نشریه مدیریت ارتقای سلامت
سال دهم شماره 1 (پیاپی 47، بهمن و اسفند 1399)

It is important to identify barriers to participation in public sports. The aim of this study was to prioritize the factors hindering participation in public sports by the "Promethee Technique”.

In this descriptive study, the "Promethee Technique” was used to identify barriers to participation in sports and their importance. 
The statistical population of this study consisted of all citizens of selected provinces. 1841 people (936 men and 905 women) were selected by simple random sampling based on Morgan table. In this study, the demographic questionnaire and "Constraints of Recreational Sport Participation Scale" were used.Content validity index, construct validity were measured by confirmatory factor analysis, convergent validity and reliability (Cronbachchr('39')s alpha coefficient calculation and composite reliability) of the instruments. Data analysis in SPSS. 24, SmartPLS 3.  And Visual PROMETHEE 1.4 software was performed.

Lack of time with Phi coefficient 0.1929, fear of injury in sports with Phi coefficient 0.1723, lack of sports facilities with Phi coefficient 0.1220, high cost of sports with Phi coefficient 0.1005, not having enough health to exercise with Phi coefficient 0.1005, fear of unsuccessful sports with a Phi coefficient of 0.0384 is more important because of the Phi positive.

Lack of time to participate in sports is a major obstacle. It is suggested that public sports authorities remove individual, structural and cultural barriers and implement incentive programs to increase sports participation.

Mind reading is one of the problems of hyperactive people. Understanding oneself and others is essential for effective social interactions, which plays an important role in the health of interpersonal relationships. The aim of this study was to determine the effectiveness of "Cognitive Rehabilitation" training on mind reading in adults with Attention Deficit Hyperactivity Disorder in 2019.

This is a quasi-experimental study with a pretest-posttest design with a control group. The statistical population included all students with ADHD between the ages of 20 and 40 in the Islamic Azad University of Zanjan in 2019. The research sample was 24 people who were identified by available sampling and were divided into two groups by simple random method (simple lottery). 12 people were considered in the intervention group  and 12 people were considered as the control group. Research instruments included a demographic questionnaire, the “Barkley Adult ADHD Rating Scale”, and the” Reading the Mind in the Eyes”. Content validity index as well as reliability were measured by internal consistency method by calculating Cronbachchr('39')s alpha coefficient.Cognitive rehabilitation" training included 36 software training exercises and 24 manual exercises (pencil-paper) focusing on memory, attention, inhibition and mind reading. The intervention group received 19 sessions of 45 minutes of cognitive rehabilitation training. Data were analyzed in SPSS software version 24.

There was a statistically significant difference between the control and intervention groups in the mind reading variable (P=0.001, F=173.14) after the intervention. The effect size also showed that about 43% of the differences observed in the mind reading variable were due to group membership (intervention).

“Cognitive Rehabilitation” training can affect the mind reading of adults with attention deficit hyperactivity disorder. Therefore, it is suggested to use “Cognitive Rehabilitation” training to promote health and improve interpersonal and family relationships of hyperactive adults.

Obsessive-compulsive disorder is one of the most common and debilitating psychological disorders that severely affects health. Due to the need for psychological therapies along with drug therapies, the present study was conducted to compare the effectiveness of Cognitive-Behavioral Group Therapy and pharmacotherapy (Fluoxetine) on the symptoms of obsessive-compulsive disorder.

This is a quasi-experimental study with pre-test and post-test design with control group. The study population was people with obsessive-compulsive disorder who referred to counseling centers and psychological services in Bandar Abbas in 2017. 45 people were selected by convenience sampling method and randomly assigned to three equal groups. The intervention groups received 12 sessions of 90 minutes of cognitive-behavioral training and three months of drug therapy (Fluoxetine), respectively, and the control group did not receive any intervention. Data were collected using the demographic questionnaire, and the “Yale-Brown Obsessive-Compulsive Scale”. The Qualitative content validity and Cronbachchr('39')s alpha coefficient were calculated. Data were analyzed in SPSS. 22.

Mean and standard deviation of post-test obsession in cognitive-behavioral group therapy (6.57±1/41), drug therapy (8.19 ± 1.83) and control (12.05±2/59) and mean and standard deviation of post-test compulsion in the groups were Cognitive-Behavioral Group Therapy (5.84±0/96), drug therapy (7.38±1/15) and control (10.27±2/13). Both Cognitive-Behavioral Group Therapy and drug therapy (Fluoxetine) significantly reduced obsession and compulsion. Also, Cognitive-Behavioral Group Therapy was more effective in reducing obsession and compulsion compared to drug therapy (Fluoxetine) (P <0.05).

The two methods of Cognitive-Behavioral Group Therapy and drug therapy (Fluoxetine) reduced obsession and compulsion in people with obsessive-compulsive disorder. The effectiveness of Cognitive-Behavioral Group Therapy in reducing obsession and compulsion was higher than drug therapy (Fluoxetine). Therefore, counselors and therapists can use both methods, especially Cognitive-Behavioral Group Therapy for obsessive-compulsive disorder.

