Papers by Alireza Hidarnia
Health Education and Health Promotion, 2015
Aim: The aim of this study was to determine the effectiveness of a self-care educational package ... more Aim: The aim of this study was to determine the effectiveness of a self-care educational package on patients suffering from hypertension in Khatamolanbia Hospital of Iranshahr. Self-care includes a set of healthy behaviors as well as the choice of correct lifestyle, which will prevent from disease and result in effective treatment in case of disease through proper knowledge. Since hypertension is one of the most important modifiable factors by self-care, prevention and treatment of this disease should be considered by the authorities. Method: A self-care educational package was used within six months to assess its impact on hypertensive patients using a researcher-made questionnaire. The target population included 50 mainly female hypertensive patients admitted to Khatamolanbia Hospital of Iranshahr in 2015 who were studied in pre-test post-test groups. The data were analyzed using the SPSS software (version 16). Findings: It was indicated that the self-care education program had a ...
Objective (s): The purpose of this study was to evaluate the impact of an educational package on ... more Objective (s): The purpose of this study was to evaluate the impact of an educational package on attitude, self efficacy and tobacco use preventive behaviors of adolescents in Zarandieh, Iran. Methods: This was a quasi-experimental study. A sample of high school male students was randomly divided into two groups: cases (n=80) and controls (n=80). All cases received an educational intervention in 6 sessions while the controls did not. Data were collected using a questionnaire containing items on attitude, self-efficacy and preventive behaviors at two points in time: before intervention and at 6 months follow-up. Results: The mean age of respondents was 16.3 (SD = 1.4) years. Before the intervention, there were no significant differences between cases and controls on smoking and knowledge, attitudes, self-esteem, self-efficacy and preventive behaviors (p>0.05). However, there were significant differences between cases and controls on all measures including tobacco use after the intervention (p<0.05). Conclusions: The designed educational package had a good impact on the prevention of smoking behavior among adolescents.
JOURNAL OF REPRODUCTION AND INFERTILITY, Apr 1, 2007
Introduction: Unwanted pregnancy remains a major public health concern. In Iran, 8.7% of women of... more Introduction: Unwanted pregnancy remains a major public health concern. In Iran, 8.7% of women of reproductive age (15-49) have an unwanted pregnancy during use of a reversible method of contraception, and 5.6% of these pregnancies occur among Oral Contraceptive (OC) users. OC use is the most popular and widely used method among Iranian women. The recent Iran Demographic and Health Survey (IDHS) reported that only half (51.5%) of OC users take it correctly. The aim of this study was to investigate the influence of the women's self-efficacy on their oral contraceptive performance. Materials & Methods: This study was a cross-sectional survey on oral contraceptives that investigated contraceptive behavior based on steps to behavior change (SBC) model and self efficacy theory of OC users in Iran. The survey was conducted from July 2005 to May 2006 in family planning clinics of Mashad Health Centers. Three hundred and fifty two OC users were interviewed. The collected data were analyzed by SPSS software. Statistical methods such as descriptive analysis, spearman correlation and multiple regressions were employed. Results: Family planning self-efficacy was significantly related to knowledge, approval, intention, practice and advocacy, among which, intention and advocacy had the highest correlation and predictability power. Standard multiple regression analysis revealed that this model had worked extremely well. Indeed, the independent variables accounted for 54.5% of the variance in intention. Conclusion: This study confirms that the hypothesis of improving family planning self-efficacy can be effective in consistent and correct use of oral contraceptive pills and it can produce positive outcomes. It is suggested that the findings of present study be used as a basis for interventions designed to enhance better performance in the concerned area.
BMC Oral Health
Background Tooth decay and other oral health (periodontal) diseases are highly prevalent worldwid... more Background Tooth decay and other oral health (periodontal) diseases are highly prevalent worldwide and present a significant economic burden. Oral health is particularly important for adolescents, as the World Health Organization has identified tooth decay as one of the most pressing global health issues. This study aims to identify predictors of oral health behaviors among students aged 13–15 years in the city of Shushtar, Iran. Methods The present research is a cross-sectional study that was conducted during the summer of 2022 on 415 adolescents from the first secondary school in Shushtar. Two standard questionnaires were used to collect data, consisting of demographic information and questions related to measuring awareness, attitude, performance, and self-efficacy regarding oral health behaviors among adolescents. The collected data was analyzed using SPSS 22 statistical software through descriptive statistics, Pearson correlation, and regression analysis. Results The average sc...
