ABSTRACT
Caesarean section is considered as a major surgery which is accompanied by several complications. The present study aimed to determine the effect of behavioral intention model-based educational intervention on reducing the caesarean section among pregnant women. The present interventional study was conducted on 100 primiparous women in the third trimester of pregnancy who were covered by the health and treatment centers of Fasa city, placed in Fars province, Iran. The subjects were selected through simple random sampling and divided into an intervention and a control group. After the pre-test, the intervention group underwent exclusive training based on the behavioral intention model. Then, both groups took part in the post-test and the data were analyzed using paired t-test, independent t-test, and chi-square tests. The results of the study revealed a significant difference between the two groups regarding knowledge, evaluation of the outcomes, attitude, and intention [P<0.001]. The results of the chi-square test also showed a significant difference between the two groups regarding their performance [P<0.001]. According to the results, the present intervention was effective in increasing the pregnant women's knowledge, evaluation of outcomes, attitude and strengthening their intention as well as performance. Thus, this model and other systematic trainings are suggested to be used for pregnant women in order to decrease the rate of caesarean section
ABSTRACT
We aimed to assess the impact of health workers' training program on preventive behaviors of leishmaniosis based on BASNEF [Belief, Attitude, Subjective Norm, and Enabling Factors] model in the families under the coverage of health centers. The study was done in rural health centers of Marvdasht City, Fars Province, Iran in 2011. Health workers completed a specific questionnaire. Moreover, out of the families under the health center's coverage, 20 families from each health center were selected in order to complete the questionnaire. Then, 4 training sessions for the health workers and 2 training sessions for influential individuals were held. Weekly meetings were also conducted with the health workers' representatives in order to prepare the enabling factors and solve the problems. Three months after the health workers' training, the data were collected again and analyzed using the SPSS statistical software [version 16]. The mean scores obtained for knowledge, attitude, behavioral intention, enabling factors, and health workers' behavior significantly increased after the educational intervention in the experimental [intervention] group [P=0.001]. Influential individuals also revealed significant changes after the educational intervention [P=0.001]. The mean scores obtained for those factors of the attendant families under coverage also increased significantly in the experimental group [P=0.001]. Educational programs based on the BASNEF model might change the health workers' behavior and, eventually, their training behavior leads to preventive actions in families under coverage.
ABSTRACT
The purpose of this study was to determine the effects of educational program based on the BASNEF [Belief, Attitude, Subjective Norm, and Enabling Factors] Model on eye care among patients with insulin independent diabetes mellitus in Shiraz City, Fars Province, Iran. We enrolled 100 patients with non-insulin independent diabetes mellitus [Type II] fulfilling the inclusion criteria of this experimental study. The participants were randomly divided into two groups, one experimental, and one control group. All groups completed the questionnaires based on the BASNEF Model, a checklist related to patient's practice including patients' HbA1c and FBS levels, the pre-test results of an ophthalmologist's eyes examination and the results of three months follow-up. The experimental group participated in eight educational sessions during the interventional. The data analysis used including chi square-test, t-test, and ANOVA. The knowledge and all BASNEF Model components were significantly increased in the experimental group compared to the control group after intervention. In addition, behavioral eye care, such as physical activities, regular taking medicine, having eye examination, FBS checking, having appropriate diet, HbA1c level, and fasting blood sugar levels improved significantly among the experimental group compared to the control group. Applying the BASNEF Model is very effective for developing an educational program for diabetic patients, in order to control their blood sugar and enhancing behavioral eye care. Besides such programs, follow up education on controlling and monitoring is highly recommended