Journal of Education and Health Promotion

Comparison of the effect of two training methods (webinar and group discussion) on improving the attitude and performance of health workers in providing counseling with fertility promotion approach

Document Type : Original Article

Authors

. Raziyeh Rahmati 1
. Talat Khadivzadeh 2
. Habibollah Esmaily 3

1 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

2 Assistant Professor in Reproductive Health, Manager of Midwifery Department, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

3 Ph.D in Biostatistics, Professor, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract
INTRODUCTION: Due to the significant decrease in fertility in recent decades and the important role
of health workers and health‑care providers in providing healthy reproductive counseling, their training
is necessary using effective educational methods. Webinar and group discussion (GD) are effective
in this regard. This study was conducted to determine the most effective method and with the aim
of comparing the effect of two training methods (webinar and GD) on the attitude and performance
of health workers in providing counseling with fertility promotion approach in comprehensive health
centers in Mashhad.
METHODS: In this randomized trial study with a control group, 108 health workers working in health
centers no. 2–3 and 5 of Mashhad entered the study and were randomly divided into three groups of
training by webinar, GD, and control. Intervention groups received healthy fertility counseling skills
in three training sessions. Research tools were demographic information questionnaires, fertility
attitudes, and performance measurement checklists for fertility counseling. The questionnaires were
completed in three groups at the beginning and after the completion of the interventions. Data analysis
was performed by Chi‑square test and one‑way analysis of variance using SPSS software version 16.
RESULTS: The analysis of variance test showed that before the intervention, there was no statistically
significant difference between the three groups in terms of average scores of fertility attitude and
performance scores of fertility counseling. After the interventions, the difference between the fertility
attitude scores (P < 0.001) and the performance scores of fertility counseling (P < 0.001) was significant
in the three groups. There was no significant relationship between demographic characteristics and
attitude and performance.
CONCLUSION: Teaching by webinar and GD promotes the attitude and performance of health
workers in providing counseling with a fertility promotion approach. Therefore, it is recommended to
use new educational methods such as webinar and GD to promote childbearing counseling, which
has been emphasized in the country’s population policies. Since the mean score difference for
the webinar training method was the highest due to the mean scores, this method could be more
effective than the GD method.

