Background and objective: Considering the worldwide increase in mental health problems among adolescents and the hypothetical positive impact of mental health literacy (MHL) on mental health promotive behaviours, this study examined the effect of a MHL intervention in a sample of Iranian high school students. Design: Educational intervention with a pretest–posttest and control group design conducted among Iranian high school students in 2019. Setting: Four public schools in Shiraz, Iran. Methods: In this study, 220 students (110 in each intervention and control group) were selected using the cluster multi-stage sampling and participated in the study. Participants completed the adolescent MHL questionnaire at two stages (pretest and posttest). A training programme which comprised six 60- to 90-minutes sessions using collaborative learning techniques and printed materials was conducted with the experimental group. Data were subjected to covariance analysis. Results: No significant differences were found between study groups regarding demographic and MHL scores before the intervention. After completing the training programme, the intervention group showed a significant improvement in MHL and subscale scores ( p < .01). Covariance analysis confirmed an improvement of MHL in the intervention group after controlling for pretest scores but not in the control group. Conclusion: Study findings demonstrated the efficacy of the training intervention to improve adolescents’ MHL. Further research is recommended to examine the effects of the same intervention among boys and longer-term outcomes.
Objectives. Mental Health Literacy (MHL) is an important factor in promoting mental health. Assessing this structure is required for early recognition and intervention in mental health problems. To date, there was no tool to assess it among Iranian adolescents, so this study was aimed at examining the psychometric properties of the Persian version of the Adolescent Mental Health Literacy Questionnaire (AMHLQ) among Iranian female students. Method. The study instrument was a Persian version of the AMHLQ prepared through a translation and back-translation process. In this cross-sectional study, 275 female students completed the AMHLQ, and the Adolescent Strengths, and Difficulties Questionnaire (SDQ). Results. Findings of content, construct validity tests, Cronbach’s alpha, and split-half coefficient demonstrated that the AMHLQ had satisfactory validity and suitable reliability. The exploratory factor analysis showed four dimensions of the AMHLQ: (1) knowledge of mental health problems ( α = 0.89 ); (2) erroneous beliefs/stereotypes ( α = 0.89 ); (3) help-seeking and first aid skills ( α = 0.86 ); and (4) self-help strategies ( α = 0.74 ). Conclusion. The findings showed that the tool was confirmed by questions and subscales, and this questionnaire was a valid and reliable tool in assessing level differences of MHL and in determining the impact of programs designed to improve MHL in Iranian female adolescents.
Cough is postoperative complication following endotracheal intubation as well as inflammation of the pharynx, larynx and trachea. The aim of this study was to evaluate the effect of eucalyptus vapor on cough after tracheal extubation in patients undergoing coronary artery bypass graft (CABG). In this randomized controlled trial, 100 patients undergoing CABG were randomly divided into two groups by accessible sampling. Before the intervention and after tracheal extubation, demographic and clinical data, as well as data on cough by a scoring system were collected from interventional and control groups. The patients in the interventional group after tracheal extubation were exposed to eucalyptus vapor for about 10 min. This treatment was performed at 1 and 12 h after extubation. The severity of cough was recorded in both interventional and control groups at 0, 1, 6, 12 and 24 h after extubation. The present study showed that the severity of cough after extubation in the patients undergoing CABG in the interventional group had no significant difference at the times of immediate to 24 hours after extubation. Risk of cough had respectively 9.5% increase in the control group as compared to the interventional group.
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