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Aims: Drug users form the main HIV-affected group in Iran. About two-third of all the individuals affected by HIV in Iran are those who use drug through injection. The aim of this study is to determine the effect of health belief model (HBM) on prevention of HIV transmission among the opiate-dependent population in Zarandieh. Methods and Materials: This is a quasi-experimental intervention study carried out on 49 addicted men in Zarandieh. was collected using a questionnaire, based on HBM and the group completed the questionnaire. According to the pre-test, the educational intervention was designed and implemented. Three months after the intervention, the post-test was performed and analyzed using the primary questionnaire and χ2, T-test. Findings: The findings indicated that the mean scores of HBM Model constructs (self-efficacy, susceptibility, severity and benefit) increased significantly after intervention and the perceived barriers decreased (p< 0.001). Also, the history of HIV testing reported 8%before intervention, while the rate increased to 48.6% after intervention. Conclusions: This finding provides initial support for designing and implementation of health education program, based on the HBM on Preventing HIV transmission among Opiate-dependent population.

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Aims: Most of the world population who is at work and production age does not have appropriate and regular physical activity for various reasons. Accordingly, the researchers tried to evaluate the effect of physical activity predictors of employees through the path analysis based on the Pender's Health Promotion Model (HPM). Methods and Materials: We conducted this study on 359 employees of the milk and milk powder production factories in Mashhad. A questionnaire consisted of items related to the structure of the Pender's Health Promotion Model (Perceived Benefits, Perceived Barriers,  Prior Related Behavior, Perceived Self-Efficacy, Activity Related Affect, Personal Factors, Interpersonal Influences and Situational Influences) and the IPAQ standard questionnaire related to the physical activity were designed and applied in interviews as data collection instruments. Findings: One fourth of the employees had proper physical activity. Generally, structures of the Pender's Health Promotion Model predicted 34.8 % of the physical activity behavior variance. Regression analysis has shown that the predictability of Prior Related Behavior, Perceived Self-Efficacy, Personal Factors, Activity Related Affect and Interpersonal Influences are significant and Situational Influences are nearly significant. Prior Related Behavior (β = 0.45, P < 0.000) and Self-Efficacy (β = 0.17, PConclusions: The findings of the study revealed that HPM is efficient in identifying and predicting the physical activity behavior. This pattern can be used as a framework for planning and implementing educational interventions in order to improve the physical activity of the adult employees.

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Aims: The presence of a patient with breast cancer in the family can be considered as a guidance for further prevention and increase the susceptibility of people against this disease. Champion's health belief model scale is translated and tested in different countries, but few attempts have been made to measure this scale in women with history of breast cancer. Methods: After the standard Champion's Health Belief Model Scale was translated, 28 items were extracted with the help of panel of experts (n=13) and focus group (n=42) in four subscales. The eligible women were selected randomly (n=200) and took part in this study. The participants filled in the questionnaire through interviews. To test the construct validity of the data, the confirmatory factor analysis (CFA) was applied using AMOS software, moreover, test of internal consistency and test of reliability were applied by retesting (n=30). Findings: The confirmatory factor analysis, which, was repeated after omitting these two items for the subscale of perceived barriers and shows the proper fit of its structural model. Cronbach 'alpha coefficients were 0.72 (susceptibility), 0.75 (seriousness), 0.82 (benefits) and 0.76 (barriers). Internal consistency ranged from 0 .64 to 0 .79 and test-retest reliability correlation were from 0 .67 to 0.92. Conclusions: The Persian version of the Champion's Health Belief Model Scale can be a reliable and valid measure in Iranian women with family history of breast cancer.

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Aim: Oral health is one of the most important parts of public health which significantly affects on quality of life. The purpose of this study is to assess the socio-economic statues as well as oral health behaviors among a sample of Iranian students studying in elementary level. Methods: This was a cross-sectional study which was conducted from April 2012 to November 2012. Data obtained from a face-to-face interviews with students studying in elementary schools of Chahbahar, Iran. Considering inclusion criteria, 300 eligible students were selected through a two - stage random cluster sampling. Data were analyzed through descriptive statistics using SPSS version 11.5. Finding: Totally 300 students who studying in grade four or five of elementary schools took part in the study. The mean age of subjects was (11± 2.81). Of all students, 11/7% (n = 35) never brush their teeth, 18% (n=54) never floss and 20% (n= 62) never used mouth wash. Furthermore, 94 students (31%) of students had no dental visits regularly. As the results showed, there were significant relationship between lower parents’ educational level (P=0.02), not to access to dental caries services (P=0.04) and lower income (P=0.03) and reasons for not doing oral health behaviour. Conclusion: According the results of this study the students who were in lower socio economic levels, doing less dental healthy behaviors.

