{"title":"The Impact of Educational Intervention Based on Theory of Planned Behavior for Promoting Physical Activity Among Middle-Aged Women Referring to Karaj (Iran) Health Centers.","authors":"Elham Mirzaei, Farbod Ebadi Fard Azar, Arash Ziapour, Nammam Ali Azadi, Mostafa Qorbani, Omid Safari, Morteza Mansourian","doi":"10.1177/0272684X20972849","DOIUrl":"https://doi.org/10.1177/0272684X20972849","url":null,"abstract":"<p><strong>Background: </strong>Physical activity is the most critical determinant of physical health which reduces the health risks during life. This designed study aims to evaluate the effect of educational intervention based on the theory of planned behavior on promoting physical activity among middle-aged women attending the health centers in Karaj city during 2017-2018.</p><p><strong>Methods: </strong>This research was a quasi-experimental controlled trial, and the study incorporated 140 Middle-Aged Women Referring to Karaj Health Centers assigned randomly to a control and intervention group (70 each group). Participants enrolling in the survey were asked to complete the International Physical Activity Questionnaire and also the theory of planned behavior measures at the baseline and the end of the study. The SPSS software were used, to analyze the data. The study applied Nonparametric Wilcoxon and Mann-Whitney tests and ANCOVA to interpret the results.</p><p><strong>Results: </strong>The results revealed participants' age range between 30 to 50 years with the mean and standard deviation scores 40.07 (8.750) in training and 45.81 (8.513) at the control group. The intervention improved the theory of planned behavior measures and the physical activities of participants. The results showed a significant difference in the attitude score, the perceived behavioral control score, and the level of subjective norms between two training and non-training groups (P < 0.001). The followed-up physical activity score also showed an improvement in the IPAQ score of participants in the training group (p < 0.001).</p><p><strong>Conclusions: </strong>The results of this specific study support the effectiveness of the theory of planned behavior for promoting the physical activity of women.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":"41 4","pages":"419-426"},"PeriodicalIF":1.3,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X20972849","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38595326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B F Dele-Ojo, T H Raimi, J O Fadare, E A Ajayi, D D Ajayi, O D Ojo, S A Dada, O A Ajayi, J A Ogunmodede
{"title":"Knowledge and Prevalence of Heart Disease Risk Factors Among Staff of a Tertiary Institution in Nigeria.","authors":"B F Dele-Ojo, T H Raimi, J O Fadare, E A Ajayi, D D Ajayi, O D Ojo, S A Dada, O A Ajayi, J A Ogunmodede","doi":"10.1177/0272684X20972653","DOIUrl":"https://doi.org/10.1177/0272684X20972653","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular disease is the most common cause of mortality worldwide. Hence, awareness of cardiovascular risk factors is an essential step towards effective reduction of the disease burden. This study determined the knowledge and prevalence of cardiovascular risk factors among Staff of Ekiti State University. Ado-Ekiti, Nigeria.</p><p><strong>Methods: </strong>A cross-sectional study which comprised of 223 members of staff.</p><p><strong>Results: </strong>There were 103 males (46.2%). Low knowledge of heart disease risk factors was found in 68.6% of the respondents. The prevalence of hypertension, diabetes mellitus, overweight, obesity, physical inactivity was 35.4%, 12.1%, 31.8%, 23.3%, and 83% respectively. Family history of hypertension was a predictor of a high level of knowledge.</p><p><strong>Conclusion: </strong>A low level of knowledge and increasing prevalence of cardiovascular risk factors existed among staff of Ekiti State University, Nigeria. Hence, there should be a step-up of awareness campaigns and promotion of healthy lifestyle among this category of people.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":"41 4","pages":"387-394"},"PeriodicalIF":1.3,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X20972653","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38586424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Swastika Chandra, Paul Ward, Masoud Mohammadnezhad
{"title":"Investigating Patient Trust in Doctors: A Cross-Sectional Survey of Out-Patient Departments in Fiji.","authors":"Swastika Chandra, Paul Ward, Masoud Mohammadnezhad","doi":"10.1177/0272684X20967602","DOIUrl":"https://doi.org/10.1177/0272684X20967602","url":null,"abstract":"<p><strong>Background: </strong>Despite evidence on the positive impact of trust in a doctor-patient relationship on health outcomes, there are limited studies conducted in Pacific Island Countries including Fiji. This study was conducted to assess the current level of patient trust in doctors and investigate its determinants in Fiji. Method: A random sample of 410 participants attending the outpatient services completed the self-administered structured questionnaire. The response rate was 91% (N=375) and data was analyzed using descriptive statistics and analytic analysis using logistic regression. Result: Mean age of participants was 38years (±15yrs). The majority of patients