Effects of Educational Interventions on Dietary Adherence among Type 2 Diabetics in Zahedan: Using the Health Action Process Approach.

Background: Type 2 diabetes is the most common type of diabetes, and dietary adherence is a self-care practice. This research aims to improve dietary adherence among type 2 diabetics in Zahedan using the HAPA model. Methods: In this cross-sectional study, a total of 210 type 2 diabetics admitted to hospital clinics in Zahedan during summer 2022 were selected. The intervention group (n = 105) and the control group (n = 105) were from hospitals in Zahedan. Samples were selected by the simple random sampling method among the diabetics. After data collection using the demographic characteristics questionnaire and the Dietary Adherence Questionnaire and the HAPA model constructs questionnaire, the pre-test analysis was performed. One and three months after the educational intervention, the questionnaires on HAPA model constructs and self-care behavior were filled out by the patients. Next, data were analyzed using independent t-test, chi-square test, and the Shapiro-Wilk test in SPSS 23. Results: The results showed that all of the HAPA model constructs had significant differences, one and three months after the educational intervention (P = 0.001), indicating the effectiveness of education in the intervention group. However, there was no significant difference in the control group (P = 0.009). Conclusion: After the intervention using the HAPA model, the model's constructs had a significant impact on the patients' self-care of dietary adherence following the training.

Health Literacy, General Health, and Lifestyle among Infertile Men and Women in the Southeastern Iran.

Background: Infertility is a growing social problem, and health literacy is one of the factors that affects infertility, thereby affecting life quality. On the other hand, lifestyle factors exert a considerable impact on reproductive capacity and general health. Against this backdrop, this study aims to determine health literacy, general health, and lifestyle in infertile people in Zahedan, Iran. Methods: In this descriptive cross-sectional study, 86 male and 181 female participants who referred to Molod Infertility center (AliIbnAbiTalib Hospital) in Zahedan were randomly selected. Health Literacy Standard Questionnaires (HELIA), the General Health Questionnaire (GHQ), and the Miller-Smith Lifestyle Assessment Inventory (LSI) were used to collect data. In addition, data were analyzed by SPSS V.22. Results: The participants' mean age was 30.87±7.5. Besides, 39% and 70% of the participations did not have enough health literacy and had a moderate lifestyle, respectively. In addition, the general health of 68.9% was exposed to damage. Moreover, there was a significant relationship between the three aforementioned factors, with the participants of higher levels of health literacy having had higher levels of general health and lifestyle. Conclusion: According to the findings of this study, the infertile people's health literacy was not enough, and most of them had a moderate lifestyle. In addition, their general health was exposed to damage in most cases. Thus, it is necessary to pay attention to providing proper education and health services to infertile men and women to improve their level of health literacy and healthy fertility in order to support childbearing in the society.

Psychopathology in virtual education for primary school students in the COVID-19 pandemic: A qualitative analysis.

BACKGROUND: COVID-19 virus continues to be an international concern, challenging psychological resilience in all areas, especially virtual education, making the psychopathology and problems more evident. MATERIALS AND METHODS: The present study is a qualitative study of conventional content analysis, in which 24 participants (14 parents, 5 teachers, and 5 principals) were selected by purposive sampling from primary schools in Zahedan. Data collection tools included semi-structured interviews with open-ended questions. Interviews continued until reaching data saturation. The transcripts of the interviews were coded according to Graneheim and Lundman's 5-step approach, and then, the codes were classified according to the specified axes. For accuracy and exactness of information, the researchers used the criteria of validity, verifiability, reliability, and transferability. RESULTS: The results of this study include two categories, "e-learning infrastructure" and "psychopathology," indicating the importance of creating, using, and strengthening cyberspace infrastructure for the use of education in primary schools during COVID-19 pandemic. CONCLUSION: The results indicated that identifying these cases and attempting to eliminate them can reduce psychopathology and improve the quality of virtual education for students. Moreover, this can help principals and educational planners have new insights so that they can focus on solving psychological problems in e-learning and provide their supportive planning.

The protection motivation theory for predict intention of COVID-19 vaccination in Iran: a structural equation modeling approach.

