Educational Intervention Research Articles

Long-term effects of a school-based experiential nutrition education intervention

ABSTRACT Nutrition education is essential for the development of healthy eating behaviours among children. Over the past few years, multiple nutrition education programmes have been implemented in primary schools. In the current study, the long-term effects of the experiential nutrition education programme ‘Learning Street’ are assessed. This 3-week programme comprises a classroom-based introduction lesson, a visit to a fruit or vegetable (FV) farmer, a cooking workshop, and a joint eating moment. The programme is designed for children aged 8–12 years. Questionnaire outcomes of 11-to-12-year-old children (n = 87) who participated in a Learning Street programme two years before were compared to those of a control group (n = 102) with similar demographics. The questionnaire included questions on children’s FV knowledge, liking, intake, and attitude, as well as their general health attitude, cooking self-efficacy, and cooking attitude. There was a significant difference in FV attitude (Cohen’s d = 0.55; 95% CI: −0.69 to −0.21) and general health attitude (Cohen’s d = 0.37; 95% CI: −0.56 to −0.07) between the intervention and the control groups. For general health attitude, the difference was only significant for a subgroup of children (n = 25) who had participated in two Learning Street programmes. The findings suggest that regularly exposing children to experiential nutrition education may have long-term benefits.

Teaching the Mayan language through community language practices. An educational intervention Authors

Este estudio aborda una intervención educativa local para el mantenimiento y revitalización de la lengua maya, que surge de la tensión entre los modelos educativos oficiales y el desplazamiento de la lengua maya. Se propone un análisis de programas y estrategias para la enseñanza de lenguas indígenas, y se definen como fundamento de la intervención los modelos aditivos de mantenimiento y revitalización de la lengua (Feltes, 2017) y las prácticas lingüísticas socioculturales (Santos-Cano, 2015). La metodología utilizada fue la investigación-acción (Latorre, 2005), realizada a través de un enfoque cualitativo utilizando las siguientes técnicas: 1) observación participante y no participante, 2) entrevistas semiestructuradas, 3) análisis de documentos, y 4) triangulación de técnicas e investigadores para la recolección y análisis de los aprendizajes generados a través de la intervención. Los resultados indican una disposición y cambio de actitudes lingüísticas hacia el aprendizaje de la lengua maya, así como el desarrollo de incipientes habilidades comunicativas orales. Asimismo, se identificó la asociación de las prácticas comunicativas con contextos de la vida cotidiana de los estudiantes y el valor de la socialización generacional de la lengua maya (Chi-Canul, 2017) en espacios protegidos (Feltes, 2017).

A theoretical approach to user education in public licensing: Defending against copyright trolling

This paper develops a theoretical model to prevent copyright trolling through user education and policy advocacy, particularly in the context of Creative Commons (CC) and public licensing. Copyright trolling, which exploits users’ lack of legal literacy and understanding of licensing terms, poses significant challenges to the free and open sharing of knowledge. The paper explores the relationship between legal literacy, public knowledge, and digital education, proposing that targeted educational interventions can empower users to avoid exploitation. It also advocates for the implementation of structured, government-backed, and institutional programs to promote licensing literacy. Policy-driven educational frameworks, integrated into broader digital literacy initiatives, are essential for reducing the risks posed by copyright trolling. The paper concludes with recommendations for future educational programs and policy changes to mitigate copyright trolling and foster a more informed and resilient digital ecosystem.

The Thoughtful program: a randomized controlled study of a mentalization-based mental health education intervention in a psychiatric outpatient population

