Journal of Education and Health Promotion最新文献

{"title":"Determinant factors of sexual and reproductive health literacy among adolescents in Indonesia: A national population-based study.","authors":"Wildan Satrio Darmawan, Sigit Ari Saputro, Sukarno Sono, Antonius Yansen Suryadarma, Monita Destiwi, Philip Etabee Bassey","doi":"10.4103/jehp.jehp_92_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_92_26","url":null,"abstract":"<p><strong>Background: </strong>Sexual and reproductive health literacy (SRHL) among adolescents is a global public health concern. Almost half of all new cases of sexually transmitted infections have been associated with health literacy among youth. Limited SRHL has led to negative behaviours and their impact on health-related outcomes. Therefore, the purpose of this study was to identify the determinants of SRHL among adolescents in Indonesia.</p><p><strong>Materials and methods: </strong>This study drew on the most recent nationwide, population-based cross-sectional study and applied Nutbeam's functional health literacy framework. SRHL was determined as a composite index and classified into three levels: limited, inadequate, and adequate. Pearson's Chi-square test was used to determine the different proportions of SRHL. Binary logistic regression with a complex survey design was used to evaluate the factors associated with SRHL. The crude and adjusted odds ratios (AOR) along with 95% confidence intervals (CI) were reported.</p><p><strong>Results: </strong>The magnitude of adequate literacy was 32.69% (95% CI, 31.92%-33.45%). Adolescents with advanced understanding and awareness of family function (AOR: 3.98; 3.36-4.72), female (AOR: 3.41; 2.90-4.02), internet usage (AOR: 3.07; 2.49-3.79), higher education (AOR: 2.96; 2.20-3.98), and dating experience (AOR: 2.52; 1.81-3.50) were associated with adequate SRHL in Indonesia. Moreover, parental knowledge (AOR: 2.03; 1.63-2.53), optimal information access (AOR: 2.35; 2.01-2.75), and liberal attitude toward early marriage (AOR: 2.16; 1.86-2.50) were more likely to have adequate literacy.</p><p><strong>Conclusion: </strong>Comprehensive public health strategies, including integrating reproductive health education, strengthening parental communication, and leveraging digital media were suggested to improve adolescent's health literacy.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"386"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110459","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":"Enhancing first-aid self-efficacy: A randomized trial comparing three interactive educational ınterventions.","authors":"Fatma Avsar, Birgul Vural, Ayla Korkmaz","doi":"10.4103/jehp.jehp_125_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_125_26","url":null,"abstract":"<p><strong>Background: </strong>Effective first-aid education is a critical public health strategy to reduce the burden on emergency services. This study aimed to evaluate and compare the effectiveness of three interactive first-aid training modalities (case-, video-, and drama-based) on university students' first-aid self-efficacy.</p><p><strong>Materials and methods: </strong>A three-arm randomized controlled trial with a pretest-post-test design was conducted. The study included 93 university students, randomly assigned to three intervention groups (<i>n</i> = 31 each). The intervention groups received six core first-aid topics delivered through case-, video-, or drama-based methods, while the control group received unstructured education. Data were collected using the \"First Aid Self-Efficacy Scale.\" Statistical analysis was performed using analysis of covariance to compare post-test scores while controlling for baseline differences.</p><p><strong>Results: </strong>More than 95% of the participants were unmarried, and more than 50% in each study group were female. Post-test mean scale scores were highest in the case-based group (194.16 ± 25.17), followed by the video-based (190.61 ± 24.08), drama-based (168.22 ± 54.37), and unstructured groups (162.29 ± 45.19). Baseline sociodemographic assessments revealed a statistically significant difference in gender distribution across groups (<i>p</i> = 0.008). However, after adjusting for these baseline scores, the study results showed no statistically significant differences between the three interactive training groups in total first-aid self-efficacy or its subdimensions at post-test (<i>p</i> > 0.050). While all groups demonstrated a longitudinal improvement in self-efficacy scores from preintervention to postintervention, no single interactive method demonstrated statistical superiority over the others.</p><p><strong>Conclusıon: </strong>Interactive first-aid training, regardless of the specific modality, is effective in enhancing students' self-efficacy. These findings suggest that educators can flexibly employ a range of interactive strategies to achieve comparable outcomes in prehospital emergency care training. Interactive first-aid training meets essential health policy benchmarks for emergency preparedness, offering educators flexible, effective, and interchangeable modalities to enhance public self-efficacy.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"376"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110513","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 model for conflict management in intensive care units: A grounded theory study.","authors":"Soheila Rabie Siahkali, Seyede Fatemeh Gheiasi, Mahin Roohani","doi":"10.4103/jehp.jehp_349_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_349_25","url":null,"abstract":"<p><strong>Background: </strong>Conflict is a very common phenomenon in the intensive care unit (ICU). Nonetheless, the aim of conflict-related strategies is not to eliminate conflicts but to effectively manage them. The aim of this study was to develop a model for conflict management (CM) in the ICU.