Derakhshan Zahra, Omidian Mohammad Ali, Rakhshani Tayebeh, Golab Farzaneh Ghaleh, Jeihooni Ali Khani
Department of Environmental Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Health Serv Res. 2025 Sep 1;25(1):1170. doi: 10.1186/s12913-025-13401-5.
BACKGROUND: Healthcare staff are among the most vulnerable groups at risk of HIV infection. The present study aims to evaluate the impact of theory of planned behavior (TPB)-based educational intervention on HIV screening among healthcare staff in Firouzabad. METHODS: This quasi-experimental study was conducted on 160 healthcare staff in Firouzabad, 2024. Participants were selected using multistage sampling method (cluster and random) and randomly assigned to either the intervention or control group (n = 80 per group). The intervention group received TPB-based educational intervention in five in-person sessions, each lasting 60 min. Data were collected using a standardized questionnaire based on TPB, which was completed by both groups before and two months after the intervention. Data were analyzed using SPSS 27.0 through statistical tests, including paired t-test, independent samples t-test, Chi-squared and McNemar test. RESULTS: After the educational intervention, 72 individuals (90%) from the intervention group and 27 individuals (33.75%) from the control group intended to perform HIV screening. The McNemar test results indicated that this difference was statistically significant (P = 0.001). Furthermore, the results revealed that 64 individuals (80%) from the intervention group and 22 individuals (27.5%) from the control group performed HIV screening two months after the educational intervention, and a statistically significant difference was observed between the two groups (P = 0.001). CONCLUSION: The current study demonstrated that an educational intervention based on the Theory of Planned Behavior significantly improved the intention of undergoing HIV screening among Firouzabad healthcare professionals, in addition to the actual conduct of screening behaviors. The intervention resulted in statistical significance in terms of changes in attitudes, subjective norms, and perceived behavioral control, all of which together resulted in a noticeable rise in the participants' screening activity. These results suggest that the Theory of Planned Behavior can be a helpful construct in the creation of focused educational efforts directed at the promotion of essential preventive health behaviors, like HIV screening, among key risk occupational groups. While the results are promising in terms of the population of this study, further investigations are needed in order to determine the long-term durability of the acquired behaviors as well as the broader generalizability of the intervention in different healthcare settings.
背景:医护人员是感染艾滋病毒风险最高的弱势群体之一。本研究旨在评估基于计划行为理论(TPB)的教育干预对菲鲁扎巴德医护人员艾滋病毒筛查的影响。 方法:2024年,在菲鲁扎巴德对160名医护人员进行了这项准实验研究。采用多阶段抽样方法(整群抽样和随机抽样)选取参与者,并随机分为干预组或对照组(每组n = 80)。干预组参加了五次面对面的基于TPB的教育干预课程,每次课程持续60分钟。使用基于TPB的标准化问卷收集数据,两组在干预前和干预后两个月均完成该问卷。使用SPSS 27.0通过统计检验(包括配对t检验、独立样本t检验、卡方检验和麦克尼马尔检验)对数据进行分析。 结果:教育干预后,干预组有72人(90%)打算进行艾滋病毒筛查,对照组有27人(33.75%)打算进行筛查。麦克尼马尔检验结果表明,这种差异具有统计学意义(P = 0.001)。此外,结果显示,教育干预两个月后,干预组有64人(80%)进行了艾滋病毒筛查,对照组有22人(27.5%)进行了筛查,两组之间观察到统计学上的显著差异(P = 0.001)。 结论:本研究表明,基于计划行为理论的教育干预不仅显著提高了菲鲁扎巴德医护人员进行艾滋病毒筛查的意愿,还提高了实际筛查行为。干预在态度、主观规范和感知行为控制的变化方面具有统计学意义,所有这些共同导致参与者筛查活动显著增加。这些结果表明,计划行为理论可以成为制定有针对性的教育努力的有用框架,以促进关键风险职业群体中诸如艾滋病毒筛查等基本预防性健康行为。虽然就本研究人群而言结果很有前景,但需要进一步调查以确定所获得行为的长期持续性以及该干预在不同医疗环境中的更广泛普遍性。
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