Document Type : Original Article
Authors
- Negin Niksadat 1
- Mahnaz Solhi 2
- Zahra Jalili 3
- Shayesteh Shirzadi 4
- Mohsen Mohammadi 5
- Mahmod Reza Gohari 6
1 PhD Student in Health Education and Health Promotion, School of Public Health, Shahid Beheshti University of Medical Sciences, Student Research Committee, Tehran, Iran
2 PhD in Health Education and Health Promotion, Associate Professor, Department of Health Education and Health Promotion, School of Public Health, Iran University of Medical Sciences and Health Services, Tehran, Iran
3 PhD in Health Education and Health Promotion, Associate Professor, Department of Health Education and Health Promotion, School of Medicine, Science and Research Branch, Islamic Azad University, Tehran, Iran
4 PhD Student in Health Promotion and Health Education, Department of Health, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran
5 MSc in Occupational Health Engineering, Department of Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
6 PhD in Statistics, Department of Statistics and Mathematics, Hospital Management Research Center, School of Management and Medical Information, Iran University of Medical Sciences and Health Services, Tehran, Iran
Abstract
Background & Objective: Selfmedication is one of the chief health problems and educational programs on its prevention are very important An educational program can be considered effective if it can make the necessary changes in participants knowledge and behavior The aim of this study was to evaluate the educational prevention program of selfmedication in women using the Kirkpatrick model Methods: This evaluation study was carried out on 88 women The cluster sampling method was used The data collection tools consisted of the Dundee Ready Educational Environment Measure (DREEM) and a researchermade questionnaire based on the Kirkpatrick model the validity and reliability of which were measured The experimental group attended the educational program for 1 month The effectiveness rate of the course was calculated based on significant differences in learning reaction and behavior scores of the case and control groups during the pretest and posttest The collected data were analyzed in SPSS statistical software using descriptive and analytical statistical tests Results: The mean scores of desirability rate of participants reactions in terms of students perception of learning environment students academic selfperception students social selfperception students perception of atmosphere and students perception of teachers were 4481 ± 706 3150 ± 411 2250 ± 354 4310 ± 746 and 4137 ± 520 respectively After the educational intervention ttest results showed a significant difference between the experimental and control groups in mean score of knowledge change and attitude change in the second evaluation level and also between mean score of behavior change in the third level (P < 0001) Conclusion: According to the Kirkpatrick model the educational prevention program of selfmedication resulted in favorable outcomes in the three evaluated levels of reaction learning and behavior and showed satisfactory efficiency
Keywords
- Karimy M, Heidarnia AR, Ghofranipour F. Factors influencing self-medication among elderly urban centers in Zarandieh based on Health Belief Model. Arak Med Univ J. 2011;14(5): 70-8. [In Persian]
- World Health Organization. World Health Day. [cited 7 Apr 2011]. Available From: http://www.who.int/world-health-day/2011/en/
- Yousef AM, Al-Bakri AG, Bustanji Y, Wazaify M. Self-medication patterns in Amman, Jordan. Pharm World Sci. 2008;30(1):24-30.
- Padilla LK. Self Prescription of Antibiotics by Latin Americans in a Clinical Setting. Northern Nevada: University of Nevada, Reno; 2010.[cited 10 Nov 2010]. Available From: https://apha.confex.com/apha/138am/webprogram/Paper214343.html
- Shaghaghi A, Asadi M, Allahverdipour H. Predictors of Self-Medication Behavior: A Systematic Review. Iran J Public Health. 2014;43(2):136-46.
- Du Y, Knopf H. Self-medication among children and adolescents in Germany: results of the National Health Survey for Children and Adolescents (KiGGS). Br J Clin Pharmacol. 2009;68(4):599-608.
- Shehnaz SI, Khan N, Sreedharan J, Issa KJ, Arifulla M. Self-medication and related health complaints among expatriate high school students in the United Arab Emirates. Pharm Pract (Granada). 2013;11(4):211-8.
- Pan H, Cui B, Zhang D, Farrar J, Law F, Ba-Thein W. Prior knowledge, older age, and higher allowance are risk factors for self-medication with antibiotics among university students in southern China. PLoS One. 2012;7(7):e41314.
- Muras M, Krajewski J, Nocun M, Godycki-Cwirko M. A survey of patient behaviours and beliefs regarding antibiotic self-medication for respiratory tract infections in Poland. Arch Med Sci. 2013;9(5):854-7.
- Shehnaz SI, Agarwal AK, Khan N. A systematic review of self-medication practices among adolescents. J Adolesc Health. 2014;55(4):467-83.
- Baghiani Moghadam M, Ehrampoush M. Evaluation of attitude and practice of students of Yazd University of Medical Sciences to self-medication. TABIB-E-SHARGH. 2006; 8(2): 111-9. [In Persian]
- Tajic R, Shamsi M, Mohammadbeygee A. Knowledge, attitude and practice about self-medication among mothers in Arak city. Payesh. 2011;10(2):197-204. [In Persian]
- Burke LA, Hutchins HM. Training transfer: An integrative literature review. Human Resource Development Review. 2007;6(3):263-96.
- Sharifirad GhR, Pirzad A, Azadbakht L. Knowledge and practice in association with self-medication of nutrient supplements, herbal and chemical pills among women based on Health Belief Model. J Res Med Sci. 2011; 16(6): 852–853.
- Westerlund M, Brånstad JO, Westerlund T. Medicine-taking behaviour and drug-related problems in adolescents of a Swedish high school. Pharm World Sci. 2008;30(3):243-50.
- Shamsi M, Bayati A, Mohammadbeygi A, tajic R. The effect of education on knowledge, attitude and practice of pregnant woman referring to health centers about self-medication in Arak city. Horizon Med Sci. 2009;15(3): 27-35. [In Persian]
- Coffman MJ, Shobe MA, O'Connell B. Self‐Prescription Practices in Recent Latino Immigrants. Public Health Nurs. 2008;25(3):20311.
- Pourjahromi N, Nezamian Z, Ghafarian Shirazi H, Ghaedi H, Momeninejad M. Mohamadi Baghmolaee M, et al. The Effectiveness of Training Courses on “How to Work with DC Shock Device” for Nurses, Based on Kirkpatrick Model. Iran J Med Educ. 2012;11(8):896-902. [In Persian]
- Mazloomy M, Mirzaei M, Mirzaei M. Evaluation of effectiveness guilds health education courses based on Kirkpatrick Model. J Toloo-e-behdasht. 2013;12(3): 33-43. [In Persian]
- Ömer Tontuş H. DREEM; dreams of the educational environment as its effect on education result of 11 Medical Faculties of Turkey. J Experimental & Clinical Medicine. 2010; 27(3):104-8.
- Omar M, Gerein N, Tarin E, Butcher C, Pearson S, Heidari G. Training evaluation: a case study of training Iranian health managers. Hum Resour Health. 2009; 7: 20.
- Jalili Z, Sahbaei-Rooy F. An Evaluation of Educational Environment from the View of Students of Islamic Azad University Based on Dundee Ready Educational Environment Measure (DREEM) Model. Strides Dev Med Educ. 2015; 11(4): 464-70. [In Persian]
- Amini M, Doostkam A, Kjoori J. An evaluation study of Virtual Master of Public Health in family Medicine in Shiraz University of Medical Sciences, Iran. Strides Dev Med Educ. 2013; 10(3): 322-7. [In Persian]