Journal of Education and Health Promotion

The effect of comprehensive individual motivational‑educational program on medication adherence in elderly patients with bipolar disorders: An experimental study

. Hossein Tahghighi; . Hamed Mortazavi; . Ali Akhondpour Manteghi; . Mohammad Reza Armat

Volume 13, Issue 2 , February 2023, , Pages 1-9

Abstract

BACKGROUND: The number of older adults with bipolar disorder is increasing and medicationnon‑adherence is a major problem that negatively impacts the course of bipolar disorder. This ... Read More BACKGROUND: The number of older adults with bipolar disorder is increasing and medicationnon‑adherence is a major problem that negatively impacts the course of bipolar disorder. This studyaimed to determine the effect of a comprehensive individual motivational‑educational program onmedication adherence in elderly patients with bipolar disorder.MATERIALS AND METHOD: An experimental study with pretest‑posttest repeated measures with acontrol group was conducted on two groups of 62 elderly people with bipolar disorders hospitalizedat Ibn Sina Hospital in Mashhad, Northeast Iran, 2019. For the elderly in the intervention group, acomprehensive motivational‑educational program was administered for one month (four 30–45 minutesessions), and for the elderly in the control group, routine clinical care was performed. Medicationadherence in both elderly groups was measured before, immediately after, one and two months afterthe intervention. Data were analyzed by SPSS statistical software (version 16) using descriptivestatistics and independent t‑test, Mann‑Whitney, paired t‑test, repeated measures analysis ofvariance (ANOVA), and Chi‑square tests.RESULTS: The mean age of elderlies in the intervention and control groups were 69.03 ± 5.75 and68.50 ± 6.73 years, respectively. Regardless of the groups to which the patients were assigned, asignificant difference in medication adherence scores was observed during the study period (timeeffect; P < 0.001). Also, the medication adherence score was significantly lower in the interventiongroup, compared to the control group (group effect; P < 0.001). Also, there was a group time interactionbetween the medication adherence score and the time of evaluation (P < 0.001).CONCLUSION: The results of the present study confirm the positive effect of a comprehensiveeducational‑motivational program on improving medication adherence in elderly patients with bipolardisorder.

Comparing the effects of teach‑back method, multimedia and blended training on self‑care and social support in patients with heart failure: A randomized clinical trial

. Maryam Karami Salaheddin Kola; . Hedayat Jafari; . Jamshid Yazdani Charati; . Vida Shafipour

Volume 11, Issue 6 , July 2021, , Pages 1-9

Abstract

BACKGROUND: The knowledge level of caregivers and their support for patients can affect theself‑care of patients with heart failure (HF). The present study was conducted to compare ... Read More BACKGROUND: The knowledge level of caregivers and their support for patients can affect theself‑care of patients with heart failure (HF). The present study was conducted to compare the effectsof teach‑back, multimedia, and blended training methods on self‑care and social support in patientswith HF and on knowledge in their caregivers.MATERIALS AND METHODS: In a randomized clinical trial, a total of 150 HF patient‑caregiver dyadswere randomly allocated into three equally sized training groups, using a simple number table (n = 50). Thestudy was conducted between May to October 2018 in Sari, northern Iran. In the teach‑back, multimediaand blended training groups, patient‑caregiver dyads participated in 20–30‑min training sessions heldface‑to‑face, using digital video disc (DVD) and combination of teach‑back and DVD on 4 consecutivedays at the bedside of hospitalized patients in coronary care unit, respectively. Data were collected usingthe European Heart Failure Self‑Care Behaviour Scale and the multidimensional scale of perceived socialsupport for patients. Caregivers’ level of knowledge was measured using the HF Knowledge Scale. Datawere measured on the first day of hospitalization, 1 day before discharge and 4 and 8 weeks after patients’discharge. Data were analyzed using SPSS version 18 (SPSS Inc., Chicago, IL, USA).RESULTS: All three educational methods improved self‑care behaviors in patients. The comparison ofself‑care behavior scores in patients with HF among the three groups at different time points showedno statistically significant differences (P > 0.05), except 1 day before discharge (P = 0.04). Therewere no statistically‑significant differences between the teach‑back, multimedia and the blendedtraining group in terms of perceived social support at any of the four‑time points (P > 0.05). All threetraining methods improved the level of knowledge of caregivers. However, the score in the blendedtraining groups was higher than the other groups (P < 0.001).CONCLUSION: According to the results of the present study, it seems that all three educationalinterventions can improve self‑care behaviors in HF patients and increase knowledge in theircaregivers. However, using the blended training method was associated with better outcomes.

