Document Type : Original Article
Authors
1 Department of Anesthesiology, School of Paramedical Sciences, Ilam University of Medical Sciences, Ilam, Iran
2 Graduate Student, Department of Social Work, Shahjalal University of Science and Technology, Sylhet, Bangladesh,
3 Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
4 Nursing Department, Nursing and Midwifery School, Kermanshah University of Medical Sciences, Kermanshah, Iran
Abstract
INTRODUCTION: Education is one of the most important approaches to preventing infectious
diseases at the time of the pandemic. The purpose of the study was to develop an intervention‑training
program using an intervention mapping approach (IMA) to prevent COVID‑19 infection in adults at
the time of the pandemic by health workers.
MATERIALS AND METHODS: The present study was a study protocol where IMA was used as a
planning framework for developing an intervention‑training program to prevent COVID‑19 infection
in adults at the time of the pandemic by health workers in Ardabil city. Six intervention mapping (IM)
steps have been described in this protocol. As the first step, needs assessment was performed by
reviewing the studies, qualitative evaluation, and interviews. In the second step, the matrix of change
objectives was designed from the intersection of performance goals and determinants. Later on,
after designing the program and planning the program implementation, the program evaluation plan
was developed.
RESULTS: IMA guided us in designing and implementing a control‑oriented training program with
the participation of the participants along with the definition of outcomes, performance goals and
determinants, theoretical methods and practical applications, intervention program, implementation,
and step by step assessment.
CONCLUSION: IM is a control‑oriented, systematic, participation‑based approach to design and
implement targeted and on‑going health promotion programs based on the needs of the target group
at the time of the pandemic by health workers.
Keywords
epidemic. Ann Acad Med Singap 2020;49:105‑7.
2. NeJhaddadgar N, Ziapour A, Zakkipour G, Abbas J, Abolfathi M,
Shabani M. Effectiveness of telephone‑based screening and triage
during COVID‑19 outbreak in the promoted primary healthcare
system: A case study in Ardabil province, Iran. J Public Health
2020;1‑6. In Press. https://link.springer.com/article/10.1007/
s10389‑020‑01407‑8
3. Lau SK, Luk HK, Wong ACP, Li KS, Zhu L, He Z, et al. Possible
bat origin of severe acute respiratory syndrome coronavirus 2.
Emerg Infect Dis 2020;26:1542‑7.
4. Wyper GM, Assunção R, Cuschieri S, Devleeschauwer B,
Fletcher E, Haagsma JA, et al. Population vulnerability to
COVID‑19 in Europe: A burden of disease analysis. Arch Public
Health 2020;78:1‑8.
5. Yoosefi LebniJ, Abbas J, Moradi F, SalahshoorMR, Chaboksavar F,
Irandoost SF, et al. How the COVID‑19 pandemic effected
economic, social, political, and cultural factors: A lesson from Iran.
Int J Soc Psychiatry 2020;1‑3. In Press. https://journals.sagepub.
com/doi/full/100.1177/0020764020939984
6. Margaritis I, Houdart S, El Ouadrhiri Y, Bigard X, Vuillemin A,
Duché P. How to deal with COVID‑19 epidemic‑related lockdown
physical inactivity and sedentary increase in youth? Adaptation
of Anses’ benchmarks. Arch Public Health 2020;78:52.
7. Moradi F, Toghroli R, Abbas J, Ziapour A, Lebni J, Aghili A,
et al. Hospital managers’ skills required and onward challenges:
A qualitative study. J Educ Health Promot 2020;9 (1):228.
8. Azar FE, Asiabar AS. Does leadership effectiveness correlates
with leadership styles in healthcare executives of Iran University
of Medical Sciences. Med J Islam Repub Iran 2015;29:166.
9. Shanbehzadeh M, Kazemi‑Arpanahi H, Mazhab‑Jafari K,
Haghiri H. Coronavirus disease 2019 (COVID‑19) surveillance
system: Development of COVID‑19 minimum data set and interoperable reporting framework. J Educ Health Promot
2020;9:203.