Keywords

Attitude
counseling
fertility
group discussion
performance
promotion
webinar
1. Khadivzadeh T. The Process of Formation of Reproductive
Behavior in Urban Society of Mashhad. Iran Mashhad University
of Medical Sciences; 2013.
2. Malaki Moghadam H, Miri M. Factors affecting the age of first
pregnancy in couples of Birjand city (Iran). Qom Univ Med Sci J
2018;12:46‑55.
3. Abbasi Shavazi M, McDonald P, Hosseini Chavoshi M, Kaveh
Firooz Z. Assessment of women views about behaviours in Yazd
province applying qualitative methods. J Soc Sci 2002;20:169‑203.
4. Baruti E, Farhadi Z. Investigating the level of awareness of
health care providers about methods of contraception in public
health centers in Tehran. Annals of military and health sciences.
2003;1(1):43‑8.
5. Vahidnia F. Case study: Fertility decline in Iran. Popul Environ
2006;28:259‑66.
6. Kolahi AA. Population policies in Islamic republic of Iran: The
wisdom stage. Salamat Ijtimai(Community Health) 2019;6:108‑11.
7. Erfani A. Policy implications of cultural shifts and enduring low
fertility in Iran. Salamat Ijtimai (Community Health) 2019;6:112‑5.
8. Rahimimand M, Abbaspour A. The Relationship between
teaching methods (group discussion, questions and answers,
scientific demonstrationand lectures) with Student achievement
motivation. Educational Psychology. 2016;12(39):1‑24.
9. Nasserinejad D, Hossein Pour M. Health Management Guideline
for Health Managers Deputy Care Managers Working in Medical
Science Universities. 1st ed. Bandar Abbas: Hormozgan University
of Medical Sciences and Health Services; 2014.
10. Allameh Z. Foundamental and Process of Family Planning
Counseling. Tehran: MOH & ME; 1997.
11. Kianian T, Zare M, Ildarabadi E, Karimi Moonaghi H, Saber S.
Evaluation of training competency of health care workers in
training clients and patients. J Nurs Train 2014;3:51‑60.
12. Shabani H. Educational and Research Skills. Tehran: Organization
for Study and Preparing the Educational Books; 2011.
13. Mahdizadeh H, Kazemi S, Azizi M. The chal‑lenges in application
of information technologies (ICT) in medical science universities.
J Health Syst Res 2011;6:589‑600.
14. Sadeghi A, Balali F, Razazade S. Attitude and performance of
health staff regarding health information resources; Kerman
University of Medical Sciences. J Educ Community Health
2014;1:25‑35.
15. Tan W, Klein M, Saxell L, Shirkoohy S, Asrat G. How do
physicians and midwives manage the third stage of labor? Birth
2008;35:220‑9.
16. Baghaei R, Rasouli D, Rahmani A, Mohammadpour Y,
Jafarizadeh H. Effect of web‑based education on cardiac
dysrhythmia learning in nursing student of Orumieh University
of Medical Sciences. Iran J Med Eeduc 2012;12:240‑8.
17. Healthy Reproductive Program. Tehran: Ministry of Health and
Medical Education, Department of Health; 2014.
18. Behmanesh F, Taghizadeh Z, Vedadhir A, Ebadi A, Pourreza A,
Abbasi Shavazi M. Explaining the Causes of Single Child Based
on Women's Views: A Qualitative Study. irje. 2019;15(3):279-88.
19. Shojaei j, Yazdkhasti B. One‑child living experience: A study
of girls over 18 years. Women in Development and Politics.
2018;15(4):447‑76.
20. Khalajabadi Farahani F, Sarai H. Intention of single child and its
determinants in men and women with a child under 5 years of age,
resident of Tehran. National Congress of Family Pathology (and
National Family Research Festival). 2014;6(1):267.
21. Ahmadi Tabatabaei S, Taghdisi M, Sadeghi A, Nakhaei N, Balali F.
The effect of education in physical activities on knowledge,
attitude and behavior of Kerman health center’s staff. JRes Health
2012;2:137‑44.
22. Jalilian N, Tavafian S, Aghamolaei T, Ahmadi S. Educational
intervention on the knowledge and attitudes of people with
hypertension: A clinical trial. J Health Promot Health Educ
2014;1:37‑44.
23. Moshki M, Shafaghi K, Seyedesani SK. Comparative effectiveness
of group discussion and multimedia nutrition education among
pregnant women in learning domains. Q J Sabzevar Univer Med
Sci 2014;21:441‑52.
24. Ramazani A, Faraji O, Fatemi M, Solooki M. The effects of
pre‑marriage education and consultation on knowledge and
attitude of couples regarding to reproductive health. J Sch Public
Health Yazd 2012;11:56‑65.
25. Shojaeizadeh D. Evaluation of aids health education program
on knowledge, attitude and practice of experimental assistant dentists in Shiraz. Med J 1997;6:116‑20.
26. Azizi A, Amirian F, Amirian M. Effects of peer education,
education by physician and giving pamphlets on HIV knowledge
in high school students: A comparative study. Hayat 2008;14:5‑12.
27. Kordi M, Rashidi Fakari F, Mazloum S, Khadivzadeh T,
Akhlaghi F. Compare the effectiveness of Web‑based training,
simulations and traditional knowledge retention and postpartum
hemorrhage management skills of midwifery students. Iran J
Obstet Gynecol Infertil 2014;16:8‑14.
28. Seyed Emami R, Eftekhar Ardebili H, Golestan B. Effect of a health
education intervention on physical activity knowledge, attitude
and behavior in health volunteers. J Fac Nurs Midwifery Tehran
Univer Med Sci 2010‑2011;16:48‑55.
Journal of Education and Health Promotion
Volume 10, Issue 10
October 2020
Pages 1-7

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