</p><p><strong>Materials and methods: </strong>This qualitative study was conducted in 2024 by using Corbin and Strauss's grounded theory design. Data were collected via 32 semi-structured interviews with 18 ICU nurses, observational notes, field notes, and memo writing. Participants were purposefully selected from hospitals affiliated to Zanjan University of Medical Sciences, Zanjan, Iran. Corbin and Strauss's method was used to analyze the data. Then, Walker and Avant's method was used to develop a prescriptive CM model.</p><p><strong>Results: </strong>Participants' main concern was a vicious relational cycle, and their strategy for its management was striving to build CM-based relational bridges. The outcome of this strategy was doubtfulness over compromise or silence. The compromise-based relationship model for CM was developed with three main components, namely the management of the situation, awareness of CM strategies, and development of communication skills.</p><p><strong>Conclusion: </strong>The CM process depends on the sociocultural characteristics of nurses and healthcare organizations. The establishment of appropriate relationships is the key prerequisite to CM and depends on the development of nurses' professional skills and strong organizational support. Therefore, health policymakers should consider developing communication and CM skills in nurses.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"357"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110431","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":"Exploring the convergence of faith healing practices with biopsychosocial interventions for mental health: A qualitative study among faith healers in Madhya Pradesh, India.","authors":"Priyanka Das, Sharad Tiwari, Parmeshwar Satpathy, Swati Wadhwa, Rahul Sharma, Samiksha Sahu","doi":"10.4103/jehp.jehp_1403_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1403_25","url":null,"abstract":"<p><strong>Background: </strong>Faith healing, a practice deeply rooted in cultural and religious beliefs, remains a significant healthcare approach worldwide, especially in regions like India, where mental health stigma is pervasive. Despite advances in psychiatric care, many individuals still seek the services of faith healers for mental health issues, delaying access to appropriate medical treatment. The study aims to understand the perspectives of Faith Healers on mental health, examine their practices and beliefs, and explore the feasibility of integrating faith healing with psychiatric care to enhance mental health outcomes in Madhya Pradesh.</p><p><strong>Materials and methods: </strong>This qualitative study was conducted across selected districts of Madhya Pradesh, India. The participants were Faith Healers' who were interviewed by Psychiatrists from \"Mankaksh\" (District Mental Health Units) between July 2022 and February 2023. In-depth interviews (IDIs) were conducted with 24 faith healers using a predefined interview guide. These IDIs were later analyzed. Thematic analysis was used to identify key themes from the data.</p><p><strong>Results: </strong>The following four themes emerged: Reason for working in the profession, Perception regarding issues of disciples, View on integration of Faith healing and Psychiatric treatment, and Interventions suggested. Opinions on integrating faith healing with psychiatric care varied, with some expressing openness to collaboration, while others remained skeptical of medical interventions.</p><p><strong>Conclusions: </strong>The study highlights the complex relationship between faith healing and mental health care in Madhya Pradesh. Collaboration between faith healers and mental health practitioners is essential for developing holistic care models that respect cultural beliefs while ensuring evidence-based treatment.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"371"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110437","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 health literacy and the adoption of preventive behaviors against high blood pressure among villagers: A cross-sectional study in Iran.","authors":"Rahman Panahi, Zahra Shokhmgar, Masoumeh Tavakoli, Fatemeh Yari, Mohadeseh Gholipour Saftouk, Aghileh Vafainasab, Mohiadin Amjadian","doi":"10.4103/jehp.jehp_664_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_664_25","url":null,"abstract":"<p><strong>Background: </strong>Considering the limited number of studies on health literacy among the rural population, the necessity of measuring the level of health literacy, and the increasing number of patients with hypertension, the present study aimed to determine the relationship between health literacy and the adoption of preventive behaviors in high blood pressure among the villagers.</p><p><strong>Materials and methods: </strong>In a descriptive-analytical cross-sectional study, 300 villagers living in Qayenat were selected by multi-stage random sampling in 2024. The data were obtained by demographic and background characteristics and the health literacy assessment questionnaire (HELIA) as well as a valid and reliable questionnaire to measure the adoption of preventive behaviors against hypertension. The data were analyzed using SPSS ver 22. (IBM Coporation, Armonk, NY) and descriptive statistics and logistic regression.</p><p><strong>Results: </strong>The mean and standard deviation of adoption of preventive behaviors against hypertension and health literacy were 15.188 ± 1.215 and 61.07 ± 18.206, respectively, and both were at an unfavorable level. Health literacy, the number of children, the amount of physical activity per week, and the history of having high blood pressure were effective factors in adopting preventive behaviors against high blood pressure.</p><p><strong>Conclusion: </strong>The adoption of preventive behaviors against hypertension was lower among villagers with lower health literacy, having more children, less physical activity per week, and those who had no history of hypertension. Therefore, community health policymakers must design educational interventions in health literacy and hypertension prevention to help improve these patients' health.