Journal of Education and Health Promotion
Volume:10 Issue: 4, Apr 2020

Given the prevalence of novel coronavirus disease 2019 (COVID‑19) and the lack of information on coronavirus and pregnancy, the purpose of this study was to evaluate the association of COVID‑19 and perinatal outcomes in pregnant women.

In the present review article, the search process was conducted on English and Persian scientific databases of PubMed, Scopus, Google Scholar, Magiran, Irandoc, Iranmedx, and SID as well as the websites of international organizations of World Health Organization and Centers for Disease Control and Prevention using the main keywords of “Pregnancy,” “Perinatal outcomes,” “Coronavirus,” “COVID‑19,” “MERS‑CoV,” “MERS,” “SARS‑CoV‑2,” and “SARS‑CoV‑1” and their Persian‑equivalent keywords from inception until March 16 2020.

The findings of studies on mothers with COVID‑19 were limited, and insufficient information is available on the adverse pregnancy outcomes in pregnant women with COVID‑19. In cases of infection with other coronaviruses such as Middle East respiratory syndrome and severe acute respiratory syndrome during pregnancy, there have been reports on adverse pregnancy outcomes such as miscarriage, stillbirth, preterm labor, low birth weight, and congenital malformations following high fever in the first trimester.

Pregnant women may be more susceptible to viral respiratory infections, including COVID‑19, due to immunological and physiological changes. Therefore, pregnant women should take routine preventive measures, such as washing their hands frequently and avoiding contact with infected people, to prevent infection.

Teacher empowerment is thought to improve student learning by fostering teaching quality. Therefore, the purpose of this study is investigating the relationship between empowerment and self‑efficacy of Iranian English as Foreign Language teachers.

The present study is an experimental study; the population of the study includes all the English language teachers of the universities of Ilam, Iran. Among whom by random sampling, the sample which was consisted of 60 teachers were selected. Participants in this study answered the School Participant Empowerment Scale questionnaire (Short and Rinehart, 1992) as the instrument of the study. The Pearson product‑moment correlation was computed to determine the relationship between teacher empowerment and teacher self‑efficacy.

The results showed that there was a positive correlation between teacher empowerment and their self‑efficacy (r = 0.55, P < 0.01) and differences among teachers’ self‑efficacy is not significant according to age (r = −0.14, P = 0.23).

Based on the results of the study, empowerment and self‑efficacy have interactive relationships; i.e. self‑efficacy in teachers leads to empowerment and empowerment in teachers leads to self‑efficacy.

In recent decades, the use of psychological methods has been considered to improve the barriers and challenges of abuse adolescent females. This study focuses on comparing the efficacy of trauma‑focused cognitive‑behavioral therapy (TF‑CBT) and theory of mind (ToM) on social competence among abused children.

A clinical trial was performed with 39 abused children as the subjects of the study. Participants are residents in Ahvaz (Iran) host‑family centers and were randomly divided into two groups of experimental subjects and control subjects. The data collection method utilized the Social Competence Questionnaire. Descriptive statistics, covariance analysis, and Tukey’s post hoc test were used for the data analysis.

Comparison of the groups showed that the average behavioral and cognitive competence increased in both TF‑CBT and ToM groups, but the average emotional, social competence is significantly higher in the ToM group. It is also found that the average social motivational competence is significantly higher in the TF‑CBT group than in the ToM group.

TF‑CBT and ToM can be effectively used to improve the social competence of abused adolescent females

Thinking styles’ effect on academic achievement is a challenging topic that has been raised with very different results in previous studies. Since thinking styles are influenced by the contexts, this study was conducted in the context of the occupational therapy, which is one of the disciplines in the rehabilitation sciences in Iran and its educational studies are still developing. The purpose of this research is to study thinking styles and their relationship with the educational achievement of occupational therapy students at Shiraz School of Rehabilitation Sciences.

This was a descriptive correlational study conducted at Shiraz School of Rehabilitation Science in 2015. As sampling was considered by the census of all students in the 2nd–4th year of Bachelor of Occupational Therapy, demographic data questionnaire and the “Short form of Wagner‑Sternberg Thinking Styles Inventory (1992)” were distributed among all 78 students. Students’ academic achievement was also considered by grade point average obtained from the educational office at school. The data were analyzed by descriptive and analytic statistics utilizing SPSS21 software. Pearson’s correlation coefficient and linear regression tests were used for data analysis.

