Background: Breast cancer is a global health emergency and it is the principal reason of cancer related deaths in Developing Countries owing to the prevailing cultural beliefs and lack of awareness among women. This study aimed to evaluate the effect of health belief model-based education about breast cancer on nursing students' knowledge, health beliefs and breast self-examination practice.Subjects and Methods: A quasi-experimental design was utilized. Setting: The study was conducted at the Faculty of Nursing, Benha University, Benha city. A purposive sample of 104 nursing students were included in the study and divided into a study group (52) and control group (52). Three tools were used for data collection; first tool: self-administrated questionnaire to collect data about the subjects' socio-demographic characteristics, and knowledge regarding breast cancer. Second tool: the health belief model scale. Third tool: an observation checklist to assess the nursing students' practice of breast self-examination.Results: A statistically significant differences were observed between the study and control groups regarding knowledge about breast cancer after educational intervention based on health belief model (t test = 19.53, P=0.000). The mean scores of perceived susceptibility, severity, benefits, cues for action, self-efficacy and total heath belief model were significantly higher in the study group compared to control group (P = 0.000). Moreover a statistically significant difference was observed between both groups regarding breast self-examination practice after educational intervention (t test = 31.266, P= 0.000).Conclusion and recommendation: The health belief model based education is an effective and efficient manner in enhancing girls’ breast self-examination practice and improving their knowledge level and health beliefs about breast cancer. Thus the current study recommends implementing health belief model based educational intervention about breast cancer at different stages of life and settings to reach all targeted women to fight the disease.

Background: Quality of family planning services is an ever-increasing worldwide issue which is basically deserted in the developing nations. Provision of high quality family planning services that satisfy clients' needs can ensure continued services utilization and increase contraceptive prevalence rate, lowered fertility rate, and improved women and children's health.Aim: this study intended to assess the quality of family planning services in maternal and child health care centers in Damanhour city.Design: this was a descriptive study that utilized Dounabedian model to assess quality of family planning services structure and process and clients' satisfaction was used as an outcome indicator. Setting: the three available maternal and child health centers in Damanhour city.Participants: all health care providers and a convenience sample of 300 non pregnant women who utilized the family planning clinics at the selected maternal and child health centers.Tools of data collection: three tools were utilized; basic data structured interview schedule for clients and health care providers, structural quality is assessed through facility audit while the process of family planning services provision was measured by using an observational checklist. After the observation of the family planning care process, an exit interview was done with the clients to measure their satisfaction with the provided family planning services. Results:The study findings revealed that none of the studied family planning clinics had high total quality of care level (structure & process) where 66.7% of them had low level of the total quality of care. However, 74.3% of the studied family planning clients were moderately satisfied with the total quality of care level (structure & process) in the studied maternal and child health centers. Finally, a significant positive correlation was confirmed between the overall family planning clients' satisfaction level and the total quality of family planning care level; total structure and total process quality of family planning services delivery. Conclusion and recommendations:it can be concluded that family planning services in maternal and child health centers at Damanhur had low total quality of care level with moderate clients' satisfaction. This shed the light on the urgent need for numerous quality enhancement measures to promote all quality elements in the studied maternal and child health centers. In addition to, emphasizing clients' satisfaction as a high priority output of care.

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The exclusive breastfeeding (EBF) intention conceived by pregnant women is the most important predictor of breastfeeding (BF) initiation, duration, and continuation. This study explores the associated factors of EBF intention among pregnant women. This was a descriptive cross-sectional study conducted from November 2022 to January 2023 with 382 pregnant women who came to the outpatient clinic in the Maternal and Children Hospital (MCH). Four instruments were used for data collection: the Infant Feeding Intention scale, the Gender-Friendly BF Knowledge scale (GFBKS), the Iowa Infant Feeding Attitude scale (IIFAS), and the basic data questionnaire. The study findings indicated that 51.8% and 75.9% of gravida women had adequate knowledge and a positive attitude regarding BF. Furthermore, 56.3% of the participants had a high intention for EBF. Binary logistic regression illustrated that occupational status, antenatal care, plan for the current pregnancy, BF practice, last child delivery mode, medical disorder during the current pregnancy, age, BF knowledge, and attitude are potential predictors. The goodness of fit test revealed that 46.8% of the EBF intention could be anticipated through the positive pre-mentioned factors. The low EBF intention is modifiable by addressing the previously positive predictors. BF educational interventions should be tailored based on EBF intention predictors in order to be effective and lead to behavior change.

