Journal of Education and Health Promotion最新文献

{"title":"Research training needs assessment among postgraduate trainees at a tertiary hospital in Makkah, Saudi Arabia: A cross-sectional study.","authors":"Manal Alfahmi, Elham Bugis, Ahlam Rawah","doi":"10.4103/jehp.jehp_2138_24","DOIUrl":"10.4103/jehp.jehp_2138_24","url":null,"abstract":"<p><strong>Background: </strong>The Saudi Commission for Health Specialties (SCFHS) accredits postgraduate medical education programs in Saudi Arabia to ensure they provide quality training that meets professional outcomes per national and international standards. Research activities should be tailored to meet the training needs of postgraduate trainees to bridge the gap between research and clinical practice. These activities should assist trainees in selecting the appropriate methodology for their research, gathering and interpreting data, and evaluating the outcomes of previous research before clinical implementation.</p><p><strong>Materials and methods: </strong>A needs assessment survey was conducted on postgraduate trainees enrolled in 20 residency programs and 13 fellowship programs at a tertiary hospital in Makkah, Saudi Arabia. The aim of the study was to determine the preferred research training content and delivery method most appropriate for postgraduate trainees. The hospital's research center can use this information to design and conduct research training activities based on postgraduate trainees' professional and scientific needs. Data were analyzed using SPSS version 26; percentage and frequency were used, and a <i>P</i> value of <0.05 indicated significant differences between groups.</p><p><strong>Results: </strong>The response rate of postgraduate trainees was 64% (60/94); 78% were enrolled in residency, while 22% were in fellowship training programs. Of the resident respondents, 70% were enrolled in an internal medicine residency program, and 23% of fellow respondents were enrolled in a medical oncology fellowship program.</p><p><strong>Conclusion: </strong>Priority areas that require training interventions to enhance research knowledge and practice among postgraduate trainees were identified. There are opportunities for addressing the identified training needs by expanding research training program content, designing workshops, and tailoring training to meet professional expectations.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"275"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of pregnant women, midwifery students, and their instructors from implementing a clinical leadership and mentorship program in labor and delivery wards.","authors":"Leila Fathi, Mina Iravani, Parvin Abedi, Bahman Cheraghian","doi":"10.4103/jehp.jehp_10_25","DOIUrl":"10.4103/jehp.jehp_10_25","url":null,"abstract":"<p><strong>Background: </strong>Clinical leadership and mentorship have been introduced as novel approaches to enhance clinical education and improve the quality of services provided by healthcare providers. This study aimed to explain the experiences of pregnant women, midwifery students, and their instructors from implementing a clinical leadership and mentorship program in labor and delivery wards.</p><p><strong>Materials and methods: </strong>This study was conducted after implementing a clinical leadership and mentorship program from October 2023 to March 2024. Data were collected through semi-structured interviews with midwifery students, midwifery instructors, and pregnant women receiving services in the labor and delivery wards of selected educational-therapeutic centers. Data were analyzed using conventional qualitative content analysis, based on the criteria proposed by Graneheim and Lundman, and using MAXQDA 10 software (developed by VERBI Software Group, Berlin, Germany).</p><p><strong>Results: </strong>Six main categories and 17 subcategories emerged in this study. The main categories included as follows: enhancing the quality of clinical education, promoting a teamwork approach, achieving professional competence, providing woman-centered care, barriers to program implementation, and facilitating factors and solutions for program implementation.</p><p><strong>Conclusions: </strong>Based on the findings of this study, implementing a clinical leadership and mentorship program could enhance the clinical skills of midwifery students and improve the quality of midwifery services provided to pregnant women during labor and delivery.