فهرست مطالب

Journal of Research and Health
Volume:14 Issue: 2, Mar-Apr 2024

  • تاریخ انتشار: 1402/12/11
  • تعداد عناوین: 10
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  • Elaheh Hooshmand, Roghaye Estaji, Marzie Zarqi, Marziye Meraji* Pages 103-116
    Background

    The health information system is an essential part of the health system and has a vital role in increasing the efficiency and effectiveness of the health system, especially in primary health care (PHC). This study was conducted to determine the minimum data set required in the electronic health record (EHR) for primary health care (PHC) in the health system of Iran as an example of a low-middle-income country.

    Methods

    This study is a combination of qualitative and quantitative methods conducted from 2021 to 2022, and includes three main stages, reviewing the theoretical foundations of research and designing the main framework of interview guide questions, a qualitative study through an interview with 42 managers of the health system at the national level to determine the minimum data in the electronic health, and determine the validity of the data via Delphi method using SPSS software, version 15.

    Results

    After reviewing the minimal data set in EHR in seven selected countries, and during the interviews conducted with specialists, 7 main concepts and 5 sub-concepts were extracted from the interviews. Based on this, 159 information elements were included in the survey, and in two Delphi rounds, 145 information elements in seven sections of children, mothers, mental health, elderly, para-clinic, medicine, and vaccination were agreed upon by the experts.

    Conclusion

    To standardize the data structure, it is necessary to create a database of national health information in the country’s EHR. The existence of a standard minimum data set can lead to the access of accurate and unambiguous information to the service recipient. It is essential to pay more attention to mental health programs and the elderly and use the latest information in the design of the minimum data set in the health system.

    Keywords: Electronic health record (HER), Primary health care, Minimum health data collection
  • Yanuan Ben Olina*, Suparman Suparman, Budi Santosa, Satriya Pranata Pages 117-124
    Background

    No bibliometric study of published research subjects was conducted on obesity and hypertension to identify trends and novelties. As a result, this study aims to look into the trend of number of publications, trend of citations, journal with the most publications, area with the most publication approval, network visualization, overlay visualization, and density visualization on the topic of obesity and hypertension using bibliometric analysis.

    Methods

    This study uses a bibliometric analysis. The data in this study are based on Internet searches conducted using Dimensions app. The VOSviewer software, version 1.6.18 was used to create and display the latest trends in network visualization, overlay visualization, and density visualization. The preferred reporting items for systematic reviews and meta-analyses (PRISMA) flowcharts were used to show the steps after data collection. Step 1 (identification), step 2 (screening), step 3 (study eligibility) and the final sample (included) in phase 4 were all documented.

    Results

    The search for publications on obesity and hypertension yielded 995.13 articles. After screening using the specified criteria, 9 541 articles were found. Most publications on obesity and hypertension were published in 2021, the fewest in 2003. Research on obesity and hypertension is conducted by health sciences. In addition, trends in obesity with hypertension currently focus on the impact of obesity and hypertension on specific populations (e.g. children, and elderly), novel therapeutic approaches, or the role of technology in monitoring and managing these conditions. From the density visualization, the topics that visualized the low category are mortality rate, severity, risk of hypertension, and metabolic abnormalities.

    Conclusion

    From the results of the bibliometric analysis using these keywords, researchers can identify information about trends and innovations in obesity research topics in the future. This study recommends other researchers choose topics from the low visualization category to conduct new studies in the future.

    Keywords: Obesity, Hypertension, Bibliometric, Trend
  • Jumoke Iyabode Oladele*, Tharina Guse, Henry O Owolabi Pages 125-138
    Background

    Multiple factors shape health and mental well-being (MWB). These factors are considered indicators for a holistic assessment of the well-being construct. Analyzing existing literature on indicators related to health and MWB is necessary to support a comprehensive evaluation in the sub-Saharan African context to assess and improve the population’s health and MWB.

    Methods

    This study is a literature review conducted by adapting the POWER framework while leveraging the Web of Science (WoS) database, complemented with random Google-led searches. Leveraging the POWER framework, this paper reviewed related literature on mental health and well-being (HWB) to provide a framework for action. 

    Results

    Going through the planning, writing, and reflection phases, of the POWER framework, the WoS database search produced 22 pieces of literature published in South Africa from 2014 to 2022 and 5 pieces of literature published in Nigeria from 2019 to 2022 with 26 manuscripts across higher institutions in South Africa and eight manuscripts with various organizations. The study revealed abilities to realize potential, cope with the normal stresses of life, work productively and fruitfully, and meaningful community engagement as some of the crucial mental health indicators. The reviewed literature revealed that MWB as a multi-phased construct is fast gaining attention in sub-Saharan African contexts.

