{"title":"Enhancing public awareness: Insights from mothers and healthcare experts on postpartum depression - A qualitative study.","authors":"Krishnamurthy Latha, Gadicherla Suman, Dinesh Rajaram, Sundarnag Ganjekar, Swathi Acharya, Deepika S Reddy, Kolar Sridaramurthy Meena, Harave S Virupaksha, Mariamma Philip, Kimneihat Vaiphei","doi":"10.4103/jehp.jehp_1302_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1302_25","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy and early motherhood represent periods of significant psychological vulnerability. An estimated 10-15% of mothers experience postpartum depression (PPD) annually in India. Maternal mental health (MMH) represents a critical public health concern, impacting both maternal and child well-being. This study constitutes the first qualitative exploration in India to examine perspectives of both mothers and healthcare professionals regarding PPD for the development of culturally appropriate educational intervention.</p><p><strong>Materials and methods: </strong>This qualitative exploratory study, conducted from April to August 2023, employed three focus group discussions among a total of 25 participants: 14 mothers attending immunization clinics at urban and rural primary health centres, and 11 healthcare professionals with expertise in MMH. Semi-structured discussion guides facilitated exploration of PPD awareness, cultural beliefs, barriers, and intervention preferences. Audio recordings were transcribed verbatim and analyzed using thematic analysis.</p><p><strong>Results: </strong>Five distinct themes emerged across two participant categories: PPD awareness, barriers to help-seeking, impact of PPD, management strategies, and video intervention preferences. Findings revealed a lack of PPD awareness among mothers. Public health experts perceived an increasing trend in the occurrence of PPD in rural settings. Both groups endorsed video interventions as effective tools, emphasizing it to be concise, available in regional language, and a multi-platform dissemination strategy.</p><p><strong>Conclusion: </strong>This qualitative study reveals substantial knowledge gaps regarding PPD and suggests video interventions as effective tools towards awareness promotion. Culturally relevant educational interventions hold strong potential to enhance PPD literacy. Integrating these insights would enable health policy frameworks to strengthen early identification systems and improve care pathways.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"352"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110416","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}
Adebomi Joseph Adegbenga, Akinbobola I Olusola, Abayomi Olubanjo Olusa, Akintola A Aderonke, Olabode John Omotosho, Jacob Ropo Jekayinoluwa
{"title":"Mediating role of organizational justice in quality of work-life and role-based performance among hospital employees: Cross-sectional research.","authors":"Adebomi Joseph Adegbenga, Akinbobola I Olusola, Abayomi Olubanjo Olusa, Akintola A Aderonke, Olabode John Omotosho, Jacob Ropo Jekayinoluwa","doi":"10.4103/jehp.jehp_234_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_234_25","url":null,"abstract":"<p><strong>Background: </strong>Role-based performance in an organization's workforce is essential to its sustainability. Hence, this study aimed to examine the mediating role of organizational justice in the quality of work-life and role-based performance among hospital employees.</p><p><strong>Materials and methods: </strong>A cross-sectional design was adopted, and the research data were gathered from Adventist hospitals in Southwestern Nigeria using a multistage sampling technique in 2024. A sample of 303 employees responded to the research questionnaire, which included the quality of work-life scale, role-based performance scale, and organizational justice scale. Correlation tests, simple and multiple linear regression analyses, and Sobel tests were adopted as statistical techniques, with SPSS version 23 for Windows and an online Sobel test calculator applied in the data analyses. A significance level of 0.05 was considered.</p><p><strong>Results: </strong>Work-life quality significantly and positively predicted role-based performance (<sub>us</sub>β =0.47, <sub>s</sub>β =0.50 t = 9.88; <i>P</i> < .01). In addition, organizational justice significantly and positively predicted role-based performance (<sub>us</sub>β =.47, <sub>s</sub>β =.50, t = 9.88, <i>P</i> < .01). When organizational justice was joined with quality of work-life as a mediator in predicting role-based performance, there was an increase in the variance contributed to role-based performance from 32% to 38% (R<sup>2</sup>=.32; ΔR<sup>2</sup>=.06). The Sobel test result indicated that organizational justice indeed mediated the relationship between work-life quality and role-based performance (Z = 2.35, SE =.05, <i>P</i> < .05).</p><p><strong>Conclusion: </strong>The study concluded that excellent quality of work-life and organizational justice result in increased role-based performance and productivity.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"294"},"PeriodicalIF":1.5,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793063","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":"A model of moral justice for medical universities: A structural equation modeling approach to ethical leadership and organizational integrity.","authors":"Monir Ostadi, Nasrolah Ghashghaeizadeh, Narges Saeidian Khorasgani","doi":"10.4103/jehp.jehp_1654_24","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1654_24","url":null,"abstract":"<p><strong>Background: </strong>Human resources are central to organizational progress, where moral justice plays a key role in promoting fairness, ethics, and sustainable development. In medical universities-where education, clinical care, and administration intersect-moral justice is crucial for maintaining trust and integrity. However, there is a lack of validated models tailored to this unique context.