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Saffari, M., Lin, C.-Y., Koenig, H. G., O’Garo, K.-G. N., Broström, A. & Pakpour, A. H. (2019). A Persian version of the Affiliate Stigma Scale in caregivers of people with dementia. Health Promotion Perspectives, 9(1), 31-39
Open this publication in new window or tab >>A Persian version of the Affiliate Stigma Scale in caregivers of people with dementia
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2019 (English)In: Health Promotion Perspectives, ISSN 2228-6497, Vol. 9, no 1, p. 31-39Article in journal (Refereed) Published
Abstract [en]

Background:

Dementia is prevalent among older adults and frequently causes dependence on family caregivers. Caregivers may experience a form of stigmatization called affiliate stigma that negatively affects their mental health. The current study sought to establish the psychometric properties of a tool to measure affiliate stigma among Iranian caregivers.

Methods:

Overall, 541 caregivers of older people with dementia were included in this cross-sectional study. Several measures were used to assess the psychometric properties of the Affiliate Stigma Scale (ASS) including the Zarit Burden Interview (ZBI), Hospital Anxiety and Depression Scale (HADS), Short Form 12 (SF-12), Rosenberg Self-Esteem Scale (RSES), and Multidimensional Scale of Perceived Social Support (MSPSS). Convergent and discriminate validity were examined. Exploratory and confirmatory factor analyses were utilized to assess the factor structure of the ASS and a Rasch model was used to evaluate the measurement functioning of the scale.

Results:

Factor loadings ranged from 0.69 to 0.83 and test-retest reliability from 0.72 to 0.89. Item difficulty ranged widely from -0.66 to 0.89. No considerable differential item functioning (DIF) was found across gender. Confirmatory factor analysis confirmed the three cognitive, affective, and behavioral dimensions of the scale (comparative fit index [CFI]=0.931 to 0.995, root mean square error of approximation [RMSEA]=0.046 to 0.068). Internal consistency was acceptable (Cronbach’s alpha: 0.88 to 0.94). Significant and positive relationships were found between affiliate stigma and depression, anxiety, and caregiving burden (beta = 0.35 to 0.46).

Conclusion:

The ASS is a psychometrically valid measure for assessing affiliate stigma in Iranian caregivers of people with dementia. Application of this tool among other caregivers, languages and cultures deserves further study.

Place, publisher, year, edition, pages
Tabriz University of Medical Sciences, 2019
Keywords
Stigma, Family caregivers, Dementia, Psychometrics
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-43112 (URN)10.15171/hpp.2019.04 (DOI)000456575000004 ()30788265 (PubMedID)2-s2.0-85065551653 (Scopus ID)POA HHJ;HHJADULTIS (Local ID)POA HHJ;HHJADULTIS (Archive number)POA HHJ;HHJADULTIS (OAI)
Available from: 2019-02-20 Created: 2019-02-20 Last updated: 2019-06-12Bibliographically approved
Sanaeinasab, H., Saffari, M., Dashtaki, M.-a., Pakpour, A. H., Karimi Zarchi, A., O'Garo, K.-G. N. & Koenig, H. G. (2019). A theory of planned behavior-based program to increase physical activity in overweight/obese military personnel: A randomised controlled trial. Applied Psychology: Health and Well-Being
Open this publication in new window or tab >>A theory of planned behavior-based program to increase physical activity in overweight/obese military personnel: A randomised controlled trial
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2019 (English)In: Applied Psychology: Health and Well-Being, ISSN 1758-0846, E-ISSN 1758-0854Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: Designing a health promotion program to increase physical activity may contribute to weight management. The purpose of this study was to investigate a theory of planned behavior (TPB) program to address this problem in military people.

Methods: Eighty-four obese/overweight military personnel were randomised into the intervention or control group. A questionnaire assessed demographics, aspects of the TPB program, and physical activity levels. Also assessed were blood glucose and lipid levels. The intervention consisted of seven educational sessions based on TPB. Data were collected at baseline and 3 months after the intervention.

Results: All constructs of the TPB improved between baseline and follow-up in the intervention group (p <.001), while there were no significant changes in the control group (within-group comparisons). Between-group comparisons on TPB measures revealed differences in all domains when results were controlled for baseline covariates. Greater light and moderate physical activity was observed in the intervention group. Body mass index decreased significantly within the intervention group (p <.001). Changes in triglyceride and high-density lipoprotein also favored the intervention over the control group.