Pain related emotional disclosure can have positive effects on the physical and psychological health of patients with chronic pain, although little is known about the experience and perception of patients and their spouses of emotional disclosure. Therefore, the aim of the present study was to determine the couplechr('39')s experience of emotional disclosure related to chronic low back pain.

The method of the present study is interpretative phenomenological analysis. Data were collected through semi-structured interviews. 11 patients with chronic low back pain along with their spouses were purposefully selected from Imam Khomeini Hospital in Tehran. All interviews were recorded, transcribed verbatim and analyzed with an interpretative phenomenological approach.

Main themes are: 1- positive beliefs about emotional disclosure and 2- negative beliefs about emotional disclosure. Although participants believe that emotional release, increased intimacy, and mutual problem-solving are important aspects of the emotional disclosure process, couples refrain from expressing their emotions in order to protect themselves and the other from the negative consequences.

emotional disclosure is a complex process, and coupleschr('39') beliefs about pain-related emotional disclosure are one of the internal factors that influence the decision to express emotion. It is suggested that in order to increase the effectiveness of such interventions, peoplechr('39')s beliefs about emotional disclosure should be considered as an effective component in the process of assessment and treatment.

One of the most important tasks of human resource management is to staffing system. Improving and developing human resources with a knowledge-based approach is one of the main goals of third millennium organizations. Therefore, the aim of this study was to identify the components of staffing system based on knowledge-based organizational civilization in medical universities.

This research is a qualitative study with content analysis approach that was conducted with the participation of 16 lectures of health services management, managers of medical universities and teachers of the Department of Public Administration in Birjand. Interviews were semi-structured and individual meetings were held. Data were analyzed by content analysis method using MAXQDA.12.
 

After content analysis, 10 main themes and 44 sub-themes were identified, which based on the highest frequency, including continuous learning, committed employees, creative and innovative employees, knowledge employees, ethical employees, learning ability, meritocracy, competitiveness, intellectual capital, and knowledge management.

The most important factors in staffing are the components of continued learning, committed employees, creative and innovative employees, and knowledge-oriented staff. Therefore, in order to create a knowledge-based organizational civilization in universities of medical sciences, these components should be considered in Supply human resources.

Depression is one of the most common causes of mental disorders in adolescents and high school students because adolescents are exposed to a variety of events in the environment of peers and friends, school and home. The aim of this study was to determine the effect of Dialectical Behavioral Therapy on psychological components (anxiety, stress, depression) and problem solving styles in junior high school students in Sanandaj.

The method of the present study was quasi-experimental using a pretest-posttest design with a control group. The statistical population of the present study included all female high school students in Sanandaj in the academic year of 1996-97. 40 female junior high school students were selected by cluster random sampling after screening to diagnose depression. To collect data, demographic questionnaire, "Beck Anxiety Inventory", " Stress, Anxiety and Depression Scale-42", "Beck Depression Inventory" and "Problem Solving Styles Questionnaire" was used. Content validity was measured by qualitative method, face validity and reliability by internal consistency method by calculating Cronbachchr('39')s coefficient. Dialectical Behavioral Therapy were presented to the intervention group in 10 sessions of 90 minutes. Data were analyzed using SPSS.24.

Dialectical Behavioral Therapy has a significant effect on psychological components (anxiety, stress, depression) and problem solving styles (P <0.001).

Considering the effect of Dialectical Behavioral Therapy on changing the level of psychological components (anxiety, stress, depression) and problem-solving styles in students, it is suggested that officials in the field of research and student health use Dialectical Behavioral Therapy for students who are depressed.

One of the challenges of human societies is to search and select the best people to learn and practice skills, and the support of families and schools can play an important role in identifying talent and developing championship sports. The present study was conducted to design a family-school support model in the development of sports talents.

The present qualitative research was conducted by Grounded Theory method. Data were collected through semi-structured interviews and the method of sampling was snowball. Data were collected through interviews with 16 experts familiar with the topics of talent identification and talent development. Nvivo10 software was used to analyze the data.

Based on the findings of this study, 13 main themes include, resource development and standardization of talent identification as causal conditions, social and media factors as contextual conditions, bureaucracy and managerial weakness, as intervening conditions, financial and economic support, behavioral support and social support as an axial phenomenon, common strategies and training strategies were identified as strategies and sporting talent development and competitiveness, as outcomes.

The support of families along with the support of the educational system and the cooperation of sports organizations with these two institutions can be considered an important factor in developing the countrychr('39')s sports talents. Therefore, it is suggested that the Ministry of Education and the Ministry of Sports and Youth allocate the necessary financial resources and support in the form of a special line to schools to help and guide sports talent.

Rapid changes in the organizational environment depend on increasing social responsibility and organizational agility. One way to achieve organizational agility is to use e-government. The aim of this study was to determine the correlation model of E-Government and organizational agility with the mediating role of social responsibility in the staff of the Ministry of Sports and Youth.