10. Panahi S, Ashrafi‑Rizi H, Panahi M. Exposure to
coronavirus (COVID‑19) using narrative and simulated
experience approaches: A commentary. J Educ Health Promot
2020;9:135.
11. Mansourian M, Ziapour A, Kazemian M, Damanabad Z,
Rastegarimehr B, Mirzaei A, et al. Assessment of educational
performance of nurses in neonatal intensive care unit from
parents’ perspective. J Edu Health Promot 2020;9(1):8.
12. Azar FE, Solhi M, Darabi F, Rohban A, Abolfathi M,
Nejhaddadgar N. Effect of educational intervention based on
PRECEDE‑PROCEED model combined with self‑management
theory on self‑care behaviors in type 2 diabetic patients. Diabetes
Metab Syndr 2018;12:1075‑8.
13. Azar FE, Azami‑Aghdash S, Pournaghi‑Azar F, Mazdaki A,
Rezapour A, Ebrahimi P, et al. Cost‑effectiveness of lung cancer
screening and treatment methods: A systematic review of
systematic reviews. BMC Health Serv Res 2017;17:413.
14. Rezapour A, Azar FE, Aghdash SA, Tanoomand A, Shokouh SM,
Yousefzadeh N, et al. Measuring equity in household’s health care
payments (Tehran‑Iran 2013): technical points for health policy
decision makers. Med J Islam Repub Iran 2015;29:246.
15. Tavakoli A, Vahdat K, Keshavarz M. Novel coronavirus disease
2019 (COVID‑19): An emerging infectious disease in the 21st
century. ISMJ 2020;22:432‑50.
16. Abbas J, Ling J, Ziapour A, Hamza Shuja K. The role of
interventions to manage reduce Covid‑19 mortality rate of
the COVID‑19 patients worldwide. Founda Univ J Psychol
2020;4:33‑6.
17. Ferdosi M, Vatankhah S, Khalesi N, Ebadi Fard Azar F,
Ayoobian A. Designing a referral system management model
for direct treatment in social security organization. J Mil Med
2012;14:129‑35.
18. Ziapour A, Kianipour N. Health-related Quality of Life among
University Students: The Role of Demographic Variables. J Clin
Diagn Res 2018;12(3):JC01 - JC4.
19. Mohammadi M, Esfandnia A, Rezaei S, Ziapour A. Performance
evaluation of hospitals under supervision of kermanshah medical
sciences using pabonlasoty diagram of a five-year period (20082012). Life Sci J 2014;11 (Special Issue 1):77-81.
20. Nabilou B, Yusefzadeh H, Rezapour A, Azar FE, Safi PS,
Asiabar AS, et al. The productivity and its barriers in public
hospitals: Case study of Iran. Med J Islam Repub Iran 2016;30:316.
21. Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E.
Public knowledge, attitudes and practices towards COVID‑19:
A cross‑sectional study in Malaysia. PLoS One 2020;15:e0233668.
22. NeJhaddadgar N, Ziapour A, Abbas J, Mardi A, Zare M.
Correlation between general health and sexual function in older
women in an Iranian setting. J Edu Health Promot 2020;9(1):300.
23. Clements JM. Knowledge and behaviors toward COVID‑19
among us residents during the early days of the pandemic:
Cross‑sectional online questionnaire. JMIR Public Health Surveill
2020;6:e19161.
24. Ziapour A, Sharma M, NeJhaddadgar N, Mardi A, Tavafian SS.
Study of adolescents’ puberty, adolescence training
program: The application of intervention mapping approach.
Int Q Community Health Educ 2020;272684X20956485.
In Press. https://journals.sagepub.com/doi/full
/10.1177/0272684X20956485
25. Meneses MjL, Quendangan MM. Research taining needs
assessment of the faculty members of the Rizal technological
university. Int J Res Soc Sci Hum 2016;6:139‑90.