Background P-factor and mentalizing theory and research set perspectives for transdiagnostic psychiatric treatments. Aims To test the effects of a low-cost mentalization-based health education program (the Thoughtful program) in an unselected waiting list population, from a psychiatric outpatient clinic in North Norway. Methods Waiting list patients were randomized (1:1 allocation): 79 patients in the control group were offered standard individual assessment and treatment. Seventy-nine patients in the intervention group were offered a one-day (six-hour) group-based Thoughtful course, plus individual assessment, and treatment. Results During a 6-month follow-up period, the number of patients in active assessment and treatment was 66% higher in the control group than in the intervention group. Self-reported patient questionnaire scores on mentalizing, well-being and suicidal ideation scores showed no significant changes in the control group. In the intervention group, significant changes were reported: Mentalizing scores improved by 72% and well-being scores improved by 55%. Suicidal ideation scores were not significantly changed. No adverse effects were registered. Limitations The results from this study should be interpreted with caution because of a small population size and low questionnaire response rate. The follow up period was limited to 6 months. Transfer of program information from intervention group patients to control group patients could not be guaranteed. It may be considered a limitation that diagnostic pattern analysis was not included in the study. Conclusions A low-cost transdiagnostic mentalization-based educational program in an outpatient psychiatry clinic may improve patient mentalizing and wellbeing without adverse effects and reduce the use of hospital services.

Development and Validation of an Educational Intervention Using a Mobile Social Networking for People With Diabetes: A Brazilian Experience

Introduction Type 2 Diabetes Mellitus is a metabolic disease with high morbidity and mortality rate and increasing prevalence, which leading to a significant decrease in quality of life. Objective To develop and validate a intervention program of non-pharmacological interventions for self-care and a healthy lifestyles using a mobile social networking for people diagnosed with type 2 diabetes assisted by a Primary Health Care service. Method Applied technological research with mixed methodology. The method chosen for the development of the set of interventions was the Contextualized Instructional Design (DIC), and the validation was carried out by the Delphi Method. Results In the developed program, patients received information through posts in a WhatsApp® group called “Routine in Day.” In this virtual environment, the content was transmitted and discussed through text messages, videos, audios and images about Diabetes Mellitus, healthy eating, physical activity, correct use of medications, sleeping habits, mental health, drug control and guidance on the reduction of chronic complications based on scientific evidence. With regard to validation, after two rounds of the Delphi method, the Content Validity Index was above the standard in the literature. Conclusion: The current intervention proposal proved to be a useful and accessible tool, with the objective of contributing to the control of Diabetes Mellitus, in addition to facilitating communication between the team and patients.

Caregivers’ Mastery in Handling Gastrostomy at Home after Educational Intervention: Qualitative Descriptive Study

Background: Effective hospital discharge planning is crucial, particularly in educating caregivers on handling medical devices. This education helps manage the patient’s signs and symptoms, prevents post-discharge complications, and reduces early readmissions. This study aimed to understand aspects involved in the acquisition of mastery by home caregivers, in handling care of a patient who just underwent gastrostomy, after educational intervention during hospitalization and telemonitoring upon return home. Methods: Qualitative descriptive study. It followed 15 caregivers of people with percutaneous endoscopic gastrostomy. The intervention took place between November 2022 and July 2023 in the neuromusculoskeletal unit of a Brazilian university hospital. Results: The educational intervention had four stages. In stage 1, caregivers felt confused and uncertain about managing PEG. By stage 2, they expressed a desire to be capable of handling care, especially in the event of potential complications, and showed increased awareness and engagement. Stage 3 highlighted the effectiveness of hands-on training with feedback from professionals. In stage 4, during monitoring, several complications were noted, including granuloma formation in the stoma, tube obstruction, and accidental tube loss. However, caregivers demonstrated the ability to handle these situations, indicating the effectiveness of the training and telemonitoring interventions. Conclusions: Nursing professionals should consider various factors when training caregivers in a hospital setting, including providing adequate space, allocating sufficient time for educational interventions, offering both theoretical and practical demonstrations, ensuring effective communication, and taking into account the caregivers’ context, as they play a direct role in acquiring a safe and effective skill set.

