BackgroundIn Taiwan, illegal drug use is a critical health problem during adolescence. Schools play a vital role in preventing students’ illegal drug use. Accordingly, we developed and evaluated a school-based, drug-use prevention program integrating the theory of planned behavior (TPB) and health literacy for junior high school students.MethodsWe recruited 648 junior high school students from 14 selected schools: N= 323 in the experimental group, N= 325 in the comparison group. The experimental group received ten 45-minute sessions of a theory-based drug-use prevention program. The comparison group received traditional didactic teaching and drug refusal skill training. We used a generalized estimating equation (GEE) to analyze data.ResultsResults of paired t-tests indicated that drug-use health literacy and TPB-related variables improved in the experimental group. The GEE analyses indicated that participants in the experimental group also demonstrated significantly improved health literacy (p < 0.001) compared to the comparison group, especially for functional (p< 0.001) and critical health literacy (p = 0.017). The experimental group also showed significant post-intervention improvement in terms of subjective norm scores (p = 0.024). ConclusionStudy results demonstrated the effectiveness of a drug-use prevention program on health literacy and subjective norm by integrating the TPB and health literacy. These results could support the future implementation of drug-use prevention programs for junior high school students on a larger scale.
Aims andObjectives: To investigate the factors affecting quality of life in healthcare providers who care for patients with COVID-19. Background: Healthcare providers caring for COVID-19 patients during the pandemic suffered a deterioration in their quality of life. Several studies have explored their psychological impact of working with COVID patients, but none have examined the causes of this deterioration. Design: A cross-sectional study. Methods: In the current study, the authors investigated the factors affecting quality of life in 293 healthcare providers recruited from a medical centre in northern Taiwan who had recently cared for patients with suspected or confirmed COVID-19 by analysing their responses to an online self-report questionnaire, using bivariate correlations and structural equation modelling. Reporting of this research adheres to the STROBE guideline. Results:The study identified an important sequence of factors that mediated the effects of perceived success of epidemic prevention policies, family relations problems and education level on quality of life in a sample of healthcare workers caring for COVID-19 patients. The mediators were use of approach-oriented coping strategies and current mental health status. Specifically, use of approach-oriented coping strategies was found to directly cause improved quality of life and indirectly cause improved mental health, whereas use of avoidant coping strategies was found to directly cause worsening of mental health. Poor mental health predicted poor quality of life. Conclusions:Results suggest that implementation of sound epidemic prevention policies that promote adoption of approach-oriented coping behaviour should lead to a better quality of life in the future for healthcare providers working in challenging circumstances.Relevance to Clinical Practice: Assessment of these policies as well as the providers' family relations are necessary first steps to improving the success of approachoriented coping behaviour in this population, which in turn can improve their mental health and quality of life.| 4989 LAN et al.
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