Iranian Journal of Health Sciences
Background and Purpose:Low back pain (LBP) is a global health problem and one of the leading caus... more Background and Purpose:Low back pain (LBP) is a global health problem and one of the leading causes of disability. Also, LBP is a major occupational problem among nursing staff. The study aims to determine LBP, disability, quality of life (QoL), and the relationship between LBP and job-related risk factors and dimensions of QoL in nurses. Materials and Methods: In this cross-sectional study with a descriptive-analytic approach, eligible nurses working in teaching hospitals affiliated with Mazandaran University of Medical Sciences were included in the study by census method. Data were collected based on the demographic questionnaire, Visual Analog Scale (VAS), Quebec Back Pain Disability Scale (QBPDS), and Short-Form 36 (SF-36) health survey questionnaire. Data were analyzed (descriptive, logistic regression, spearman correlation) using SPSS software, version 23. Results: This study included 402 nurses with a mean age of 36.47±7.1 years and employment mean of 11.83±6.4 years of an em...
Background: Osteoporosis is one of the most common metabolic bone diseases. The purpose of this s... more Background: Osteoporosis is one of the most common metabolic bone diseases. The purpose of this study is to investigate the effect of a walking education program based on the health belief model (HBM) on osteoporosis among women. Material and Methods In this quasi-experimental research design, 120 patients (60 experimental and 60 control),who were registered with the health centers in Fasa City of Fars Province, Iran, participated in the study in 2014. A questionnaire consisting of demographic information and HBM constructs was used at pre-intervention, immediately after their intervention, and then six months later. Bone mineral density (BMD) was recorded at the lumbar spine and femur prior to and six months post-intervention. Data were analyzed using SPSS19' through 'chi-square test, independent t-test, repeated measure ANOVA at a significance level of 0.05. Results Immediately and six months after the intervention, the experimental group showed increased in knowledge, per...
Background: Pregnant women need information, skills and social support for the effectiveness of p... more Background: Pregnant women need information, skills and social support for the effectiveness of pregnancy care. Health education patterns play a major role in educational needs assessment in designing and implementing educational interventions. Objectives: The present study aimed to investigate the pregnancy care behaviors, based on the health belief and social support model among pregnant women. Methods: This cross-sectional study was conducted in with the participation of pregnant women under the control of faculty of Iranshahr Medical Sciences who were selected by multi-stage sampling method. The data were collected through a questionnaire based on the structures of the health belief and social support model, knowledge, behavior and demographic information. Data were analyzed by descriptive, Pearson correlation and multivariate regression tests in SPSS ver software. Results: The highest rate of education among pregnant women ( ) was high school. The mean score of mothers' per...
Yafteh, 2015
Background : Osteoporosis is a major public health priority in Iran and the world. Recently, prev... more Background : Osteoporosis is a major public health priority in Iran and the world. Recently, prevention of osteoporosis has become the goal of many health professionals. Behavior change is one of the most powerful strategies for osteoporosis prevention. This study aimed to determine the predictors of osteoporosis prevention behavior in women aged 30-50 in Khorramabad. Materials and methods: This descriptive-inferential cross-sectional study included 269 women aged 30-50 selected from all the health centers of Khorramabad according to the inclusion criteria of the study and through cluster and systematic sampling method. Data gathering tools were valid and reliable questionnaires of demographic information, stages of change, decisional balance, self-efficacy, and physical activity. Chi-square test, Spearman correlation coefficient, and logistic regression were applied to analyze the data. Results: The mean age of the subjects was 38.72±7.003, and the mean light weekly physical activi...
Journal of Family & Reproductive Health, 2017
Objective: Social support and perceived self-efficacy affect health-related behaviors and play an... more Objective: Social support and perceived self-efficacy affect health-related behaviors and play an important role on mothers' adaptability with pregnancy. This paper aims to study the impact of educational interventions based on social support and perceived self-efficacy on maternal prenatal care. Materials and methods: The present study is a before after experimental study in which 90 first-time pregnant women were randomly selected and divided into two 45- participants experimental and control groups. Data were collected from 21 January to 20 May 2016. Determining the validity and reliability of the questionnaire, we used the panel of experts and Cronbach's alpha. The data collected from the two groups were compared before and 3 months after intervention and were analyzed by SPSS 18. Results: Unlike the control subjects, there was a significant difference in maternal prenatal cares before and after an educational intervention between the scores of social support and perceiv...
