Journal of Research and Health
2423-5717
6
3
2016
6
1
Validity of web-based information as a challenge to health system
289
290
EN
Meisam
Dastani
Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad
Alireza
Atarodi
Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad
Health is one of the most obvious and important issues preoccupied the human mind, as a concern which still is in force. Maintaining health requires health-related information which is found in the informative resources of the relevant area. Web space is considered as a multi-functional and multi-directional sources of information in which the quantity of presented information is increasing day by day, so that it seems it would be a challenge to accuracy of information in relation to health system since people can publish the content freely without any supervision in weblogs and social networks and cite to outdated articles and commercial, advertising sites which may not be scientifically validated. The number of people around the world using the internet was more than 2.5 billion in 2013 which is expected to reach 4 billion currently. Using health information in this way, even before visiting a doctor, is dramatically increasing, as it has been reported that about 70% of the adults in Europe and 90% in America seek help from health information on the web [1-2].
Journal of Research and Health
2423-5717
6
3
2016
6
1
Relationship between inner well-being and illness behavioral pattern in patients
291
296
FA
Bibiaghdas
Asghari
Department of Social Sciences, School of Humanities, Islamic Azad University Gonabad Branch, Gonabad,
Musa
Farmanbar
Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad
Mahdi
Mojadam
Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad
Alireza
Haji
Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad
Hadi
Rezaeyankochi
Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad
Malihe
Mohamadzadeh
Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad
Farkhondeh
Torabi
Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad
Fariba
Paryafsai
Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad
Afsane
Ranaei
Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad
Ehsan
Aliasghari
Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad
Javad
Alinezhadzarmehri
Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad
Abbas
Alimardani
Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad
Khadije
Cheravi
Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad
Maryam
Ghahremani
Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad
"Inner well-being" is the scientific name for people's assessment of their own life. Illness behavior is a process that involves understanding and interpretation of symptoms, assessment of possible reactions, and ultimately, making decision to deal with symptoms or ignore them. The present study seeks to find out whether there is a relationship between inner well-being and pattern of illness behavior. This study was conducted on a sample of 297 residents of the city, selected according to random sampling from a population consisting of patients aged 20 years and older attending hospitals and health centers (regardless of type of illness). Data were collected through a combination of standard Oxford Happiness Questionnaire, Diener's Satisfaction With Life Scale (SWLS), and Illness Behavior Pattern Inventory. Results obtained showed a significant difference between level of inner well-being and type of illness. Those visiting health centers immediately after onset of symptoms had the highest level of inner well-being, and those that never visited had the lowest. People that visited one physician only reported the highest level of inner well-being. Socio-economic and cultural status are the major factors affecting pattern of illness behavior. The present study showed inner well-being is one of the variables that can affect pattern of illness behavior.
Journal of Research and Health
2423-5717
6
3
2016
6
1
Determination and priority of socioeconomic determinants of health in Iran: a mixed methods study
297
306
FA
Rouhohllah
Zaboli
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran,
Hormoz
Sanaienasab
Department of Health Education, School of Health, Baqiyatallah University of Medical Sciences, Tehran,
Mohamadreza
Soltani Zarandi
Department of Health Administration, School of Health, Baqiyatallah University of Medical Sciences, Tehran
Zainab
Malmoon
Health Management and Economic Research Center, Iran University of Medical Sciences,
The socioeconomic factors have crucial effects on health inequality. The unequal distribution of socioeconomic factors may lead to the health inequality. This study aimed to determine and give priority to the socioeconomic factors affecting health in Iran in the experts’ point of view. This study was a sequential mixed methods research conducted in quantitative and qualitative phases. The study population consisted of 16 policymakers and experts in the field of economic and social determinants of health. The purposive stratified non-random sampling method was employed. The qualitative data were collected in a semi-structured interview and giving priority to factors was conducted using multiple criteria decision making with the Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) method. The qualitative phase showed that the main socioeconomic factors determining health were the economic factors, income, education, sex, social class, and employment. The data analysis in TOPSIS technique showed that priority parameters were income, employment, and economic factors with coefficient of 0.66, 0.60, and 0.55, respectively. Paying attention to the socioeconomic factors may result in the increased equity and eventually the promoted public health. It is essential for policy makers to take this approach into account and improve the socioeconomic factors for attaining the promoted health outcomes.