Forty‑two students participated in this study with their personal consents. The results revealed that hierarchic (18.47 ± 2.54) and external (18.47 ± 3.23) were the dominant thinking styles of the occupational therapy students, followed by judicial, legislative, oligarchic, executive, conservative, liberal, monarchic, anarchic, local, global, and internal thinking styles. In addition, there was no correlation between any of the thinking styles and students’ achievement (P = 0.354). Thinking styles predicted only 4.9% of changes in academic achievements in this study.

Thinking styles could predict only limited amount of the academic achievements of occupational therapy students. Furthermore, as the dominant thinking styles of the occupational therapy students are hierarchic and external, it seems that occupational therapy students prefer to have a hierarchy of academic goals and seek tasks that provide them with the opportunity to interact with the others

Evidence is accumulating that the pattern and nature of marital relationships are very different in different cultures. This nationwide study aimed to determine marital satisfaction and the prevalence of emotional divorce as well as to identify the sociodemographic correlates in a Muslim population.

In this cross‑sectional study, one‑third of Iran’s provinces were selected randomly and a representative sample of inhabitants of their central city was included in the study. The ENRICH marital satisfaction scale was used to determine marital satisfaction levels. A single‑item measure with confirmed validity and reliability was used to find out about emotional divorce. The demographic variables included respondent’s age, spouse’s age, gender, educational level, residency, childbearing, and premarriage familiarity.

Of the 2033 participants, 1034 were women (50.9%). Nearly one‑third of both men and women had academic degrees. Almost 53% of them were satisfied with their marital life and 9.7% had emotional divorce. Men with academic degrees had a higher probability of marital satisfaction (odds ratio [OR] =1.26, 95% confidence interval [CI]: 1.04–1.53) and a lower prevalence of emotional divorce (OR = 0.37, 95% CI: 0.24–0.58).

This study showed a relatively high percentage of marital dissatisfaction as well as emotional divorce. Policymakers should strengthen premarriage education programs and postmarriage counseling centers.

The aim was to explore the relationship between mental health problems (MHPs) and health‑promoting lifestyle (HPL) in the medical students.

This cross‑sectional study was carried out on medical students in 2017 at Semnan University of Medical Sciences applying a stratified random sampling. The Symptom Checklist‑25 and the HPL profile scales were used. Logistic regression models were used to analysis.

Of the participants, 84 were male and 148 were female. The mean age was 22.69 years (±2.42). Most students (95.3%) were single and 40.1% were in the preclinical stage. The mean MHP score was 44.14 (±13.99), and 3% were in the severe category. The mean HPL score was 104.88 (±16.84); 95.7% and 4.3% of them had average and satisfactory lifestyles, respectively. The MHP score of the female (P < 0.001), younger (P < 0.001), single (P = 0.045), preclinical (P < 0.001), and who were away from home (P = 0.009) were significantly higher. The HPL score of female (P < 0.001), older (P = 0.041), and married students (P = 0.028) were significantly higher. The female gender (odds ratio [OR] = 4.45, P < 0.001) and studying in the clinical level (OR = 0.30, P < 0.001) were the most important associated factors with MHP. Adjusting for them, there was a significant relationship between an increase in the HPL score and a decrease in the likelihood of MHP (OR = 0.96, P < 0.001).

The mental health of medical students was shown to be in association with lifestyle independent of other important determinants, including gender and academic level. It seems that modifying the lifestyle to a healthier way can improve students’ mental health.

First point‑of‑care (FPC) at the primary health care (PHC) level is an important public health issue at the global level. Patients directly come to tertiary health centers without a referral. AIMS AND

Hence, the current study was done to assess the proportion of individuals availing health‑care services from rural health center (RHC) as FPC and reasons for not availing it.

A community‑based cross‑sectional study was conducted in Puducherry, coastal South India, among 367 households with 1510 individuals. Sociodemographic details, recent FPC during the past 6 months, morbidity profile, and reasons for not seeking were collected from all the individuals.

About 44.5% (672/1510) of individuals used any health facilities, of which 70.4% (473/672) used RHC as the FPC. About 33.2% of individuals had a respiratory illness, 22.3% had general signs and symptoms. About 24.6% (32/130) mentioned the reasons for not seeking care as lack of appropriate health facilities.

More than one‑fourth of the study population not utilized services at PHC level. Improving the health facilities may help to increase these services.