Military Caring Sciences, 2018
Introduction: Iron deficiency is one of the main causes of anemia, especially in girls. Approxima... more Introduction: Iron deficiency is one of the main causes of anemia, especially in girls. Approximately, more than 30% of the world population have anemia. This problem suggests general malnutrition or insufficient iron in diet. Objective: This study aimed to investigate the effect of visual media education on awareness, attitude and function of female students in Chabahar regarding iron deficiency anemia. Material and Methods: The present study is semi-experimental (case-control). The data were collected through researcher-made questionnaire which its validity and reliability was confirmed by content validity and test-retest reliability. The samples consisted of 140 high school students in Chabahar during 1392-93. They were randomly divided into intervention and control groups. In this interventional study, a 15-minute educational clip was produced for 14-19 year girls and a questionnaire was designed for this age group considering the context of educational clip. Then participants were given questionnaires during three stages including before, immediately after, a month after the intervention. Data were analyzed through descriptive tests, and RM ANOVA at the level of alpha 0.05. Results: Totally, 140 students were randomly divided into intervention and control groups. The mean of awareness, attitude and practice about anemia was not statistically significant between control and case groups before the intervention while it was different after the intervention (P<0.05). Before the study, all patients claimed that the main sources of information were teachers (27.8%), medical team (20.0%), and friends (19.2%). Discussion and Conclusion: This study indicated the effectiveness of educational clip on the awareness, attitude and short-term performance of students in terms of iron deficiency. So, it is recommended that health workers employ the educational plans widely to promote public health among high school girls.
Aim: The purpose of this examination is determining predictors to oral health behaviors predict i... more Aim: The purpose of this examination is determining predictors to oral health behaviors predict in Iranian students in district 1 Tehran based on the health belief model with added Commitment to plan construct. Methods: This cross-sectional study was conducted on 351 four grade female students in the first district of Tehran, Iran in 2017. The random Multi‑stage random cluster sampling method was used to recruit students. The inclusion criteria were being graded, four female students (aged 9-11 years), or Education at the fourth grade of one of the elementary schools studied in the first district of Tehran and, The health of the student from a physical and psychological of view. Logistic regression analysis was used to identify the variables that predict oral health behaviors. Results: The total 31.8% of the students reported that they were brushing behavior less than twice a day and 55.2% students claimed, use of dental floss behavior once a week or less than once a day. The result...
Environmental Health and Preventive Medicine, 2017
Background: Pregnant women and their fetus belong to a sensitive group in response to air polluti... more Background: Pregnant women and their fetus belong to a sensitive group in response to air pollution hazards. The aim of this study was to evaluate the effectiveness of a theory-based educational program to change pollution exposure behavior in pregnant women. Methods: In this randomized controlled trial, pregnant women attending a prenatal clinic in Tehran, Iran were selected and randomized into the experimental and control groups. The inclusion criteria were age between 18 and 35 years, having a history of pregnancies without adverse outcomes and not suffering from chronic diseases. Data collected at baseline and 2-month follow-up. At baseline face-to-face interviews were conducted using a valid and reliable questionnaire including items on demographic characteristics, stages of change, self-efficacy, decisional balance and practice regarding air pollution preventive behaviors. The intervention composed of three parts: motivational interviewing, a booklet and daily small message service (SMS). The control group received no intervention except receiving usual care. Follow-up data were collected after the intervention. Data were analyzed performing t-test, Mann-Whitney U test, and chi-squared. Results: In all the data for 104 pregnant women (53 in the intervention and 51 in the control group) were analyzed. The mean age of participants was 27.2 (SD = 4.11) years and it was 22.89 (SD = 8.75) weeks for gestational age. At baseline there were no significant statistical differences between intervention and control groups on the study measures while we found significant group differences in terms of stages of change, self-efficacy, perceived benefits and practice regarding air pollution preventive behaviors at follow-up assessment (P < 0.05). Conclusion: The findings indicated that the TTM-based intervention was effective in increasing air pollution preventive behaviors among pregnant women. This study provided a framework to modify some psychosocial determinants of air pollution preventive behavior other than knowledge using constructs of Transtheoretical model of behavior change, additionally results suggests the importance of education and makes enlightenment of the air pollution risk knowledge accelerate. Trial registration: IRCT2012091010804N1
Asian Pacific Journal of Cancer Prevention, 2013
