Soleiman Ekhtiari Yalda, Shojaeizadeh Davoud, Rahimi Foroushani Abbas, Ghofranipour Fazlollah, Ahmadi Batoul
Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran.
Iran Red Crescent Med J. 2013 Jan;15(1):21-8. doi: 10.5812/ircmj.3517. Epub 2013 Jan 5.
Domestic violence is one of the major health problems among women. Promoting preventive behaviors of domestic violence among women and girls can play crucial role in reducing this health problem.
This study was conducted to evaluate the effect of an intervention based on PRECEDE-PROCEED Model on preventive behaviors of domestic violence among Iranian high school girls.
An interventional study was completed during 2010-2011 in 10 high schools in the district 17 of Tehran municipality with 510 female students. We used the components of the PRECEDE-PROCEED Model for planning, implementation and evaluation of the program. Based on the results of need assessment, an appropriate environmental and educational intervention was implemented in the intervention group. Changes in predisposing, reinforcing, enabling factors and especially preventive behaviors immediately and two months after the intervention activities were assessed by questionnaires based on PRECEDE-PROCEED Model.
The intervention had significantly positive effect on predisposing, enabling and reinforcing factors immediately and two months after the intervention (P < 0.05). Repeated measures Analysis of variance showed a significant positive increase in preventive behaviors score in the intervention group from baseline to two months.
The PRECEDE-PROCEED Model can be applied as a conceptual framework for identifying the relevant behavioral and environmental risk factors associated with domestic violence. Development and implementation the skills-based education using this model can lead to the promotion of preventive behaviors of domestic violence and reduction in domestic violence cases.
家庭暴力是女性面临的主要健康问题之一。促进妇女和女孩预防家庭暴力的行为对于减少这一健康问题可发挥关键作用。
本研究旨在评估基于PRECEDE-PROCEED模型的干预措施对伊朗高中女生预防家庭暴力行为的影响。
2010年至2011年期间，在德黑兰市第17区的10所高中对510名女学生开展了一项干预性研究。我们使用PRECEDE-PROCEED模型的组成部分来规划、实施和评估该项目。根据需求评估结果，对干预组实施了适当的环境和教育干预。通过基于PRECEDE-PROCEED模型的问卷，评估干预活动后即刻以及两个月后在促成因素、强化因素、使能因素尤其是预防行为方面的变化。
干预在干预后即刻以及两个月时对促成因素、使能因素和强化因素产生了显著的积极影响（P < 0.05）。重复测量方差分析显示，干预组的预防行为得分从基线到两个月时有显著的正向增加。
PRECEDE-PROCEED模型可作为一个概念框架，用于识别与家庭暴力相关的行为和环境风险因素。运用该模型开展并实施基于技能的教育可促进家庭暴力预防行为并减少家庭暴力案件。
