PDF(Pubmed)
Abstract：
OBJECTIVE: Iran ranks among the top six countries globally with a significant incidence of Cutaneous Leishmaniasis (CL). Using planning models is one community-based intervention to promote preventive behaviors. The purpose of our study was to evaluate the effectiveness of the PRECEDE-PROCEED model (PPM) in modifying preventive behaviors related to CL in children through mother training in a community intervention.
METHODS: A randomized controlled trial based on the PPM model was conducted on 168 mothers (intervention (n = 84) and control group (n = 84) with 10 years old children in the rural areas of Iran. Mothers from 7 village areas were randomly allocated to the intervention (2 village) and control groups (5 village). The intervention group received a program comprising eight 90-minute training sessions and environmental interventions. In this study, we utilized the PPM as a framework to design the questionnaires on Leishmaniosis prevention behavior. Participants in both groups completed the questionnaires at baseline (before the intervention), immediately after the intervention, and at the 2-month follow-up. Analysis of the data was conducted utilizing SPSS20, with statistical significance set at p < 0.05.
RESULTS: Compared to the control group, the intervention group showed significant increases in knowledge, enabling factors, reinforcing factors, attitude, and preventive behaviors related to Cutaneous Leishmaniasis over time from baseline to follow-up (P < 0.001). No significant differences (P > 0.05) were observed in the alterations of the PPM construct, knowledge, and preventive behaviors within the control group from pre-intervention to follow-up.
CONCLUSIONS: Community (education and environmental) intervention based on PPM is feasible and acceptable to modify preventive behaviors of Cutaneous Leishmaniasis in children by increasing a mother\'s knowledge and attitude as well as changing enabling and reinforcing factors.
BACKGROUND: IRCT20160619028529N8.
METHODS: A randomized controlled trial based on the PPM model was conducted on 168 mothers (intervention (n = 84) and control group (n = 84) with 10 years old children in the rural areas of Iran. Mothers from 7 village areas were randomly allocated to the intervention (2 village) and control groups (5 village). The intervention group received a program comprising eight 90-minute training sessions and environmental interventions. In this study, we utilized the PPM as a framework to design the questionnaires on Leishmaniosis prevention behavior. Participants in both groups completed the questionnaires at baseline (before the intervention), immediately after the intervention, and at the 2-month follow-up. Analysis of the data was conducted utilizing SPSS20, with statistical significance set at p < 0.05.
RESULTS: Compared to the control group, the intervention group showed significant increases in knowledge, enabling factors, reinforcing factors, attitude, and preventive behaviors related to Cutaneous Leishmaniasis over time from baseline to follow-up (P < 0.001). No significant differences (P > 0.05) were observed in the alterations of the PPM construct, knowledge, and preventive behaviors within the control group from pre-intervention to follow-up.
CONCLUSIONS: Community (education and environmental) intervention based on PPM is feasible and acceptable to modify preventive behaviors of Cutaneous Leishmaniasis in children by increasing a mother\'s knowledge and attitude as well as changing enabling and reinforcing factors.
BACKGROUND: IRCT20160619028529N8.
摘要：
目的：伊朗是全球皮肤利什曼病（CL）发病率最高的六个国家之一。使用计划模型是一种基于社区的干预措施，以促进预防行为。我们研究的目的是通过社区干预中的母亲培训，评估PRECEDE-PROCEED模型（PPM）在改善儿童与CL相关的预防行为方面的有效性。
方法：一项基于PPM模型的随机对照试验在伊朗农村地区的168名母亲（干预组（n=84）和对照组（n=84）和10岁儿童中进行。来自7个村地区的母亲被随机分配到干预组（2个村）和对照组（5个村）。干预组接受了一项计划，包括八次90分钟的培训课程和环境干预措施。在这项研究中,我们利用PPM作为框架设计了利什曼病预防行为问卷.两组参与者在基线时（干预前）完成问卷，干预后立即，在2个月的随访中。利用SPSS20进行数据分析,统计学显著性设定为p<0.05。
结果：与对照组相比，干预组的知识显着增加，有利因素，强化因素，态度,从基线到随访，与皮肤利什曼病相关的预防行为（P<0.001）。在PPM结构的改变中没有观察到显著差异(P>0.05),知识,对照组从干预前到随访的预防行为。
结论：基于PPM的社区（教育和环境）干预是可行的，可以通过增加母亲的知识和态度以及改变促进和增强因素来改变儿童皮肤利什曼病的预防行为。
背景：IRCT20160619028529N8.
方法：一项基于PPM模型的随机对照试验在伊朗农村地区的168名母亲（干预组（n=84）和对照组（n=84）和10岁儿童中进行。来自7个村地区的母亲被随机分配到干预组（2个村）和对照组（5个村）。干预组接受了一项计划，包括八次90分钟的培训课程和环境干预措施。在这项研究中,我们利用PPM作为框架设计了利什曼病预防行为问卷.两组参与者在基线时（干预前）完成问卷，干预后立即，在2个月的随访中。利用SPSS20进行数据分析,统计学显著性设定为p<0.05。
结果：与对照组相比，干预组的知识显着增加，有利因素，强化因素，态度,从基线到随访，与皮肤利什曼病相关的预防行为（P<0.001）。在PPM结构的改变中没有观察到显著差异(P>0.05),知识,对照组从干预前到随访的预防行为。
结论：基于PPM的社区（教育和环境）干预是可行的，可以通过增加母亲的知识和态度以及改变促进和增强因素来改变儿童皮肤利什曼病的预防行为。
背景：IRCT20160619028529N8.