</p><p><strong>Objective: </strong>This study aimed to develop and validate a conceptual model of moral justice tailored to the unique context of medical universities.</p><p><strong>Materials and methods: </strong>A sequential explanatory mixed-methods design was used. In the qualitative phase, semi-structured interviews were conducted with 14 experts (HR directors, department heads, and ethics specialists), selected via purposive and snowball sampling. The interviews lasted 45-60 minutes and were thematically analyzed. Rigor was ensured through triangulation, member checking, and audit trails. Based on qualitative findings, a 36-item questionnaire using a 5-point Likert scale was developed and administered to 256 employees across managerial, technical, and administrative roles at Qom University of Medical Sciences. Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM) were conducted via IBM SPSS Amos, Version 29 (IBM Corp., 2023) to validate the measurement model and assess relationships among the constructs. Model fit was evaluated via Comparative Fit Index (CFI) and Root Mean Square Error of Approximation (RMSEA).</p><p><strong>Results: </strong>The study identified causal factors (e.g., ethical leadership and transparent processes), background factors (e.g., organizational culture and moral values), and intervening factors (e.g., ethical leadership development, and equitable resource distribution) as critical components of moral justice. Strategies such as increasing participation and enhancing accountability were found to drive actionable change, leading to expected outcomes such as transparency, fairness, and increased organizational accountability. The model demonstrated strong fit indices (e.g., CFI = 0.95, RMSEA = 0.05), confirming its validity and reliability.</p><p><strong>Conclusion: </strong>The proposed model provides a robust framework for embedding moral justice into organizational structures, emphasizing the interconnectedness of leadership, culture, policies, and strategies. It offers practical recommendations for fostering a culture of trust, fairness, and integrity. Future research should explore the role of technology in enhancing moral justice and expand the model's applicability to diverse organizational contexts.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"297"},"PeriodicalIF":1.5,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793118","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}
Nasibeh Zerangian, Hadi Tehrani, Farzan Madadizadeh, Mahdi Gholian-Aval
{"title":"Social media and children: A double-edged sword.","authors":"Nasibeh Zerangian, Hadi Tehrani, Farzan Madadizadeh, Mahdi Gholian-Aval","doi":"10.4103/jehp.jehp_1648_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1648_25","url":null,"abstract":"","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"322"},"PeriodicalIF":1.5,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793840","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":"Nursing students' perceptions of the usefulness of educational research: Qualitative thematic analysis.","authors":"Alejandro Hernández Díaz, Verónica Díaz Quezada, Monica Illesca Pretty","doi":"10.4103/jehp.jehp_1362_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1362_25","url":null,"abstract":"<p><strong>Background: </strong>Integrating research into the nursing education process stimulates critical thinking and research skills, promoting a more solid understanding of the discipline.</p><p><strong>Materials and methods: </strong>This study explored nursing students' perceptions of the usefulness of research in their training process. Fourth-year students were involved in two focus groups (six members each), conducted between November and December 2024. Data were analyzed manually using Braun and Clarke's thematic technique. Methodological rigor criteria were applied, and the study was approved by the program's ethics committee.</p><p><strong>Results: </strong>Thematic analysis identified three main categories: (1) Useful research tools, (2) Development of research skills, and (3) Recommendations for strengthening educational research.</p><p><strong>Conclusions: </strong>The findings show that formative research is perceived by care management as a valuable resource for integrating theory and practice, as well as for developing key research skills in nursing students. The main skills acquired include critical thinking, scientific writing, and systematic searching, all of which are fundamental to evidence-based professional practice. However, areas for improvement are mentioned in relation to both methodological training for teachers and institutional commitment to academic publication. This suggests the need for policies and strategies that consolidate research as a cross-cutting theme in nursing education, as it enriches disciplinary knowledge and fosters a virtuous cycle of learning that enables innovation in the profession.