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Aim: Promotion of oral health in schools is one of the recommended polices of WHO. The aim of this study was to determine the role of Oral Hygiene Beliefs according to the Health Belief Model in regular brushing behavior, among the 9-10 years old female students. Methods: This cross sectional study was conducted on the female students of Rasht-Iran in 2012. Applying the statistical estimation, the sample population was determined 265 who were selected from 22 schools using systematic sampling method. Nearly 12 students were selected from each school using simple randomized method. Data collection instrument was a questionnaire and the results were analyzed using descriptive methods, and analytical methods including Chi-square, Mann-Whitney U test and Logistic regression. Finding: Among the samples, 17.4% brushed at least twice a day. The logistic regression analysis indicated that perceived severity (OR = 0.48, 95% CI = 0.27- 0.86, P = 0.014), perceived barriers (OR = 1.97, 95% CI = 1.29- 3.02, P = 0.002) and mothers' educational level (OR = 4.78, 95% CI = 1.24- 18.46, P = 0.023) were the significant predicting factors for tooth brushing twice a day or more. There are significant statistical correlations among the perceived severity of loosing good eating and good speaking, and perceived barriers of tiredness, laziness and impatience with desirable behavior. Overall 66.5% agreed with one of the two physical barriers: painful tooth brushing and gums bleeding. Conclusion: Promoting educational level and educational programs for Iranian women are recommended. Planning useful educational interventions for the students of concrete operational stage is required attention to the application of Piaget’s Theory of cognitive development. Educational interventions should focus on items of beliefs named above. At least 70 percent of Iranian people need to learn the correct ways of brushing teeth.

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Aim: Substance abuse is a substantial threat and problem to public health. The goal of drug abuse treatment is to return people to a productive normal situation in the family, workplace, and community. Treatment dropout is one of the major problems, encountered by the treatment programs. The maintenance of treatment is associated with retention in treatment, and many factors are associated with retention. The main purpose of this study is to examine the factors that play important role in retention of addiction treatment. Methods: This is a qualitative research with conventional content analysis method. Purposive sampling was applied and continued until data saturation was achieved. The participants were 22 volunteers, including outpatients, physicians and psychotherapists. The method of data collection was semi-structured face to face interview (30- 40 minutes). All interviews were recorded and transcribed verbatim. Findings: By content analysis, two categories were obtained, including emotional and informational support. The main common theme of categories was social support, which was the major requirement to retain the treatment among drug abuse outpatients. Conclusion: The findings of this study showed that social support is one of the essential services to stop or reduce substance abuse. Recognizing this factor could improve interaction between the family, clinical staff and patients in addiction treatment retention.

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Aim: Injury from needle is one of the main ways of transmitting blood diseases in the medical staff. Prevention and reduction of such diseases' side effects have been emphasized by the Health Ministry. This study aimed to investigate factors influencing the behavior of the Elam city medical staff when working with sharps instruments. Methods: In a cross-sectional study, using a census method, all healthcare staff working in the health centers of Abdanan Dehloran city (total n=66) after providing written informed consent were enrolled. Data were gathered by a questionnaire. After verifying the validity and reliability, the data were collected, and analyzed using SPSS19 and descriptive statistics, Chi-square and t-test. Findings: 59% of the participants were male; 80% were married; 62% had academic educations, and 47% worked in the nursing and injection sections. The mean scores of knowledge and attitude of the participants were 3.1±1.38 and 1.7±4.1, respectively, and just 13.4% of the subjects had not reported control tests and injury events. Conclusion: Knowledge, attitudes and practices of the medical staff of injuries from sharp objects are not desirable. it seems that empowering the staff through theoretical and practical training is proper solution in this regard.

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Aim: Recently, prevention of osteoporosis has become the goal of many health professionals. Behavior change is one of the most powerful strategies for osteoporosis prevention. This study aimed to determine calcium intake in order to identify osteoporosis preventive behavior in women aged 30-50 years in Khorramabad city, Iran. Methods: This descriptive cross-sectional study included 269 women aged 30-50 years who were selected from all the health centers of Khorramabad city according to the inclusion criteria of the study and by cluster and systematic sampling. The tools for data collection were valid and reliable questionnaires of demographic information, stages of change, decisional balance, self-efficacy, and calcium intake. Chi-square test and logistic regression were applied to analyze the data. Findings: The mean age of the subjects was 38.72±7.003, and the mean total calcium weekly intake was 3191.03±3869.24. The results also showed that self-efficacy among the constructs of the Trans-theoretical Model (TTM) was a significant predictive of dietary calcium intake for the behavior. Conclusion: The results showed that the weekly intake calcium in women was low. Self-efficacy among the constructs of the TTM was the only significant predictive for osteoporosis prevention behavior. Therefore, the findings of this study can be considered when designing educational interventions for prevention of osteoporosis by health authorities.

