Rahmati Raziyeh, Khadivzadeh Talat, Esmaily Habibollah
MSc of Midwifery, Larestan University of Medical Sciences, Larestan, Iran.
Graduate, Master of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
J Educ Health Promot. 2020 Oct 30;9:280. doi: 10.4103/jehp.jehp_134_20. eCollection 2020.
Due to the significant decrease in fertility in recent decades and the important role of health workers and health-care providers in providing healthy reproductive counseling, their training is necessary using effective educational methods. Webinar and group discussion (GD) are effective in this regard. This study was conducted to determine the most effective method and with the aim of comparing the effect of two training methods (webinar and GD) on the attitude and performance of health workers in providing counseling with fertility promotion approach in comprehensive health centers in Mashhad.
In this randomized trial study with a control group, 108 health workers working in health centers no. 2-3 and 5 of Mashhad entered the study and were randomly divided into three groups of training by webinar, GD, and control. Intervention groups received healthy fertility counseling skills in three training sessions. Research tools were demographic information questionnaires, fertility attitudes, and performance measurement checklists for fertility counseling. The questionnaires were completed in three groups at the beginning and after the completion of the interventions. Data analysis was performed by Chi-square test and one-way analysis of variance using SPSS software version 16.
The analysis of variance test showed that before the intervention, there was no statistically significant difference between the three groups in terms of average scores of fertility attitude and performance scores of fertility counseling. After the interventions, the difference between the fertility attitude scores ( < 0.001) and the performance scores of fertility counseling ( < 0.001) was significant in the three groups. There was no significant relationship between demographic characteristics and attitude and performance.
Teaching by webinar and GD promotes the attitude and performance of health workers in providing counseling with a fertility promotion approach. Therefore, it is recommended to use new educational methods such as webinar and GD to promote childbearing counseling, which has been emphasized in the country's population policies. Since the mean score difference for the webinar training method was the highest due to the mean scores, this method could be more effective than the GD method.
由于近几十年来生育率显著下降，且卫生工作者和医疗服务提供者在提供健康生殖咨询方面发挥着重要作用，因此有必要采用有效的教育方法对他们进行培训。网络研讨会和小组讨论（GD）在这方面是有效的。本研究旨在确定最有效的方法，并比较两种培训方法（网络研讨会和小组讨论）对马什哈德综合健康中心卫生工作者在采用促进生育方法提供咨询时的态度和表现的影响。
在这项设有对照组的随机试验研究中，108名在马什哈德第2 - 3和第5健康中心工作的卫生工作者参与了研究，并被随机分为通过网络研讨会培训、小组讨论培训和对照组三组。干预组在三次培训课程中接受健康生育咨询技能培训。研究工具包括人口统计学信息问卷、生育态度以及生育咨询表现测量清单。这些问卷在干预开始时和结束后在三组中进行填写。使用SPSS 16版软件通过卡方检验和单因素方差分析进行数据分析。
方差分析测试表明，在干预前，三组在生育态度平均得分和生育咨询表现得分方面没有统计学上的显著差异。干预后，三组在生育态度得分（<0.001）和生育咨询表现得分（<0.001）方面存在显著差异。人口统计学特征与态度和表现之间没有显著关系。
通过网络研讨会和小组讨论进行教学可提升卫生工作者在采用促进生育方法提供咨询时的态度和表现。因此，建议使用网络研讨会和小组讨论等新的教育方法来促进生育咨询，这在该国的人口政策中已得到强调。由于网络研讨会培训方法的平均得分差异最高，因此该方法可能比小组讨论方法更有效。
