correlation and linear regression. Results: There was statistically significant correlation between using health literacy strategies and marriage status, attending in retraining courses, employment type, job history, and job status. Perceived behavioral control was the most powerful predictor of intention (β=0.417) and use health literacy strategies in patient education and behavior of nurses (β=0.33). Conclusion: According to the findings of this study, perceived behavioral control is a powerful determinant of nurses’ intention and behavior of using health literacy strategies in patient education. Hence we recommend nurse educators to pay special attention to the constructs of this theory mainly perceived behavioral control in retrain courses about patient education and health literacy strategies.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4404824/

  The Effect of nutrition education on knowledge, attitude, and performance about junk food consumption among students of female primary schools Journal of education and health promotion 2015 PubMed Ali Esmaeili Vardanjani, Mahnoush Reisi, Homamodin Javadzade, Zabihollah Gharli Pour, Elahe Tavassoli 3rd
Background: Undoubtedly, proper nutrition has important role in safeguarding the individual from many diseases, especially chronic ones, and increasing ones physical and intellectual efficiency. Considering the importance of nutrition education to school-age kids, this research was done with the purpose of determining the effect of nutrition education on the knowledge, attitude, and performance of female students at primary school about junk food consumption. Materials and Methods: This is an experimental intervention study in Shahr-e-kord city about the reduction of junk foods consumption in 2011. Seventy-two primary girl students were randomly divided into 2 groups, experimental (36) and controls (36). Before of the educational program, self-administrative questionnaire and FFQ (Food Frequency Questionnaire) questionnaire were filled out for both the groups. The self-administrative questionnaire was completed 3 times (before, immediately, and 2 months after education), and FFQ questionnaire was completed 2 times (before and 2 months after education) by students. After pre-test, 4 educational session classes in experimental group were performed. Finally, data were collected and analyzed by SPSS 16 computer software. Results: Demographic variables of the studied population in 2 groups were similar. Before intervention, there were no significant differences regarding the knowledge, attitude, and performance in 2 groups (P > 0/05). After intervention, there were significant differences in the levels of knowledge, attitude, and performance between experimental and control groups (P < 0.001). Conclusion: According to the results, intervention has positive impact on pattern of nutrition, and it can be concluded that intervention is effective on increasing or improving the knowledge, attitude, and performance of the students.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4579763/

  The effect of education on improvement of intake of fruits and vegetables aiming at preventing cardiovascular diseases Medical journal of the Islamic Republic of Iran 2015 PubMed Elahe Tavassoli, Mahnoush Reisi, Homamodin Javadzade, Zabihollah Gharlipour, Hamid Reza Gilasi, Asghar Ashrafi Hafez 3rd
Background: Cardiovascular diseases refer to a group of diseases that affect the cardiovascular system; principally cardiac diseases, vascular diseases of the brain and kidney and peripheral arterial diseases which are caused by various factors. Considering the importance of nutrition education, especially the intake of fruits and vegetables, this study was performed to determine the effect of health education, Based on the Health Belief Model, on the improvement of intake of fruits and vegetables aiming at preventing cardiovascular diseases among high school girls in the city of Shahre- Kord, Iran. Methods: This was a quasi-experimental intervention study, in which 120 female students of high schools in Isfahan were selected through convenient sampling and were divided into two groups of experimental (60) and control (60). The instruments for data collection were the Health Belief Model and FFQ questionnaires. The HBM questionnaire was completed three times (before, immediately and two months after the intervention) and the FFQ questionnaire was completed two times (before and two months after the intervention) by the students. After the pre-test, six educational sessions were provided for the experimental group. Finally, data were collected and analyzed by SPSS 16 (ttest, paired t-test and repeated measure ANOVA). Results: There were no differences between the two groups in terms of demographic variables. Before the intervention, there were not any significant differences between the scores of different structures of this model between the two groups (p>0.05); however, after the intervention, significant differences were found between the experimental and control groups in the levels of knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived efficacy and performance (p<0.001). Conclusion: According to the results, the intervention had a positive impact on the improvement of intake of fruits and vegetables among the students.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4431428/

