Journal of Education and Health Promotion

Factors affecting nonadherence to treatment among type 2 diabetic patients with limited health literacy: Perspectives of patients, their families, and healthcare providers

. Nasrin Pourhabibi; . Roya Sadeghi; . Bahram Mohebbi; . Elham Shakibazadeh; . Mojgan Sanjari; . Azar Tol; . Mehdi Yaseri

Volume 12, Issue 10 , November 2022, , Pages 1-13

Abstract

BACKGROUND: Treatment adherence is one of the behaviors associated with type 2 diabetes thatpredicts whether it will be successfully treated or develop complications and become uncontrolled.This ... Read More BACKGROUND: Treatment adherence is one of the behaviors associated with type 2 diabetes thatpredicts whether it will be successfully treated or develop complications and become uncontrolled.This study aimed to determine factors affecting nonadherence to treatment among diabetic patientswith limited health literacy from the perspectives of patients, their families, and healthcare providers.MATERIALS AND METHODS: This qualitative study with a content analysis approach was conductedon 84 eligible type 2 diabetes patients with limited health literacy and poor adherence to treatment,as well as their families and healthcare providers using a purposive sampling method, in Kerman cityin 2021. Interviews were conducted using a semistructured interview guide with a broad, open‑endedquestion to provide a general history of the disease separately. The interviewer asked participantsto identify the perceived barriers to treatment nonadherence. Each interview lasted 45–60 min.MAXQDA version 20 and inductive content analysis were used to code and analyze extracted data.RESULTS: Four major themes emerged from the patients’ perspectives as “financial problems,”“individual factors,” “problems related to medication availability,” and “healthcare providers’ poorpractices.” Two major themes were classified from the perspective of patients’ families as “financialproblems” and “Individual factors,” and four major themes were identified from the viewpoint ofhealthcare providers including “financial problems,” “individual factors,” “scarcity and medicationavailability,” and “poor practice of the healthcare provider.” These mentioned barriers were confirmedregarding treatment nonadherence among study participants.CONCLUSION: Study findings revealed different factors of treatment nonadherence among diabeticpatients with limited health literacy. Therefore, these factors should be considered in tailoringpromotive educational and supportive interventions. Considering the importance of adherence totreatment patients, planning empowerment family‑based interventions focusing on health literacyimprovement seems necessary.

Reliability and validity of a satisfaction questionnaire on virtual education in the coronavirus disease 2019 pandemic era aimed at cardiology faculty members

. Bahram Mohebbi; . Parham Sadeghipour; . Feridoun Noohi; . Majid Maleki; . Mohammad Mehdi Peighambari; . Saeid Hosseini; . Ali Zahedmehr; . Jamal Moosavi; . Omid Shafe; . Mohammad Javad Alemzadeh‑Ansari; . Melody Farrashi; . Hamidreza Pouraliakbar; . Behshid Ghadrdoost

Volume 12, Issue 2 , February 2022, , Pages 1-5

Abstract

BACKGROUND: In the coronavirus disease 2019 pandemic era, clinical programs and mandatory hands‑on activities have been supplanted by remote teaching to maintain the fundamental ... Read More BACKGROUND: In the coronavirus disease 2019 pandemic era, clinical programs and mandatory hands‑on activities have been supplanted by remote teaching to maintain the fundamental capabilities of medical training and to furnish medical students with quality education. Nonetheless, the satisfaction of faculty members with this training method in the current pandemic has yet to be assessed. The aim of this study was to design a Persian questionnaire with appropriate validity and reliability on cardiology professors’ satisfaction level with virtual education.MATERIALS AND METHODS: In this cross‑sectional study, a questionnaire was devised drawing upon scientific sources and Iranian medical educators’ expertise. Seventeen faculty members in various specialties evaluated the questionnaire concerning face and content validity. Content validity was assessed through the calculation of the content validity ratio (CVR) (values >0.62 were considered acceptable) and the content validity index (CVI) (values >0.79 were considered acceptable), construct validity was evaluated through principal component factor analysis by the Kaiser–Meyer–Olkin (KMO) statistic and Bartlett’s sphericity test, internal reliability was measured through the calculation of Cronbach’s alpha coefficient, and consistency was appraised through the use of test‑retest reliability at two different time points.RESULTS: The questionnaire had a reliability rate of 95%, indicating high internal validity. Concerning test‑retest reliability, the intraclass correlation coefficient was 0.96 (P < 0.001), demonstrating relatively good stability. The CVI was 0.81, and the CVR was 0.85. The KMO measure of sampling adequacy was 0.954, indicating the acceptability of the degree of common variance among the all items.CONCLUSIONS: This Persian questionnaire on virtual education aimed at cardiology faculty members in the current pandemic with its low question count and appropriate domains had high reliability and validity. By knowing the level of professors’ satisfaction with the new method of education, it is possible to take steps to better provide specialized medical education to cardiology residents.