Background: The COVID-19 pandemic has disastrous impacts that impose the cultivation of knowledge and motivation of self-protection to foster disease containment. Aim: Evaluate the effect of digital self-learned educational intervention about COVID-19 using the protection motivation theory (PMT) on non-health students’ knowledge and self-protective behaviors at Saudi Electronic University (SEU). Methods: A quasi-experimental study was accomplished at three randomly chosen branches of SEU (Riyadh, Dammam, Jeddah) using a multistage sampling technique to conveniently select 219 students. An electronic self-administered questionnaire was used, which included three scales for assessing the students’ knowledge, self-protective behaviors, and the constructs of the PMT. The educational intervention was designed using four stages: need assessment, planning, implementation, and evaluation. A peer-reviewed digital educational content was developed after assessing the participants’ educational needs using the pretest. Then, distributed through their university emails. A weekly synchronous Zoom cloud meeting and daily key health messages were shared with them. Finally, the post-test was conducted after two months. Results: The mean participants’ age (SD) among the experimental group was 28.94 (6.719), and the control group was 27.80 (7.256), with a high female percentage (63.4%, 73.8%) and a previous history of direct contact with verified COVID-19 patients (78.6%, 69.2%), respectively. A significant positive mean change (p = 0.000) was detected in the total COVID-19 knowledge of the experimental group post-intervention, either when it was adjusted for the covariates effect of the control group (F1 = 630.547) or the pretest (F1 = 8.585) with a large effect size (η2 = 0.745, η2 = 0.268, respectively). The same was proved by the ANCOVA test for the total self-protective behaviors either when it adjusted for the covariates effect of the control group (F1 = 66.671, p = 0.000) or the pretest (F1 = 5.873, p = 0.020) with a large effect size (η2 = 0.236, η2 = 0.164, respectively). The ANCOVA test proved that post-intervention, all the PMT constructs (perceived threats, reward appraisal, efficacy appraisal, response cost, and protection intention) and the total PMT score were significantly improved (p = 0.000) among the experimental group either when adjusted for the covariates effect of the control group (F1 = 83.835) or the pretest (F1 = 11.658) with a large effect size (η2 = 0.280, η2 = 0.561, respectively). Conclusions: The digital PMT-based self-learned educational intervention effectively boosts non-health university students’ COVID-19 knowledge, protection motivation, and self-protective behaviors. Thus, PMT is highly praised as a basis for COVID-19-related educational intervention and, on similar occasions, future outbreaks.

Background: Pain is an inherently human experience with the Arteriovenous Fistula Puncture, especially among children. Thus, it becomes of utmost importance to devote modern technologies to lessen this annoying sensation aside from the suffering from the disease itself. Thereof, this study aimed to evaluate the effect of immersive virtual reality intervention during arteriovenous fistula puncture on pain intensity among children undergoing hemodialysis in El Beheira Governorate, Egypt. Methods: A non-randomized controlled trial was executed in eight governmental hemodialysis units (that were assigned to receive pediatric cases), representing eight administrative districts. All the available children who fulfilled the inclusion criteria were incorporated in the study (36 children). Five tools were used: Socio-demographic and Medical History Structured Interview Schedule, Physiological Pain Indicators, Numerical Pain Rating Scale, Procedural Behavior Rating Scale and the Gold-Rizzo Immersion and Presence Inventory. Results: The Analysis of Covariance test (ANCOVA) proved a large effect size of virtual reality intervention on all pain measures (η2≥0.06). A statistically significant improvements in the mean scores of all the physiological pain measures was found after virtual reality intervention as compared to baseline (P0=<0.05) and standard care (P2<0.05). Most of the studied children reported either mild (58.3%) or moderate (27.8%) pain with no severe pain after virtual reality intervention with a statistically significant mean difference compared to the baseline (p0<0.001) and standard care (p2<0.001). A significant difference was proved between the virtual reality intervention and standard care concerning the observed pain behaviors during the procedure (p2<0.001). A high level of immersion with the virtual reality intervention was revealed among the studied children with a mean percent score of 90.97 ± 7.23. Conclusion & recommendations: Virtual Reality intervention proved to be efficient in lessening pain intensity among children undergoing hemodialysis. Thereof, it is recommended to be incorporated in the routine care of pediatric hemodialysis units.