NTRODUCTION: A large number of women experience sexual health problems during the postpartum period. This study aimed to evaluate the effect of sexual health education on sexual function and time of sexual intercourse resumption after childbirth in primiparous women in Southeast Iran.

This randomized clinical trial was conducted on 94 primiparous women randomly divided into two groups of intervention and control. The intervention group was subjected to three training sessions 3–5, 10–14, and 30–45 days after childbirth (first session lasting 20 min and other sessions 60 min). On the other hand, the participants in the control group only received the routine postpartum training. The Female Sexual Function Index (FSFI) was completed by all participants before and 8 weeks after the intervention. Data were analyzed in SPSS software (version 22) using descriptive and inferential statistics, such as Chi‑square test, independent t‑test, and paired sample t‑test. P < 0.05 was considered statistically significant.

The mean score of FSFI in the intervention group was increased from 12.70 ± 6.166 before the onset of the intervention to 17.36 ± 5.407 after 8 weeks (P = 0.01). In the control group, the mean score of FSFI was decreased from 13.09 ± 4.306 to 12.29 ± 3.511 on the 8th week postpartum (P = 0.06). The mean times of sexual intercourse resumption in the intervention and control groups were 5.82 ± 0.17 and 5.81 ± 0.22 weeks, respectively, which were not significantly different between the two groups (P = 0.879).

Sexual health education for women in the postpartum period could improve their sexual function after childbirth. However, it is recommended to use sexual health education programs in women during the postpartum period to promote female sexual function.

Poor adherence in treatment and medication is a global issue in curing the chronic diseases such as hypertension. The present study was conducted to identify the factors related with medication adherence among hypertensive patients referred to the health centers of Borujerd based on the Pender’s Health Promotion Model (HPM).

This cross‑sectional study was conducted on 463 patients who were referred to the comprehensive health centers of Borujerd city by cluster sampling method in 2019. The data were collected using a questionnaire including demographic variables and Pender’s HPM constructs. Data were analyzed by SPSS 18 software using Pearson correlation coefficient and linear regression.

The mean and standard deviation of the participants’ age was 63.29 ± 11.2 years. The results showed that hypertensive patients had a relatively desirable level of medication adherence behavior. Perceived barriers (β = −0.169), perceived self‑efficacy (β = 0.196), activity related affect (β = 0.232), and following medication regimen (β = 0.225) were the best predictors of performing the medication adherence behavior. In total, different structures of the HPM explained 42.2% of the variation of medication adherence behavior changes.

According to the findings, the design of educational programs using HPM is recommended to increase the medication adherence among hypertensive patients.

The high incidence of dental diseases among Indian children can be attributed to low awareness regarding the oral health maintenance. The school health curriculum in India is deficient of an oral health component, and there are no organized oral health programs for schoolchildren existing at present. Therefore, the present study was conducted to assess the effectiveness of an oral health curriculum in improving the oral health behavior and dental caries experience in schoolchildren.

A nonrandomized trial with pretest/posttest design was conducted among 600 schoolchildren. Two intervention arms were designed with one group receiving health education from a dental health professional and other from a school teacher. The oral health curriculum was customized for three sections of different age groups (lower primary [LP], upper primary [UP], high school [HS]) and implemented for a period of 1 year. Oral health behaviors were recorded using a Knowledge, Attitude and Practice (KAP) questionnaire and were evaluated at baseline, 6 months, and 1 year of the educational intervention. Dental caries experience was measured Pre and Post - intervention using deft and decayed, missing, and filled teeth indices. Descriptive statistics were calculated for continuous data, and the change in KAP scores and dental caries experience was analyzed using the repeated measures of ANOVA, independent t-tests, and paired t-tests.

There were significant improvements in KAP regarding oral health among Indian schoolchildren. Significant reductions in decayed primary teeth were observed in LP and UP schoolchildren post-intervention. However, there was no significant difference in primary outcome between the two intervention arms.

A curriculum-based health education intervention customized for different age groups was found to be effective in improving oral health behavior and dental caries experience among Indian schoolchildren

Clinical education is one of the most important parts of medical students’ education, and it is a major part of the education of qualified and professional people. Therefore, this study was conducted to determine the effect of applying Direct Observation of Procedural Skills (DOPS) on midwifery students’ clinical skills.