  The effect of education on the improvement of fruits and vegetables consumption aiming to preventing colorectal cancer Gastroenterology and Hepatology from bed to bench 2014 ISI Elahe Tavassoli, Mahnoush Reisi, Seyed Homamodin Javadzad 3rd
Background Colorectal cancer is one of the most important and most common cancers and the second leading cause of cancer death worldwide. Every year, nearly one million new cases of colorectal cancer are recognized around the world and nearly half of them lose their lives due to the disease. Patients and methods 130 students were randomly divided to two groups, which experimental (65) and controls (65) were chosen from the city of Shahr-e-kord for this experimental study. The instruments for data collecting were self-made questionnaire health belief model based and food frequency questionnaire. The HBM FFQ questionnaires were completed before, immediately and two months after education by participants. After pre-test, 5 educational session classes in experimental group were performed. Finally, data collected and analyzed by SPSS16 computer software (T- test, T-Paired, repeated measure ANOVA). Results Findings of the study showed that before the intervention there was no significant differences between the scores of different structures of HBM model in two groups (P > 0.05), after the intervention there was significant differences between experimental and control groups in the levels of knowledge, structures of HBM model and performance for preventing colorectal cancer (p < 0.001). Conclusion Performing educational programs based on health belief model increases the knowledge and improves the attitudes and practices of students regarding prevention of the colorectal cancer.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017560/

  Quality of life in peptic ulcer patients referring to Al-Zahra hospital of Isfahan, Iran Gastroenterology and Hepatology from bed to bench 2013 ISI Asghar Ashrafi Hafez, Elahe Tavassoli, Akbar Hasanzadeh, Mahnoush Reisi, Seyed Homamodin Javadzade, Masoumeh Imanzad 5th
Aim The purpose of this study was to determine quality of life in peptic ulcer patients referring to Al-Zahra hospital of Isfahan. Background Peptic ulcer disease (PUD) is one of the most prevalent diseases. Its prevalence is 6-15% and about 10% of people experience its symptom in their life. PUD can have a considerable impact on patients’ quality of life (QOL). Patients and methods This descriptive- analytic survey was done on 93 randomly patients referred to Al-Zahra hospital of Isfahan city in Iran. Data gathering was done via questionnaire including five domains: physical, psychological, social, behavioral and economical. For data analysis, t-test, Pearson correlation and ANOVA test were used. Results 93 patients with mean age of 38.54 years, including 43 (46.2%) women and 54 (53.8%) men, were studied. There was a negative significant between quality of life and age and between disease duration and psychological, economical domains and between the mean of QOL scores in physical and social domains with the number of cigarette per day, also there was significant relation between social domain and gender, and physical, psychological and behavioral domains with marital status; Physical, social domains with smoking. Also there was a negative significant between physical, social and behavioral domains with years of smoking. Conclusion Study results showed that quality of life is in a relatively good level among patients, thus some diseases such as peptic ulcer can effect on quality of life. So, treatment and prevention of these diseases may improve their quality of life.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017537/

  Utilizing a health-promotion model to predict self-care adherence in patients undergoing coronary angioplasty in Bushehr, Iran Patient Prefer Adherence. 2019; 13 ISI Azime Khodaminasab,1 Mahnoush Reisi,1 Hakime Vahedparast,2 Rahim Tahmasebi,3 and Homamodin Javadzade1 Corresponding author
Background: Self-care refers to the conscious actions and behaviors that patients engage in to maintain and promote their own health and to the decisions that they make about managing signs or symptoms. Despite the importance of self-care in improving the health status of patients with cardiovascular disease, such as those undergoing angioplasty, these patients do not impleself-care optimally. This study aimed to identify factors affecting self-care behaviors in cardiac patients undergoing angioplasty based on a health-promotion model. Methods: A cross-sectional study was conducted among 200 cardiovascular patients undergoing angioplasty referred to the Bushehr Health Center. Health-promotion-model constructs and self-care behaviors were assessed by a researcher-made questionnaire. Data were analyzed by SPSS version 22 using multiple linear regression analyses. Results: Stepwise regression revealed that three variables – perceived barriers, perceived self-efficacy, and social support – were significant predictors of self-care behaviors among patients undergoing angioplasty. These factors accounted for 43.1% (R2=0.431) of variance in self-care. Among the health-promotion-model constructs, self-efficacy (β=0.237, P<0.001) was the strongest predictor of self-care behaviors, followed by perceived barriers (β=-0.195, P<0.001) and perceived social support (β=0.13, P<0.001). Perceived benefits did not significantly predict self-care behaviors. Conclusion: According to the results of this study, it is suggested that designing and implementing training programs to improve self-efficacy and perceived social support of cardiovascular patients and also decreasing barriers to self-care may improve self-care behaviors among patients undergoing angioplasty.

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https://www.dovepress.com/utilizing-a-health-promotion-model-to-predict-self-care-adherence-in-p-peer-reviewed-article-PPA


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