Validity and reliability of a virtual education satisfaction questionnaire from the perspective of cardiology residents during the COVID‑19 pandemic

. Behshid Ghadrdoost; . Parham Sadeghipour; . Ahmad Amin; . Hooman Bakhshandeh; . Feridoun Noohi; . Majid Maleki; . Mohammad Mehdi Peighambari; . Majid Haghjoo; . Mohammad‑Javad Alemzade‑Ansari; . Mohammad Sadeghvashveshady; . Bahram Mohebbi

Volume 11, Issue 7 , August 2021, , Pages 1-5

Abstract

BACKGROUND: The coronavirus disease 2019 (COVID‑19) pandemic has prompted the furthervirtualization of medical education. The satisfaction level of specific users such as cardiology ... Read More

Application of health education and promotion theory‑based interventions on patients with cardiovascular disease: A systematic review

. Bahram Mohebbi; . Maryam Sabouri; . Azar Tol

Volume 11, Issue 5 , June 2021, , Pages 1-14

Abstract

BACKGROUND: Adopting healthy behaviors can lead to better outcomes which can deeply impactcardiovascular diseases (CVDs) development; consequently, tailoring appropriate theory‑basedinterventions ... Read More

Factors predicting nutritional knowledge, illness perceptions, and dietary adherence among hypertensive middle‑aged women: Application of transtheoretical model

. Bahram Mohebbi; . Banafsheh Tafaghodi; . Roya Sadeghi; . Azar Tol; . Mir Saeed Yekanenejad

Volume 11, Issue 5 , June 2021, , Pages 1-7

Abstract

BACKGROUND: Healthy dietary adherence might be one of the effective and modifiable factorsfor hypertension (HTN) control; therefor, empowering patients for self‑care management includinghealthy ... Read More

Validity and reliability properties of the Persian version of perceived health competence scale among patients with cardiovascular diseases

. Elham Shakibazadeh; . Maryam Sabouri; . Bahram Mohebbi; . Azar Tol; . Mehdi Yaseri

Volume 11, Issue 1 , January 2021, , Pages 1-5

Abstract

BACKGROUND: Cardiovascular diseases are among progressive diseases that begin in childhoodand are manifested mainly in adulthood. This study was assessed the validity and reliability ... Read More

Effectiveness of an educational intervention using theory of planned behavior on health care empowerment among married reproductive‑age women: A randomized controlled trial

. Maryam Sabouri; . Elham Shakibazadeh; . Bahram Mohebbi; . Azar Tol; . Mehdi Yaseri; . Sohrab Babaee