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"345"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110497","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":"Impact of oil fortification with iron in the prevention of anemia-A systematic review.","authors":"Ramesh Holla, Bhaskaran Unnikrishnan, Mithun Rao, Vani Verma, Chanchal Chaudhary, Vasudeva Guddattu, Jobinse Jose, Nisha Abdul Khader, Apoorva M Shankaranarayana, Arunima Biswas","doi":"10.4103/jehp.jehp_1533_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1533_25","url":null,"abstract":"<p><p>Micronutrient malnutrition has gained its significant influence on public health and a role in the worldwide disease burden in recent years. Through fortification, the nutritional profile of staple foods is enhanced, making them more nutritious and beneficial for consumption. This systematic review aims to assess the impact of oil fortification with iron in anemia prevention. Electronic search through five databases and additional resources was performed by using the appropriate keywords. Out of 13,948 records that were identified, one double-blind randomized controlled trial done among Swiss women met eligibility criteria. Selected study focused on women aged between 18 and 40 years with low serum ferritin, evaluating the impact of iron-fortified low-fat margarine. This study is registered in PROSPERO (CRD42023420044). Intervention showed an increase in body iron stores with both compounds, namely, sodium iron ethylenediaminetetraacetate (NaFeEDTA) and micronized ground ferric pyrophosphate (MGFePP); however, NaFeEDTA fortification demonstrated a two to three times greater impact compared to MGFePP fortification. Findings suggest that fortification, specifically with certain iron compounds, can be a useful tactic for enhancing iron status, particularly in people with low iron stores. The only included study under this review revealed that adding iron to low-fat margarine helped boost iron levels in women with low blood iron. Findings revealed that oil fortification with NaFeEDTA showed superior efficacy over MGFePP. Further research is warranted to investigate the feasibility of fortifying edible oils with iron, exploring reasons for both potential success and challenges, thus curbing the public health issue of iron deficiency.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"369"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110232","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 digital-spiritual assistance Dzikry model to improve hemoglobin levels and antenatal care compliance: A quasi-experimental study.","authors":"Marthia Ikhlasiah, Lastri M Winarni, Elfina Yulidar","doi":"10.4103/jehp.jehp_507_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_507_26","url":null,"abstract":"<p><strong>Background: </strong>Maternal anemia remains a significant contributor to adverse pregnancy outcomes, particularly in low- and middle-income countries. Although universal health insurance has expanded access to antenatal care (ANC), coverage alone does not guarantee optimal utilization. Innovative approaches addressing behavioral, cultural, and motivational factors are needed. This study aimed to evaluate the effectiveness of a digital-spiritual assistance Dzikry model in improving maternal hemoglobin status and ANC compliance.</p><p><strong>Materials and methods: </strong>A quasiexperimental nonequivalent control group design with pretest-posttest measurements were conducted among 60 second-trimester pregnant women at a clinic in Tangerang, Indonesia. Participants were allocated to an intervention group receiving digital education, visit reminders, and spiritually oriented motivational support, or a control group receiving standard ANC services. Hemoglobin levels were measured at baseline and follow-up. Secondary outcomes included ANC compliance, maternal knowledge, and perceived communication quality. Data were analyzed using independent t-tests, Chi-square tests, ANCOVA, and logistic regression.</p><p><strong>Results: </strong>Baseline characteristics were comparable between groups. The intervention showed a significantly greater increase in Hb levels compared to the control group (mean difference 0.7 g/dL; <i>P</i> = 0.004). A greater reduction in anemia prevalence was also observed. Additionally, the intervention group demonstrated higher ANC compliance, improved knowledge, and better communication scores. Women in the intervention group were more than three times as likely to achieve normal Hb status.</p><p><strong>Conclusions: </strong>The digital-spiritual assistance Dzikry model effectively enhances maternal engagement in ANC and improves hemoglobin levels, indicating its potential as a culturally adaptive strategy to maternal anemia in primary care settings.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"365"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110287","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":"Impact of burden of care upon psychological wellbeing and quality of life among family caregivers for cancer patients.","authors":"Eman Haider Hamza, Haider Mohammed Majeed","doi":"10.4103/jehp.jehp_413_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_413_26","url":null,"abstract":"<p><strong>Background: </strong>Cancer is a serious and fatal disease that affects both the patients themselves and their families. This study aimed to investigate the impact of caregiving burden on the quality of life and mental health of family caregivers of cancer patients.</p><p><strong>Materials and methods: </strong>This research is a cross-sectional study that further investigates family caregivers for their patients with cancer at babel oncology Center in Babylon, Iraq, from September 2025 to February 2026. A purposive sampling method that was applied to a group of 150 patients. Information was gathered through self-report questionnaire. SPSS version 26 was utilized to analyze the data.