EDUCAÇÃO EM SAÚDE E PREVENÇÃO DA DEPRESSÃO PÓS-PARTO: O papel da enfermagem obstétrica

The research addresses the importance of health education and prevention of postpartum depression in the context of obstetric care, highlighting the role of nursing in the care of pregnant and postpartum women. Postpartum depression is a condition that affects many women and can have serious consequences for the mother and the development of the baby. The general objective of the study was to investigate the impact of health education actionscarried out by obstetric nurses in the prevention and management of postpartum depression, focusing on detection strategies, emotional support and educational interventions. The methodology used was a literature review, covering scientific articles published between 2019 and 2024, resulting in 12 articles addressing the role of obstetric nursing in health education and prevention of postpartum depression, in which the inclusion criteria were articles published in Portuguese, and the Inclusion Criterion with the DeCS: Depression. Obstetric Nursing. Health Education. Studies in Portuguese that specifically addressed the role of these professionals in this context were included. The research was conducted through electronic databases such as PubMed, Scopus and VHL, using descriptors related to mental health, childbirth and health education. The results indicate that obstetric nurses play an essential role in raising awareness and supporting women, promoting preventive practices that reduce the incidence of postpartum depression. The implementation of educational and welcoming strategies in the prenatal and postpartum period, associated with continuous emotional support, proved to be effective in improving the mental health of pregnant and postpartum women.

Research on the Role of Family Education in Preschool Education

With the continuous development of education, the importance of preschool education is becoming more and more apparent. Despite the increasing interest in preschool education, the role of family education is still underutilized. This study focuses on this phenomenon, analyzes the role of the family in preschool education, and points out two problems: the neglect of family education and the wrong intervention of family education. Family education generally has active neglect and passive neglect. Mistakes in homeschooling methods can also limit students’ free development. Based on this, this paper puts forward the following suggestions. Parents and other family educators should pay attention to improving their educational concepts and improving teaching methods. Schools should pay attention to improving the children’s education system and strengthen home-school cooperation. The government and society should also take the initiative to create a healthy network and social environment to provide a good environmental foundation for students’ physical and mental health.

Farmers' Perceptions and Practices in Managing Vegetable Pests and Pesticide Use in the Upper Blue Nile Basin, Ethiopia: In the Case of the Koga Irrigation System

This experiment was carried out to assessment of farmers’ perceptions, knowledge, and current management practices on the major pests among vegetable growers in the Koga irrigation system, Ethiopia. Understanding the farmers’ awareness and pest management is essential for designing a research agenda, and awareness creation. The survey was carried out from November 2020 to March 2021 in Koga irrigation, with a total of 63 vegetable growers. A semi-structured questionnaire was used. Almost all farmers in the study area overwhelmingly depend on pesticides to control the pests on their vegetable crops. Profenofos, Dimethoate, and Lambda-cyhalothrin were dominantly and commonly used insecticides in the study area with different trade names for more than two vegetables. There are two common and widely used fungicides named Metalaxyl-M 68 %WG and Mancozeb regarding disease control. The farmers used wrong application techniques, inappropriate spraying, wrong storage practices, and protective measure of pesticides. This wrong perception and practice could be associated with their limited knowledge about pesticides and related activities. Hence, it is recommended that government or non-governmental organizations should focus to improve the misuse and misperception of farmers in pesticide use, including personal and environmental protection through education and community intervention.

Comparing the effectiveness of peer-led healthy aging interventions on depression and quality of life in community-dwelling older adults: A systematic review and network meta-analysis.

Healthy aging has become increasingly important owing to the rapidly growing population of older adults globally, and results from the complex interplay of multiple characteristics such as depression and quality of life. Several countries have included peer-led interventions in their health policies to promote healthy aging. Given the growing evidence for these interventions, determining their comparative effectiveness is vital and warranted. The aim of this study was to examine the relative effectiveness of peer-led interventions on the depression and quality of life of community-dwelling older adults. A systematic review and network meta-analyses were performed. The meta-analysis was performed using random-effects models. Additionally, subgroup, meta-regression, and frequentist network meta-analyses were conducted. The protocol was registered with PROSPERO (CRD 42023492659). Twelve studies with depression outcomes and 11 studies with quality-of-life outcomes were included. The effect sizes for depression and quality of life were moderate and small, respectively. For depression, face-to-face interactions and intervention duration were moderating factors. For quality of life, intervention provider was a moderating factor. The combined peer-nurse intervention was shown to have a large effect on quality of life, whereas interventions provided by professionals other than nurses or provided only by peers had a small effect. A ranking analysis found that the most effective intervention for increasing quality of life was the simultaneous involvement of both healthcare professionals and peers. The provision of education and exercise interventions showed a higher ranking than goal setting in the leading group. The peer-led interventions were sufficient for depression. The effectiveness for improving quality of life may increase when involving both peers and healthcare professionals, particularly nurses. Nursing and health policymakers could establish distinct strategies depending on whether the goal of peer-led interventions is to improve quality of life or alleviate depression for older adults.