Conclusion: An intervention based on the TPB may be effective in promoting physical activity and decreasing weight in military personnel who are obese or overweight. 

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
health education, military, obesity, physical activity
National Category
Applied Psychology
Identifiers
urn:nbn:se:hj:diva-45597 (URN)10.1111/aphw.12175 (DOI)31353846 (PubMedID)2-s2.0-85070297944 (Scopus ID);HHJÖvrigtIS (Local ID);HHJÖvrigtIS (Archive number);HHJÖvrigtIS (OAI)
Available from: 2019-08-19 Created: 2019-08-19 Last updated: 2019-08-19
Scheerman, J. F., Hamilton, K., Sharif, M. O., Lindmark, U. & Pakpour, A. H. (2019). A theory-based intervention delivered by an online social media platform to promote oral health among Iranian adolescents: a cluster randomized controlled trial. Psychology and Health
Open this publication in new window or tab >>A theory-based intervention delivered by an online social media platform to promote oral health among Iranian adolescents: a cluster randomized controlled trial
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2019 (English)In: Psychology and Health, ISSN 0887-0446, E-ISSN 1476-8321Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective: Based on the Health Action Process Approach, we tested the efficacy of a theory-based program using an online social media platform (Telegram) to promote good oral hygiene behaviour among Iranian adolescents.

Design: A three-arm randomized-controlled trial design was used, consisting of an adolescent only intervention group (A group; n = 253), an adolescent and mother intervention group (A + M group; n = 260), and a control group (n = 278).

Main outcome measures: Psychosocial variables, toothbrushing behaviour, Visual Plaque Index, and Community Periodontal Index.

Results: Increases in adolescent toothbrushing at the one- and six-month follow-ups in both intervention groups compared to the control group were observed. Adolescents in the A + M group showed significant greater improvements in their toothbrushing behaviour, Visual Plaque Index, and Community Periodontal Index scores than adolescents in the A group. Improvements to toothbrushing social cognitions were also observed.

Conclusions: Current results support the use of the theory-based program delivered by Telegram in improving good oral hygiene behaviour and oral health outcomes among Iranian adolescents. Involving mothers in an intervention can confer additional benefits for adolescent oral health.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
health action process approach, mHealth, oral health promotion, oral hygiene, parents
National Category
Dentistry Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-46605 (URN)10.1080/08870446.2019.1673895 (DOI)31621423 (PubMedID)2-s2.0-85074330634 (Scopus ID);HHJADULTIS;HHJARNIS;HHJOralIS (Local ID);HHJADULTIS;HHJARNIS;HHJOralIS (Archive number);HHJADULTIS;HHJARNIS;HHJOralIS (OAI)
Available from: 2019-10-18 Created: 2019-10-18 Last updated: 2019-11-12
Lin, C.-Y., Cheng, A. S. K., Nejati, B., Imani, V., Ulander, M., Browall, M., . . . Pakpour, A. H. (2019). A thorough psychometric comparison between Athens Insomnia Scale and Insomnia Severity Index among patients with advanced cancer. Journal of Sleep Research, Article ID e12891.
Open this publication in new window or tab >>A thorough psychometric comparison between Athens Insomnia Scale and Insomnia Severity Index among patients with advanced cancer
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2019 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, article id e12891Article in journal (Refereed) Epub ahead of print
Abstract [en]

For patients with cancer, sleep disturbance is commonplace. Using classical test theory and Rasch analyses, the present study compared two commonly used psychometric instruments for insomnia – Athens Insomnia Scale and Insomnia Severity Index – among patients with advanced cancer. Through convenience sampling, patients with cancer at stage III or IV (n = 573; 326 males; mean age = 61.3 years; SD = 10.7) from eight oncology units of university hospitals in Iran participated in the study. All the participants completed the Athens Insomnia Scale, Insomnia Severity Index, Edmonton Symptom Assessment Scale, Hospital Anxiety and Depression Scale, General Health Questionnaire-12, Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index. Additionally, 433 participants wore an Actigraph device for two continuous weekdays. Classical test theory and Rasch analysis both supported the construct validity for Athens Insomnia Scale (factor loadings from confirmatory factor analysis = 0.61–0.87; test–retest reliability = 0.72–0.82; infit mean square = 0.81–1.17; outfit MnSq = 0.79–1.14) and for Insomnia Severity Index (factor loadings from confirmatory factor analysis = 0.61–0.81; test–retest reliability = 0.72–0.82; infit mean square = 0.72–1.14; outfit mean square = 0.76–1.11). Both Athens Insomnia Scale and Insomnia Severity Index had significant associations with Edmonton Symptom Assessment Scale, Hospital Anxiety and Depression Scale, General Health Questionnaire-12, Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index, as well as having good sensitivity and specificity. Significant differences in the actigraphy measure were found between insomniacs and non-insomniacs based on Athens Insomnia Scale or Insomnia Severity Index score. With promising results, healthcare providers can use either Athens Insomnia Scale or Insomnia Severity Index to understand the insomnia of patients with advanced cancer. 