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"306"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Explanation of challenges to health tourism development from the perspective of managers: A qualitative study.","authors":"Ali Askari, Zahra Delshad, Maryam Dabirifard, Foruzan Hajiabadi, Mohsen Poursadeghiyan, Hamed Rezakhani Moghaddam, Ali Salehi Sahlabadi, Maliheh Eshaghzadeh, Robab Hosseinpour, Yusuf Hamidzadeh Arbabi","doi":"10.4103/jehp.jehp_26_24","DOIUrl":"10.4103/jehp.jehp_26_24","url":null,"abstract":"<p><strong>Background: </strong>One way to achieve development is to expand the health tourism industry and remove its barriers. This study was conducted to explain the challenges to the development of health tourism from the perspective of managers in Ardabil province.</p><p><strong>Material and methods: </strong>The present study is a qualitative study with a contractual content analysis approach. Participants were 18 key knowledgeable managers about tourism and health tourism. The purposeful sampling method used to select participants. Data were collected through semistructured interviews and analyzed simultaneously, and themes were explored in 2023.</p><p><strong>Results: </strong>Based on the findings of this research, seven main themes and several subcategories were investigated and identified as follows: 1) inadequate infrastructure for medical tourism; 2) ineffective governmental policies, regulations, and tariffs; 3) inadequate or subpar management practices; 4) inefficient healthcare professionals involved in health tourism; 5) lack of involvement of travel agencies in promoting health tourism; 6) absence of global information and limited involvement of local and national mass media; and 7) presence of unregulated and nonspecialized brokers.</p><p><strong>Conclusion: </strong>Managers face major obstacles to health tourism development in the province, causing economic and social damage. A better understanding of these barriers is necessary for effective planning and interventions to reduce harm and promote development.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"283"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between adverse childhood experiences and suicidal behaviors in depressed addicted adults: Mediating role of decision-making styles.","authors":"Farnaz Shaygan Majd, Somaieh Salehi","doi":"10.4103/jehp.jehp_491_24","DOIUrl":"10.4103/jehp.jehp_491_24","url":null,"abstract":"<p><strong>Background: </strong>Adverse childhood experiences (ACEs) are one of the factors that affect a person's physical and mental health throughout his life. Also, people's decision-making style plays a very effective role in people's performance in facing life events. Therefore, this research was conducted to investigate the mediating role of decision-making styles in the relationship between ACEs and suicidal behaviors in depressed addicted adults.</p><p><strong>Materials and methods: </strong>In terms of the purpose, the research was fundamental, and the research method was among the descriptive research of the correlation type. The population of this research included depressed, addicted male adults in Rey City during the first three months of 2023. A total of 240 individuals were selected using convenience sampling, based on a correlational design. All the respondents were men, and the majority of people answering the questions were over 45 years old. They were asked to respond to the ACEs questionnaire, the decision-making styles questionnaire, the Patient Health Questionnaire-9, and the revised suicidal behavior questionnaire. This research uses descriptive statistics methods including frequency, mean and standard deviation, and inferential methods including model structural equations (path analysis).</p><p><strong>Results: </strong>The findings of this research showed that the direct paths of ACEs on immediate decision-making style (β = 0.18, <i>P</i> = 0.039) and suicidal behaviors (β = 0.45, <i>P</i> = 0.001) are positively significant. Also, the direct path of immediate decision-making style on suicidal behaviors (β = 0.29, <i>P</i> = 0.001) was also positively significant. The results of the bootstrap test showed that the indirect path of ACEs on suicidal behaviors due to immediate decision-making style is also positive and significant (β = 0.05, <i>P</i> = 0.015).</p><p><strong>Conclusion: </strong>Based on mental health policies, it is necessary to organize comprehensive suicide prevention, treatment, and support programs for mental health experts, patients, and families at different levels related to decision-making skills and ACEs.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"296"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An in-depth assessment of the effectiveness of Information, Education, and Communication (IEC) packages in improving self-esteem among suicide-attempted individuals: A case study in a selected district of Tamilnadu, India.","authors":"Albert William Arvin Babu, Sarad Pawar Naik Bukke, Sriram Nagarajan","doi":"10.4103/jehp.jehp_1488_24","DOIUrl":"10.4103/jehp.jehp_1488_24","url":null,"abstract":"<p><strong>Background: </strong>This study evaluates how well an Information, Education, and Communication (IEC) package works to boost self-esteem in people who have made suicide attempts in the past.