The Effects of Health Education Model Based on Goal-setting Theory on lifestyle, Diet and Nutrition, and Psychological Regulation of Thyroid Cancer Patients after Surgery

Objective: The effects of a health education model based on goal-setting theory on lifestyle, diet and nutrition, and psychological regulation of thyroid cancer patients after surgery. Methods: A total of 60 thyroid cancer patients from the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from January 1, 2020 ~ December 31, 2023 were selected and grouped.They were divided into 30 observation groups and 30 control groups based on the principle that baseline data between groups could be compared. Patients in both groups were given routine postoperative care for thyroid cancer, and on this basis, the control group was given routine health education intervention, and the observation group was given health education intervention based on goal-setting theory. Both groups were intervened until discharge, and both groups were followed up for 1 month after discharge. Before the intervention and one week after the intervention, the self-made disease knowledge questionnaire and the self-management assessment scale of cancer patients were used to evaluate the disease knowledge, self-management ability and quality of life of the two groups. The compliance of patients with rehabilitation exercises, hoarseness, tetany and quality of life before intervention and at the end of follow-up were observed. Results: After 1 month of intervention, there were significant differences between the observation group and the normal control group in terms of disease knowledge knowledge score, self-efficacy, control of daily living habits, treatment of disease symptoms, and management of psychological adjustment (P<0.05). In the process of intervention, the compliance of the observation group was significantly higher than that of the control group, and there was a significant difference, (P<0.05). At the end of the follow-up, the symptoms of hoarseness, tetany and dyspnea in the observation group were significantly lower than those in the control group, and the difference was statistically significant (P<0.05). Finally, the two groups were significantly better than the control group in terms of physiological, psychological, functional exercise and special scores (P<0.05). Conclusion: Health education based on goal-setting theory has high application value in thyroid cancer surgery patients, which can improve patients' awareness of the disease, improve patients' rehabilitation compliance and self-management ability, and promote the recovery and improvement of postoperative living standards.

The Effect of Flashcard Education on Premarital Sexual Behavior in Adolescent

Background: Adolescent who experience puberty in their bodies appear sex hormones that begin to work, resulting in a sense of attraction to the opposite sex. Premarital sex is a behavior that is carried out based on sexual desire in adolescents. Adolescent knowledge and sources of information received by adolescents are important points in efforts to prevent premarital sexual behavior. The preventive efforts can be done by providing education about the right information through various methods and media. One of them is education using flashcard media. Purpose: The purpose of this study was to analyze the effect of education on premarital sexual behavior using flashcard media. Methods: This study design was a quasi-experimental pre-test-post test design with control group. The number of samples were 60 which were divided into two groups and the inclusion criteria being adolescents aged 15-17 years and were or had been dating. The intervention group received treatment in the form of pre-marital sexual behavior education with flashcard media. The control group received pre-marital sexual behavior education using the lecture method. Before and after the intervention, researchers conducted a pretest and posttest using a pre-marital sexual behavior questionnaire and data were analyzed using the Wilcoxon test. Results: There was a difference in the average score of premarital sexual behavior in the intervention group after receiving flashcard education intervention with p value = 0.010 (p <0.05). Conclusion: Education using flashcard affects premarital sexual behavior in adolescents. Preventive and promotive efforts of premarital sexual behavior in adolescents using flashcard media are an alternative for nurses in providing counseling.

