Health Services Management, School of Medicine, Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran.
Reproductive Health, Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran.
BMC Prim Care. 2023 Jan 17;24(1):18. doi: 10.1186/s12875-023-01979-w.
The study was done to examine the effectiveness of peer-to-peer education on increasing health literacy, knowledge s, and observance of coronavirus disease (COVID-19) health prevention protocols in vulnerable adolescents.
The study was a one-group intervention (before and after the intervention) that was performed on 1200 vulnerable adolescents living in varamin. The educational intervention was presented to adolescents in a face-to-face session. In the next step, the adolescents were taught the information received by three members of their families. Data were evaluated using a self-designed questionnaire before, and three months after the intervention. The paired t-test was used to compare scores of health literacy, compliance, and knowledge before and after the intervention at a 0.05 confidence level. The Multiple linear regression model was used to determine the predictive factors of observance of COVID-19 preventive behaviors.
The most of adolescents were in the age group of 14 to 18 years (60%) and most of them were girls (61.5%). The most important source of information about COVID-19 disease was radio and television (59.6%). The results showed that the effectiveness of the intervention in increasing the adolescents' health literacy, knowledge, and adherence to preventive behaviors were 40%, 30%, and 23%, respectively. The effectiveness of the intervention in increasing their families' health literacy and adherence to the protocols were 11% and 20%, respectively (p = 0.001).
Involving volunteer adolescents as health ambassadors and transmitting messages and methods of promoting personal protection against COVID-19 epidemics to family members had a significant effect on increasing the knowledge and adherence to the health procedures.
本研究旨在探讨同伴教育对提高脆弱青少年健康素养、知识水平和遵守冠状病毒病（COVID-19）健康预防措施的效果。
这是一项单组干预（干预前后）研究，共纳入居住在瓦拉明的 1200 名脆弱青少年。教育干预以面对面的形式向青少年进行。下一步，青少年将向他们的三个家庭成员传授所收到的信息。在干预前和干预后三个月使用自行设计的问卷评估数据。使用配对 t 检验在 0.05 置信水平下比较干预前后健康素养、依从性和知识得分。使用多元线性回归模型确定遵守 COVID-19 预防行为的预测因素。
大多数青少年年龄在 14 至 18 岁（60%），大多数是女孩（61.5%）。了解 COVID-19 疾病的最重要信息来源是广播和电视（59.6%）。结果表明，干预措施在提高青少年健康素养、知识和遵守预防行为方面的有效性分别为 40%、30%和 23%。干预措施在提高他们家庭的健康素养和遵守协议方面的有效性分别为 11%和 20%（p=0.001）。
让志愿者青少年作为健康大使，向家庭成员传递有关预防 COVID-19 疫情的信息和方法，对提高知识水平和遵守卫生程序有显著影响。