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
confirmatory factor analysis, insomnia, oncology, psychometrics, Rasch analysis, sleep disorders
National Category
Neurology
Identifiers
urn:nbn:se:hj:diva-45538 (URN)10.1111/jsr.12891 (DOI)31328319 (PubMedID)2-s2.0-85069828622 (Scopus ID);HHJADULTIS (Local ID);HHJADULTIS (Archive number);HHJADULTIS (OAI)
Available from: 2019-08-12 Created: 2019-08-12 Last updated: 2019-08-12
Saffari, M., Sanaeinasab, H., Masoumbeigi, H., Pakpour, A. H., O'Garo, K. N. & Koenig, H. G. (2019). An Education-Based Text Messaging Program to Improve Nurses' Knowledge, Attitude, and Practice Related to Nosocomial Infections in Intensive Care Settings. Journal of Continuing Education in Nursing: Continuing Competence for the Future, 50(5), 211-217
Open this publication in new window or tab >>An Education-Based Text Messaging Program to Improve Nurses' Knowledge, Attitude, and Practice Related to Nosocomial Infections in Intensive Care Settings
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2019 (English)In: Journal of Continuing Education in Nursing: Continuing Competence for the Future, ISSN 0022-0124, E-ISSN 1938-2472, Vol. 50, no 5, p. 211-217Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Nosocomial infection (NI) is common in health care settings. Educational strategies such as mobile teaching methods for health care providers may help to resolve this problem. This pilot study assessed the influence of a text messaging program to improve intensive care unit nurses' knowledge, attitude, and practice related to NI prevention.

METHOD: In this single-group experimental study, 32 nurses received an educational intervention via short text messages on their cell phones. Information on knowledge, attitude, and practice regarding NI prevention was collected using a standard scale. Preventive messages about NI were prepared and sent to participants during a 2-month trial. Results were assessed 2 weeks after the intervention, and data were analyzed by paired t test.

RESULTS: Knowledge, attitude, and practice of participants increased by 17%, 3%, and 9%, respectively, from baseline to follow up. The average score on the knowledge dimension was lower than for other components. Knowledge components such as hand hygiene, work safety, and protective equipment increased to a lesser degree from pre- to posttest, compared with other aspects (p < .05 versus p < .001).

CONCLUSION: An education-based program operating through short text messages may be a useful in-service training strategy for intensive care unit nurses.

Place, publisher, year, edition, pages
Slack, 2019
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-44179 (URN)10.3928/00220124-20190416-07 (DOI)000466075600007 ()31026321 (PubMedID)2-s2.0-85065297395 (Scopus ID)HHJÖvrigtIS (Local ID)HHJÖvrigtIS (Archive number)HHJÖvrigtIS (OAI)
Available from: 2019-06-07 Created: 2019-06-07 Last updated: 2019-06-07Bibliographically approved
Tsai, M.-C., Strong, C., Latner, J. D., Lin, Y.-C., Pakpour, A. H., Lin, C.-Y. & Wang, S.-M. (2019). Attitudes toward and beliefs about obese persons across Hong Kong and Taiwan: wording effects and measurement invariance. Health and Quality of Life Outcomes, 17(1), Article ID 134.
Open this publication in new window or tab >>Attitudes toward and beliefs about obese persons across Hong Kong and Taiwan: wording effects and measurement invariance
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2019 (English)In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 17, no 1, article id 134Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The psychosocial consequences of obesity are important but often underrated. The Attitudes Toward Obese Persons (ATOP) and Beliefs About Obese Persons (BAOP) scales used to measure weight-related bias have little psychometric information, especially in East Asian contexts. The objective of this study was to use rigorous statistical methods to demonstrate the psychometric properties of these two instruments in Hong Kong and Taiwanese college students.