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Aim: Pediatric sleep problems can result in negative consequences for both mothers and children. Considering the relatively high prevalence of sleep disorders among children with ADHD (Attention Deficit/Hyperactivity Disorder), this study was designed to investigate the impact of a sleep hygiene intervention to promote sleep problems in children with ADHD and maternal mental health.
Methods: This randomized controlled trial was conducted on 62 children aged 7-13 years with the diagnosis of ADHD and comorbid sleep disorders accompanied by their mothers. Children's Sleep Habits Questionnaire (CSHQ) and Depression, Anxiety and Stress Scale (DASS) were completed by the children's mothers, and then the participants were allocated randomly into experimental and control groups. Mothers of the children in the experimental group received a sleep hygiene educational intervention, which was delivered through a training session and a booklet followed by two telephone calls and educational text messages. Participants in the control group received usual clinical care. The post-test was performed two months after intervention.
Findings: 56 participants (experimental group: n=28, control group: n=28) completed the survey. Data analysis showed that, compared with the control group, the experimental group had a significant reduction in mean scores of CSHQ (P=0.001) and stress subscale scores (F= 0.106, P= 0/015), after controlling pre-test. Besides, the mothers' stress was correlated with the children's CSHQ overall scores (r= 0.52, P= 0.001).
Conclusion: Implementing a sleep hygiene intervention in a sample of children with ADHD could result in improved children sleep problems and maternal well-being.

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Aim: Smoking is the first factor of diseases, and death, and one of the major health problems all over the world.
The aim of this study was validating the Persian version of short-form decisional balance scale to smoke cessation in Iranian workers.
Method: This cross-sectional study was conducted among 218 workers from automobile manufactory in Bam City (Iran) in 2016 using convenient sampling.
Findings: The total of 218 male workers with (mean age 30.52±6.66 years) participated in this study. The results showed two factors (Barriers, and Benefits, or Cons and Pros) with good explanatory (KMO=66%; Cumulative of Variance= 58.94), confirmatory (REMSEA= 0.000; GFI= 0.995, AGFI= 0.983; P-value= 0.775) factor analysis and reliability index (ICC =0.65 95% CI (0.57, 0.72)).
Conclusion: This study showed the Persian version of the short-form decisional balance scale for smoking cessation was valid and reliable tool to measure decisional balance for smoking cessation.

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Aim: The main objective of this study was to examine the effect of multidisciplinary consulting approach on the marital satisfaction of couples applying for divorce in the Family Court of Borujerd, Iran.
Methods: In this quasi-experimental study, using a pretest-posttest approach, the participants in group 1 were followed up for one month, three months, and six months post-intervention. The target population included couples applying for divorce in the Family Court of Borujerd. The sample included 130 couples, who were divided into two groups (group 1 with 65 couples who participated in multidisciplinary consulting program, and a group 2 with 65 couples who participated in common consulting program) through block size randomization. The data were collected using ENRICH Scale and analyzed using the SPSS21 software.
Findings: The results revealed the positive effect of multidisciplinary consulting approach on the marital satisfaction of couples (P < 0.05).
Conclusion: When couples apply for divorce, interventions are considered critical, and the sample loss and low efficacy of this program prove this special situation. Given that some families enter this critical stage because they do not know about or do not have access to consultation and problem-solving skills to satisfy their marital life, effective and constrained intervention through establishing and developing such centers seems necessary.

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Aim: The importance of osteoporosis is on its relationship with disability, mortality, adverse effects on quality of life, and also the imposed costs on individuals and society. Osteoporosis begins in early adolescence. Therefore, educational programs should begin at an early age. The present research evaluated the effect of designed pamphlet on the knowledge of female seventh grader students in city of Andisheh, Shahriar County, Iran.
Method: This RCT (Randomized Clinical Trial) study included experimental and control groups, each 70, which were attributed randomly. All participants completed the knowledge part of the questionnaire as pre-test. Then the experimental group received designed osteoporosis pamphlets, and post-test was carried out two months after the intervention, which was conducted on Jan 2016. The collected data were analyzed using SPSS 21.
Findings: The studied groups were similar in terms of demographic characteristics such as educational background, age, job and income. The results of paired t-test showed a significant difference before and two months after the intervention (p<0.001). Independent t-test showed a significant difference between the two groups (≤0.001) after two months.
Conclusion: Pamphlet as an educational tool has a significant effect on the knowledge of osteoporosis on seventh grade girl students. Therefore, being easy and cost-effective, this educational tool can be put on the top priorities of educational interventions.