Knowledge, attitude, and practice of inpatients with cardiovascular disease regarding obstructive sleep apnea

There is a significant interrelationship between cardiovascular disease and obstructive sleep apnea (OSA), as they share common risk factors and comorbidities. This study aimed to investigate the knowledge, attitude, and practice (KAP) of inpatients with cardiovascular disease towards OSA. This cross-sectional study was conducted between January, 2022 and January, 2023 at Zhongda Hospital Affiliated to Southeast University among inpatients with cardiovascular disease using a self-administered questionnaire. A self-designed questionnaire was used to assess KAP, and the STOP-Bang questionnaire was applied to evaluate participants’ OSA risk. Spearman correlation and path analyses were conducted to explore relationships among KAP scores and high OSA risk. Subgroup analyses were conducted within the high-risk population identified by the STOP-Bang questionnaire. In a study analyzing 591 questionnaires, 66.33% were males. Mean scores were 6.81 ± 4.903 for knowledge, 26.84 ± 4.273 for attitude, and 14.46 ± 2.445 for practice. Path analysis revealed high risk of OSA positively impacting knowledge (β = 2.351, P < 0.001) and practice (β = 0.598, P < 0.001) towards OSA. Knowledge directly affected attitude (β = 0.544) and practice (β = 0.139), while attitude influenced practice (β = 0.266). Among high OSA risk individuals, knowledge directly impacted attitude (β = 0.645) and practice (β = 0.133). Knowledge indirectly influenced practice via attitude (β = 0.197). Additionally, attitude directly affected practice (β = 0.305). These findings provide insights into the interplay between OSA risk, knowledge, attitude, and practice. Inpatients with cardiovascular disease demonstrated inadequate knowledge, moderate attitude, and practice towards OSA. The findings highlighting the need for targeted educational interventions to improve awareness and management of OSA.

The Effect of a Tailored Educational Flyer on Colorectal Cancer Screening Among Rural Residents: Lessons Learned from a Pilot Randomized Trial

Background/Objectives: Stool-based tests, such as the fecal immunochemical test (FIT), have been widely used for increasing colorectal cancer (CRC) screening. Small media, such as printed materials or flyers, are known to be an effective intervention to increase CRC screening by fecal tests. However, more evidence is needed to determine whether such small media are effective in improving screening uptake of a mailed FIT intervention targeted at rural populations in the USA. Methods: In this randomized study, 1230 FIT kits were mailed from July to December 2022 to rural Nebraskans aged 45–74 who were not up to date on CRC screening. Half of the participants (n = 608) also received a tailored, one-page, gender-specific educational flyer created based on focus groups with rural residents. Logistic regression was used to determine predictors of returning the FIT. Results: Study participants were predominantly female (76%), non-Hispanic White (83%), and within the age group of 55–64 (43%). Overall, 192 (15.6%) kits were returned (16.1% from the flyer group; 15.1% from the no-flyer group). However, we found no significant differences between the flyer and no-flyer groups (Adjusted Odds Ratio [AOR]: 1.21; 95% CI: 0.88–1.66). Females (AOR: 1.78; 95% CI: 1.19–6.14) and the oldest (65–74) age group (AOR: 5.03; 95% CI: 2.78–8.47) were more likely to return FIT kits than males and the youngest (45–54) age group. Conclusions: A tailored educational flyer was not effective in improving the CRC-screening-rate-by-mailed-FIT approach for rural populations. Future research should explore the content, timing, and mode of delivery of educational interventions as well as other multi-component strategies to improve screening rates. Public health officials might also consider developing strategies targeted at males and younger (45–54) age groups.