</p><p><strong>Materials and methods: </strong>Using a pre-experimental design, the research involved a purposively selected sample of 100 participants from two hospitals in India. The 4-day intervention, which included individual psychotherapy, family therapy, psycho education on assertiveness training, and group therapy, was designed to raise the participants' self-esteem as determined by the Rosenberg self-esteem scale. Before the intervention, during discharge, and throughout follow-ups at 15 and 30 days after release, evaluations were carried out. The characteristics of individuals who attempted suicide were examined, including age, sex, religion, education, occupation, family type, past suicide attempts, family history of suicide, marital status, timing of the attempt, source of poison, and reasons for poisoning.</p><p><strong>Results: </strong>The follow-up phase saw gains in self-esteem levels that were sustained following the intervention, according to the results (23.95 ^a ^vs ^b <i>P</i> < 0.001, 35.53 ^a ^vs ^c <i>P</i> < 0.001 and 21.02 ^b ^vs ^c <i>P</i> < 0.001). The association among increases in self-esteem and demographic factors including age, sex, and marital status was also investigated in this study. The alterations in self-esteem levels were significantly correlated with age (11.9) and marital status (6.45).</p><p><strong>Conclusion: </strong>This study emphasizes the potential of focused psychological treatments in the treatment of people who are at risk of relapsing into suicidal behavior. By addressing the root causes of poor self-esteem, these tactics may successfully support efforts to prevent suicide. Mental health team authorities should frame a policy to care suicide-attempted individuals by introducing IEC package concepts like individual therapy, family therapy, psycho education, and group therapy as a series of treatment packages to improve the wellbeing of suicide-attempted individuals.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"307"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mentorship in psychiatry: A brief report of designing and implementing a program for residents at university of medical sciences.","authors":"Roya Vaziri-Harami, Mojgan Khademi, Alireza Shamsi, Seyedeh Morvarid Neishabouri, Shiva Eiliaei","doi":"10.4103/jehp.jehp_1552_24","DOIUrl":"10.4103/jehp.jehp_1552_24","url":null,"abstract":"<p><strong>Background: </strong>Clinical education is crucial; however, students often find it challenging to apply theoretical knowledge in practice. Mentorship, which is essential in medical education, can significantly benefit medical residents. Mentorship offers emotional and social support, aids in adaptation to new learning environments, and fosters professional advancement. Therefore, this brief report aims to provide support by focusing on the educational, skill-based, and social issues faced by residents.</p><p><strong>Materials and methods: </strong>In 2022, a quasi-experimental study was conducted at the Shahid Beheshti University in Iran, involving 44 psychiatry residents. Seven mentors were selected from their faculty. The intervention, lasting two terms, was implemented in seven steps. Data were collected by a questionnaire and analyzed using the Statistical Package for the Social Sciences (SPSS) v. 24, with Chi-square and paired-sample t-tests applied.</p><p><strong>Results: </strong>Before training, there were no significant differences in the mean scores of the desired variables (<i>P</i> > 0.05). However, after training, there was an increase in the mean scores of most variables in the intervention group, including residents' educational, skill, and social issues. The training helped residents acquire necessary skills, cope with pressures, and establish good relationships (<i>P</i> > 0.05). Exceptions were three items-workplace different with the mentor, random selection of mentors and residents, and interference with other mentor programs-which did not show significant change (<i>P</i> > 0.05).</p><p><strong>Conclusions: </strong>Mentorship programs can effectively address residents' educational, skill, social, and health issues by helping them acquire the necessary skills, cope with pressures, and establish good relationships. The success of these programs depends on factors, such as the quality of the mentor-resident relationship, program structure and support, and the resident's ability to utilize learning opportunities for overall well-being. The results of this study should be shared with policymakers for future planning for this group.