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"310"},"PeriodicalIF":1.5,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793090","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":"Audit and feedback to improve antibiotic prescribing among community physicians in India: A quasi-experimental study.","authors":"Kensheya Regena, Aamina Hussain, Vaithya Venkatraman Anantharaman","doi":"10.4103/jehp.jehp_1067_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1067_25","url":null,"abstract":"<p><strong>Background: </strong>Irrational antibiotic use, especially in Indian community settings, is a major contributor to the growing global threat of antimicrobial resistance (AMR). Guidelines for rational prescribing are provided by the WHO AWaRe classification; however, its use in primary care is still restricted. An effective way to enhance prescribing practices is through audit and feedback. The purpose of this study was to assess community physicians' use of antibiotics, gauge their compliance with the AWaRe framework, and ascertain whether structured audit and feedback can encourage sensible prescribing and aid in the fight against AMR.</p><p><strong>Materials and methods: </strong>The study was conducted in two phases from July 2022 to 2023 in Chengalpattu, Tamil Nadu. Phase 1 involved a cross-sectional review of 680 antibiotic prescriptions. In Phase 2, 28 community physicians participated in a quasi-experimental study using a validated structured questionnaire. Educational intervention and feedback were provided. Data were analyzed using SPSS version 26.0, and the Wilcoxon signed-rank test was applied with a significance level of <i>P</i> < 0.05.</p><p><strong>Results: </strong>Amoxicillin was the most commonly prescribed antibiotic (88.2%) out of 680 prescriptions, mostly for upper respiratory tract infections. While access-group medications like amoxicillin were more commonly used in rural areas, watch-group antibiotics like azithromycin were more frequently used in urban areas. Perception scores (19 to 16, <i>P</i> = 0.000) and knowledge (median: 26.5 to 20, <i>P</i> = 0.000) significantly improved after the audit and feedback intervention. Increased adherence to the WHO AWaRe classification was observed in post-intervention prescribing patterns, with a discernible shift towards community physicians' use of antibiotics sensibly, especially when treating acute respiratory infections.</p><p><strong>Conclusion: </strong>Enhancing antibiotic stewardship and encouraging rational prescribing among community physicians at the primary care level through audit and feedback is a practical and economical approach that can improve adherence to AWaRe classification and decrease inappropriate antibiotic use.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"298"},"PeriodicalIF":1.5,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793865","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":"Erratum: Effects of home-based Thai-boxing high-intensity interval training on physical fitness and body composition in sedentary young adults: A six-week randomized controlled trial.","authors":"","doi":"10.4103/jehp.jehp_1585_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1585_26","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.4103/jehp.jehp_61_26.].</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"336"},"PeriodicalIF":1.5,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793890","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":"Trust, satisfaction, engagement, and sustainable healthcare delivery: Exploring patient behavior through sentimental analysis in AI-powered telemedicine platforms.","authors":"Lakshmipriya Bachina, Kanagala Anusha","doi":"10.4103/jehp.jehp_1186_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1186_25","url":null,"abstract":"<p><strong>Background: </strong>Telemedicine platforms are transforming the healthcare sector by providing patients with convenient access to medical consultations, thereby improving healthcare outcomes and promoting sustainable healthcare delivery. As a key driver of patient engagement, AI-powered telemedicine services help individuals manage their health challenges, reduce risks, and enhance overall well-being. In addition, by minimizing the need for physical visits, telemedicine contributes to environmental sustainability through reduced carbon emissions from travel. The main objective of the study is to show how telemedicine services impact patient behavior and at what stage patients are involved and accepted their trust, satisfaction with AI-powered telemedicine platforms, and access to their role in promoting sustainable healthcare delivery.</p><p><strong>Materials and methods: </strong>The study examines the secondary data generates 2000 responses by using excel data sentimental analysis technique based on consumer behavior, trust, satisfaction, and engagement with telemedicine platforms by analyzing sentiments expressed on social media platforms like X formerly (Twitter) and YouTube and telemedicine services (Teladoc, Doctors on Demand, MD Live, Health Tapp, and Babylon Health).</p><p><strong>Results: </strong>We analyzed secondary data by using excel data sentimental analysis technique to generate 2000 comments across this platform and gathered data and calculated sentimental analysis by using formula, and revealed that 54.9% of responses were positive and 45.1% responses were negative. These insights provide a deeper understanding of consumer trust, satisfaction levels, and engagement patterns in the telemedicine services.</p><p><strong>Conclusion: </strong>The paper concludes that Telemedicine in the healthcare sector has a good impact in administrative work faster and more reliable and reduces burden of charges and work efficiency and well-being of system and progress.