METHODS: A convenience sample of 707 students was recruited from the universities in Hong Kong and Taiwan. Several competing confirmatory factor analyses (CFAs) were conducted to confirm the factorial structure of the ATOP and BAOP. The best fit models for the ATOP and BAOP were chosen for the examination of the measurement invariance across subcultures. We then compared configurable models with or without loading and/or intercept constrained before correlating the latent constructs between the best models for the ATOP and BAOP.

RESULTS: The comparison in multiple CFAs found that the model with one factor and two correlated-wording-method factors outperformed the other models for both the ATOP and BOAP. However, the internal consistency was suboptimal (ATOP: α = .56 to .80; BTOP: α = .57 to .65) and the measurement invariance was somewhat unsupported among the Hong Kong and Taiwan samples. Moreover, after controlling wording effects, the latent construct of the ATOP was moderately associated with that of BAOP (r = .356; p < .001).

CONCLUSION: Chinese versions of the ATOP and BAOP can be treated as a unidimensional factor for use in Hong Kong and Taiwan university students. However, further refinements of both instruments may be needed before using them to capture the social attitudes and beliefs toward obesity individuals, which is expected to advance our understanding of weight-related bias in East Asian contexts.

Place, publisher, year, edition, pages
BioMed Central, 2019
Keywords
Cross-culture, Psychometrics, Weight bias, Weight stigma, Young adults
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-45567 (URN)10.1186/s12955-019-1198-6 (DOI)000477963600002 ()31362763 (PubMedID)2-s2.0-85070822922 (Scopus ID)GOA HHJ 2019;HHJÖvrigtIS (Local ID)GOA HHJ 2019;HHJÖvrigtIS (Archive number)GOA HHJ 2019;HHJÖvrigtIS (OAI)
Available from: 2019-08-15 Created: 2019-08-15 Last updated: 2019-09-30Bibliographically approved
Ericsson, C., Skagerström, J., Schildmeijer, K., Årestedt, K., Broström, A., Pakpour, A. H. & Nilsen, P. (2019). Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs.. BMJ Quality and Safety, 28(8), 657-666, Article ID bmjqs-2018-008524.
Open this publication in new window or tab >>Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs.
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2019 (English)In: BMJ Quality and Safety, ISSN 2044-5415, E-ISSN 2044-5423, Vol. 28, no 8, p. 657-666, article id bmjqs-2018-008524Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To investigate patients' perceptions of their meetings with healthcare professionals and the extent to which they believe they can influence patient safety in these meetings.

DESIGN: Cross-sectional survey of patients using a study-specific questionnaire. Data were analysed using both parametric and non-parametric statistics.

SETTING: The study was conducted in primary and secondary care in three county councils in southeast Sweden by means of a survey questionnaire despatched in January 2017.

PARTICIPANTS: Survey data were collected from 1445 patients, 333 of whom were complainants (patients who had filed a complaint about being harmed in healthcare) and 1112 regular patients (patients recruited from healthcare units).

MAIN OUTCOME MEASURES: Patients' perceptions of meetings with physicians and nurses, beliefs concerning patients' contributions to safer care and whether the patients had suffered harm in healthcare during the past 10 years.

RESULTS: Most respondents reported that it was easy to ask physicians and nurses questions (84.9% and 86.6%) and to point out if something felt odd in their care (77.7% and 80.7%). In general, complainants agreed to a higher extent compared with regular patients that patients can contribute to safer care (mean 1.92 and 2.13, p<0.001). Almost one-third (31.2%) of the respondents (both complainants and regular patients) reported that they had suffered harm in healthcare during the past 10 years.

CONCLUSIONS: Most respondents believed that healthcare professionals can facilitate patient interaction and increase patient safety by encouraging patients to ask questions and take an active part in their care. Further research will need to identify strategies to support such questioning in routine practice and ensure that it achieves its intended goals.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019
Keywords
adverse events, epidemiology and detection, medical error, measurement/epidemiology, patient safety, patient satisfaction
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Nursing
Identifiers
urn:nbn:se:hj:diva-44175 (URN)10.1136/bmjqs-2018-008524 (DOI)000477894500008 ()31018984 (PubMedID)2-s2.0-85065298242 (Scopus ID)HOA HHJ 2019;HHJÖvrigtIS (Local ID)HOA HHJ 2019;HHJÖvrigtIS (Archive number)HOA HHJ 2019;HHJÖvrigtIS (OAI)
Available from: 2019-06-07 Created: 2019-06-07 Last updated: 2019-08-09Bibliographically approved
Nejati, B., Lin, C.-C., Aaronson, N. K., Cheng, A. S. K., Browall, M., Lin, C.-Y., . . . Pakpour, A. H. (2019). Determinants of satisfactory patient communication and shared decision making in patients with multiple myeloma. Psycho-Oncology, 28(7), 1490-1497
Open this publication in new window or tab >>Determinants of satisfactory patient communication and shared decision making in patients with multiple myeloma
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2019 (English)In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 28, no 7, p. 1490-1497Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To identify determinants of shared decision making in patients with multiple myeloma (MM) to facilitate the design of a program to maximize the effects of shared decision making.