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"310"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and validity of a newly developed self-administrated online questionnaire assessing the quality of life for allergic rhinitis in China: The QoLAR.","authors":"Zhou Yu, Shafiq Aazmi, Azdayanti Muslim, Muhammad Faiz F Abdullah, Syahrul Bariah Abdul Hamid, Chenglan Ma","doi":"10.4103/jehp.jehp_1782_24","DOIUrl":"10.4103/jehp.jehp_1782_24","url":null,"abstract":"<p><strong>Background: </strong>There are a few effective tools in China to assess the geography, diet, and symptoms of allergic rhinitis (AR) patients. Existing generic tools need cultural adaptation better to evaluate AR's impact on quality of life. This study aimed to develop the Quality-of-Life Questionnaire for AR patients (QoLAR), adapt it to Chinese, and assess its reliability and validity.</p><p><strong>Materials and methods: </strong>The present study was conducted in the following five phases: 1) Phase 1, item generation based on the literature review on AR and questionnaire development; 2) Phase 2, cultural adaptation and translation forward and backward from English to Chinese and vice versa; 3) Phase 3, pretest on 61 respondents via online messaging platform WeChat and revision of the questionnaire based on input from respondents and experts; 4) Phase 4, pilot study on 169 respondents via online messaging platform WeChat; and 5) Phase 5, statistical analysis for descriptive, reliability tests using item-total correlations and Cronbach's ɑ coefficient, and validity test using item and scale content validity indices (I-CVI, S-CVI/Ave, and S-CVI/UA).</p><p><strong>Results: </strong>The final version of QoLAR comprises 44 items in four domains: sociodemographic, health status and history of AR, dietary habits, and environmental exposure. The value for Cronbach's ɑ is 0.903, and all three validity indices scored 1.00.</p><p><strong>Conclusions: </strong>A specific quality-of-life questionnaire for AR, known as QoLAR, has been created with acceptable validity and reliability. It is appropriate for an online self-reported survey and could be helpful to Chinese healthcare professionals like nurses and clinicians.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"292"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health promotion through movement: Examining the correlation between lower extremity flexibility, balance, and demographic factors.","authors":"Utomo Wicaksono, Bernadus Sadu, Ermeisi Er Unja, Dadan Prayogo, Aulia Rachman, Imelda Ingir Ladjar","doi":"10.4103/jehp.jehp_1347_24","DOIUrl":"10.4103/jehp.jehp_1347_24","url":null,"abstract":"<p><strong>Background: </strong>Healthy aging is a critical aspect of overall health, and maintaining physical function is essential for independence and quality of life. Lower extremity flexibility and balance are vital components of physical function, and demographic factors such as age, gender, and body mass index (BMI) can impact these factors. This study aims to examine the relationship between lower extremity flexibility, balance, and demographic factors to promote healthy aging.</p><p><strong>Materials and methods: </strong>This analytic observational study used a cross-sectional approach. Lower extremity flexibility was measured using the Sit and Reach Test (SRT), balance ability was assessed using the Functional Reach Test (FRT), and demographic factors were collected through self-report.</p><p><strong>Results: </strong>The study found significant relationships between: - Age and balance ability (<i>P</i> = 0.01 < 0.05), with an odds ratio (OR) of 9.72 (2.97-31.79) - BMI and balance ability (<i>P</i> = 0.01 < 0.05), with an OR of 3.92 (1.30-11.84) - Lower extremity flexibility and balance ability (<i>P</i> = 0.03 < 0.05), with an OR of 3.29 (1.12-9.65). However, when adjusted for older age and higher BMI, lower extremity flexibility was not significantly associated with balance ability (<i>P</i> = 0.66 > 0.05 and <i>P</i> = 1.00 > 0.05, respectively).</p><p><strong>Conclusion: </strong>Promoting healthy aging requires consideration of lower extremity flexibility, balance, and demographic factors. This study highlights the importance of maintaining flexibility and balance, particularly in older adults and those with higher BMI. Healthcare professionals can use these findings to develop targeted interventions promoting healthy aging.