METHODS: A qualitative study was conducted from July 2021 to December 2022 using the conventional content analysis method. Purposive sampling was employed to select 14 Behvarzes working in villages covered by Kashan University of Medical Sciences. Data were collected through semi-structured in-depth individual interviews and analyzed using conventional content analysis.
RESULTS: The study identified seven subcategories which were grouped into two main categories of reasons for inadequate compliance with health protocols by some individuals. These include: (1) Intentional non-compliance with preventive protocols, with the following subcategories: perceived obligation and adherence to social customs, denial of risk, belief in external health locus of control, and fear and distrust of prevention and treatment methods. (2) Unintentional non-compliance with preventive protocols, with the following subcategories: insufficient or contradictory information, negligence, and inevitability.
CONCLUSIONS: The findings suggest that ensuring compliance with health guidelines is not a one-size-fits-all approach. providing empowerment and obstacle removal solutions to those forced to violate preventive protocols for various reasons are all critical components of successful interventions. Also, cultural familiarity can aid in the design of appropriate interventions to address these challenges.
方法:于2021年7月至2022年12月使用常规内容分析法进行了定性研究。目的抽样被用来选择在喀山医科大学覆盖的村庄工作的14个Behvarzes。通过半结构化的深入个人访谈收集数据,并使用常规内容分析进行分析。
结果:该研究确定了七个子类别,这些子类别分为两个主要类别,这些原因是某些人对健康协议的依从性不足。这些包括:(1)故意不遵守预防协议,具有以下子类别:感知义务和遵守社会习俗,否认风险,相信外部健康的控制源,以及对预防和治疗方法的恐惧和不信任。(2)无意中不遵守预防协议,具有以下子类别:信息不足或矛盾,疏忽,和必然性。
结论:研究结果表明,确保遵守健康指南并不是一刀切的方法。为那些因各种原因被迫违反预防协议的人提供赋权和消除障碍的解决方案都是成功干预措施的关键组成部分。此外,文化熟悉有助于设计适当的干预措施来应对这些挑战。