Journal of Education and Health Promotion 2277-9531 10 12 2020 12 01 Improving the level of awareness and attitude toward fertility and fertility counseling skills of health staff with both face‑to‑face and virtual training methods 1 8 29392 EN . Raziyeh Rahmati MSc of Midwifery, Larestan University of Medical Sciences, Larestan, Iran Graduate, Master of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran . Talat Khadivzadeh Assistant Professor in Reproductive Health, Manager of Midwifery Department, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran 0000-0003-0397-1278 . Habibollah Esmaily Ph.D in Biostatistics, Professor, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Journal Article 2023 03 05 INTRODUCTION: Considering the trend of reducing fertility in recent decades, the level of awareness<br />and attitude of health workers to fertility has an important role in achieving the country’s demographic<br />goals. Improving attitudes and improving the scientific level and skills of health workers are the basic<br />pillars to improve the quality and quantity of health‑care services. Therefore, this study was conducted<br />with the aim of improving the level of awareness and attitude toward fertility and fertility counseling<br />skills of health workers with both face‑to‑face and virtual training methods.<br />MATERIALS AND METHODS: This study was a randomized controlled trial of three groups and<br />pre‑test‑posttest experiments performed on 108 midwives and health‑care workers working in<br />Mashhad Health Center and Community Health Centers and Health Centers in 2015. The tools<br />used in this study were four researcher‑made questionnaires that were validated and reliable. Data<br />analysis was performed by Chi‑square test, one‑way, and independent t‑analysis of variance using<br />SPSS software version 16.<br />RESULTS: The results showed a significant increase in awareness level, attitude toward fertility,<br />and counseling skills in the studied groups after the implementation of interventions (P < 0.001).<br />Furthermore, there was a significant inverse relationship between the attitude score of the research<br />units at the beginning of the study and the demographic variables with only the average work<br />experience.<br />CONCLUSION: Training is effective in raising the level of awareness and changing the attitude of<br />health workers. The use of group discussion methods in person as well as through a webinar in<br />which learners think, interact, and gain experience in promoting healthy fertility counseling promotes<br />awareness, attitudes toward fertility, and their counseling skills in providing healthy reproductive<br />counseling.<br /><br /> https://jehp.mui.ac.ir/article_29392_f68c0c30731d9296528efb588279e83d.pdf