Journal of Education and Health Promotion

Knowledge, attitude, and practice of medical interns and postgraduate residents on American Geriatric Society updated Beers criteria

. Aditi Rathore; . Rishabh Sharma; . Parveen Bansal; . Manik Chhabra; . Malika Arora

Volume 13, Issue 1 , January 2023, , Pages 1-8

Abstract

BACKGROUND: Potentially inappropriate medication (PIM) prevalence in older adults is increasingday by day due to lack of knowledge among medical students and professionals.OBJECTIVE: ... Read More BACKGROUND: Potentially inappropriate medication (PIM) prevalence in older adults is increasingday by day due to lack of knowledge among medical students and professionals.OBJECTIVE: To determine the knowledge of medical students toward American GeriatricSociety (AGS) Beers criteria for PIM prescribing.MATERIALS AND METHODS: This cross‑sectional study employed a self‑administered questionnairewhich was validated and designed to assess the knowledge, attitude, and practice of medical internsand postgraduate residents on Beers criteria for PIMs in older adults. The study was conductedin Faridkot region of Punjab in 2019. This study will utilize a purposive sampling strategy and aconvenience sampling of up to 183 participants. Mann–Whitney U or Kruskal–Wallis tests were usedto compare different issues as appropriate. P values of <0.05 were considered significant.RESULTS: Out of 183 questionnaires distributed, only 155 participants (response rate 84.6%) hadfilled the survey and were included in the study. 61.3% (n = 95) of the respondents were males. Themean knowledge score of 155 participants was (5.16 ± 1.56), where the highest score was 9 and thelowest score was 2 out of 10. 15.5% (n = 24) of the participant strongly agreed that Beers criteria useis necessary in clinical setting and would be very helpful. While 22.5% (n = 35) of the participantsstrongly agreed that PIMs cause adverse drug event (ADE) and drug‑related problems (DRPs) inolder adults. Age of the participant had a significant effect on the knowledge score (p = 0.009), andparticipant aged between 31 and 40 years had significantly higher knowledge scores compared withparticipants falls under 20–30 years.CONCLUSION: Medical students and postgraduate residents had average knowledge of PIMs andare unaware of the standard guidelines in older adults such as the Beers criteria. Lack of formaleducation or training about Beers guidelines was the main reason responsible for average knowledgeamong participants.

Utilization of elderly health promotion services during COVID 19 in Iran: A cross‑sectional study

. Telma Zahirian Moghadam; . Hamed Zandian; . Hadi Shirin Bonyad

Volume 12, Issue 8 , September 2022, , Pages 1-9

Abstract

BACKGROUND: The outbreak of COVID‑19 pandemic has made it difficult for older adults to utilizeordinary elder services. This cross‑sectional study investigated the status of feeling ... Read More BACKGROUND: The outbreak of COVID‑19 pandemic has made it difficult for older adults to utilizeordinary elder services. This cross‑sectional study investigated the status of feeling the need, seek,and utilization of health promotion services among older adults in Ardabil, Iran, covered by thecountry’s comprehensive health system during the pandemic.MATERIALS AND METHODS: This descriptive‑analytical and cross‑sectional study was conductedon 739 elderly people in Ardabil province. Cluster random sampling method was used for sampling.Data were gathered by referring trained individuals to the place of residence of the selected olderadults Questionnaires were consisted of three parts: demographic information, household’s economicstatus, and feeling the need, seek, and utilization from health promotion services. Multivariate logisticregression was used to separately model the need, seeking for, and utilization of health promotionservices in STATA ver. 14.RESULTS: The mean age of the older adults in this study was 68.88 ± 4.72 years. The resultsindicate that men showed significantly greater need, seek for, and utilization of health promotionservices during COVID‑ 19 than women. According to the results, people over the age of 80 had4.08 times (95% confidence interval [CI]: 1.99–12.60) more need and utilization of health servicesthan the older adults under 65 years. The results also indicate that use of health promotion serviceswas significantly associated with being married (3.74, 95% CI: 1.22–2.62), having primary insuranceand supplementary insurance (1.92, 95% CI: 1.21–3.12), and obesity (2.05, 95% CI: 1.13–3.76) inP < 0.05 level. Based on the results, people with chronic disease and obesity were more likely toutilize health promotion services.CONCLUSION: Findings suggest that the access and utilization of inpatient and outpatient healthservices by the elderly in the COVID‑19 pandemic has somewhat decreased, which could be dueto the fear of the disease being referred to health centers by the elderly. Hence, enabling conditionssuch as parental health care were major factors affecting health‑seeking habits among the Iranianelder population.