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Aim: Health literacy means having basic health information and services needed to make appropriate health decisions. The aim of this study was to assess the relationship between health literacy and knowledge in rural patients with type 2 diabetes mellitus.
Methods: This descriptive-analytic study was performed on 120 patients with type 2 diabetes patients in 2016 in two health homes of Hossein Abad and Kaghazi villages of Aran and Bidgol City in Isfahan Province. Sampling was done by census. Data were gathered by three questionnaires. They were valid and standard questionnaires including demographic, knowledge and HELIA. The data were analyzed by SPSS16 software using descriptive statistics, T-test, correlation coefficient and ANOVA.
Findings: In this study, the participants were 66.7% women, 29/2% worker, 5/8% employee, 4/2% retired, 5% unemployed, and the rest were housewives. The mean score of health literacy and knowledge was 13/82±2/20 and 114±23/21, respectively. The mean age of the participants was 48/88±9/57 years, the mean score of knowledge and health literacy of the participants was 13/82±2/20, 114±23/21, respectively. There was a significant relationship between health literacy and knowledge (p=0.007) and between health literacy and educational level (p<0.05). Also there was a significant difference in health literacy between men and women (p=0.001).
Conclusion: According to the results of the study on the relationship between health literacy and educational level, this study suggests that since the women have an axial role in family health, in order to improve the level of knowledge, the formal education level in rural women diabetic patients must be increased.

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Aim: The aim of this study was to evaluate the impact of the PLISSIT model-based counseling on the sexual function of couples during pregnancy.
Methods: This quasi-experimental study was carried out in Tehran (Najmieh Hospital) on 88 couples who were randomly assigned to the control (44 couples) and intervention (44 couples) groups. The intervention group received sexual counseling based on a PLISSIT model by a trained midwife, and the control group received only routine services in prenatal care. Sexual functions of the couples were assessed by the Female Sexual Function Index (FSFI) and International Index Erectile Function (IIEF) questionnaires before counseling, 4 weeks after counseling, and at the end of the second trimester of pregnancy. Independent t-test and repeated measures analysis of variance (ANOVA) test were used for comparison of the scores within the groups.
Findings: No significant differences were found in the demographic variables of the subjects. The mean total scores of FSFI and IIEF were not different at baseline in the two groups. Repeated measure analysis showed significant differences between the two groups in the mean total scores of FSFI and IIEF after the intervention. Post intervention, the mean of the total score of sexual function of the couples was significantly higher in the intervention group compared with the control group (P<0.05).
Conclusion: Based on the results of this study, sex education for prenatal care would be effective, and we can claim that sexual function of couples during pregnancy may be enhanced by using the PLISSIT model.

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Aims: This study aimed to design and psychometric a tool for measuring the knowledge, beliefs, and behavior of teachers regarding COVID-19 preventive behaviors.
Instrument & Methods: The goal was to create a tool that may be used to create an educational intervention that promotes preventive behaviors. A 60-item scale regarding COVID-19 preventive behaviors was developed upon literature review. Then, face and content validity were evaluated using quantitative and qualitative methods, through the involvement of the participants and expert panel. The internal consistency and reliability were assessed and approved using Cronbach's alpha index and test-retest.
Findings: The face and content validity of the primarily developed scale was confirmed by item impacts of 1.5, 0.49 CVR, and 0.79 CVI, and the number of items dropped to 60. The reliability of the instrument was approved by Cronbach's alpha of 0.67 to 0.95 and a correlation coefficient of 0.65 to 0.93.
Conclusion: Based on the results, the scale that was developed using the constructs of the HBM for COVID-19 preventive behaviors among teachers had appropriate validity and reliability.
 

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Aims: There is evidence that physical activity plays an essential role in preventing illnesses during pregnancy. This study aimed to determine facilitators, barriers, and structural factors of physical activity in nulliparous pregnant women: A qualitative study using Maxqda.
Participants & Methods: This qualitative study was conducted from January to June 2020 in nulliparous pregnant women. Forty participants selected randomly from the Pounak Health Center of Tehran City, Iran, answered open-ended questions about the obstacles that deprived them of physical activity during pregnancy. Data were analyzed by MAXQDA 12 software.
Findings: According to the results, 620 primary codes, 42 secondary codes, 11 sub-themes, and 6 themes were extracted. These themes were divided into the PEN-3 categories; facilitators, barriers, and structural factors. The nurture factors as facilitators had communication and support from others as sub-themes. Barriers consisted of socio-cultural (participate in pregnancy loss with a companion; social beliefs; culture of poverty), socioeconomic (financial problems), individual factors (physical, psycho-emotional, and spiritual dimensions), and structural factors consisting of environmental (equipment) and organizational (possibilities in health centers) factors.
Conclusion: It is essential to comprehend why pregnant women face obstacles to physical activity. Many issues are proposed: the need for enough information on the advantages of physical activity and the role of nurturing factors that need to be motivated to physical activity. Therefore, its a need to investigate structural problems in the community to provide facilities for pregnant women to have physical activity during pregnancy.

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This article has no abstract.