26. Green LW. Health Program Planning: An Educational and
Ecological Approach. New York, NY: McGraw‑Hill; 2004.
27. Peters GJ, de Bruin M, Crutzen R. Everything should be as simple
as possible, but no simpler: towards a protocol for accumulating
evidence regarding the active content of health behaviour change
interventions. Health Psychol Rev 2015;9:1‑4.
28. de Bruin M, Crutzen R, Peters GJ. Everything should be as simple
as possible, but this will still be complex: a reply to various
commentaries on IPEBA. Health Psychol Rev 2015;9:38‑41.
29. Ziapour A, Zokaei A, Kahrizy F. A Theoretical Study of the
Standing of Social Investment in the Health Sector. Soc Sci
2016;11:3682-7.
30. World Health Organization. Infection Prevention and Control of
Epidemic‑and Pandemic‑Prone Acute Respiratory Infections in
Health Care: World Health Organization; 2014.
31. Nazari B, Bakhshi S, Kaboudi M, Dehghan F, Ziapour A,
Montazeri N. A Comparison of Quality of Life, Anxiety and
Depression in Children with Cancer and Healthy Children,
Kermanshah-Iran. Int J Pediatr 2017;5:5305-14.
32. Santarpia JL, Rivera DN, Herrera V, Morwitzer MJ, Creager H,
Santarpia GW, et al. Transmission potential of SARS‑CoV‑2 in
viral shedding observed at the University of Nebraska Medical
Center. MedRxIV 2020;7:1‑7.
33. Santarpia JL, Rivera DN, Herrera VL, Morwitzer MJ, Creager HM,
Santarpia GW, et al. Aerosol and surface contamination of
SARS‑CoV‑2 observed in quarantine and isolation care. Sci Report
2020;10:1‑8.
34. Wu Z, McGoogan JM. Characteristics of and important lessons
from the coronavirus disease 2019 (COVID‑19) outbreak in China:
Summary of a report of 72 314 cases from the Chinese Center for
Disease Control and Prevention. JAMA 2020;323:1239‑42.
35. Sahu P. Closure of universities due to coronavirus disease
2019 (COVID‑19): Impact on education and mental health of
students and academic staff. Cureus 2020;12:e7541.
36. Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al.
A pneumonia outbreak associated with a new coronavirus of
probable bat origin. Nature 2020;579:270‑3.
37. Erfani Khanghahi M, Ebadi Fard Azar F. Direct observation of
procedural skills (DOPS) evaluation method: Systematic review
of evidence. Med J Islam Repub Iran. 2018;32:1‑8.
38. Rahnama M, Meshki A, Dalir Z, Mazlom R. Health status of
Menstruation in girls high school in zabul. Dena J 2006;1:11‑7.
39. Scheerman JF, van Empelen P, van Loveren C, van Meijel B.
A mobile App (WhiteTeeth) to promote good oral health behavior
among Dutch adolescents with fixed orthodontic appliances:
Intervention mapping approach. JMIR Mhealth Uhealth
2018;6:e163.
40. Bieri FA, Gray DJ, Raso G, Li YS, McManus DP. A systematic
review of preventive health educational videos targeting
infectious diseases in schoolchildren. Am J Trop Med Hyg
2012;87:972‑8.
41. Jalilian N, Ziapour A, Mokari Z, Kianipour N. A study of the
relationship between the components of spiritual health and
happiness of students at Kermanshah University of Medical
Sciences in 2016. Ann Trop Med Public Health 2017;10(4):1010-4..
42. van Oostrom SH, Anema JR, Terluin B, Venema A, de Vet HC,
van Mechelen W. Development of a workplace intervention
for sick‑listed employees with stress‑related mental disorders:
Intervention Mapping as a useful tool. BMC Health Serv Res
2007;7:127.
43. Wheeler A, FowlerJ, Hattingh L. Using an intervention mapping
framework to develop an online mental health continuing
education program for pharmacy staff. J Contin Educ Health Prof
2013;33:258‑66.
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