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.

Comparison of associated factors of domestic violence against women by their husbands based on demographic characteristics and life skills in Iran

. Azimeh Karimyan; . Abolghasem Pourreza; . Roya Sadeghi; . Shirin Shahbazi Sighaldeh; . Mehdi Yaseri

Volume 12, Issue 8 , September 2022, , Pages 1-7

Abstract

BACKGROUND: In recent decades, the prevention of domestic violence against women (DVAW)has been considered a priority for women’s health in many countries. Identifying factors ... Read More

What do parents of children with autism spectrum disorder think about their quality of life? A qualitative study

. Samaneh Abolkheirian; . Roya Sadeghi; . Davoud Shojaeizadeh

Volume 12, Issue 5 , June 2022, , Pages 1-9

Abstract

BACKGROUND: Living with children with autism spectrum disorder (ASD) can affect differentaspects of parents’ physical and mental health and quality of life. This study aimed to ... 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

A comprehensive model of health education barriers of health‑care system in Iran

. Hashem Heshmati; . Elham Shakibazadeh; . Abbas Rahimi Foroushani; . Roya Sadeghi

Volume 10, Issue 5 , May 2020, , Pages 1-12

Abstract

BACKGROUND: According to the importance of health education (HE) in disease control andprevention and inadequacy of HE in the Iran’s health‑care system, clarifying the HE barriers ... Read More BACKGROUND: According to the importance of health education (HE) in disease control andprevention and inadequacy of HE in the Iran’s health‑care system, clarifying the HE barriers isnecessary.OBJECTIVES: This study aimed to clarifying the comprehensive model of HE barriers of health‑caresystem in Iran.METHODS: This qualitative study was conducted in 2019. Twenty‑one health experts and physiciansat different levels of the health system, a former health deputy of the Ministry of Health, and 26community health workers (CHWs) were selected through purposive sampling. Data were collectedthrough semi‑structured individual interviews and group discussions and analyzed simultaneouslyby conventional content analysis.RESULTS: Five themes were extracted including individual barriers (most important categories:inadequate ability of CHWs in HE, poor motivational factors at individual level, and educator’s wrongbeliefs), interpersonal (most important categories: weakness of other health‑care providers in theeducation of CHWs, lack of proper understanding by health authorities of scientific and correct HE,inappropriate communication, unrealistic expectations from CHWs, problems with monitoring andsupervision, poor work commitment, and client‑related problems), organizational (most importantcategories: high workload of CHWs, problems related to educational resources, inappropriate attitudeof managers and officials, and inappropriate evaluation and monitoring), community (most importantcategories: not believing CHWs by people, people’s disinterest and lack of motivation in education,cultural problems, problems with the Internet and virtual social networks, and weak cross‑sectoralcooperation), and contextual barriers (most important categories: barriers related to universities,broadcasting, the nature of HE science, as well as gap between practical education and theory).CONCLUSION: Considering the multidimensional barriers such as individual, interpersonal,organizational, community, and contextual barriers, compiling and executing a comprehensivedocument with the participation of authorities, specialists, and service providers is recommended toremove barriers. This is in line with the Ottawa Charters’ “reorienting health services.”

Development of a comprehensive communication skills curriculum bases on intervention mapping in response to an urgent need for community health workers’ education reform: A study protocol

. Hashem Heshmati; . Elham Shakibazadeh; . Sara Mortaz Hejri; . Abbas Rahimi Foroushani; . Roya Sadeghi

Volume 10, Issue 3 , March 2020, , Pages 1-7

Abstract

BACKGROUND: Communication skills are one of the most important competencies required forcommunity health workers (CHWs); however, there is no systematic evidence‑based communicationtraining ... Read More

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

Innovative methods in teaching college health education course: A systematic review

. Roya Sadeghi; . Hashem Heshmati

Volume 9, Issue 5 , May 2019, , Pages 1-8

Abstract

BACKGROUND: According to the importance of health education and low capabilities andcompetencies of health workers related to health education, designing and providing innovativemethods ... Read More

Socioeconomic determinants of excess weight and central obesity among Iranian women: Application of information, motivation, and behavioral skills model

