Background
In order to meet patients' social needs, including social prescribing in the curriculum of medical students is a necessity.
Aim
Becoming familiarized with the SDH perspective and referral method to link workers (LWs) and the principles of social prescribing (SP).
Methods
Using Levin's model, the intervention was performed in the field of health of medical students in 2018–2020 for 38 interns in Dezful University of Medical Sciences. Following holding meetings (Plan), a social case was selected and the social version (Act) was developed. Then the other students observed the prescription and identified the strengths and weaknesses (Reflect). Finally, the results were evaluated by Kirk Patrick model.
Results
At the reaction level, 63.14% agreed with the applicability of SP and 68.42% with its usefulness for prospective work; 97.36% believed that familiarity with the community context was essential and 78.93% considered SDH study and SP’s necessary. At the learning level, over 90% of the total score was obtained. The results of behavior level included interest, compassion and following up people's problems, the level of results, empowerment and improving unhealthy living conditions of individuals.
Conclusion
Promising positive results indicate that SP can be one of the ways of supporting primary health care.
BackgroundIran is among countries with highest road traffic injuries and mortality. Road traffic mortality is the second cause of death of Iranian population. The share of motorcycles in road injuries and mortalities varies in different cities, but it is highest (60 percent) in a southern city of Iran, Dezful.MethodsAn action research project which is partly reported here was designed to strengthen community action to reduce road traffic accidents. Through many advocacy measures, a team including more than 25 public and private stakeholders was formed. By holding several meetings and also conducting complementary individual interviews and comprehensive content analysis, current situation, local determinists of the problem and most highly effective change strategies were determined. A 6 months educational campaign was developed. A valid developed questionnaire was used to measure individual determinates of unsafe motorcycle driving. Pretest and post test was conducted to evaluate the effect of campaign on the rate of motorcycle related accidents and level of change in individual determinants of unsafe driving.ResultsEarly analysis of formative research showed that absence of safety culture, hot and humid climate of the city and also narrow structure of the streets were among most important determinants of unsafe behaviour. Process evaluation showed that for the first time, such collaboration and intersectoral action has been formed at city level with effective participation of the community. The result of outcome evaluation, the rate of change in road traffic accidents and individual determinants would be reported in this presentation after final data analysis.ConclusionsEffectiveness and sustainability of success of any road safety intervention depends on deep and comprehensive understanding of local determinates of the problem, local solutions and assets and also the quality of community participation in the program.
Background
A proper understanding of the protective factors against suicide attempt can provide the basis for planning preventive interventions. This study aimed to identify protective factors against suicide attempt among women.
Methods
This qualitative study was conducted in Kermanshah, Iran between January and May 2021. Participants were 20 Kurdish women, survivors of suicide attempt, selected by purposive sampling method. The data collection method was face-to face and audio-recorded semi-structured interview. Qualitative data analysis was done according to Diekelmann 7-step approach.
Findings
According to the results, the main topic was protective factors against suicide attempt in women, with two categories; “Individual factors” and “Social factors”. “Individual factors” had five subcategories including coping strategies, reasons for living, resilience, religious beliefs, and fear of death, and “social factors” had two subcategories including social support and effective communication.
Conclusion
This study showed that women who intend to commit suicide may encounter some individual and social factors that play a protective role against suicide. It is recommended to identify and strengthen these protective factors for the effectiveness of suicide prevention interventions.
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