had partial trust in their doctors compared to full trust (61.6% vs 38.4%). More than half of the participants perceived doctor's communication behavior as fair rather than good (53.6% vs 45.6%). Those over 50 years (OR 1.96; p=0.007, 95% CI: 1.198-3.226) and those who perceived doctors' communication behavior as good (OR 8.48; p=0.0001, 95% CI: 5.257-13.709) were significantly more likely to have full trust in the doctors. Conclusion: This study reveals that age and communication are determinants of trust in Fiji. In view of the current perception of the doctors' communication behavior, Fiji's Ministry of Health and Medical Services should implement policies to give equal importance to the communication skills of the doctors together with their clinical skills and enforce it in the medical schools.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":"41 4","pages":"369-377"},"PeriodicalIF":1.3,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X20967602","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38617418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improve Bystander Cardiopulmonary Resuscitation in the Chinese Community.","authors":"Ningning Guo, Michelle DeCoux Hampton","doi":"10.1177/0272684X20942073","DOIUrl":"https://doi.org/10.1177/0272684X20942073","url":null,"abstract":"<p><p>Though many community cardiopulmonary resuscitation (CPR) training classes are available throughout the United States, disparities exist in training and receipt of bystander CPR for Chinese immigrants with limited English proficiency. To increase the number of persons prepared to respond to a cardiac emergency, a Chinese language CPR training program was offered in the community in collaboration with the Stanford Department of Community Partnership. Program leaders imported the American Heart Association approved Chinese version of <i>Heartsaver® for Adult CPR and AED</i> from the China Mainland to make the training accessible to Chinese immigrants with LEP. In 2018, two CPR training events were conducted with 47 participants. All participants successfully demonstrated bystander (hands-only) CPR skills with 91% of participants reporting confidence and 97% willingness to perform CPR. As the first known CPR class offered in the Chinese language in the San Francisco Bay Area using official AHA products, this project provides valuable information regarding community interest and feasibility for expanding this educational program.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":"41 3","pages":"309-314"},"PeriodicalIF":1.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X20942073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38124355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Euthanasia in Serbia: Attitudes of Students of Law and Medicine.","authors":"Darko Dimovski, Veljko Turanjanin, Milica Kolaković-Bojović, Dragana Čvorović","doi":"10.1177/0272684X20936938","DOIUrl":"https://doi.org/10.1177/0272684X20936938","url":null,"abstract":"<p><strong>Background: </strong>Voluntary active euthanasia represents one of the key topics in the contemporary world medicine, law, religious, ethical and moral issues. Serbia considers legalization of this procedure. Between the others, it is important to examine the student's attitudes regarding this issue.</p><p><strong>Methods: </strong>Data were obtained from the faculties of law and medicine, from the universities of Kragujevac and Niš, Serbia. Data were collected during the second half of 2017. The research included 214 students. Due to the nature, subject and hypothesis of the research, the authors used descriptive method and the method of the theoretical content analysis.</p><p><strong>Results: </strong>Generally, 54% of the students are in favor of legalization of the voluntary active euthanasia. 62, 4% would take part in the referendum on the legalization euthanasia.</p><p><strong>Conclusion: </strong>The results obtained in the survey on euthanasia on a sample of law and medical students in Niš and Kragujevac indicate that choice of the faculty (law or medicine) influences the structure (share) of responses to particular questions to some extent. However, this influence does not provide ground for conclusion that students' opinion on legalization and application of euthanasia depends on fact they study law or medicine.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":"41 3","pages":"303-308"},"PeriodicalIF":1.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X20936938","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38072621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fatima Al-Sulaiti, Hebatala Fares, Ahmed Awaisu, Nadir Kheir