This is a quasi‑experimental, two‑group study conducted as a pre‑ and post‑study on midwifery students in 2017–2018. Cluster and randomized sampling method was used. The processors involved in this study were three main skills of vaginal examination, pelvic examination, and vaginal delivery. The DOPS method was used to assess the practical skills in the interventional group during three times the process at day, 1 day, and at least 1 week later; the usual logbook method was used in the control group. Two groups were evaluated at the end of the midwifery course by Comprehensive Final Midwifery checklist. The tools were checked for validity and reliability, and data were analyzed using descriptive and analytical statistics.

There was no statistically significant difference between the two groups in terms of important demographic variables such as age, grade, marital status, and initial assessment score (P > 0.05). The mean of final scores in the normal delivery, vaginal examination, and pelvimetry was statistically significantly higher in the interventional group (P < 0.001). On the other hand, the functional field of the students in the interventional group was statistically significantly improved in normal delivery and pelvimetry (P < 0.05), and this difference was not significant in the vaginal examination. In addition, the mean scores of students before and after the DOPS method were statistically significantly different in every skill in Comprehensive Final Midwifery checklist (P < 0/05).

The DOPS assessment methodology is not only a useful tool of clinical evaluation, but also an effective tool for clinical learning of students. For this purpose, it is suggested that educational members of midwifery take enough time to design DOPS method in the same process.

Internationalization of higher education involves mutual exchanges as well as a consensus based. Political, economic, sociocultural, and scientific reasons recommend the need to move toward the internationalization of higher education. The current study highlights the strengths of the internationalization of Iran’s medical sciences education.

This descriptive exploratory study was carried out in 2016–2017 in Iran. The techniques used for data collection included review of articles, interview with subject experts, and the focus group and the nominal technique group to explore the views of various stakeholders. The data were analyzed with the qualitative content analysis method.

The inductive qualitative content analysis of all data generated 13 categories and 88 subcategories. The categories were geographical and geostrategic position of Iran; the historical, cultural, religious, and tourist attractions of Iran; the security of Iran; priority to internationalization policies and programs in Iran’s macro plans; the existence of regulations, laws, and approvals for international activities; same language with neighboring and regional countries; the low cost of studying and living in Iran; the ability of Iranian faculty members and experts for internationalization; the background, reputation, and the progress of medical education, health, and care in Iran; the cheaper forces of Iran and their welcome to foreigners; the existence of motivation, zeal, and belief for internationalization; the existence of proper infrastructure; and the existence of a suitable capacity for internationalization.

Iran has some positive points that can be used to promote international activities, provided it does some good advertising in this regard. It is suggested that the challenges, opportunities, and threats to Iran’s internationalization should be collated from the perspective of the various stakeholders.

Desirable sexual function is one of the symptoms of mental and physical health. Many causes can cause sexual dysfunction. Emotional problems in marriage are one of the main causes of sexual dysfunction. The purpose of this study was to investigate the relationship between emotional intelligence and its components with sexual function of women of reproductive age.

The present study was a co‑relational–analytic study that was performed on 165 women of childbearing age in the second half of 2018 in selected health centers. Data were collected using a three‑part questionnaire including demographic questionnaire, FFI standardized sexual function questionnaire, and Bar‑On Emotional Intelligence Questionnaire. Data were analyzed using descriptive statistics, Spearman, and Pearson correlation.

Most of the study participants were in the age group of 26–30 years (30.4%). The results showed a positive correlation and a statistically significant relationship between the mean score of all the components of emotional intelligence except the interpersonal relationships, responsibility, empathy, and self‑esteem with sexual performance score (P < 0.05).

Based on the positive correlation between some components of emotional intelligence and sexual function, emotional intelligence can be considered as an important and effective variable in improving women’s sexual function, so focus on emotional intelligence in counseling and education Individuals and emphasis on promotion are recommended

This study has been carried out to study the usefulness of the clinical posting at the National Referral Hospital in Bhutan. It is important to know whether the clinical experience leads to gaining nursing skills, and nursing being a skill‑oriented profession, clinical placement provides an opportunity, and education that carry a heavy weight in their wholesome nursing education.

The objective was to explore how nursing students commonly perceive their clinical experience.

A focus group discussion was conducted with eight to ten students/group from three levels of nursing education. The groups were 1st‑, 2nd‑, and 3rd‑year students who expressed their clinical experiences during the focus group discussions. The data were analyzed by content analysis using a thematic analysis.

Four themes emerged from the focus group discussion. The themes were “good exposure,” “connect theory to practice,” “anxiety and fear,” and “learning by task participation and helping.”

