Department of Community Health Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
BMC Womens Health. 2023 May 19;23(1):277. doi: 10.1186/s12905-023-02431-y.
Single-parent adolescents are vulnerable individuals and it is necessary to improve their health, particularly during epidemics. This study aimed to investigate the effects of virtual logotherapy (VL) on health-promoting lifestyle (HPL) among single-parent adolescent girls during the COVID-19 pandemic. This single-blind randomized clinical trial was conducted on 88 single-parent adolescent girls recruited from the support organization for vulnerable individuals in Tehran, Iran. They were randomly allocated to a control and an intervention group through block randomization. Participants in the intervention group received VL in three-five person groups in 90 min biweekly sessions. The Adolescent Health Promotion Short-Form was used to assess HPL. Data were analyzed using the SPSS software (v. 26.0) and through the independent-sample t, Chi-square, Fisher's exact, and Mann-Whitney U tests. There was no significant difference between the intervention and the control groups respecting the pretest mean score of HPL (73.58±16.74 vs. 72.80±9.30; P=0.085). However, the posttest mean score of HPL in the intervention group (82 with an interquartile range of 78-90) was significantly more than the control group (71.50 with an interquartile range of 63.25-84.50) (P=0.001). Moreover, after adjusting the effects of the significant between-group differences respecting pretest mean scores, the pretest-posttest differences of the mean scores of HPL and all its dimensions in the intervention group were significantly more than the control group (P<0.05). VL is effective in significantly improving HPL among single-parent adolescent girls. Healthcare authorities are recommended to use VL for health promotion among single-parent adolescents.Trial registrationThis research was registered (17/05/2020) in the www.thaiclinicaltrials.org with registration number: TCTR20200517001.
单亲青少年是弱势群体，有必要改善他们的健康状况，尤其是在大流行期间。本研究旨在调查虚拟日志疗法（VL）对 COVID-19 大流行期间单亲青少年女孩健康促进生活方式（HPL）的影响。这是一项单盲随机临床试验，在伊朗德黑兰的弱势群体支持组织招募了 88 名单亲青少年女孩。他们通过区组随机化被随机分配到对照组和干预组。干预组的参与者在 90 分钟的两周一次的小组会议中接受了三次至五次的 VL。使用青少年健康促进简式量表评估 HPL。使用 SPSS 软件（v. 26.0）和独立样本 t 检验、卡方检验、Fisher 精确检验和 Mann-Whitney U 检验分析数据。在 HPL 的预测试平均得分方面，干预组和对照组之间没有显著差异（73.58±16.74 对 72.80±9.30；P=0.085）。然而，干预组的 HPL 后测试平均得分（82，四分位距为 78-90）明显高于对照组（71.50，四分位距为 63.25-84.50）（P=0.001）。此外，在调整了预测试平均得分的组间差异的影响后，干预组 HPL 及其所有维度的平均得分的预测试后测试差异明显大于对照组（P<0.05）。VL 对单亲青少年女孩的 HPL 有显著的改善作用。建议卫生当局利用 VL 促进单亲青少年的健康。
临床试验注册本研究在 www.thaiclinicaltrials.org 上注册（2020 年 5 月 17 日），注册号为：TCTR20200517001。