METHODS: This prospective longitudinal study recruited 276 adult patients (52% male, mean age 62.86 y, SD 15.45). Each patient completed the eHealth Literacy Scale (eHEALS), Multidimensional Trust in Health Care Systems Scale (MTHCSS), Patient Communication Pattern Scale (PCPS), and 9-Item Shared Decision-Making Questionnaire (SDM-Q-9) at baseline and the SDM-Q-9 again 6 months later. One family member of the patient completed the Family Decision-Making Self-Efficacy (FDMSE) at baseline. Structural equation modeling (SEM) was used to investigate the associations between eHealth literacy (eHEALS), trust in the health care system (MTHCSS), self-efficacy in family decision making (FDMSE), patient communication pattern (PCPS), and shared decision making (SDM-Q-9).

RESULTS: SEM showed satisfactory fit (comparative fit index = 0.988) and significant correlations between the following: eHealth literacy and trust in the health care system (β = 0.723, P < 0.001); eHealth literacy and patient communication pattern (β = 0.242, P < 0.001); trust in the health care system and patient communication pattern (β = 0.397, P < 0.001); self-efficacy in family decision making and patient communication pattern (β = 0.264, P < 0.001); eHealth literacy and shared decision making (β = 0.267, P < 0.001); and patient communication pattern and shared decision making (β = 0.349, P < 0.001).

CONCLUSIONS: Patient communication and eHealth literacy were found to be important determinants of shared decision making. These factors should be taken into consideration when developing strategies to enhance the level of shared decision making.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
cancer, multiple myeloma, oncology, patient communication, shared decision making, structural equation modeling
National Category
Cancer and Oncology
Identifiers
urn:nbn:se:hj:diva-45078 (URN)10.1002/pon.5105 (DOI)000474293000016 ()31087365 (PubMedID)2-s2.0-85066822686 (Scopus ID);HHJADULTIS,HHJIMPROVEIS (Local ID);HHJADULTIS,HHJIMPROVEIS (Archive number);HHJADULTIS,HHJIMPROVEIS (OAI)
Available from: 2019-06-25 Created: 2019-06-25 Last updated: 2019-08-30Bibliographically approved
Ameryoun, A., Pakpour, A. H., Nikoobakht, M., Saffari, M., Yaseri, M., O'Garo, K.-G. N. & Koenig, H. G. (2019). Effectiveness of an In-Service Education Program to Improve Patient Safety Directed at Surgical Residents: A Randomized Controlled Trial. Journal of Surgical Education, 76(5), 1309-1318
Open this publication in new window or tab >>Effectiveness of an In-Service Education Program to Improve Patient Safety Directed at Surgical Residents: A Randomized Controlled Trial
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2019 (English)In: Journal of Surgical Education, ISSN 1931-7204, E-ISSN 1878-7452, Vol. 76, no 5, p. 1309-1318Article in journal (Refereed) Published
Abstract [en]

Background: Patient safety is a critical issue in healthcare services particularly in surgical units and operation rooms because of the high prevalence and risk of medical errors in such settings. This study was conducted to determine whether a 1-day educational intervention can change the attitude and behavior of surgical residents regarding patient safety.

Methods: A total of 90 surgical residents were recruited from 6 university hospitals located in Tehran and Qazvin, Iran, and were randomized to either the intervention or a control group. Those in the intervention group participated in a 1-day workshop on patient safety, whereas the control group received no intervention. Both groups were followed for 3 months after the intervention was completed. The Safety Attitude Questionnaire and Oxford Non-Technical Skills scale were administered at 3 points in time (baseline, 1 month after the intervention, and 3 month later). The data were analyzed using repeated measures analysis of variance.