The clinical environment is different to classroom. In clinical areas, the students experience stress and anxiety, and learning is through working together, moreover, it finds out that real situation is not what is taught in the classroom.

It is less than a decade in Iran that integrated health kiosks have been limitedly provided to public by private sector. Considering the significant benefits of them, this study aimed to identify the barriers and facilitators for deploying kiosks in Iran’s formal health system in three phases, “design and construct, implement, and use.”

This was a qualitative study in Iran, and the data were collected through 20 semi‑structured interviews with experts in 2019. Participants were selected by purposeful method with the most diversity in terms of background and work experience; the interview texts were coded in MAXQDA10 software and analyzed through framework analysis. Participants’ viewpoint was used to verify the data and observers’ review to confirm them.

The barriers for designing and constructing kiosks were identified in the form of two main themes: the overall structure of the country and the structure of the health system; the obstacles for implementing were categorized in one main theme, lack of sources; and the barriers to use were also fall into four themes related to people, policymakers, service providers, and designers of kiosks. The facilitators at construction and implementation phases included the overall structure of the country and the structure of health system. At the use stage, the facilitators related to people, health and insurance policymakers, and owners and constructers were identified.

It is possible to deploy health kiosks in the Iranian formal health system, although there are some time‑consuming and costly barriers which can be overcome by the strengths and opportunities of the system.

Childbearing is an important biological and social event in the life of most women. It is a voluntary behavior that can be affected by many factors. Behavioral theories are a potential path way to study and influence childbearing behavior. The present study was conducted to determine the effect of an educational intervention based on the theory of planned behavior (TPB) on childbearing intentions in women presenting to premarital counseling centers in Tehran.

This randomized controlled quasi‑experimental study was conducted on 150 women aged 20–35 years presenting to premarital counseling centers. The participating women were randomly divided into an intervention (n = 75) and a control (n = 75) group using randomized sampling in Excel. The intervention group received two 90‑min sessions of training. The effect of training was assessed 6 weeks after the intervention using the researcher‑made questionnaire based on the components of the TPB. The questionnaires included subjects’ demographic details, knowledge (11 items), attitude (13 items), subjective norms (10 items), perceived behavioral control (8 items), and behavioral intention (4 items). Data were analyzed by SPSS software (version 22) and independent t‑test, Chi‑square, Mann–Whitney U‑test, and Wilcoxon test. P <0.05 was considered statistically significant.

There were significant differences between the intervention and control group after the intervention in the Mean ± SD scores of knowledge (6.73 ± 2.63 vs. 4.73 ± 2.85, P = 0.001), attitude (48.23 ± 7.19 vs. 40.13 ± 5.80, P = 0.001), perceived behavioral control (33.19 ± 5.28 vs. 23.59 ± 3.47, P = 0.001), and behavioral intention (13.84 ± 2.95 vs. 11.77 ± 2.12, P = 0.027).

The findings showed that an education based on the TPB increased women’s childbearing intentions by affecting their knowledge, attitude, perceived behavioral control, and intention. It is therefore essential to implement better public policies, create a more conducive educational setting for women of different age groups, and build a social support system.

The empirical assessment of the health outcomes associated with migration caused by climate change is still unclear. However, health outcomes in the early stages are expected to be similar to the health outcomes associated with refugees. The objective of the present study was a systematic review of the health effects of migration caused by climate change.

A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta‑Analyses guidelines. Online databases (PubMed, Scopus, Web of Science, and Google Scholar) were used to identify papers published that evaluated the health effects of migration caused by climate change. The search, article selection, and data extraction were carried out by two researchers independently. All English‑language articles on the health effects of migration caused by climate change were included in this study.

An analysis of the complex ways in which climate change influences populations can be facilitated using a three‑class classification: compulsory displacement, resettlement planning, and migration. Subsequent to climate changes, other changes, and environmental deficiencies, compulsory displacement may occur in case of inadequacy of compatibility responses. A part of migration‑related health outcomes caused by climate change is from displacement from rural to urban areas, especially in developing countries. There is significant documentation on health and livelihood inequalities between migrant groups and host populations in developed countries.

If climate change continues in its current direction, it is likely that the number of refugees and crises will increase in the coming decades. Although the domain and the extent of health hazards caused by the displacement of the population associated with climate change cannot be clearly predicted, by reducing global greenhouse gas emissions, along with social and environmental adaptation strategies, migration caused by climate change, health risks and its relevant crises can be greatly reduced.