Predictive factors of quality of life among the elderly in Iran: Application of Andersen’s behavioral model

. Soghra Nazari; . Koorosh Kamali; . Khadijeh Hajimiri

Volume 11, Issue 2 , February 2021, , Pages 1-7

Abstract

BACKGROUND: This study aimed to identify the quality of life (QoL) and its predictive factors basedon the Andersen’s behavioral model among the elderly in Iran.MATERIALS AND METHODS: ... Read More

The relationship between physical performance and quality of life and the level of physical activity among the elderly

. Lekshmi Prasad; . Jean Fredrick; . Aruna R

Volume 11, Issue 2 , February 2021, , Pages 1-6

Abstract

BACKGROUND: Loss of physical function during the process of aging might affect the quality of life.Physical function assessment tests predicts outcomes such as falls, institutionalization, ... Read More

Socioeconomic determinants of health‑care and emotional needs among Iranian older adults in Isfahan

. Mehdi Nosratabadi; . Seyyed Hamid Nabavi; . Vahid Rashedi; . Mostafa Amini Rarani

Volume 8, Issue 9 , September 2018, , Pages 1-7

Abstract

INTRODUCTION: The main aim of this study was to explore the socioeconomic determinants ofhealth‑care and emotional needs among older adults.MATERIALS AND METHODS: In this cross‑sectional ... Read More

The relationship between functional health literacy and health promoting behaviors among older adults

. Mahnoush Reisi; . Seyed Homamodin Javadzade; . Akbar Babaei Heydarabadi; . Firouzeh Mostafavi; . Elahe Tavassoli; . Gholamreza Sharifirad

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

Abstract

Background: Health literacy is a measure of individual’s ability to read, comprehend, and acton medical instructions. Older adults are one of the most important at risk groups ... Read More

Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran

. Seyed Homamodin Javadzade; . Gholamreza Sharifirad; . Fatemeh Radjati; . Firoozeh Mostafavi; . Mahnoosh Reisi; . Akbar Hasanzade

Volume 2, Issue 3 , August 2012, , Pages 1-7

Abstract

Background: Health literacy is a measure of an individual’s ability to read, comprehend, and act onmedical instructions. Limited health literacy can reduce the adults’ ability ... Read More Background: Health literacy is a measure of an individual’s ability to read, comprehend, and act onmedical instructions. Limited health literacy can reduce the adults’ ability to comprehend and usebasic health-related materials, such as prescription, food labels, health education pamphlets, articles,appointment slips, and health insurance plans, which can affect their ability to take appropriate andtimely health care action. Nowadays, low health literacy is considered a worldwide health threat. So,the purpose of this study was to assess health literacy level in older adults and to investigate therelationships between health literacy and health status, health care utilization, and health preventivebehaviors. Materials and Methods: A cross-sectional survey of 354 older adults was conductedin Isfahan. The method of sampling was clustering. Health literacy was measured using the Test ofFunctional Health Literacy in Adults (TOFHLA). Data were collected using home interviewing. Healthstatus was measured based on self-rated general health. Health care utilization was measuredbased on self-reported outpatient clinic visits, emergency room visits, and hospitalizations, andhealth preventive behaviors were measured based on self-reported preventive health servicesuse. Results: Approximately 79.6% of adults were found to have inadequate health literacy. Theytended to be older, had fewer years of schooling, lower household income, and were females.Inadequate health literacy was associated with poorer general health (P < 0.001). Health literacylevel was negatively associated with outpatient visits (P = 0.003) and hospitalization (P = 0.01).No significant association was found between health literacy level and emergency room utilization.Self-reported lack of PSA (Prostate-Specific Antigen) test (P < 0.001) and fecal occult blood test(FOBT; P = 0.003) was higher among individuals with inadequate health literacy than those withadequate health literacy. No significant association was found between health literacy level andmammogram in the last 2 years. Conclusion: Low health literacy is more prevalent in older adults.It indicates the importance of health literacy issue in health promotion. So, with simple educationalmaterials and effective interventions for low health literacy group, we can improve health promotionin the society and mitigate the adverse health effects of low health literacy.

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Keywords = older adults

Knowledge, attitude, and practice of medical interns and postgraduate residents on American Geriatric Society updated Beers criteria

Abstract

Utilization of elderly health promotion services during COVID 19 in Iran: A cross‑sectional study

Abstract

Predictive factors of quality of life among the elderly in Iran: Application of Andersen’s behavioral model

Abstract

The relationship between physical performance and quality of life and the level of physical activity among the elderly

Abstract

Socioeconomic determinants of health‑care and emotional needs among Iranian older adults in Isfahan

Abstract

The relationship between functional health literacy and health promoting behaviors among older adults

Abstract

Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran

Abstract