{"title":"Continuing Professional Development Needs of Community Pharmacists in Qatar: A Mixed-Methods Approach.","authors":"Fatima Al-Sulaiti, Hebatala Fares, Ahmed Awaisu, Nadir Kheir","doi":"10.1177/0272684X20918048","DOIUrl":"https://doi.org/10.1177/0272684X20918048","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to assess the educational needs and professional competencies of community pharmacists in Qatar to inform the development of relevant continuing professional development (CPD) programs.</p><p><strong>Methods: </strong>A mixed-methods cross-sectional exploratory study targeting community pharmacists was conducted using a questionnaire and an event diary. Descriptive and inferential analyses were utilized to analyze the data using the Statistical Package for Social Sciences (SPSS®) version 21 software. For the event diary, thematic content analysis was used for data analysis.</p><p><strong>Results: </strong>Drug information skills and pharmaceutical care process were the most identified topics for inclusion in CPD programs. None of the pharmacists thought that they were competent in core areas of pharmacy practice. Community pharmacists who filled an event diary highlighted the need for development in areas such as communication skills and medication safety.</p><p><strong>Conclusion: </strong>The identified needs shall help in developing a CPD program that addresses what community pharmacists perceive as educational and professional training needs.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":"41 3","pages":"285-292"},"PeriodicalIF":1.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X20918048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38000786","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":"Effectiveness of Official Development Assistance in the Health Sector in Africa: A Case Study of Uganda.","authors":"Cyriaque Rene Sobtafo Nguefack","doi":"10.1177/0272684X20918045","DOIUrl":"https://doi.org/10.1177/0272684X20918045","url":null,"abstract":"<p><p>This qualitative explanatory case study assessed the influence of Official Development Assistance on selected health development indicators in Uganda between 2005 and 2013 by reviewing development partners' perceptions. Key health indicators included the following: (a) under 5-year-old mortality rates, (b) infant mortality rates, and (c) maternal mortality ratio. Results indicated slow progress in reducing infant mortality and under-5 mortality rates and almost no progress in the maternal mortality ratio despite the disbursement of a yearly average of nearly $400 million USD in the last 7 years to the health sector in Uganda. Five bottlenecks in the influence of development assistance on health indicators were identified: (a) poor governance and accountability framework in the country, (b) ineffective supply chain of health commodities, (c) negative cultural beliefs, (d) insufficient government funding to health care, and (e) insufficient alignment of development assistance to the National Development Plan and noncompliance with the Paris Declaration on Aid Effectiveness.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":"41 3","pages":"231-240"},"PeriodicalIF":1.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X20918045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37965604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Venkatesh Gonibeedu, M Sundar, H C Santhosh, D Mallikarjuna Swamy
{"title":"Outcome of Biomedical Waste Management Training Among Staff Nurses of Primary Health Centers of Hassan District.","authors":"Venkatesh Gonibeedu, M Sundar, H C Santhosh, D Mallikarjuna Swamy","doi":"10.1177/0272684X20915380","DOIUrl":"https://doi.org/10.1177/0272684X20915380","url":null,"abstract":"<p><strong>Introduction: </strong>Inadequate biomedical waste management not only poses significant risk of infection due to pathogens such as HIV and Hepatitis B and C virus but also carries the risk of water, air, and soil pollution thereby adversely affecting the environment and community at large. Therefore, the Ministry of Health and Family Welfare commissioned implementation of an Infection Management and Environment Plan (IMEP) in health-care facilities. Hence, this study is undertaken to assess the knowledge, attitude, practice, and gaps in implementing the biomedical waste management practices at the primary health-care facilities.<b>Methodology:</b> A cross-sectional study was conducted among the Primary Health Centers of Hassan District. Details of knowledge, attitude, and practice of biomedical waste management were collected through observation, staff interview, and record review on the predesigned questionnaire. A score of 0, 1, and 2 was given for <i>noncompliant</i> (0), <i>partially compliant</i> (1), and <i>fully compliant</i> (2), respectively, based on the compliance. A scoring system was devised to evaluate the effectiveness of training as <i>good</i>, <i>average</i>, and <i>poor</i>. A score of >70 was considered as <i>good</i>, 50 to 70 as <i>average</i>, and <50 as <i>poor</i>.</p><p><strong>Results: </strong>The mean efficacy score was 63; knowledge was good with a score of 74, attitude was average with a score of 63, and practice was also average with a score of 54.</p><p><strong>Conclusion: </strong>There is a need for retraining of all the staff and strict supportive supervision by the district health authorities to ease the implementation requirements.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":"41 3","pages":"349-353"},"PeriodicalIF":1.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X20915380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37837939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kayoll V Galbraith-Gyan, Shoba Ramanadhan, Kasisomayajula Viswanath