Background: Tobacco use among adolescents is a major public health concern, and identifying predi... more Background: Tobacco use among adolescents is a major public health concern, and identifying predictors of smoking is necessary for planning prevention programs. The present study examined the relationship between refusal self efficacy, self esteem, smoking refusal skills and water pipe (hookah) smoking among Iranian male adolescents. Materials and Methods: A cross-sectional study was conducted with 380 Iranian male adolescents aged between 15-19 years selected by multistage sampling. The participants completed an anonymous, voluntary, self-report questionnaire. Variables independently associated with water pipe (WP) smoking were identified by multiple logistic regression analysis. Results: The mean age of the participants was 16.7±1.3 years. The prevalence of WP smoking was 17.3%. Logistic regression analysis revealed that knowledge (OR=0.56; 95%
The First International 4th National Congress on Health Education Promotion 2011, May 17, 2011
Background and Aim: The aim of this project is to distinguish between self-efficacy (S-E) and per... more Background and Aim: The aim of this project is to distinguish between self-efficacy (S-E) and perceived behavior control (PBC) in an application of theory of planned behavior (TPB) for the prevention of substance abuse in male adolescents. Materials and Methods: A measure consisting of TPB and control constructs for substance abuse avoidance which contained 34 items was developed and then administered to a sample of adolescents (N=303) in Tehran, Iran. After estimating reliability and validity, exploratory factor analysis and path analysis were carried out to examine the study objectives. Results: All the 303 young male adolescents, aged 15-19, were entered into the study and completed the questionnaires. The exploratory factor analysis led the control items to two factors: PBC and S-E. Path analysis indicated a good fitness for TPB while distinguishing between the two control constructs. Moreover, S-E becomes the most powerful predictor for intention, (with non-significantly prediction of behavior) [ß= 0.29], and PBC becomes the most powerful predictor for behavior (with the most weakness prediction of intention) [ß= 0.36]. Conclusion: The results of this research provide another document for distinguishing between perceived behavioral control and self-efficacy.
Pregnant women are more susceptible to periodontal disease like gingivitis. Periodontal disease m... more Pregnant women are more susceptible to periodontal disease like gingivitis. Periodontal disease may be associated with adverse pregnancy outcomes. There is no published literature on dental health in pregnant women in Arak city in Iran. This was a cross-sectional descriptive and analytical study conducted at the 340 pregnant women. The sampling procedure used was a stratified cluster sampling technique. Subjects were randomly selected and questionnaire was given to women in 15 health centers. The level of knowledge, attitude and practice of oral health behavior were recorded. Results revealed that: The mean knowledge of the women is 43.2 ±9.8 and the mean DMFT is 5.4±2.83 for the sample and 21-25, 26-30 and 31-35 year-olds were 2.9, 5.6 and 5.9, respectively. The knowledge related to dental care was also poor among the pregnant women. Though the majority of them (82%) agreed that women should have a dental checkup during pregnancy, only 46% actually practiced this. Significant positive correlations existed between the participant's age and DMFT (r=0.44), DT (r= 0.36) and FT scores (r= 0.41), respectively. In conclusions: This study highlights important gaps in dental knowledge and practices related to oral and dental healthcare among pregnant women. More intense dental health education, including oral health promotion in maternal child health centers can lead to improved oral and dental health and ultimately pregnancy outcomes.
Procedia - Social and Behavioral Sciences, 2012
The purpose of this study is to investigate the effect of PRECEDE-PROCEED Model Combined with the... more The purpose of this study is to investigate the effect of PRECEDE-PROCEED Model Combined with the Health Belief Model and the theory of Self-Efficacy to Increase Normal delivery among nulliparous women. Pregnant women in their second trimester with child birth fear scores of 28 or more were randomly selected and assigned into experimental (50) and control group (50). The intervention consisted of nine educational sessions based on the integrated theory. The control group only received routine antennal care. The findings showed that the educational intervention based on the integrated theory was effective in reducing the rate of primary caesarean section.
Iranian Red Crescent Medical Journal, 2013
Background: Adolescent smoking problem has still remained as a public health concern, but factors... more Background: Adolescent smoking problem has still remained as a public health concern, but factors that attributing to the initiation of adolescent smoking are not well known in Iran. Objectives: The aim of this study is to estimate the prevalence of smoking, and its associations among high school male adolescents in Iran, in the context of the theory of planned behavior (TPB). Patients and Methods: This was a cross-sectional study involving male adolescent students (high school) in the city of Zarandieh, Iran. A multiple-stage sampling protocol was used. The participants completed an anonymous, voluntary, and self-report questionnaire. Prevalence was estimated, and demographic variables, psychological factors, and the theory of planned behavior components were used to indicate factors contributing to adolescents' cigarette smoking. Results: In all, 365 students were entered the study. The mean age of respondents was 16.49 ± 1.11 years. The prevalence of current smoking was 15.1%. The result obtained from logistic regression analysis revealed that all theory of planned behavior (TPB) components [knowledge (OR = 0.75; 95%
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Papers by Alireza Hidarnia