Results: Total score on the Safety Attitude Questionnaire improved from 54.5 (SD = 14.4) at baseline to 58.3 (SD = 13.8) 3 months after the intervention in the intervention group; all dimensions, with the exception of working condition, showed significant changes. In addition, the Oxford Non-Technical Skills scale – as assessed by attending surgeons – improved significantly in all domains (p < 0.05). More than 60% of participants in the intervention group scored in the positive range for items assessing safety and teamwork climate.

Conclusions: A 1-day interactive educational workshop may be effective in changing the attitude and practice of surgical residents regarding patient safety. Further assessment of this intervention in other healthcare settings involving health professionals from various specialties and use of an objective measure such as number of reported medical errors are needed to corroborate these findings. 

Place, publisher, year, edition, pages
;HHJ: Elsevier, 2019
Keywords
Education, Interpersonal and Communication Skills, Medical error, Nontechnical skills, Patient Care, Patient safety, Professionalism, Surgery, adult, analysis of variance, article, controlled study, drug safety, education program, female, human, interpersonal communication, Iran, male, multicenter study, questionnaire, randomized controlled trial, resident, skill, teamwork, university hospital, work environment
National Category
Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:hj:diva-46145 (URN)10.1016/j.jsurg.2019.03.002 (DOI)000487574300018 ()30910500 (PubMedID)2-s2.0-85063279333 (Scopus ID);HHJÖvrigtIS (Local ID);HHJÖvrigtIS (Archive number);HHJÖvrigtIS (OAI)
Available from: 2019-09-16 Created: 2019-09-16 Last updated: 2019-10-11Bibliographically approved
Miri, S. F., Javadi, M., Lin, C.-Y., Griffiths, M. D., Björk, M. & Pakpour, A. H. (2019). Effectiveness of cognitive-behavioral therapy on nutrition improvement and weight of overweight and obese adolescents: A randomized controlled trial. Diabetes & Metabolic syndrome: clinical Research & Reviews, 13(3), 2190-2197
Open this publication in new window or tab >>Effectiveness of cognitive-behavioral therapy on nutrition improvement and weight of overweight and obese adolescents: A randomized controlled trial
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2019 (English)In: Diabetes & Metabolic syndrome: clinical Research & Reviews, ISSN 1871-4021, E-ISSN 1878-0334, Vol. 13, no 3, p. 2190-2197Article in journal (Refereed) Published
Abstract [en]

Aim: To assess the effectiveness of a cognitive-behavioral treatment (CBT) program on weight reduction among Iranian adolescents who are overweight. Methods: Using a randomized controlled trial design, 55 adolescents who were overweight (mean [SD] age = 14.64 [1.69] years; zBMI = 2.18 [0.65]) were recruited in the CBT program and 55 in the treatment as usual (TAU; mean age = 14.88 [1.50]; zBMI = 2.09 [0.57]) group. All the participants completed several questionnaires (Child Dietary Self-Efficacy Scale; Weight Efficacy Lifestyle questionnaire; Physical Exercise Self-Efficacy Scale; Pediatric Quality of Life Inventory; and self-reported physical activity and diet) and had their anthropometrics measured (height, weight, waist and hip circumferences, and body fat). Results: The CBT group consumed significantly more fruits and juice, vegetables, and dairy in the 6-month follow-up as compared with the TAU group (p-values <0.001). The CBT group consumed significantly less sweet snacks, salty snacks, sweet drinks, sausages/processed meat, and oils in the six-month follow-up compared with the TAU group (p-values<0.001). Additionally, the waist circumference, BMI, waist-hip ratio, and fat mass were significantly decreased in the CBT group in the six-month follow-up compared with the TAU group (p-values<0.005). The CBT group significantly improved their psychosocial health, physical activity, and health-related quality of life (p-values<0.001). Conclusion: The CBT program showed its effectiveness in reducing weight among Iranian adolescents who were overweight. Healthcare providers may want to adopt this program to treat excess weight problems among adolescents. 

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Adolescence, CBT, Nutrition, Obesity, Overweight
National Category
Nutrition and Dietetics
Identifiers
urn:nbn:se:hj:diva-44352 (URN)10.1016/j.dsx.2019.05.010 (DOI)000472598700078 ()31235156 (PubMedID)2-s2.0-85066156391 (Scopus ID)PP HHJ 2019 embargo 12;HHJCHILDIS (Local ID)PP HHJ 2019 embargo 12;HHJCHILDIS (Archive number)PP HHJ 2019 embargo 12;HHJCHILDIS (OAI)
Available from: 2019-06-11 Created: 2019-06-11 Last updated: 2019-07-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8798-5345

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