Schools are a valuable platform for promoting oral health through oral health education as the children spend most of their active time in schools. Training school teachers on oral health promotion will help to inculcate healthy oral habits in children during their formative years of life.

The objective of this study was to assess the knowledge, attitude, approach, and action change of school teachers toward oral health and the impact of this training intervention in improving their knowledge.

An interventional study was conducted among 50 primary school teachers across the country selected by the Ministry of Human Resource Development. A self‑administered, 28‑item questionnaire in Google document format was developed to evaluate the knowledge and practice of teachers toward oral hygiene before and after the teachers’ training program. The training was done using a validated training manual on oral health promotion for school teachers developed by the Ministry of Health and Family Welfare. Needs assessment for training was conducted 1 week before this training program. STATISTICAL ANALYSIS: Wilcoxon signed‑rank test and Mc Nemar tests were used to assess the difference between the scores before and after oral health education.

The needs assessment revealed that majority of the teachers felt the need to participate in oral health promotion training. A significant increase (P < 0.001) in mean knowledge scores of school teachers was seen after a 1‑day training program.

The training improved the knowledge of school teachers on oral health which indicates that the adopted method of oral health education was well received by the participants from all over the country

Marital quality is an important predictor of marital continuity, which can lead to mental health, well‑being, and happiness for couples, and marital quality is equivalent to marital satisfaction and adjustment. This study was carried out to purpose the effectiveness of metacognition therapy on marital quality of women in the city of Isfahan.

The research method was quasi‑experimental with a pretest–posttest and control group design. The study population included all married women visiting consultation centers in the city of Isfahan during March 2018–March 2019. The sampling method was nonrandom voluntary sampling used to select 30 participants who were then randomly divided into experiment and control groups (15 individuals each). The research tool was the Revised Dyadic Adjustment Scale(RDAS). The experiment group participated in eight sessions of metacognition therapy, each lasting 90 min. Covariance analysis method was used to analyze the data via SPSS21.

The result of covariance analysis showed that metacognition therapy has been effective in improving the marital quality of the women in the city of Isfahan (P < 0.01).

The results of this study emphasize that metacognition therapy is effective on the marital quality of the women in the city of Isfahan. Using this treatment plan can result in improved marital quality and marital satisfaction and therefore improve the relationship of couples. Therefore, the results of the current study can provide empirical support for the use of metacognition therapy to improve marital quality.

An unhealthy lifestyle can threaten the health of nursing staff, especially in the context of cardiovascular diseases (CVDs). Considering the importance of health education in promoting preventive behaviors against these diseases, this study aimed to evaluate the effect of an educational program based on the health belief model (HBM) on improving preventive behaviors of nurses against CVDs.

This is a randomized controlled trial with a pretest–posttest design conducted on 104 nursing staff of Imam Khomeini Hospital in Kuhdasht, Lorestan, Iran, in 2017. They were randomly assigned into two groups of HBM (n = 52) and control (n = 52). The HBM group received the educational intervention for 6 weeks, one session per week each for 30–40 min. They were measured before and after the intervention using a demographic form, a researcher‑made HBM questionnaire, Baecke Habitual Physical Activity Questionnaire, and the 3‑day food intake record all in Persian. The collected data were analyzed in the Statistical Package for the Social Sciences (SPSS) v. 24 software using the Chi‑squared test and paired t‑test.

The educational program could only increase the perceived severity (22.64 ± 2.22), perceived benefits (50.83 ± 5.22), and perceived self‑efficacy (42.37 ± 5.93) of nurses in the HBM group compared to the controls (P < 0.05). The nurses’ perceived sensitivity was also increased, but it was not significant (P > 0.05). In the HBM group, a significant change was found in the food intake level for energy (t = 4.79, P = 0.000), protein (t = −2.99, P = 0.004), and unsaturated fat (t = −2.94, P = 0.005) after intervention. No significant difference was observed in the total physical activity score after the intervention (P > 0.05).

An educational program based on the HBM model can be used to increase the severity, benefits, and self‑efficacy of the nurses’ preventive behaviors against CVDs and modify their dietary regime.

