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.

Validity and reliability of the Persian version of the exercise self‑efficacy scale in people with multiple sclerosis

. Faride Goldoust; . Maryam Abolhasani; . Elham Shakibazadeh; . Mehdi Yaseri; . Gholamreza Garmaroudi

Volume 12, Issue 4 , April 2022, , Pages 1-6

Abstract

BACKGROUND: Exercise self‑efficacy has been identified as one of the primary determinants of physical activity in people with multiple sclerosis (MS). Therefore, assessment of ... Read More

The status of relationship between coping strategies and quality of life in women with polycystic ovary syndrome

. Tahereh Morshedi; . Mahdieh Salehi; . Valiollah Farzad; . Fariba Hassani; . Elham Shakibazadeh

Volume 11, Issue 4 , May 2021, , Pages 1-7

Abstract

BACKGROUND: Polycystic ovary syndrome (PCOS) has a profound effect on patients’ quality oflives; and it is important to identify the affecting factors. The aim of this study was ... 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.

Using health action process approach to determine diet adherence among patients with Type 2 diabetes

. Soheila Ranjbaran; . Davoud Shojaeizadeh; . Tahereh Dehdari; . Mehdi Yaseri; . Elham Shakibazadeh

Volume 10, Issue 7 , July 2020, , Pages 1-7

Abstract

INTRODUCTION: Diet adherence may cause diabetes complications to be diminished.OBJECTIVES: This study aimed at identifying determinants of diet adherence among patients withType 2 diabetes ... 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

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

Journal of Education and Health Promotion

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Author = . Elham Shakibazadeh

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

Abstract

Validity and reliability of the Persian version of the exercise self‑efficacy scale in people with multiple sclerosis

Abstract

The status of relationship between coping strategies and quality of life in women with polycystic ovary syndrome

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

Using health action process approach to determine diet adherence among patients with Type 2 diabetes

Abstract

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

Abstract

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

Abstract

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

Abstract