BACKGROUND: Many efforts are being made around the world to discover the vaccine against COVID-19. After discovering the vaccine, its acceptance by individuals is a fundamental issue for disease control. This study aimed to examine COVID-19 vaccination intention determinants based on the protection motivation theory (PMT). METHODS: We conducted a cross-sectional study in the Iranian adult population and surveyed 256 study participants from the first to the 30th of June 2020 with a web-based self-administered questionnaire. We used Structural Equation Modeling (SEM) to investigate the interrelationship between COVID-19 vaccination intention and perceived susceptibility, perceived severity, perceived self-efficacy, and perceived response efficacy. RESULTS: SEM showed that perceived severity to COVID-19 (ß = .17, p < .001), perceived self-efficacy about receiving the COVID-19 vaccine (ß = .26, p < .001), and the perceived response efficacy of the COVID-19 vaccine (ß = .70, p < .001) were significant predictors of vaccination intention. PMT accounted for 61.5% of the variance in intention to COVID-19 vaccination, and perceived response efficacy was the strongest predictor of COVID-19 vaccination intention. CONCLUSIONS: This study found the PMT constructs are useful in predicting COVID-19 vaccination intention. Programs designed to increase the vaccination rate after discovering the COVID-19 vaccine can include interventions on the severity of the COVID-19, the self-efficacy of individuals receiving the vaccine, and the effectiveness of the vaccine in preventing infection.

The use of mobile health interventions for gestational diabetes mellitus: a descriptive literature review.

This study attempted to review the evidence for or against the effectiveness of mobile health (m-health) interventions on health outcomes improvement and/or gestational diabetes mellitus (GDM) management. PubMed, Web of Science, Scopus, and Embase databases were searched from 2000 to 10 July 2018 to find studies investigating the effect of m-health on GDM management. After removing duplications, a total of 27 articles met our defined inclusion criteria. m-health interventions were implemented by smartphone, without referring to its type, in 26% (7/27) of selected studies, short message service (SMS) in 14.9% (4/27), mobile-based applications in 33.3% (9/27), telemedicine-based on smartphones in 18.5% (5/27), and SMS reminder system in 7.1% (2/27). Most of the included studies (n=23) supported the effectiveness of m-health interventions on GDM management and 14.3% (n=4) reported no association between m-health interventions and pregnancy outcomes. Based on our findings, m-health interventions could enhance GDM patients' pregnancy outcomes. A majority of the included studies suggested positive outcomes. M-health can be one of the most prominent technologies for the management of GDM.

Knowledge and Attitude of Iranian Youth Toward AIDS: A Systematic Review and Meta-Analysis in Iran.

Inadequate knowledge and negative attitudes are the major hindrances to prevent the spread of the human immunodeficiency virus. This study aims to assess the knowledge and attitude toward the human immunodeficiency virus and acquired immune deficiency syndrome among youths in Iran. We conducted a systematic review, searching online databases until July 2018, focusing on knowledge and attitudes about the human immunodeficiency virus and acquired immune deficiency syndrome in Iranian youths. We included the studies that aimed to determine the knowledge and attitudes of people from Iran and were conducted in the last 18 years. In total, 14 eligible papers (out of 300) were entered into the analysis, and the overall knowledge of Iranian youth toward the acquired immune deficiency syndrome was 57.6% (95% CI: 56.7%-58.5%). Also, the results of Cochran's test showed the heterogeneity of the studies (Q=1578.2, df=13, I2=79.4%, p<0.001). We concluded that our results would guide the development of population-focused knowledge and attitude about the human immunodeficiency virus and acquired immune deficiency syndrome in Iran, which is lacking among the general public and healthcare staff.

Nurses' perception of ethical challenges in caring for patients with COVID-19: a qualitative analysis.

Nurses face several challenges in providing care for patients with coronavirus disease in 2019 (COVID-19). The study aimed to explain the nurses' perception of ethical challenges in this regard. The qualitative study was carried out using a content analysis method. Individual and semi-structured interviews were conducted with 24 nurses. Inductive content analysis was used to categorize the data. Nurses' narratives indicated that ethical challenges in caring for patients with COVID-19 included threats to professional values ​​and the absence of a holistic COVID-19 care approach. The first category was subcategorized into the risk of declining quality of patient care and a stigmatized public image about COVID-19 care. The second category was divided into poor spiritual care, poor compassionate care, and lack of family-centered care. Health care managers must develop protocols for nurses that address these issues to alleviate the ethical challenges of COVID-19 care.