{"title":"Community Stakeholders' Perspectives on Introducing Human Papillomavirus Vaccination and Biobanking Evidence-Based Programs Within Medically Underserved Communities: A Community-Engaged Approach.","authors":"Kayoll V Galbraith-Gyan, Shoba Ramanadhan, Kasisomayajula Viswanath","doi":"10.1177/0272684X20942071","DOIUrl":"10.1177/0272684X20942071","url":null,"abstract":"<p><strong>Purpose: </strong>We explored the perspectives of program coordinators and community leaders from Community-based-organizations (CBOs) and Faith-based-organizations (FBOs) to determine how information on human papillomavirus (HPV) vaccination and biobanking is understood and supported within medically underserved communities, and identified strategies for introducing evidence-based programs (EBP) on HPV vaccination and biobanking within underserved communities.</p><p><strong>Methods: </strong>The EPIS framework guided discussions in four focus groups with program coordinators (<i>n</i> = 27) and one-on-one interviews with community leaders (<i>n</i> = 15) from CBOs and FBOs.</p><p><strong>Results: </strong>Participants reported that community members were aware of HPV vaccination but did not know of the link between HPV infection and cancers. Awareness for biobanking was low. HPV vaccination and biobanking were not priority health concerns among community members due to other health issues. However, HPV vaccination and biobanking were considered sensitive health topics. For HPV vaccination, sensitivity was due to concerns that HPV vaccination promoted sex among adolescents, while for biobanking, sensitivity was due to historical abuses of people of color by the medical community. Participants reported that program coordinators' awareness of HPV vaccination and biobanking depended on their organizations' mission. Neither were considered a priority health concern due to lack of funding. Few EBP were available on HPV vaccination and biobanking. Recommendations on culturally-appropriate strategies for engaging community members on HPV vaccination and biobanking EBP are discussed.</p><p><strong>Conclusion: </strong>Given the promise of HPV vaccination and the Precision Medicine Initiative to reduce cancer disparities, findings elucidate factors to be considered when implementing EBP on HPV vaccination and biobanking into medically underserved communities.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":"41 3","pages":"315-323"},"PeriodicalIF":1.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9376934/pdf/nihms-1820826.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38159162","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}
Zahra Esfandiari, Maryam Mirlohi, Jila M Tanha, Marjan Hadian, Sayed Isa Mossavi, Akbar Ansariyan, Neda Ghassami, Shahnaz Adib, Tahereh Bahraini, Leila Safaeian, Farzaneh Pakmehr, Farnaz Mashhadian, Maryam Abolhasani, Mohammad Reza Marasi, Fatemeh Isteki, Roya Abedi, Parvin Ghorbani, Parisa Shoaei, Roya Kelishadi
{"title":"Effect of Face-to-Face Education on Knowledge, Attitudes, and Practices Toward \"Traffic Light\" Food Labeling in Isfahan Society, Iran.","authors":"Zahra Esfandiari, Maryam Mirlohi, Jila M Tanha, Marjan Hadian, Sayed Isa Mossavi, Akbar Ansariyan, Neda Ghassami, Shahnaz Adib, Tahereh Bahraini, Leila Safaeian, Farzaneh Pakmehr, Farnaz Mashhadian, Maryam Abolhasani, Mohammad Reza Marasi, Fatemeh Isteki, Roya Abedi, Parvin Ghorbani, Parisa Shoaei, Roya Kelishadi","doi":"10.1177/0272684X20916612","DOIUrl":"https://doi.org/10.1177/0272684X20916612","url":null,"abstract":"<p><p>Emerging noncommunicable diseases (NCDs) with premature mortality are one of the major concerns in health supervising organizations of the world. High intake of energy, salt, sugar, fat, and trans fatty acids are introduced as dietary risk factors of NCDs. The status of food risk factors is presented in Traffic Light (TL) food labeling through colors of red, yellow, and green as the signs of <i>stop</i>, <i>wait and watch</i> and <i>go</i>, respectively. This stepwise interventional study examined whether TL education can result in choosing healthier food via assessing the impact of face-to-face educational sessions on knowledge, attitudes, and practices of 673 respondents toward TL food labeling through a self-administered and structured questionnaire. Paired <i>t</i> test or alternatively Wilcoxon test was used to evaluate the influence of education in total scores of knowledge, attitudes, and practices in test-retest. Results indicated that before education, the average of the scores for the knowledge, attitudes, and practices was 1.003 ± 0.69, 10.97 ± 1.86, and 1.60 ± 1.84, respectively. After education, the scores were increased to 8.72 ± 3.11, 15.95 ± 2.64, and 8.42 ± 1.69. Significant differences in the scores of the respondents were observed before and after education (<i>p</i> < .05). This study revealed that the intervention of education had positive effect on the knowledge, attitudes, and practices of the studied population. Even though general awareness about the food risk factors of NCDs existed, special education is required to make public TL and food labeling information usage as an actual guidance for every food item in Iran.</p>","PeriodicalId":54184,"journal":{"name":"International Quarterly of Community Health Education","volume":"41 3","pages":"275-284"},"PeriodicalIF":1.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0272684X20916612","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37805401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}