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"314"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a customized model for aged-friendly comprehensive health centers in Iran: A protocol study.","authors":"Behrooz Madahian, Majid Rahimi, Saeed Karimi, Mostafa Amini-Rarani","doi":"10.4103/jehp.jehp_144_24","DOIUrl":"10.4103/jehp.jehp_144_24","url":null,"abstract":"<p><strong>Background: </strong>Life expectancy has increased worldwide, leading to a higher proportion of elderly individuals in the population. This phenomenon, known as the aging tsunami, is also emerging in Iran and is expected to grow rapidly in the coming years. By 1429 AH, it is projected that more than one-fifth of the population in Iran will be elderly. Recognizing the importance of primary health care in achieving universal health coverage, the World Health Organization has emphasized its role in promoting health for all. In Iran, the successful implementation of primary health care networks has contributed significantly to the advancements in the health system over the past 4 decades. Therefore, this research will aim to develop a customized model for comprehensive health service centers that are specifically tailored to meet the needs of the elderly population in Iran.</p><p><strong>Materials and methods: </strong>This study will be carried out in four distinct phases. The initial phase involves conducting a scoping review to identify the criteria for aged-friendly health care centers worldwide. In the second phase, semistructured interviews will be conducted with experts in the field to uncover the challenges and criteria specific to comprehensive aged-friendly health care service centers in Iran. Building upon the findings from the first two phases, the research team will proceed to develop a preliminary model in the third phase. Finally, in the fourth phase, the initial model will undergo refinement through the Delphi technique, and the final report will be presented upon its completion.</p><p><strong>Discussion: </strong>The finding of this study can be the development of a customized local model for comprehensive health service centers in Iran that aligns with the specific needs and preferences of the elderly population, while also adhering to the standards of an aged-friendly center. It is anticipated that this model will effectively enhance the delivery of health services to the elderly, thereby improving the overall healthcare process for older adults.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"281"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community re-entry program on global functioning and medication adherence among bipolar affective disorder patients- A randomized controlled trial pilot study.","authors":"Jaishri, Sreevani Rentala, Preethy Kathiresan, Mukesh Swami","doi":"10.4103/jehp.jehp_954_24","DOIUrl":"10.4103/jehp.jehp_954_24","url":null,"abstract":"<p><strong>Background: </strong>The Community re-entry program aims to train participants with the skills and information and help to move efficiently through the mental health in-patient setting to more independent living in the community. This quantitative study to explores the effectiveness of community re-entry program on global functioning and medication adherence for patients with bipolar affective disorder.</p><p><strong>Material and methods: </strong>The study was a randomized controlled clinical trial and conducted by the Consolidated Standards of Reporting Trials (CONSORT) 2010 guidelines. The present study was done at the in-patient department of the tertiary care academic institute, Jodhpur. Samples <i>N</i> = 50 (25 + 25) were selected through consecutive sampling techniques and randomly assigned to intervention and control groups. The baseline data was collected with sample characteristics for both groups by using World Health Organisation Disability Assessment Schedule 2.0 to assess global functioning, the Medication Adherence Rating Scale for medication adherence. The community re-entry program group received 8 sessions of intervention each session is 45 minutes, and every day one session after post-intervention assessment and follow-up done at 1 month with the same scales. Statistical Package for Social Sciences (SPSS) version 20.0 was used. The data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics Chi-square, fisher's exact test and Yate's correction used as applicable. Repeated measures-ANOVA mixed design (Two-way) is used for post-intervention comparison of outcome variables.</p><p><strong>Results: </strong>Post-intervention comparison of medication adherence, found that there was a significant time effect <i>F</i> = 566.406 and <i>np</i> ² = 0.922, group effect <i>F</i> = 24.495 and <i>np</i> ² = 0.338, interaction effect with large effect size <i>F</i> = 21.052 and <i>np</i> ² = 0.305. Whereas in global functioning there was a time effect with a large effect size of <i>F</i> = 65.783 and <i>np</i> ² = 0.578 but no group or interaction effect.</p><p><strong>Conclusion: </strong>CREP is effective in enhancing medication adherence in patients with bipolar affective disorder and consequently, useful for the treatment and prevention of symptoms recurrence.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"301"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}