Enhancing skill acquisition knowledge and practice design in elite level swimming: Effects of a six-week online coach education intervention

In response to calls for examples from sports settings that highlight successful collaborations between skill acquisition specialists and coaches, this study evaluated the effectiveness of a skill acquisition coach education intervention. After an analysis of practice by a skill acquisition specialist, which provided context to impact learning design, two senior coaches from British Para Swimming with no prior knowledge of skill acquisition principles were observed and interviewed. The intervention harnessed coach experiential knowledge by emphasising development in understanding of theory underpinning three key principles of skill acquisition (i) implicit learning, (ii), focus of attention, and (iii) contextual interference, and encouraging informal and experiential learning between sessions. Following the intervention, coaches had adapted their approach to practice design to incorporate theory-informed techniques. Coach observations and interviews highlighted a range of novel findings in skill acquisition. First, outcomes indicated the use of implicit learning techniques in the form of analogy or metaphor cues can facilitate learning for athletes with intellectual disabilities. Second, coaches reported the learning benefits of utilising external and holistic focus cues in the elite athlete setting. Finally, through an increased understanding of the learning-performance distinction, coaches described the benefits of incorporating contextual interference, which emphasised temporal spacing between learning events. The coaches’ interpretation and implementation of skill acquisition theory are discussed with reference to potential avenues of exploration in future research.

Resilience rewritten: Ann’s journey from adversity to entrepreneurship

Research methodology None. Case overview/synopsis The case study follows Ann’s journey towards entrepreneurship, focusing on the challenges she faced and how early educational interventions influenced her life decisions. Despite numerous obstacles, Ann’s perseverance, bolstered by her family’s support and her passion, led to her successful reintegration into academia and the launch of an entrepreneurial venture in the UK. Her story highlights the dilemma of balancing educational attainment with entrepreneurial aspirations, especially for at-risk students. Ann’s experience prompts critical discussions about the intersection of education and entrepreneurship, the importance of experiential learning and the role of mentorship in realizing business ideas. The nurturing environment of her business school, through guest lectures and real-world success stories, played a significant role in shaping her academic and professional outlook. This case raises essential questions about the role of higher education in fostering entrepreneurial skills and integrating experiential learning within academic curricula. Ann’s journey exemplifies the power of resilience and determination in overcoming systemic and entrepreneurial challenges, particularly for women facing similar struggles. Her story illuminates the multifaceted process of turning a personal experience into an entrepreneurial opportunity, emphasizing the critical role of mentorship and support networks in developing a viable business idea. Complexity academic level This case study is best suited to undergraduate and graduate students enrolled in management and business-related courses that focus on entrepreneurship and entrepreneurial education. The case study is relevant in various business disciplines as it informs students of the process and challenges related to business start-ups and acquiring related capabilities. Instructors are encouraged to have students read the extensive reference list provided at the end to broaden their understanding and knowledge of entrepreneurship, including its processes, context and practices.

Assessing the effectiveness of health belief model-based educational interventions on weight control intentions among Malaysians

Obesity and overweight are major health concerns, with a 19.7% prevalence among Malaysian adults, as reported in the 2019 National Health and Morbidity Survey. This study assessed the effectiveness of an educational intervention on weight control intention using the Health Belief Model (HBM). A quasi-experimental design was employed, involving 140 participants equally divided into an intervention group (IG) and a control group (CG). Post-intervention, the IG showed significant improvement in perceived self-efficacy in dieting (mean score 3.96 ± 0.85) compared to the CG (3.76 ± 0.86, p = 0.003). Perceived self-efficacy in exercise also increased in the IG (4.12 ± 0.52) compared to the CG (3.51 ± 0.94, p < 0.001). While behavioral intention scores improved in the IG (4.00 ± 0.59), the difference was not significant (p = 0.300). This study highlights that educational interventions using HBM can effectively improve self-efficacy and influence weight control behaviors.

Effectiveness of Digital Education on Human Papillomavirus Knowledge, Vaccination Intent and Completion Rates in Adolescents and Young Adults: A Meta-Analysis.

