Akbari Mohammad, Mousavi Masoumeh Sadat, Shirani Farimah, Massoumi Gholamreza, Shafeie Mohammadreza, Niknejad Reyhaneh, Khourasani Parvaneh, Alavi Mousa, Ghadami Ahmad
Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
ARYA Atheroscler. 2019 May;15(3):146-151. doi: 10.22122/arya.v15i3.1902.
Low health literacy can act as a barrier to effective disease self-management. The study aimed to promote heart health literacy in Iranian society.
This study was conducted as a participatory action research (PAR) based on Zuber-Skerritt Model to design and implement a program for promoting heart health literacy in Iranian society. Participants were selected among adults with heart diseases and their family members, as well as their health care providers in Chamran Hospital, Isfahan Heart Friends association and researchers, and Isfahan Cardiovascular Research Institute, Isfahan, Iran. Data collection was conducted using interviews. Content analysis was used to analyze the data to promote heart health literacy. Promoting of heart health literacy was implemented in different levels in Isfahan from March 2017 to October 2017. The effect of the program was evaluated based on interviews, feedback, and focus groups at the individual level.
Finally, at the World Heart Week, a healthy heart campaign was formed with the slogan "Share the power". At the end of this program, participants experienced significant empowerment during the project to promote heart health literacy. The three main themes indicating this feeling of empowerment were "Being worried about the hearts of others", "Sensitization to the care of the heart", and "General understanding of heart health".
PAR can be an effective way to promote heart health literacy in Iranian society. It integrates the voices of the marginalized group promoting heart health literacy in Iranian society.
健康素养低下可能成为疾病有效自我管理的障碍。本研究旨在提高伊朗社会的心脏健康素养。
本研究作为一项基于祖伯 - 斯克里特模型的参与式行动研究（PAR），旨在设计并实施一项提高伊朗社会心脏健康素养的项目。参与者从患有心脏病的成年人及其家庭成员、恰姆兰医院的医疗服务提供者、伊斯法罕心脏之友协会、研究人员以及伊朗伊斯法罕心血管研究所中选取。通过访谈进行数据收集。采用内容分析法对数据进行分析以提高心脏健康素养。2017年3月至2017年10月在伊斯法罕的不同层面实施提高心脏健康素养的工作。该项目的效果基于个体层面的访谈、反馈和焦点小组进行评估。
最终，在世界心脏周期间，发起了一场以“分享力量”为口号的心脏健康运动。在该项目结束时，参与者在提高心脏健康素养的项目过程中体验到了显著的赋权。表明这种赋权感的三个主要主题是“担心他人的心脏”、“对心脏护理的敏感意识”以及“对心脏健康的总体认识”。
参与式行动研究可以成为提高伊朗社会心脏健康素养的有效方式。它整合了在伊朗社会中推动心脏健康素养的边缘化群体的声音。
