Bastami Fatemeh, Mostafavi Firoozeh, Hassanzadeh Akbar
Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Biostatistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2015 Dec 30;4:90. doi: 10.4103/2277-9531.171804. eCollection 2015.
Addicts account for approximately 68.15% of AIDS cases in Iran and injection drug users are considered as a major factor in the spread of AIDS in Iran. The purpose of this study was to determine the effect of an educational intervention on the perceived self-efficacy, benefits, and barriers concerning AIDS preventive behaviors among drug addicts in Khorramabad, Iran.
This is a quasi-experimental study carried out in 2013 on 88 addicts kept in rehabilitations center in Khorramabad. The data collection instruments included a questionnaire on self-efficacy, perceived benefits, perceived barriers, knowledge and preventive behaviors regarding HIV. Data were analyzed by paired t-test, independent t-test, Chi-square and analysis of covariance.
Paired t-test showed that the mean scores for perceived benefits and barriers, knowledge and preventive behaviors significantly increased in the intervention group after the intervention than before the intervention. But the increase in self-efficacy score was not statistically significant.
The results of this study showed that training and education based on the health belief model led to an increase in knowledge, self-efficacy, perceived benefits, performance and reduction in perceived barriers in addicts. It is recommended that future studies should include strategies for enhancing self-efficacy and perceived benefits as well as strategies for reducing barriers to the adoption of preventive behaviors.
在伊朗,吸毒者占艾滋病病例的约68.15%,注射吸毒者被视为伊朗艾滋病传播的主要因素。本研究的目的是确定教育干预对伊朗霍拉马巴德吸毒者在艾滋病预防行为方面的自我效能感、益处和障碍认知的影响。
这是一项2013年对霍拉马巴德康复中心的88名吸毒者进行的准实验研究。数据收集工具包括一份关于自我效能感、感知益处、感知障碍、艾滋病知识及预防行为的问卷。数据通过配对t检验、独立t检验、卡方检验和协方差分析进行分析。
配对t检验显示,干预组在干预后,感知益处、障碍、知识及预防行为的平均得分显著高于干预前。但自我效能感得分的增加无统计学意义。
本研究结果表明,基于健康信念模型的培训和教育可提高吸毒者的知识水平、自我效能感、感知益处、行为表现,并减少感知障碍。建议未来的研究应纳入提高自我效能感和感知益处的策略,以及减少预防行为障碍的策略。