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"300"},"PeriodicalIF":1.5,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793906","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":"Analysis of psychomotor latency, spatial reasoning, and metabolic health markers in adolescent gamers: A comparative study of the impact of the confounding triad of sleep, diet, and screen modality.","authors":"Saksham Shah, Reshu Gupta, Garvita Mathur","doi":"10.4103/jehp.jehp_129_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_129_26","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this research is to understand the complex relationships of the intensity of electronic gaming and the neurocognitive (Reaction Time, IQ, Spatial IQ) and bodily (BMI, Skinfolds, Visual Acuity) components. Of particular interest was stating for the first time the novelty of the 'Confounding Triad' of sleep, food (caloric) gaming, and the specific screen type of the gaming interface.</p><p><strong>Materials and methods: </strong>A comparative cross-sectional study was carried out on a stratified random sample of 200 male adolescents (ages 13 to 21) from northern India. Participants were stratified into gamers (≥5 hours/week, <i>n</i> = 122) and non-gamers (<5 hours/week, <i>n</i> = 78). The psychomotor speed was measured using a digital Audio-Visual Reaction Timer, IQ was measured using the Stanford-Binet Intelligence Scale, and Spatial Quotient via online standardized battery, while subcutaneous adiposity was measured using Harpenden skinfold calipers. The confounders were measured using the Pittsburgh Sleep Quality Index (PSQI), a 24-hour dietary recall, and Non-Gaming Screen Time (NGST) logs. Mann-Whitney <i>U</i> tests were used for group comparisons, and Generalized Linear Models (GLM) and Analysis of Covariance (ANCOVA) were used to determine independent effects.</p><p><strong>Results: </strong>Compared to non-gamers, gamers displayed faster rates across Auditory, Visual, and Aim Reaction Times (<i>P</i> < 0.001) and better Spatial Quotient (<i>P</i> = 0.001). The GLM for Visual Reaction Time demonstrated a dose-dependent improvement for hours spent playing games (<i>β</i> = -2.15, <i>P</i> < 0.001) that was present even when considering the negative effect on performance from poor sleep (<i>β</i> = +4.35 per unit increase in PSQI, <i>P</i> < 0.001). Gaming status was significant for the ANCOVA for skinfold thickness (<i>P</i> = 0.035), but dietary caloric intake was the more important variable (<i>η</i> <sup>2</sup> = 0.19, <i>P</i> < 0.001). No significant difference was found in IQ (<i>P</i> = 0.36) or in visual acuity.</p><p><strong>Conclusion: </strong>The findings indicate that regular practice of interactive gaming provides players with better cognitive and psychomotor skills, even when sleep deprivation is considered. With that said, dietary surplus imposes greater metabolic hazards than gaming behaviors. Therefore, health interventions are encouraged not only to regulate gaming hours but to prioritize the teaching of digital hygiene.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"296"},"PeriodicalIF":1.5,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793916","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":"Improving knowledge of iron deficiency anemia through a nurse-led educational program: A Quasi-experimental study among adolescent girls.","authors":"Sharlet Dsouza","doi":"10.4103/jehp.jehp_1211_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1211_25","url":null,"abstract":"<p><strong>Background: </strong>In India, iron deficiency anemia remains common among adolescent girls, with low awareness persisting despite school-based programs. In this context, we conducted a study to assess their knowledge and evaluate the effectiveness of a structured health promotion program on iron deficiency anemia among adolescent girls in a school.</p><p><strong>Materials and methods: </strong>The study was conducted among 136 girls aged 12-15 years across 7<sup>th</sup>, 8<sup>th</sup>, and 9<sup>th</sup> standard students selected without randomization. Participants attended a one-hour interactive health education session developed by the researchers, using video aids and lectures. Pre- and post-test assessments measured knowledge gains using a structured, validated questionnaire developed by the researchers. Outcomes were compared within participants using their own pre-intervention scores as the comparator, consistent with a quasi-experimental single-cohort design. All eligible students who were present on the day of the intervention and assessments were included. Data were analyzed using descriptive statistics, paired <i>t</i>-tests, Cohen's <i>d</i>, and multivariable linear regression to explore predictors of improvement.</p><p><strong>Results: </strong>Among 7<sup>th</sup> standard students, mean scores increased from 6.23 to 13.34 (<i>P</i> < 0.001), followed by 8<sup>th</sup> standard (6.96 to 12.90, <i>P</i> < 0.001) and the 9<sup>th</sup> standard (7.82 to 10.45, <i>P</i> < 0.001) using R software. Multivariable regression further showed that lower income and younger grade level were associated with higher post-test gains.</p><p><strong>Conclusion: </strong>Targeted, interactive school-based interventions can play a critical role in addressing persistent knowledge gaps on iron deficiency anemia among adolescent girls. In this study, a single nurse-led educational session produced significant improvements in knowledge, with the largest gains observed in younger students and those from lower-income households. These findings underscore the importance of tailoring health promotion content to the age, baseline understanding, and socioeconomic background of the learners. By leveraging their clinical expertise, community presence, and communication skills, nurses are uniquely positioned to deliver such context-specific interventions, bridging knowledge gaps early and fostering healthier behaviors that can help reduce the long-term burden of anemia.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"302"},"PeriodicalIF":1.5,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793080","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}