Journal of Research and Health
2423-5717
6
3
2016
6
1
Factor analysis of Persian version of diagnostic assessment of personality pathology-basic questionnaire
307
317
EN
Mehdi
Rezaee
Department of Psychology, Faculty of Literature and Humanity Sciences, Lorestan University, Lorestan, Khoramabad
Fazlollahe
Mirderikvand
Department of Psychology, Faculty of Literature and Humanity Sciences, Lorestan University, Lorestan, Khoramabad
Taraneh
Moazzeni
Department of Psychology, Faculty of Literature and Humanity Sciences, Lorestan University, Lorestan, Khoramabad
Shima
Hashemi
Department of health, Faculty of Health, Medical Science of Lurestan University, Lorestan, Khoramabad
Reza
Kazemi
Department of Psychology, Faculty of Literature and Humanity Sciences, Lorestan University, Lorestan, Khoramabad
Kerry L
Jang
Department of Clinical Psychology, Faculty of Psychology, British Columbia University, Vancouve
As personality traits play an important role in the determination of individuals' behaviors and their readiness for special abnormal behaviors, it seems necessary to assess the various levels of personality traits in different cultures. The present research was performed by the purpose of assessing psychometric characteristics and factor analysis of Diagnostic Assessment of Personality Pathology-Basic Questionnaire (DAP-BQ) Persian version. 415 participants (253 male and 162 female) were selected voluntary by available sampling from university students, Eram Park's personnel and pedestrians. The study sample completed DAP-BQ and the short form of Neuroticism-extraversion and openness Personality Inventory Revised (NEO-PI-R). Findings showed a high-order solution with four-factors including emotional dysregulation, dissocial behavior, inhibition and compulsivity obsession which explained 72.57% of total variance. Also, Cronbach alpha coefficients (ranging from 0.73 to 0.93 range) and test-retest coefficients (ranging from 0.51 to 0.92 range) were in an acceptable range. Results showed that the Persian version of DAP-BQ had a proper validity and reliability. Furthermore, result revealed that the characteristic structure of DAP-BQ was the same across various languages and cultures and supported the four-factor essence of DAP-BQ.
Journal of Research and Health
2423-5717
6
3
2016
6
1
Health status of Gonabad city parks compared to standards and in people's opinion in terms of safety, hygiene and aesthetics
318
328
FA
Sedighe
Arabi
Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
Hassan
Keramati
Department of Environmental Health Engineering, School of Public Health, Semnan University of Medical Sciences, Semnan,
Malihe
Pishvaei
Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
Ali
Delshad
Lecturer Department of Nursing, School of Nursing and Midwifery, Gonabad University of Medical Sciences,
Mojtaba
Kianmehr
Department of Medical Physics, School of Medicine, Gonabad University of Medical Sciences,Gonabad,
Given the importance of parks in urban habitats, health and safety is among important issues that ought to be considered in planning, implementation, management, and maintenance stage prior to occurrence of accidents, in order to meet citizen's needs. The study aims to assess status of Gonabad city parks in terms of safety, hygiene, and aesthetics. Study population consisted of people attending Gonabad city parks. A total of 384 questionnaires were distributed among people older than 15 years of age attending these parks on certain days. A checklist was prepared to assess how parameters matched standards. All parks in Gonabad city (8 parks) were studied. Data obtained from checklist and questionnaires. Mean standard of equipment and facilities in parks was found 43%. Ghori Park enjoyed the highest standard (67%), and Noghab park had the lowest (10%). The highest standard of equipment and facilities in Gonabad city parks was found in Ghori park (67%) and Melli park (60%), respectively, and the lowest standard in Noghab park (10%). Municipal managers should now take urgent measures to improve quality and safety of city parks.
Journal of Research and Health
2423-5717
6
3
2016
6
1
The effectiveness of behavioral couple’s therapy to promote marital adjustment in women with addicted spouse
329
335
EN
Mostafa
Dehghani
Department of Counseling, Faculty of Educational Science and Psychology, Shahid Chamran University, Ahvaz,
Khaled
Aslani
Department of Counseling, Faculty of Educational Science and Psychology, Shahid Chamran University, Ahvaz,
Reza
Khojastehmehr
Department of Counseling, Faculty of Educational Science and Psychology, Shahid Chamran University, Ahvaz,
Drug abuse as social problem is phenomenon which degrades ability of society. The aim of this study was to investigate effectiveness of behavioral couple’s therapy to promote marital adjustment in women with addicted spouse. The design of this study was experimental with pre-test, post-test and fallow up with control group. The study included all couples that had referred to clinics of addiction treatment in Ahvaz, Iran, that among them 20 couples were selected and randomly divided into two groups as experimental and control group. Research instruments include revised dyadic adjustment scale and structured diagnostic interview by clinical centers' psychiatrist. The results showed that there was significant difference in marital adjustment between two groups. These results remained significantly stable during follow-up. Behavioral therapy is one of the most effective in improving marital adjustment.
