Afshari Maryam, Moghimbeigi Abbas, Mahdi-Hazavehei Seyed Mohammad, Rezapur-Shahkolai Forouzan
Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Turk J Pediatr. 2017;59(6):648-656. doi: 10.24953/turkjped.2017.06.005.
Afshari M, Moghimbeigi A, Hazavehei SMM, Rezapur-Shahkolai F. Effect of a model-based educational program for mothers, on home-related injury prevention among under-five-year children in rural Twiserkan, Iran. Turk J Pediatr 2017; 59: 648-656. Children under 5 years of age are most vulnerable in terms of home-related injuries. As a majority of these injuries are predictable and preventable, it is important to design preventive intervention programs that can be utilized as models of health education. The aim of this study was to determine the effect of an educational program, using the PRECEDE model, for rural mothers, on home-related injury prevention among under-five-year old children. This quasi-experimental study was conducted on 72 mothers, with at least one under-five-year old child, in the rural areas of Twiserkan (Toyserkan) County in Iran. The intervention and control groups (36 participants in each), were interviewed in pre/post-test study by trained interviewers, using the questionnaire. The intervention group participated in four educational sessions. The questionnaire included the questions on demographic information, mothers beliefs and caring in relation to child-injury prevention, based on the PRECEDE model and focusing on predisposing factors (knowledge and attitudes), enabling factors; reinforcing factors; and mothers preventive behaviors. According to the results of the study, the mean scores of predisposing factors (knowledge), enabling and reinforcing factors and also mothers` behaviors on injury prevention, did not have significant differences between two groups before intervention, whereas they had significant differences after intervention. This study showed that the educational program, using the PRECEDE model, can be effective on promoting knowledge and performances of mothers in relation to home-related injury prevention among their under-five-year old children.
阿夫沙里·M、莫吉姆贝吉·A、哈扎韦希·SMM、雷扎普尔 - 沙赫科莱·F。基于模型的母亲教育项目对伊朗特维瑟坎农村地区五岁以下儿童家庭相关伤害预防的影响。《土耳其儿科学杂志》2017年；59: 648 - 656。五岁以下儿童在家庭相关伤害方面最为脆弱。由于这些伤害大多是可预测和可预防的，设计可作为健康教育模式的预防性干预项目很重要。本研究的目的是确定使用优先教育诊断与评价模型（PRECEDE模型）的教育项目对农村母亲预防五岁以下儿童家庭相关伤害方面的效果。这项准实验研究在伊朗特维瑟坎县农村地区的72名至少有一名五岁以下儿童的母亲中进行。干预组和对照组（每组36名参与者）在前后测试研究中由经过培训的访谈者使用问卷进行访谈。干预组参加了四次教育课程。问卷包括基于PRECEDE模型并聚焦于易患因素（知识和态度）、促成因素、强化因素以及母亲的预防行为的关于人口统计学信息、母亲对儿童伤害预防的信念和照料方面的问题。根据研究结果，在干预前两组在易患因素（知识）、促成和强化因素以及母亲在伤害预防方面的行为的平均得分没有显著差异，而在干预后有显著差异。本研究表明，使用PRECEDE模型的教育项目在促进母亲关于预防其五岁以下儿童家庭相关伤害的知识和表现方面可能是有效的。