Personalization of health information prescription in diabetes clinical setting: A qualitative study

. Abdolahad Nabiolahi; . Shahram Sedghi; . Rokhsareh Aghili; . Leila Nemati-Anaraki

Volume 11, Issue 3 , March 2021, , Pages 1-11

Abstract

BACKGROUND: The prevalence of diabetes makes considerable costs for health‑care organizations.The increase of patient’s self‑care abilities by use of personalizing health ... Read More BACKGROUND: The prevalence of diabetes makes considerable costs for health‑care organizations.The increase of patient’s self‑care abilities by use of personalizing health information prescriptioncan reduce these costs. This study was conducted to explore the benefits and challenges related topersonalizing health information prescription in diabetes clinical settings.MATERIALS AND METHODS: The samples included diabetes education officials working inspecialized diabetes clinics and Diabetes Research Centre managers of Iran and Tehran Universitiesof Medical Sciences. They were 21 cases and selected through purposeful sampling method.Semi‑structured interview and focus discussion groups were used to collect the viewpoints ofspecialists. Interview guide, based on literature review and the documents of diabetes, was usedin interviews and focus groups. Their validity was affirmed by specialists. The interview texts werecoded in MAXQDA10 software and analyzed through content analysis method.RESULTS: The most important benefits of personalizing health information prescription wereclassified into five themes as follows: medical services improvement, facilitation of consumers toinformation resources, improvement in patients’ knowledge and awareness, increase in self‑careability and disease management, reinforcing the relation between physician and patient and keepingphysician in the information prescription cycle. The challenges of personalizing of health informationprescription were revealed as follows: Recognition of patients’ personal characteristics at the turnof entering the system, systems’ functional modifiers especially bilateral interaction and relation topatient’s health file, content recognition, and creating suitable protocol.CONCLUSION: This study showed that diabetes clinical settings face different organizational andprocess challenges for establishing the personalization of health information prescription. The mostimportant challenges which should be considered in designing information prescription in diabetesclinical environments are as follows: reinforcing physicians’ recognition of information prescriptionbenefits, lack of integrative electronic health information system, and patient primary assessmentin the first stage of entering the patient into the system in respect of clinical and personal aspectsin information needs of consumer.

Restrictors of the effectiveness of diabetes self‑management education: A qualitative content analysis

. Faridokht Yazdani; . Parvaneh Abazari; . Fariba Haghani; . Bijan Iraj

Volume 11, Issue 1 , January 2021, , Pages 1-10

Abstract

BACKGROUND: A key step for improving the effectiveness of diabetes self‑managementeducation (DSME) is to identify its restrictors.OBJECTIVES: The aim of this study was to explore ... Read More

The need for renovating patient education in kidney transplantation: A qualitative study

. Ahmad Mahdizadeh; . Fatemeh Oskouie; . Sedigheh Khanjari; . Soroor Parvizy

Volume 10, Issue 6 , June 2020, , Pages 1-8

Abstract

BACKGROUND: Many kidney transplant recipients lack the knowledge, abilities, and support theyneed for self‑care. On the other hand, most kidney transplant centers do not have a well‑plannedand ... Read More

Perspectives of nursing and midwifery students regarding the role of the hidden curriculum in patient education: A qualitative study

. Zohreh Azadi; . Maryam Ravanipour; . Mohammadreza Yazdankhahfard; . Niloofar Motamed; . Shahnaz Pouladi

Volume 7, Issue 6 , December 2017, , Pages 1-6

Abstract

BACKGROUND: Although education is one of the most substantial needs of patients that should betaught by nurses and midwives, it is not clearly defined through the hidden curriculum ... Read More

Journal of Education and Health Promotion

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Keywords = patient education

The effect of comprehensive individual motivational‑educational program on medication adherence in elderly patients with bipolar disorders: An experimental study

Abstract

Comparing the effects of teach‑back method, multimedia and blended training on self‑care and social support in patients with heart failure: A randomized clinical trial

Abstract

Personalization of health information prescription in diabetes clinical setting: A qualitative study

Abstract

Restrictors of the effectiveness of diabetes self‑management education: A qualitative content analysis

Abstract

The need for renovating patient education in kidney transplantation: A qualitative study

Abstract

Perspectives of nursing and midwifery students regarding the role of the hidden curriculum in patient education: A qualitative study

Abstract