    Conclusion

    This study concluded that mental HWB assessment has multiple indicators being largely deployed linearly using Western-developed or validated assessment instruments. Therefore, an adaptive health and MWB assessment with a more accurate assessment capacity should be developed as a transdicsiplinary illness prevention intervention.

    Keywords: Transdisciplinary science, Health, Mental well-being (MWB) indicators, Mental well-being assessment, Sub-Saharan Africa
  • Maryam Changizi*, Hooshang Mohamadian, Bahman Cheraghian, Shokrollah Salmanzadeh, Fatemeh Maqsoodi, Sasan Ghorbani Kalkhajeh Pages 139-146
    Background

    Protective behavior is recommended to prevent COVID-19. However, the existing gap is no reliable evidence of protective behavior in southern urban areas in Iran. This study aims to estimate the prevalence of face mask usage and shield use among pedestrians in the Abadan, Khoramshahr, and Shadegan southern cities of Iran. 

    Methods

    This population-based cross-sectional study was conducted from June to August 2021 in the southwestern urban population of Iran. In this study, 7 425 pedestrians were selected from 85 neighborhoods. Sampling was conducted using a multi-stage method. The data were collected by observation passers on the street with a checklist and analyzed by SPSS software, version 26 statistical and WINPEPI software. The acceptable significance level was P<0.05.

    Results

    A total of 55.4% of the subjects were men. The prevalence of face mask usage was 3990(53.8%) (95% CI, 52.7%-55%). The correct use of the face mask and shield were (38.5% and 0.4%), respectively. The use of a face mask was higher in men than women (54.3 vs 53%). Pedestrians under 10 years (39.2%) and over 70 years (44.7%) had the lowest use of the mask. The use of face mask was more in the evening and night (58.1% vs 54.3%), and a significant relationship was observed between the use of the face mask and age (P<0.05).

    Conclusion

     The prevalence of the use of face mask is relatively low. Therefore, the possibility of controlling the infection may be difficult. Promoting media literacy, emphasizing the perceived benefits of preventative behavior, and setting rules may improve mask use.

    Keywords: COVID-19, Pedestrians, Face mask, Preventative behaviors, Observational study
  • Freshteh Khatti-Dizabadi, Jamshid Yazdani-Charati, Shadi Fathizadeh, Firoozeh Mostafavi*, Reza Amani Pages 147-160
    Background

    Due to the low consumption of fruits and vegetables in adults, most of them are employed in workplaces; this condition is a good opportunity to implement an intervention to influence the behavior of this group. This study aims to determine the effects of social marketing techniques in an intervention on fruit and vegetable (F&V) intake among office staff. 

    Methods

    This descriptive study was a formative research. This study was conducted on 70 administrative staff in a government office in Ghaemshahr City, Mazandaran Province, Iran in two stages, formative research and developing intervention strategies according to social marketing techniques. Formative research consists of two distinct phases, qualitative and quantitative. The categories were extracted using the direct content analysis method by MAX QDA at the qualitative stage, and the questionnaire data were analyzed by SPSS software, version 22 using descriptive statistics and stepwise multiple linear regression. 

    Results

    In the qualitative section, factors affecting F&V consumption were extracted into five main categories, including product, place, price, promotion, and organizational support. In the quantitative stage, the mean age of participants was 42.14±6.84 years, and the lowest percentage of mean scores related to the commitment to the action plan (29.16%) was related to the construct of Pender’s health promotion model (HPM). Previous related behaviors, behavioral outcomes, preferences, and immediate demand predicted 43% of F&V consumption behavior. The mean intake of F&V per day was 1.57±1.32 and 0.45±0.75 units, respectively.

    Conclusion

    Although social marketing is a planning process, using theory can lead to the development of effective and accurate marketing strategies by covering all aspects of behavior to take more effective action to improve it.

    Keywords: Formative research, Fruit, vegetable, Pender’s health promotion model (HPM), Social marketing, Staff
  • Aumrin Fathima*, Arun Daniel, Sevvanthi Kumar Pages 161-168
    Background

    Junk food consumption is associated with various health hazards, such as childhood obesity, hypertension, and juvenile diabetes. This study aims to investigate junk food consumption rate among children and adolescents from the rural and urban areas of a tertiary hospital in Puducherry, India.