Osteoporosis is a silent chronic disease, and many people did not discover it until they were diagnosed with a fracture. Therefore, regular scanning and appropriate Osteoporosis Preventive Behaviors (OPB) are the management cornerstone. OPB is strongly affected by personal knowledge and health beliefs. This study explores the role of knowledge and health beliefs as determinants of OPB among perimenopausal women. This cross-sectional study was performed on 1075 perimenopausal women in Najran City, Saudi Arabia, from January 2023 to March 2023. The data collection instrument is a self-reported questionnaire consisting of basic data, the OPB scale, an osteoporosis knowledge assessment tool, and the osteoporosis health belief scale. The current study results showed that approximately one-quarter (27.8%) of the study participants had high OPB with an overall mean of 20.83 ± 5.08 grade. The group practicing high OPB demonstrated a higher knowledge mean (11.37 ± 2.99) than the low OPB group (9.93 ± 3.51). In addition, all health beliefs constructs significantly differed among the low and high OPB groups (p ˂ 0.05). The participant’s age, occupational status, educational level, attendance of training courses, and history of bone fractures were significantly associated with high OPB. Osteoporosis knowledge, perceived susceptibility, perceived seriousness, exercises’ perceived benefits, and health motivations are positive predictors of high OPB (p ˂ 0.05). The study concluded that osteoporosis-related knowledge and health beliefs—especially perceived susceptibility, perceived seriousness, exercises’ perceived benefits, and health motivations—are positive predictors of high OPB. The health belief model can be an effective tool used to determine high-risk groups who practice low OPB and build need-based educational interventions.

Purpose: The current study assesses cyberbullying among university students and explores the role of the student-teacher relationship and virtual classroom community. Methods: A descriptive exploratory study on four randomly selected colleges at Damanhour University/Egypt. Participants were recruited conveniently using an equal allocation of 150 students/college (600 students). The European Cyberbullying Intervention Project Questionnaire (ECIPQ), Rovai's Classroom Community Scale (RCCS), and the Student Version of The Teacher-Student Relationship Inventory (S-STRI) were used for data collection. Results: Low cyber victimization was reported by 66.5% of the students, while 39.8% reported low cyberaggression behaviors. The highest percent reported average virtual class connectedness (77.3%), learning experience (70.3%), and overall virtual classroom community (80.8%). Besides, highly satisfying teacher relationships (82.3%); average (38.8%) and low (35.8%) instrumental help; low conflict (68.0%); and average total teacher-student relationship (70.5%). Regression analysis revealed that the increased scores of the total teacher-student relationship scale (<i>p</i><0.05) with its two domains [satisfaction and instrumental help (<i>p</i><0.01)] and the total classroom community scale (<i>p</i><0.05) with its domains [connectedness (<i>p</i><0.01) and learning experience (<i>p</i><0.05)] decreased the likelihood of cyber victimization and cyberaggression. However, perceived conflicting teacher relationships increased the likelihood of cyber victimization (<i>p</i><0.05) and cyberaggression (<i>p</i><0.01).Conclusion: Cyberbullying is a concern among university students, and the students’ perceived nature of their relationships with their teachers and sense of virtual classroom community play a pivotal role in shaping their involvement in cyberaggression and exposure to cyber victimization. Thus, developing mass media campaigns to enhance awareness about cyberbullying and cyber civility regulations is recommended.