Journal of Education and Health Promotion

Abstract Background: Assessment of national children’s growth indicated a high prevalence of growth
failure among them. Many previous projects have studied the children’s growth and nutrition
status; but most of them leave it without evaluation. The aim of this study was to evaluate Mothers’
Participation Project that carried out in Isfahan after passing two years. Materials and Methods:
In this descriptive and summative evaluation study, 90 mother and child pairs were enrolled. They
were studied in two case and control groups. We used CIPP Evaluation Model (Context, Input,
Process, Product). Data collected using children growth chart and questionnaire was used in
the project. Obtained data were analyzed by nonparametric statistical tests. Results: The results
showed significant differences between the two groups in following items; mean of maternal
self-esteem (P < 0.001), maternal performance in training others (P = 0.006), weekly study
time (P = 0.004), frequency of mothers participation in education programs (P = 0.002), their
knowledge about the growth monitoring card (P = 0.03), their ability in drawing growth curves
(P < 0.001), mothers knowledge about types of growth curves (P = 0.001) and the objectives
of growth monitoring (P < 0.001). Conclusion: Considering the sustained improvement of
maternal knowledge and function regarding children’s growth and development after two years
of participation in the project, the performance of CIPP model was confirmed in this field.

Abstract Background: Term of doing computer games among teenagers is growing rapidly. This popular
phenomenon can cause physical and psychosocial issues in them. Therefore, this study examined
the relationship between computer games and quality of life domains in adolescents aging 12-
15 years. Materials and Methods: In a cross-sectional study using the 2-stage stratified cluster
sampling method, 444 male and female students in Borkhar were selected. The data collection
tool consisted of 1) World Health Organization Quality Of Life – BREF questionnaire and 2)
personal information questionnaire. The data were analyzed by Pearson correlation, Spearman
correlation, chi-square, independent t-tests and analysis of covariance. Findings: The total mean
score of quality of life in students was 67.11±13.34. The results showed a significant relationship
between the age of starting to play games and the overall quality of life score and its fourdomains
(range r=–0.13 to –0.18). The mean of overall quality of life score in computer game users was
68.27±13.03 while it was 64.81±13.69 among those who did not play computer games and the
difference was significant (P=0.01). There were significant differences in environmental and mental
health domains between the two groups (P<0.05). However, there was no significant relationship
between BMI with the time spent and the type of computer games. Conclusion:Playing computer
games for a short time under parental supervision can have positive effects on quality of life in
adolescents. However, spending long hours for playing computer games may have negative longterm effects.Conclusion: Doing computer games for a short time under parental supervision can
have positive effects on quality of life in adolescents. However, spending long hours for playing
computer games may have negative long-term effects.

Abstract Background: Reduced level of physical activity, as an important problem of urbanization and
industrial development, has a considerable impact on the population morbidity and mortality.
The rate of inactivity has been reported to be 60–85% in adults worldwide. Considering the
importance of physical activity among youth, the aim of this study was to evaluate the physical
activity among university students. Materials and Methods: In this cross-sectional study
physical activity was assessed in 399 medical and public health students of Isfahan University
of Medical Sciences, Iran. Physical activity was evaluated by standard questionnaire in four
fields containing job, transport, work, and leisure time at home. Findings: Regarding moderate
physical activity, 48.6% of students were active and the rest were inactive. Regarding severe
physical activity, 32.6% were active and the rest were inactive. Mean number of hours for
moderate activity per day was 1.96 ± 0.19 h/day in the last 7 days. There was a significant
relationship between physical activity and sex and students’ course of study. Conclusion: The
results indicated that the level of physical activity was not sufficient among students; therefore,
considering its importance among students, it is necessary to educate them regarding lifestyle
modification specially to increase the level of physical activity during their leisure time.

Abstract Background: Regular physical activity has an important role in reducing cardiovascular risk factors
and improving metabolic control in patients with type 2 diabetes. This study aims to investigate the
effect of physical activity stage-matched intervention on metabolic control in type 2 diabetes patients.
Materials and Methods: An 8-week physical activity program conducted with 50 type 2 diabetes
females who were physically inactive and in precontemplation, contemplation, and preparation
stages of change. Participants were divided into intervention and control groups (each group, n =
25). Data were collected by physical activity stage of change questionnaire and metabolic factors
were measured by laboratory tests before initiation program. Subsequently, stage-matched physical
activity program was conducted for the interventional group. Control group received routine education
from the diabetes center. After 8 weeks, physical activity questionnaire filled out by participants and
metabolic factors were evaluated by a laboratory test. Results: Findings showed patients in the
intervention group and compared with control group significantly moved through stages of change
after physical activity program (P-value < 0.05). Evaluation of physical activity after educational
program demonstrated that the intervention group adopted regular physical activity more than
the control group and also the difference between groups was significant (P-value < 0.05). Our
findings indicate a significant relationship between physical activity level and moving in stages of
change in the intervention group (P-value < 0.05). Comparison of metabolism factors after physical
activity program showed significant decrease in glycosilated hemoglobin in the intervention group
than the control group (P-value < 0.05). However, significant differences between groups were not
observed in other metabolism factors. Conclusion: Designing and implementing physical activity
stage-matched intervention can improve metabolic control and management of type 2 diabetes.

Abstract Introduction: One of the major issues in hospitals is the period for which the medical records are
retained. Health information management professionals traditionally have performed retention
and destruction functions using all media, including paper, images, optical disk, microfilm, DVD,
and CD-ROM. Health information management departments must maintain a specific program
to retain and destruct the records. The purpose of this paper is to investigate the retention and
destruction process of medical records in the hospitals in Isfahan and codifying the appropriate
guidelines. Materials and Methods: The research was conducted as a cross-sectional descriptive
study in 30 hospitals in Isfahan. The data was collected using a Check List. Also 30 medical
records experts’ viewpoints were obtained using the Delphi technique. Data entry and statistical
analysis was performed using SPSS. Results: The findings indicated that 53.8% of the study
population maintained a written policy. A 34.6% maintained a written policy to destruct medical
records. And 50% announced that no instructions had been given to the hospitals by qualified
authorities to destruct the medical records. Discussion: The majority of the hospitals are still
unclear about the retention period of medical records, which could be due to not to mention the
retention period for most medical records by the country’s National Literature and lack of policy
and procedure in hospitals. Conclusions: According to the legislations, hospitals are bound to
retain the inpatients’ records for full 15 years but based on the findings of this research, less than
half of the study population retained the inpatients’ records for the period mentioned.