One of the psychiatric disorders related to childhood is attention deficit hyperactivity disorder that can negatively affect the family interactions of these children. Parents of these children, especially the mother as the main caregiver, need comprehensive training to make a positive difference in their attitudes and behaviors with these children. The purpose of this study was to investigate the effect of emotion regulation training on family relationships in hyperactive children.

This was a randomized clinical trial study with a control group performed on eighty mothers of hyperactive children who were selected randomly. The intervention group members attended emotion regulation skills training sessions for one session of 90 min each week for 8 weeks. During the training course in the intervention group, the control group did not receive any training. Data collection tools included demographic information questionnaires, Mother–Child Relationship Evaluation, and Rahim Organizational Conflict Inventory‑II. Data analysis was performed by descriptive statistics and the analysis of covariance.

The mean scores of the mother–child relationship in the intervention group showed a significant improvement in the subscales of acceptance, overprotection, facilitation, and rejection (P < 0.0001). The results of this research also showed improvements in all the five communication styles of integrating, avoiding, compromising, obliging (P < 0.0001), and dominating (P < 0.012) between spouses.

It seems that the emotion regulation training approach in mothers with hyperactive children improved both the mother–child relationship and the interactive spousal styles and can be considered by the managers of treatment and rehabilitation field as an adjunctive therapy for the families of these children.

Government of India recognizes the use of “information, communication, and technology” in the provision of comprehensive primary healthcare. In 2014–2015, Karuna Trust, a nongovernmental organization, Bengaluru, India, introduced an electronic health record (EHR) innovation, namely “Comprehensive Public Health Management” application (CPHM App). Data could be entered in an offline mode followed by syncing with cloud. The CPHM App was piloted in primary health center (PHC) Gumballi, in Karnataka, with focus on household survey and maternal and child health (MCH) services.

To compare the consistency of selected MCH process indicators for Health Management Information System [HMIS] available from paper‑based records and those generated through the CPHM App (2016–2017). We also explored the implementation enablers, barriers, and suggested solutions from the user perspective.

A sequential mixed‑method study design was followed. Quantitative phase involved aggregate data analysis looking into the consistency of selected MCH process indicators available from paper‑based records and those generated through the CPHM App (2016–2017) followed by thematic analysis of in‑depth interviews of healthcare providers. Consistency was defined as a percentage where the numerator was the HMIS‑related process indicator data from CPHM App and denominator was the data from paper‑based records.

Three out of 12 selected MCH indicators had consistency of >80%. The quarterly consistency reduced over the 2 years. Dual burden of entry and regular monitoring of paper‑based records by district health and family welfare department were the reasons why more importance was given to entry in paper‑based records. Ability to generate aggregate indicators with CPHM App, easy to use and retrieve data in the field, and reminder facility for planned health activities were some of the factors facilitating CPHM implementation. The key barriers were limited technical expertise and support from the technical team and no internet connectivity in the field and traveling to PHC to sync the data. Provision of real‑time technical support and availability of data connectivity in the field were some of the solutions suggested.

There should be a minimum of 1–2 years of simultaneous use of EHR and paper‑based records after which one must shift to EHR.

The most important goal of a proper health‑care system is to provide good health. Today, patients do not consider hospitals as simply a place of rehabilitation; rather, they compare the hospital with a hotel in terms of environment, facilities, services, and quality of accommodation. This study aims to use DEMATEL approach to extract factors affecting the hoteling quality.

This was a descriptive, cross‑sectional study conducted in 2018. The study was carried out in two steps. In the first step, the factors affecting the hoteling quality were extracted, and in the second step, the DEMATEL technique was used to analyze and rank the cause and effect. The study population consists of all experts in the fields of medicine and health care (hospital managers, deputies, and faculty members familiar with accreditation and hoteling), among which twenty experts were selected using purposeful sampling and a questionnaire designed by the researcher consisting of 11 dimensions was distributed among them. The reliability of the questionnaire was calculated using Cronbach’s alpha coefficient which was equal to 0.85 while its validity was confirmed using Delphi technique. DEMATEL approach was used for data analysis.

The results show that among factors, human factors and economical–financial factors and, among subfactors, maintaining human dignity and quick action in providing emergency services are among the most important factors affecting the hoteling quality. Maintaining human dignity and speed of action in providing emergency services to patients was identified as the most important factor in improving hoteling quality.

The results of this study can be used to evaluate the quality of accommodations and health facilities, medical equipment, and building quality of hospitals, which can lead to effective actions and improvement of patient satisfaction and the eventual success of health transformation plan.