Journal of Research and Health
2423-5717
6
3
2016
6
1
The effect of a pain management program in reducing the pain in patients with multiple sclerosis
336
344
FA
Farzaneh
Michaeli Manee
Department of Educational Science, Faculty of Literature and Human Science, Urmia University, Urmia
Ghasem
Ahi
Department of Psychology, School of Humanities, Islamic Azad University, Birjand Branch, Birjand,
Fereydoon
Ramazani
Department of Psychology, Birjand Payame Noor University, Birjand,
Sepideh
Behnejad
Department of Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran
Pain is common symptom in multiple sclerosis (MS) which is experienced by the sufferers in all stages of the disease. Therefore, multidimensional and comprehensive treatments are necessary in order to reduce the pain; via programs including of pain management. The aim of this study was to investigate effect of the pain management programs in reducing the pain symptoms in patients with MS. 10 MS patients were chosen using convenience sampling method from those registered in MS clinic of Ghaem hospital in Mashhad. Then, they were divided randomly into the experimental and control groups. The experimental group participated in 12 sessions of 45 minutes per session to receive the pain management education programs. Data were gathered using a numerical rating scale of pain, symptom checklist-90- Revised (SCL-90-R) and physical symptoms subscale of the general health questionnaire. The results showed that pain mean score of patients reduce significantly after receiving the education. The effect of intervention was 0.79 for numerical rating scale, 0.67 for the somatization subscale of SCL-90-R, and 0.52 for physical symptoms subscale of general health questionnaire. That is, the intervention reduced pain meaningfully in all measured parameters. Based on the obtained results, the pain management education can decrease the amount of pain in MS patients. It is recommended to consider this treatment as a part of this group's main treatment and rehabilitation programs.
Journal of Research and Health
2423-5717
6
3
2016
6
1
Relationship between quality of life and cognitive function in school aged children with attention deficit and hyperactivity disorder
345
354
FA
Sepideh
Boojari
Department of Occupational Therapy, Faculty of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz
Hojatolah
Haghgoo
Department of Occupational Therapy, Faculty of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran,
Reza
Rostami
Department of Psychology, Faculty of Medical Sciences, University of Medical Sciences, Tehran,
Sahar
Ghanbari
Department of Occupational Therapy, Faculty of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz,
Samaneh
Nematollahi
Department of Mathematical Statistics, Faculty of Mathematical Statistics, Shiraz University of Medical Sciences,
Children with attention deficit hyperactivity disorder have deficiency in many aspects of cognitive functions and quality of life (QOL). The study aimed to examine the relationship between cognitive functions and quality of life in children with Attention Deficit and Hyperactivity Disorder (ADHD). This analytical study is a correlation one. 60 participants were chosen according to statistical formula. Participants were evaluated using the Wechsler Intelligence Scale for Children Revised edition (WISC-R). Their cognitive functions and quality of life (QOL) were assessed by Cognitive Assessment System (CAS), Continuous Performance Test plus Integrated Visual/Auditory (CPT+IVA) and Pediatric Quality of Life inventory (Pads 4.0) Generic Core Scale. After analyzing data a significant correlation was found between attention and school functioning of QOL in all grades, separately. Furthermore, significant correlations were found among full scale attentions of CPT+tIVA test with psychosocial functioning and also total score of QOL, in grade 2 and in grade 5, as well Social Functioning in two grades children. Also significant correlations were found among simultaneous subscale of CAS and emotional, social and psychosocial functioning of QOL, in grade 4. Cognitive functions of children with ADHD have effects on some domains of QOL.
