Effect of educational intervention based on the PRECEDE-PROCEED model on preventive behaviors of cutaneous leishmaniasis among housewives

Abstract

Leishmaniasis is an endemic disease in Iran. Since education to prevent the disease is important, this study aimed to determine the effect of educational intervention based on the PRECEDE-PROCEED model on preventive behaviors of cutaneous leishmaniosis among housewives. In this quasi-experimental study, 240 housewives under the coverage of health centers, who lived in the endemic area of Mianshahr, Fasa city, Fars Province, Iran in 2016, were selected (120 people for the experimental group and 120 for the control group). The educational intervention for the experimental group was based on the PRECEDE model, which consists of seven 50-60-minute sessions of lectures, group discussions, role playing, practical displays, and video and PowerPoint displays. These sessions addressed the familiarity with cutaneous leishmaniasis and its different types and carriers, methods of preventing and fighting against it, personal protection, sanitation of the environment and drinking water, spraying of sites, use of mosquito nets, etc. Data were collected before educational intervention and three months after educational intervention. The mean age of the experimental group was 39.24±9.12 years and that of the control group was 38.84±9.28 years. Three months after the intervention, the experimental group showed a significant increase in knowledge, attitudes, reinforcing factors, enabling factors, and performance compared to the control group. The education based on enabling factors, reinforcing factors, and predisposing factors had a significant effect on the preventive behaviors of cutaneous leishmaniasis among housewives.

Application of BASNEF model in students training regarding cutaneous leishmaniasis prevention behaviors: a school-based quasi experimental study

“…Numerous studies have also emphasized the importance of health education and public participation in the prevention of CL [ 2 , 20 ]. Many researchers have suggested other disease control and prevention programs such as vaccine and drug production, environmental improvement, the extermination of mice, and poison spraying along with health education programs [ 7 ].…”

Development and psychometric assessment of cutaneous leishmaniasis prevention behaviors questionnaire in adolescent female students: Application of integration of cultural model and extended parallel process model

“…Although EPPM appears as an appropriate model for the study of individual factors of behavior, the role of enabler factors and social environment should also be considered in identifying CL prevention behaviors [18]. According to studies performed in the form of PRECEDE and PEN-3 models, all the three factors of perceptions, enablers, and nurtures have an important role in the continuation of behaviors, including CL prevention behaviors [5,19]. The PEN-3 Model consists of three domains: (1) cultural identity, (2) relationships and expectations, and (3) cultural empowerment.…”

“…This factor measures CL-preventive behaviors using nine items. Studies related to CL-preventive behaviors have shown the need to measure CL prevention behaviors [5,13,14]. Nevertheless, standard tools are needed to measure it.…”

“…The annual number of cases suffering from this issue has been estimated to be between 600 000 to 1 million worldwide [4]. With an annual incidence rate of 30,000 cases [5], Iran is one of the seven countries with the highest prevalence of CL [6]. Isfahan, located in the center of Iran on green plains of Zayandeh Rud River, is one of the CL endemic provinces in Iran, which has faced a significant increase in the prevalence of the disease over the last decade.…”

Şark çıbanı vakalarında bilgi ve farkındalık düzeyini artırmaya yönelik müdahale çalışması: Şanlıurfa örneği

“…Ancak yüksek düzeyde toplum katılımı, KL konusunda bilgi düzeyi ve farkındalık seviyesinin yeterli düzeyde olması ile mümkün olabilmektedir. 13 Sağlık eğitiminin, toplumu harekete geçirmede önemli bir strateji olduğu bilinmektedir. [14][15][16] Bununla birlikte, insanlar çevreleriyle etkileşim halindedir ve bu etkileşim de onların tutum ve davranışlarını etkileyebilmektedir.…”