. Maryam Mohammadi-Nasrabadi; . Roya Sadeghi; . Abbas Rahimiforushani; . Fatemeh Mohammadi-Nasrabadi; . Davoud Shojaeizadeh; . Ali Montazeri

Volume 9, Issue 4 , April 2019, , Pages 1-8

Abstract

INTRODUCTION: In developing countries, there is an increased risk of incidence of noncommunicablediseases due to general and abdominal obesity. Therefore, this study aimed to assess ... Read More INTRODUCTION: In developing countries, there is an increased risk of incidence of noncommunicablediseases due to general and abdominal obesity. Therefore, this study aimed to assess socioeconomicdeterminants of excess weight and central obesity among women in Tehran city based on informationmotivation behavioral skills model (IMB).MATERIALS AND METHODS: A cross‑sectional study was conducted among 260 women agedbetween 20 and 49 years old using cluster sampling. A skilled interviewer completed socioeconomicstatus (SES), food insecurity, and IMB questionnaires. Analysis of variance, Chi‑square tests, andregression model were used for statistical analysis. The multiple logistic regression analysis wasused to identify independent predictors of the excess weight and central obesity using SPSS 21.RESULTS: The mean and standard deviation of participants’ age was 34.7 (±7.59) years old. Theprevalence of overweight and obesity in adult women was estimated 35% and 21.2%, respectively.The prevalence of abdominal obesity was 34.6%. Independent predictors of overweight/obesity inwomen were age (odds ratio [OR] =1.09, 95% confidence interval [CI] =1.03–1.14), educationallevel (OR = 2.35, 95% CI = 1.05–5.27), and total expenditure (OR = 3.14, 95% CI = 1.06–9.37).Whereas, independent predictors for increased the likelihood of central obesity were age(OR = 1.12, 95% CI = 1.06–1.18), marital status (OR = 6.44, 95% CI = 1.94–21.40), low education(OR = 0.38, 95% CI = 0.16–0.91), number of rooms (OR = 1.19, 95% CI 1.03–3.45), and self‑regulationscore (OR = 0.94, 95% CI = 0.88–1.00).CONCLUSIONS: The socioeconomic determinants, especially age, level of education, andexpenditure, as well as self‑regulation, play an important role in excess weight and central obesityamong women. Therefore, further research is needed to reach women in different SES groups with avariety of interventions through concurrent triangulation of longitudinal studies and qualitative research.

The role of perceived barrier in the postpartum women’s health promoting lifestyle: A partial mediator between self-efficacy and health promoting lifestyle

. Khadijeh Hajimiri; . Elham Shakibazadeh; . Ali Asghar Haeri Mehrizi; . Sakineh Shab‑Bidar; . Roya Sadeghi

Volume 8, Issue 3 , March 2018, , Pages 1-6

Abstract

INTRODUCTION: In recent decades, the focuses of health studies were mostly in middle‑agedwomen, and few studies have investigated the lifestyle of women after delivery. The aim of ... Read More

Assessing the effect of an educational intervention program based on Health Belief Model on preventive behaviors of internet addiction

. Aghbabak Maheri; . Azar Tol; . Roya Sadeghi

Volume 7, Issue 4 , July and August 2017, , Pages 1-8

Abstract

INTRODUCTION: Internet addiction refers to the excessive use of the internet that causes mental,social, and physical problems. According to the high prevalence of internet addiction ... 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

The impacts of a health belief model‑based educational program on adopting self‑care behaviors in pemphigus vulgaris patients

. Roya Sadeghi; . Azar Tol; . Azita Moradi; . Masoud Baikpour; . Mostafa Hossaini

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

Abstract

Introduction: Since pemphigus vulgaris (PV) is a chronic disease and regarding its autoimmunenature, patients need to adopt self‑care behaviors. This study aimed to assess the impacts ... 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

Volume 13 (2023)

Volume 12 (2022)

Volume 11 (2021)

Volume 10 (2020)

Volume 9 (2019)

Volume 8 (2018)

Volume 7 (2017)

Volume 6 (2016)

Volume 5 (2015)

Volume 4 (2014)

Volume 3 (2013)

Volume 2 (2012)

Volume 1 (1900)

Author = . Roya Sadeghi

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