Abstract
BackgroundUrinary tract infection is one of the most common infectious diseases in children, which can lead to serious complications for a child. The purpose of this study was to investigate the impact of Theory Planned Behavior (TPB) -based education on the promotion of preventive behaviors of urinary tract infection in mothers with a daughter under age two.MethodsThe present study is an educational randomized controlled trial that its sample consisted of 100 mothers who had a daughter under age two. They were selected through convenience sampling and then were randomly assigned to the intervention and control groups (each group included 50 participants). The data collection tool was a reliable and valid questionnaire based on TPB constructs. First, in both groups, the pre-test was administrated and then the educational intervention in the intervention group was conducted in the form of four educational sessions in 1 month (based on the pre-test need assessment) and then 3 months after the intervention (according to the ideas of Panel of Experts), post-test in both groups was administrated and then the data were analyzed through SPSS version 23 software with inferential statistics (independent t-test, paired t-test, and chi-square). The significance level was considered 0.05.ResultsThree months after the intervention, the mean score of the constructs of TPB in the intervention group was significantly higher than the control group. The performance of prevention of urinary tract infection in the intervention group before the education increased from 2.85 ± 0.51 to 3.74 ± 0.29 (out of 4) (p = 0.001).ConclusionsTPB-based education with active and interventional follow-up was effective in promoting the preventive behaviors of urinary tract infection. Therefore, due to the side effects of UTI, especially in vulnerable periods such as childhood, it is recommended that trainings based on this model be carried out in other health care centers in order to maintain children health.Trial registrationThis trial has been registered at IRCT, IRCT2017031533090N1. Registered on 9 July 2017, https://en.irct.ir/trial/25621
Highlights
Urinary tract infection is one of the most common infectious diseases in children, which can lead to serious complications for a child
The high prevalence of infection, the likelihood of recurrence of the disease, the variety of clinical symptoms in different age groups followed by the difficulty of clinical and laboratory diagnosis, the resistance of the causative agent to antibiotics and the long-term serious complications in children, have caused the infection of the urinary system to be of special importance in children [2, 3] so that nowadays, Urinary tract infection (UTI) is one of the most common bacterial infections in children and is considered as one of the most important health indicators of communities [4]
The intervention group received trainings based on Theory Planned Behavior (TPB) and the control group received routine cares
Summary
Urinary tract infection is one of the most common infectious diseases in children, which can lead to serious complications for a child. The high prevalence of infection, the likelihood of recurrence of the disease, the variety of clinical symptoms in different age groups followed by the difficulty of clinical and laboratory diagnosis, the resistance of the causative agent to antibiotics and the long-term serious complications in children, have caused the infection of the urinary system to be of special importance in children [2, 3] so that nowadays, UTI is one of the most common bacterial infections in children and is considered as one of the most important health indicators of communities [4]. In the global reports reviewed in Uwaezuoke’s study, UTI prevalence rate range from as low as 6% to as high as 37% in developing countries [5] and in terms of gender in a meta-analysis study the prevalence of urinary tract infection was observed in 3% of girls and 1% of boys under age 10 [6, 7]. Out of 250 children with urinary tract infections aged 1 to 12 months who referred to Amir Kabir Hospital in Arak, 224 (89.6%) were girls and 26 (10.4%) were boys and the highest percentage was observed in girls [12]
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