</p><p><strong>Results: </strong>The results showed that 73.3% of caregivers had a poor caregiving burden and 24.7% had a moderate caregiving burden, with approximately 74% having a fair quality of life, while 52.7% of caregivers had a good level of psychological well-being. The analyses also revealed a statistically significant relationship between caregiving burden and quality of life, and a statistically significant inverse relationship between caregiving burden and psychological well-being (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>The majority of caregivers have a low caregiving burden and a fair level of quality of life, and approximately half have a good level of psychological well-being. The results also showed a relationship between burden and quality of life; any change in burden level was accompanied by a change in quality of life. Furthermore, there is a significant inverse relationship between burden and psychological well-being.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"380"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110274","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":"Disparities in educational service quality among medical students in Iran's revised medical curriculum: A cross-sectional study in a resource-limited region.","authors":"Elahe Haghighat-Manesh, Narjes Dahmardeh, Fardin Ali Malayeri, Fatemeh Khojasteh","doi":"10.4103/jehp.jehp_509_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_509_25","url":null,"abstract":"<p><strong>Background: </strong>Ongoing evaluation of educational service quality in medical schools is essential, particularly in settings with limited resources. This study assessed the discrepancy between expected and perceived educational service quality among medical students in the Sistan region of Iran.</p><p><strong>Materials and methods: </strong>This cross-sectional analytical study involved 195 medical students enrolled in the revised curriculum at Zabol University of Medical Sciences. Data were collected using a demographic questionnaire and the SERVQUAL instrument, which measures the quality of educational services. Statistical analyses included paired <i>t</i>-tests, independent <i>t</i>-tests, and one-way analysis of variance (ANOVA).</p><p><strong>Results: </strong>Significant negative gaps were found across all dimensions of educational service quality. The smallest discrepancy was identified in the <i>tangibles</i> domain, while the <i>reliability</i> domain showed the most significant gap. Non-local students reported greater dissatisfaction in the <i>tangibles</i> domain. Those planning to pursue postgraduate education expressed significantly larger gaps in both <i>reliability</i> and <i>tangibles</i>, as well as in overall service quality. Students in the physiopathology phase reported broader gaps compared to peers in the basic sciences and clinical clerkship stages.</p><p><strong>Conclusion: </strong>Educational service quality fell short of student expectations across all assessed domains. Addressing these gaps-especially in under-resourced environments-is vital to aligning educational services with student needs and strengthening their role as key stakeholders in medical training.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"364"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110463","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":"Sawdust-plaster cast mixture versus traditional cast: Which type reduced pain and increases comfort and enhancing healing process among patients with twisting: A randomized controlled clinical trial.","authors":"Rasool Raheem Lafta, Haider Mohammed Majeed","doi":"10.4103/jehp.jehp_1509_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1509_25","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal twisting injuries, such as strains and sprains, are common and can be treated using cast immobilization without the need for surgery. The study aimed to evaluate the efficacy of Sawdust-Plaster Cast Mixture Versus Traditional Cast: Which Type Reduced Pain and Increases Comfort and Enhancing the healing process among Patients with Twisting.</p><p><strong>Materials and methods: </strong>The study was conducted from May to August 2025 and used a single-blind, true experimental design. Sixty patients with twisting injuries were randomly assigned to either the intervention group (<i>n</i> = 29), which received the sawdust-plaster cast, or the control group (<i>n</i> = 31), which received a standard cast. Pain and comfort levels were assessed using a visual analog scale (VAS), and the healing duration was recorded. Statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) version 30.</p><p><strong>Results: </strong>Compared to the standard cast (control) group, patients in the sawdust-plaster cast mixture (intervention) group reported a noticeably higher reduction in discomfort. The intervention group's mean pain score was 18.37 (<i>P</i> < 0.001), compared to 43.47 for the control group. Enhanced Comfort: Additionally, the intervention group reported feeling much more at ease. The intervention group's mean comfort score was 24.40 (<i>P</i> = 0.003), while the control group's was 36.21. For the sawdust-plaster cast mixture group, the healing period was noticeably shorter. The intervention group's mean recovery time was 25.11 days (<i>P</i> = 0.004), compared to 36.26 days for the control group.</p><p><strong>Conclusion: </strong>The intervention showed a notable and clinically significant improvement in patient outcomes based on health policy criteria. This directly addressed important health policy goals for enhancing patient experience and care quality. Additionally, the average healing time decreased by more than 30% (36.26-25.11 days), demonstrating the effectiveness of the intervention in hastening patient recuperation and enhancing productivity. These results show that the intervention not only satisfies but also exceeds standards for efficient, patient-centered care.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"338"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110488","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}