This descriptive-correlational study was performed on 300 staff members of the Ministry of Sports and Youth who were simple randomly selected (lottery). The instruments used were demographic questionnaire, "E-Government Questionnaire", "Organizational Agility Questionnaire" and "Corporate Social Responsibility Questionnaire". Face validity, content by qualitative method and convergence of questionnaires and reliability by internal consistency method were evaluated and confirmed by calculating Cronbachchr('39')s alpha coefficient and composite reliability. The collected data were analyzed in SPSS. 18 and PLS. 23.

The values of t-statistic were positive for the relationship between e-government and organizational agility and social responsibility as well as the relationship between social responsibility and organizational agility and were reported to be significant at 99% confidence level. The values of standard coefficients of e-government path on social responsibility, social responsibility on organizational agility and e-government on organizational agility through social responsibility were reported as positive. The model of structural equations was evaluated and validated using the goodness-of-fit index.

There is a positive and significant correlation between e-government and organizational agility. The variable of social responsibility in the relationship between e-government and organizational agility plays a relative mediating role. It is suggested to provide the ground for organizational agility by expanding the fields of e-government development and simultaneous training on social responsibility.

Evaluation in hospitals is a necessity in the way of promoting the health of the community and requires valid and reliability instruments. Therefore, the present study was conducted with the aim of developing and psychometrics "Evaluation Criteria for Health Promoting Hospitals Scale".

The present research is methodological. Initially, a comprehensive review of the research topics included documents, service providers at hospital management levels, all published library documents, and national strategic documents in the field of hospital health promotion and Social Security documents. The " Evaluation Criteria for Health Promoting Hospitals Scale" was then developed with 72 items. Face validity, content validity ratio, and content validity index were measured by a survey of 10 experts. Construct validity (factor analysis) was determined by distributing the scale between 272 samples. Reliability was measured by internal consistency method by calculating Cronbachchr('39')s alpha coefficient with 15 participants and composite reliability. Data were analyzed in SPSS. 21 and LISREL.

The " Evaluation Criteria for Health Promoting Hospitals Scale" was developed with 68 items, 11 components (in 3 structural, process and consequential dimensions). The ratio of content validity, content validity index and construct validity was confirmed. Reliability was performed by internal consistency method by calculating Cronbachchr('39')s alpha coefficient and its value was 0.758 for structural dimension, 0.895 for process dimension and 0.924 for consequential dimension. 

The "Evaluation Criteria for Health Promoting Hospitals Scale” with 68 items, 11 components (in 3 structural, process and consequential dimensions), has a high validity and reliability. It is recommended to use the above scale to evaluate health promotion hospitals.

The coach is considered as one of the important factors in improving the performance and performance of sports teams and the main and central figure. The aim of the present study was to determine the correlation between the perception of coach competence, motivational climate with engagement for sports in athletes.

This study is a descriptive-correlation method. The statistical population included all female karate athletes in the Iranian Basic League in 1999, whose number is 2100 people. The statistical sample was 324 people based on Cochranchr('39')s formula and was selected by simple random sampling. In this study, the demographic questionnaire, "The Coaching Competency Scale", "Empowering and Disempowering Motivational Climate Questionnaire-Coach", "Athlete Engagement Questionnaire" were used.  Construct and convergent validity and reliability were measured by internal consistency method by calculating the Cronbachchr('39')s coefficient. The collected data were analyzed using SmartPls 3.0 software.

There was a significant positive correlation between motivational climate (β = 0.44, P = 0.001) and coaching competence (β = 0.12, P = 0.045) with sports engagement. Also, there was a significant positive correlation between coaching competence (β = 0.20, P = 0.001) with motivational climate.

Motivational climate and coaching competence have a significant and positive correlation with sports engagement and coaching competence with motivational climate. Therefore, it is suggested that coaches participate in knowledge-enhancing courses, conferences and internships in order to develop the level of coaching skills.

In sports management, managers face serious challenges, one of which is ignoring staff behaviors. Therefore, the present study aimed to determine the role of employeeschr('39') psychological capital in impact of authentic leadership, work meaningfulness, and supportive organizational climate with job satisfaction.

The present study was performed by descriptive-correlation method. In order to select the sample, 300 people were selected from the staff of the Ministry of Sports and Youth based on Morganchr('39')s table. Research instruments include demographic questionnaire, "Psychological Capital Questionnaire", "Authentic Leadership Questionnaire", "Meaningful Work Questionnaire"; "Organizational Climate Questionnaire", and "Minnesota Job Satisfaction. Validity of measuring instruments using the method face, content validity index, content validity ratio and construct validity were evaluated using confirmatory factor analysis method, and the reliability was confirmed by internal consistency method by calculating the coefficient with Cronbachchr('39')s alpha coefficient. Data analysis was performed using LISREL 8, SPSS 24 and PLS version 3.2.2.

Psychological capital can the role of complete mediator in the relationship of authentic leadership (Zvalue=11.32; P>1.96); work meaningfulness (Zvalue = 15.28; P>1.96); supportive organizational climate (Z value=14.46; P >1.96) with job satisfaction.

Psychological capital mediating role in the relationship between the variables under study. It is suggested that managers use appropriate programs to change the psychological capital of employees to help them in case of problems, deficiencies and failures to be revived to ultimately ensure their job satisfaction.