Volume 10, Issue 10 , October 2020, , Pages 1-8

Abstract

BACKGROUND: Empowerment is an essential issue in women’s lives. Powerful women can actsuccessfully in health‑related issues more than others. This study aimed to determine the ... Read More BACKGROUND: Empowerment is an essential issue in women’s lives. Powerful women can actsuccessfully in health‑related issues more than others. This study aimed to determine the effectivenessof an educational intervention designed based on theory of planned behavior (TPB) on health careempowerment among married women in reproductive age.METHODS: This randomized controlled trial was carried out among 488 reproductive‑age womenbetween 2018 and 2019 in Tehran, Iran. Participants were recruited using randomized clustersampling and divided into intervention (n = 243) and control (n = 245) groups by random allocation.Data were collected using a self‑administered researcher‑made questionnaire based on TPB andHealth Care Empowerment Questionnaire. Validity (content validity index = 0.87; content validityratio = 0.89) and reliability of the questionnaires were confirmed ( = 0.96). Intervention wasimplemented within four sessions (lasting 60 min) using eight health related scenarios based onTPB constructs. Baseline and post intervention data (6 months after the intervention) were analyzedby SPSS25 (Inc., Chicago, IL, USA) using independent t‑test, Chi‑squared test, Fisher’s Exact test,Mann–Whitney, path analysis, and regression of generalized estimating equation model. P < 0.05was considered statistically significant.RESULTS: Results showed the mean ± standard deviation age of the participants was 33.6 ± 7.1.Six months after the intervention, a significant difference was highlighted in health care empowermentdomains as well as behavioral intention, attitude toward behavior, subjective norms, and perceivedbehavioral control (P < 0.001) between intervention and control groups.CONCLUSION: TPB‑based educational intervention can significantly improve women’s perceptionabout health care empowerment. Tailoring and implementation of TPB‑based intervention by healthpolicy makers and health care providers is suggested to achieve better perception of empowermenttoward receiving health care among women.

A problem‑based learning health literacy intervention program on improving health‑promoting behaviors among girl students

. Neda Karimi; . Shahrzad Saadat‑Gharin; . Azar Tol; . Roya Sadeghi; . Mehdi Yaseri; . Bahram Mohebbi

Volume 9, Issue 12 , December 2019, , Pages 1-11

Abstract

BACKGROUND: Health‑promoting behaviors are essential beliefs and actions to develop andsustain the adolescent health; however, people with inadequate health literacy have poorer healthstatus. ... Read More

BASNEF Model intervention on blood pressure modification among hypertensive diabetic patients

. Azar Tol; . Hadiseh Farhandi; . Bahram Mohebbi; . Roya Sadeghi

Volume 7, Issue 3 , May and June 2017, , Pages 1-5

Abstract

BACKGROUND: Prevalence of hypertension in patients with type 2 diabetes is two to three timesmore than nondiabetic patients. This study aimed at assessing the impacts of an educational ... Read More

Determinants of healthy lifestyle and its related factors among elderly people

. Samaneh Zanjani; . Azar Tol; . Bahram Mohebbi; . Roya Sadeghi; . Keramat Nouri Jalyani; . Azita Moradi

Volume 5, Issue 5 , December 2015, , Pages 1-5

Abstract

Background: Medical and health advances have led to relative increases in human longevityand elderly population. Common diseases in elders can be prevented using healthy lifestyle.Identifying ... Read More

Evaluation of dietary habits and related factors among type 2 diabetic patients: An innovative study in Iran

. Azar Tol; . Bahram Mohebbi; . Roya Sadeghi

Volume 4, Issue 1 , February 2014, , Pages 1-5

Abstract

Introduction: The aim of this study was to assess dietary habits and related factorsamong type 2 diabetic mellitus patients for designing an effective nutrition intervention.Materials ... Read More

Journal of Education and Health Promotion

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Author = . Bahram Mohebbi

Factors affecting nonadherence to treatment among type 2 diabetic patients with limited health literacy: Perspectives of patients, their families, and healthcare providers

Abstract

Reliability and validity of a satisfaction questionnaire on virtual education in the coronavirus disease 2019 pandemic era aimed at cardiology faculty members

Abstract

Validity and reliability of a virtual education satisfaction questionnaire from the perspective of cardiology residents during the COVID‑19 pandemic

Abstract

Application of health education and promotion theory‑based interventions on patients with cardiovascular disease: A systematic review

Abstract

Factors predicting nutritional knowledge, illness perceptions, and dietary adherence among hypertensive middle‑aged women: Application of transtheoretical model

Abstract

Validity and reliability properties of the Persian version of perceived health competence scale among patients with cardiovascular diseases

Abstract

Effectiveness of an educational intervention using theory of planned behavior on health care empowerment among married reproductive‑age women: A randomized controlled trial

Abstract

A problem‑based learning health literacy intervention program on improving health‑promoting behaviors among girl students

Abstract

BASNEF Model intervention on blood pressure modification among hypertensive diabetic patients

Abstract

Determinants of healthy lifestyle and its related factors among elderly people

Abstract

Evaluation of dietary habits and related factors among type 2 diabetic patients: An innovative study in Iran

Abstract