Journal of Research and Health
2423-5717
6
3
2016
6
1
Effect of health education on knowledge, attitudes, and practice of pregnant women in reducing elective cesarean delivery rate
355
361
FA
Shirin
Sedghi
Department of Health Education, Faculty of Medicine, Tarbiat Modares University, Tehran, Iran
Shamsoddin
Niknami
Department of Health Education, Faculty of Medicine, Tarbiat Modares University, Tehran, Iran
Leili
Sedghi
Department of Health Promotion, Health Metrics Research Center, Iranian Institute for Health Sciences Research, Tehran, Iran
Mahmoud
Tavousi
Department of Health Promotion, Health Metrics Research Center, Iranian Institute for Health Sciences Research, Tehran, Iran
This study was carried out to investigate the effect of education on knowledge, and attitudes, and practice of pregnant women in order to decrease tendency to elective cesarean delivery. This study conducted on 160 nulliparous Iranian pregnant women who referred to the health and wellness centers. The participants were randomly divided into the experimental and control groups. The data were collected through administering questionnaires, holding interviews and referring to the health records. The experimental group was educated about cesarean section and vaginal delivery through group meetings, face to face education, playing videos, and distributing pamphlets whereas the control group received routine cares. One month after intervention, the level of knowledge and attitudes was again measured along with the level of practice performance of two groups in choosing cesarean or vaginal delivery for childbirth. The findings of the study showed that before the intervention, there was not a significant difference in knowledge and attitudes between two groups. After training, however, the experimental group showed a significantly more knowledge and attitudes towards the vaginal delivery. There was also a significant difference between two groups with respect to practice (kind of delivery) as the cesarean section reduced about 15% in the experimental group compared to the control group. This study showed that training can enhance the level of knowledge and attitudes of pregnant women, leading to the less likelihood of having cesarean without a medical reason.
Journal of Research and Health
2423-5717
6
3
2016
6
1
A theoretical framework of divorcing couples experience
362
372
EN
Abolfazl
Hatami Varzaneh
Department of Counseling, School of Psychology and Educational Sciences, Allameh Tabataba’i University, Tehran, Iran
Masoumeh
Esmaeily
Department of Counseling, School of Psychology and Educational Sciences, Allameh Tabataba’i University, Tehran, Iran
Kioumars
Farahbakhsh
Department of Counseling, School of Psychology and Educational Sciences, Allameh Tabataba’i University, Tehran, Iran
Ahmad
Borjali
Department of Clinical Psychology, School of Psychology and Educational Sciences, Allameh Tabataba’i University, Tehran, Iran
Divorce is an event affecting couples, children, families, and community. Little is known about the perception of Iranian couples who intended to get divorced with regard to the process of decision making on divorce. The purpose of this study was to build a theory about the process that leads the couples to get divorced. The grounded theory in qualitative paradigm was used. Ten couples were interviewed based on the theoretical saturation. Purposeful sampling and semi-structured in-depth method of interview were used. The interviews were analyzed by using the constant comparative method. The results indicated that a category named improper marriage formation included the causal condition of divorce, which consisted of lack of initial interest in spouse, improper reason for getting married, lack of marriage preparation, insufficient dating before marriage, forced marriage, and unawares spouse selection. Intervening condition was divided into three subcategories of intra personal factors (dysfunctional attitudes and characteristics); inter personal factors (dysfunctional marital, parental, and intergenerational systems), and Meta personal factors (financial issues). Contextual condition consisted of history of divorce and unhealthy family of origins. Couples and familial dysfunctional strategies were also explained. Consequences were identified as emotional, cognitive, and behavioral. We concluded that collapse of marriage occurs as a process not an onset event. Improper marriage formation, dysfunctional family of origin, lack of constructive boundaries, and dysfunctional strategies of family related to the eastern culture were explained in conclusion.
Journal of Research and Health
2423-5717
6
3
2016
6
1
The relationship between health expenditures and human development index
373
377
FA
Zahra
Mirahsani
Department of Development Economic, Faculty of Economic, Tarbiat Modares University, Tehran, Iran
Growth in gross domestic product does not necessarily mean growth in human development; experience in global level demonstrated that income growth and human development are not always companions and in some countries, an increase in one of them was took place with a decrease in the other. On the other hand, a study has found that as government health expenditures grow the efficiency of such expenditures fall. Taking into account the above as the main concern, this paper hypothesizes and tests a positive relationship between expenditures states allocate to health and human development index. The model, human development index is considered as endogenous variable and total health expenditures are taken as descriptive variable. Estimation of the hypothesized relationship is carried out using countries combined data from 2000-2008, extracted from Iranian government's “2025 Horizon” document. Results suggest that health expenditures growth in these countries has led to increased human development index.