基于 PRECEDE PROCEED 模式的社区干预以改变儿童皮肤利什曼病预防行为：一项随机对照试验。

A community based intervention to modify preventive behaviors of cutaneous leishmaniasis in children: a randomized controlled trial based on PRECEDE PROCEED model.

机构信息

Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Health, Safety, and environment, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

BMC Public Health. 2024 May 13;24(1):1304. doi: 10.1186/s12889-024-18810-5.

DOI:10.1186/s12889-024-18810-5

PMID:38741099

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11092113/

Abstract

OBJECTIVES

Iran ranks among the top six countries globally with a significant incidence of Cutaneous Leishmaniasis (CL). Using planning models is one community-based intervention to promote preventive behaviors. The purpose of our study was to evaluate the effectiveness of the PRECEDE-PROCEED model (PPM) in modifying preventive behaviors related to CL in children through mother training in a community intervention.

METHODS

A randomized controlled trial based on the PPM model was conducted on 168 mothers (intervention (n = 84) and control group (n = 84) with 10 years old children in the rural areas of Iran. Mothers from 7 village areas were randomly allocated to the intervention (2 village) and control groups (5 village). The intervention group received a program comprising eight 90-minute training sessions and environmental interventions. In this study, we utilized the PPM as a framework to design the questionnaires on Leishmaniosis prevention behavior. Participants in both groups completed the questionnaires at baseline (before the intervention), immediately after the intervention, and at the 2-month follow-up. Analysis of the data was conducted utilizing SPSS, with statistical significance set at p < 0.05.

RESULTS

Compared to the control group, the intervention group showed significant increases in knowledge, enabling factors, reinforcing factors, attitude, and preventive behaviors related to Cutaneous Leishmaniasis over time from baseline to follow-up (P < 0.001). No significant differences (P > 0.05) were observed in the alterations of the PPM construct, knowledge, and preventive behaviors within the control group from pre-intervention to follow-up.

CONCLUSIONS

Community (education and environmental) intervention based on PPM is feasible and acceptable to modify preventive behaviors of Cutaneous Leishmaniasis in children by increasing a mother's knowledge and attitude as well as changing enabling and reinforcing factors.

TRIAL REGISTRATION

IRCT20160619028529N8.

摘要

目的

伊朗是全球罹患皮肤利什曼病（CL）人数排名前六的国家之一。使用规划模型是促进预防行为的一种基于社区的干预措施。我们的研究目的是评估通过对母亲进行培训，在社区干预中使用 PRECEDE-PROCEED 模型（PPM）改变与儿童 CL 相关的预防行为的效果。

方法

我们在伊朗农村地区，对 168 名 10 岁儿童的母亲（干预组（n=84）和对照组（n=84））进行了一项基于 PPM 模型的随机对照试验。将来自 7 个村庄的母亲随机分配到干预组（2 个村庄）和对照组（5 个村庄）。干预组接受了一个包括 8 次 90 分钟培训课程和环境干预的方案。在本研究中，我们使用 PPM 作为框架设计了关于利什曼病预防行为的问卷。两组参与者在基线（干预前）、干预后立即和 2 个月随访时完成了问卷。使用 SPSS 对数据进行分析，统计显著性设为 p<0.05。