Kazemi Seyedeh-Somayeh, Tavafian Sedigheh-Sadat, Hiller Claire E, Hidarnia Alireza, Montazeri Ali
Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
School of Physiotherapy, Faculty of Health Sciences, University of Sydney, Sydney, Australia.
BMC Nurs. 2022 Oct 5;21(1):271. doi: 10.1186/s12912-022-01045-3.
Nurses are put at high risk of work-related low back pain due to the nature of their work. The aim of this study was to develop and evaluate intervention based on the PRECEDE-PROCEED Model on promoting behaviors of low back health via two educational approaches.
This study was a community randomized-controlled clinical trial. The educational content was developed with six modules: knowledge, attitude, self-efficacy, reinforcing factors, enabling factors, and behavior. Intervention was delivered by two modes: (1) in-person (n = 60) and (2) social media (n = 60). Data were evaluated by a self-designed questionnaire at baseline, 3, and 6 months. Baseline comparisons between groups were made with Mann-Whitney U Test and T-Test. Comparison of change scores between groups and two delivery types across the three time periods used the mixed between-within subject analysis of variance.
A total of 120 nurses received the allocated intervention. All educational component scores increased at 3-months in both groups. At the 6-month follow-up scores increased for enabling factors and behavior in the intervention group, while in the control group all scores increased except for attitude. Based on Bonferroni Post hoc analysis social media was more effective in knowledge, self-efficacy, reinforcing factors, and behavior than the in-person intervention.
An educational program for low back health based on the PRECEDE-PROCEED model proved effective at improving all components. However, social media was more successful than in-person in the maintenance of behavior over the long term.
IRCT20170313033054N2: 25-02-2018. https://www.irct.ir/trial/25598.
由于工作性质，护士面临与工作相关的下背痛的高风险。本研究的目的是基于“教育-环境诊断与评价-综合行为改变理论（PRECEDE-PROCEED）模型”，通过两种教育方法开发并评估促进下背健康行为的干预措施。
本研究为社区随机对照临床试验。教育内容由六个模块组成：知识、态度、自我效能感、强化因素、促成因素和行为。干预通过两种方式进行：（1）面对面授课（n = 60）和（2）社交媒体授课（n = 60）。在基线、3个月和6个月时通过自行设计的问卷对数据进行评估。组间基线比较采用曼-惠特尼U检验和T检验。使用混合的组内-组间方差分析比较三个时间段内两组和两种授课方式的变化分数。
共有120名护士接受了分配的干预措施。两组在3个月时所有教育成分得分均有所提高。在6个月随访时，干预组的促成因素和行为得分有所提高，而对照组除态度外所有得分均有所提高。基于邦费罗尼事后分析，社交媒体在知识、自我效能感、强化因素和行为方面比面对面干预更有效。
基于PRECEDE-PROCEED模型的下背健康教育计划被证明在改善所有成分方面有效。然而，从长期来看，社交媒体在行为维持方面比面对面授课更成功。
IRCT20170313033054N2：2018年2月25日。https://www.irct.ir/trial/25598 。