    Methods

    A cross-sectional study was conducted among children and adolescents in the urban and rural field practicing area of Aarupadai Veedu Medical College. The cluster sampling technique followed by age and gender stratification was used in each cluster interviewed using a quasi-structured questionnaire in a field practice area with about 360 samples. The statistical analysis used was nonparametric (chi-square test) and multiple logistic regressions.

    Results

    The prevalence of junk food consumption in 144 children (5-12 years old) was 40% and in 90 adolescents (13-18 years old), it was 25%. The most common junk food eaten by the participants in 173 children was chocolate (38.88%) and in 73 adolescents, it was chips (38.02%). Junk food consumption was significantly more common per day and less than 3 days per week compared to the weekly thrice and 4 times frequency of junk consumption per week. The age category of 5-8 years had 2.73 higher junk food consumption compared to the age category of 13-18 years of age and it was statistically significant (P=0.001). The unemployed mother consumed 2.35 junk food compared to the employed mother, and was statistically significant (P=0.002). Urban had 2.41 higher junk food consumption compared to rural, which is statistically significant (P=0.001). 

    Conclusion

    The most common junk food, fast food, instant food, and street food eaten by children and adolescents were chocolate and chips, samosa, noodles, and golgappaa/pani puri, respectively. Junk food consumption was higher in children and urban compared to adolescents and rural, respectively. The literate father and unemployed mother were associated with increased. In a formal system, all schools should encourage balanced diets and draw attention to the adverse effects of junk food.

    Keywords: Junk food consumption, Fast food, Obesity, Juvenile diabetes
  • MohammadAli Morowatisharifabad, GholamReza Sharifzadeh, Mohammadreza Miri, Zohreh Karimiankakolaki, Reza Dastjerdi, Fatemeh Baghernezhad Hesary* Pages 169-176
    Background

    Stress and anger are among the most common mental health problems in adolescents. The skill of coping with stress and controlling emotions is one of the vital skills in adolescence. This study aims to investigate the effect of educational intervention on anger and stress management skills in female adolescents based on social cognitive theory (SCT).

    Methods

    The present pre-test post-test clinical trial was conducted among 12-14-year-old girls in Birjand City, Iran in 2019. One school was randomly selected as intervention and one school as control. The participants included 80 girls randomly selected and assigned to the intervention and control groups. The data collection tool was a researcher-made questionnaire investigating the effective factors on anger and stress control skills based on the SCT. The validity and reliability of this scale were confirmed by a panel of experts and Cronbach’s α was above 0.7. Questionnaires and informed consent forms were completed by participants in the pre-test stage and two months after the educational intervention. Seven training sessions were held in two months. The implementation of the project lasted for four months. The collected data were analyzed using SPSS software, version 22 and t-test.

    Results

    The results showed that the mean scores of perceived social support (P=0.003), perceived reinforcement (P=0.03), and self-control (P<0.001) increased significantly in the intervention group after the intervention. Moreover, the mean score of self-efficacy (P=0.007) changed significantly in the control group after the intervention. 

    Conclusion

    Parent training has been effective in promoting social support and perceived reinforcement. Paying attention to the role of parents, preparing a suitable training package, and using active training methods have played a role in the effectiveness of the intervention. Therefore, the application of this educational package is recommended in future related interventions and similar studies.

    Keywords: Adolescents, Social cognitive theory, Anger management training, Stress
  • Farzaneh Kosari, Parviz Sabahi*, Shahrokh Makvand Hosseini Pages 177-188
    Background

    Considering the profound influence of parent-child relationships on child vulnerability and mental health, prioritizing the improvement of this bond becomes crucial. While combined programs have garnered substantial recognition for their heightened effectiveness, regrettably, no research has yet explored a comparative analysis of their efficacy. This study aims to assess and compare the effectiveness of combining parent management training (PMT) with both acceptance commitment therapy (ACT) and mindful parenting in improving the parent-child relationship.

    Methods

    The study employed a quasi-experimental design, specifically a pre-test and post-test method, with a three-month follow-up period. A control group was included to enhance the validity of the results. The statistical population comprised all mothers of preschool children in Semnan City, Iran in 2022. Using convenience sampling, 36 mothers were selected and randomly assigned to three groups, two experimental groups and one control group. Random assignment was achieved using a lottery-based method without replacement. The sample in experimental groups participated in an integrated training program, which consisted of two-hour sessions conducted eight times per week. Conversely, the control group was placed on a waiting list. The data analysis phase involved utilizing SPSS software, version 23 and applying multivariate covariance analysis. 

    Results

    The results of the study indicated that both combined programs exhibited a significant impact on reducing conflicts within the parent-child relationship and fostering closeness (P<0.001). However, no significant effect was observed on parent-child dependency (P>0.05). Additionally, no significant difference was observed between the two combined programs regarding their effectiveness in enhancing the parent-child relationship. These results remained consistent during the follow-up stage. 

    Conclusion

    This study highlighted that these programs have exhibited a significant capacity to enhance the parent-child relationship by fostering a sense of closeness and effectively mitigating conflicts. These results indicated that the integration of ACT or mindful parenting principles with PMT can provide valuable interventions for enhancing parent-child.

    Keywords: Parenting, Mindfulness, Acceptance, commitment therapy, Child
  • Fatemeh Zargar, Ailin Salmani*, MohammadJavad Tarrahi Pages 189-198
    Background

    Type 1 diabetes mellitus (T1DM) is one of the most common chronic diseases in childhood and adolescence, which is associated with various psychological problems. This study aims to compare the effect of group internet-delivered self-management training (iSMT) and “patient child” play (PCP) on externalizing and internalizing problems in children with T1DM in Isfahan City, Iran.

    Methods

    This randomized clinical trial was conducted from January 2020 to October 2021. From all children aged 8 to 11 years with T1DM diagnosed by endocrinologists, 75 children were selected based on inclusion and exclusion criteria and were randomly assigned into three groups, iSMT, PCP, and control (each group was 25). Their parents filled out the child behavior checklist (CBCL) for them in the pre and post-treatment stages. The iSMT group received 10 sessions of education via Skyroom and the playgroup performed PCP for 10 sessions. The control group did not receive any psychological intervention. All participants received routine diabetes medication. Data were analyzed using SPSS software, version 23 and analysis of variance (ANOVA) for 59 children in 3 groups (iSMT=19, PCP=20, and control=20).

    Results

    The results showed that the PCP group had more improvement in SP compared to the iSMT group as well as a significant improvement in rule-breaking behaviors (RB) compared to the control group.

    Conclusion

    PCP is effective in improving SP and RB of children with T1DM and can be used as a complementary treatment for them.

    Keywords: Internet-based intervention, Self-management, Play therapy, Behavioral symptoms, Children, Type 1 diabetes
  • Mitra Salehi, Akbar Solati*, Ahmadreza Atarodi, Jafar Hajavi, Hossein Nezami Pages 199-206
    Background

    Hydatidosis is a leading zoonotic parasitic disease causing economic losses and public health concerns worldwide. The current study aims to determine the seroepidemiological status of hydatid cysts (HCs) and assess the relationship between risk factors and this disease in high-risk individuals in Gonabd City, Iran.

    Methods

    This cross-sectional study was conducted in Gonabad health centers in 2018-2019. Sampling was performed using the census method. A total of 393 serum samples were collected from 259 men and 134 women at risk for HC. A questionnaire was prepared for all participants. Demographic information, such as gender, age, place of residence, education level, participation of children in animal husbandry, the way of washing vegetables, and work experience in animal husbandry were recorded. The levels of immunoglobulin G (IgG) antibodies were measured by enzyme-linked immunosorbent assay (ELISA).

    Results

    The infection rate was 9.7% for men and 10% for women, showing no significant correlation between gender and hydatidosis. Among the affected population, the prevalence rate was 10.4% in undergraduates and 16.3% in the age group of 20-30. Additionally, individuals with less than ten years of experience in animal husbandry had a prevalence rate of 11.7%. Those who had contact with dogs had a prevalence rate of 7.9%, while individuals who did not use disinfectants to wash vegetables had a higher rate of 12%.

    Conclusion

    This study highlights the significant prevalence of HCs in at-risk individuals. This indicates the need for effective preventive measures to reduce the burden of infection. The recommendations include washing vegetables with disinfectants to eliminate any potential sources of contamination. Additionally, obtaining identification certificates for livestock dogs and collecting stray dogs can help control the spread of the disease. It is essential to implement a comprehensive public health strategy to address this issue effectively.

    Keywords: Echinococcosis, Enzyme-linked immunosorbent assay (ELISA), Prevalence, Iran