To examine the effects of digital educational intervention on HPV knowledge, vaccination intent and completion rates among adolescents and young adults. A systematic review and meta-analysis. The study followed PRISMA guidelines. Studies included randomised controlled trials assessing digital HPV educational interventions on individuals aged 9-26 years. Odds ratios (ORs), confidence intervals (CIs) and standardised mean differences (SMDs) were calculated and analysed with fixed- and random-effects models, depending on the degree of heterogeneity. Seven databases (Medline, PubMed, CINAHL, Cochrane Library, Web of Science, EMBASE and ASC) were searched from inception through April 9, 2024. Twelve studies enrolled 4925 participants were included. Six studies demonstrated that the intervention group significantly had higher HPV knowledge compared to the control group. Five studies reported a significant improvement on vaccination intent and vaccine completion rate. Subgroup analysis of the completion rates indicated that male participants demonstrated significantly greater vaccine competed rates. A tailored educational intervention was likely to effectively enhance HPV vaccine completion rates. Our findings confirmed that digital education was beneficial in enhancing adolescents and young adults' HPV knowledge, vaccination intention and vaccine completion rates. The tailored education might be considered prioritised in the design of interventions, while also considering the impact of gender on digital education. Digital interventions for HPV vaccinations require at least 7 months of follow-up, highlighting the vital role of tailored education for high-risk groups in designing effective interventions. The efficacy of digital interventions for HPV vaccination may differ across genders. There was no direct patient or public contribution, as this is a review of previous research. CRD-42023406919.

Enhancing literacy among the elderly on sexually transmitted infections: an educational intervention

Abstract Issue Sexually transmitted infections (STIs) pose significant public health concerns across different settings and countries, especially in elderly populations, in which recent increases have been noted. This project aimed to target STIs literacy among the elderly, addressing a crucial gap in public health education. Description of the problem This project focused on improving STIs literacy among elderly residents in a municipality in Northern Portugal. Using innovative methods such as tailored materials and interactive sessions, the intervention aimed to evaluate their effectiveness through pre-, post-, and one-month follow-up STD-KQ questionnaire assessments (composite score of total correct calculated as average, ranged from 0 to 27). Statistical analysis used SPSS IBM for Mac OS® v29. Descriptive statistics: mean ± standard deviation for continuous, proportions (%) for categorical variables. Analysis included only individuals with complete data. ANOVA with Bonferroni post hoc tested intervention impact on STD-KQ scores. Results Fifty-one individuals participated in this study, with an average age of 70,89 ± 5,10 years old, and 64,7% female. The average STD-KQ score increased by 151.54% immediately after, 11.39 ± 5.66 (p &amp;lt; 0,01), and by 122.54% after one month, 10.08 ± 5.35 (p &amp;lt; 0,01), compared to pre-intervention, 4.53 ± 3.96 (p &amp;lt; 0.01). The score at one month follow-up remained similar to post-intervention (p = 0.39), presenting a significant improvement in STIs knowledge. Lessons This pioneering project, to the best of our knowledge the first of its kind, demonstrates the effectiveness of tailored educational interventions in improving STIs literacy among the elderly, with sustained effects after one month. This innovative approach can be adapted and scaled up for broader use in different settings and countries. Key messages • Tailored educational interventions can be a powerful public health strategy to effectively enhance long-term STI literacy among elderly populations. • Assessing knowledge about STIs can be a crucial initial step for physicians to provide or refer for comprehensive education on safe sexual practices in this age group.

Predictors of self-care behaviors in hypertensive patients based on the protection motivation theory

IntroductionGlobally, hypertension is a significant public health concern and a leading cause of premature death. Since this disease is incurable, it is necessary to promote patients’ self-care behaviors to control it. The goal of this research was to identify the elements that influence self-care actions in individuals with hypertension, utilizing the Protection Motivation Theory (PMT) framework.MethodsA study was carried out in Omidiyeh, located in southern Iran, using a cross-sectional design, involving 397 adults with hypertension (198 females and 199 males) who were selected from comprehensive health centers using a stratified random sampling technique. Data was gathered through a demographic data collection form and a questionnaire created by the researcher, which was based on the PMT. Data were assessed utilizing SPSS 25 and AMOS 24 software, and various statistical tests including one-way ANOVA, Pearson correlation, multiple regression, independent t-test, and structural equation modeling were conducted.FindingsThe variables of intrinsic reward (r = 0.182), extrinsic reward (r = 0.288), and response cost (r = 0.126) showed a significant negative correlation with self-care behaviors. On the other hand, perceived susceptibility (r = 0.212), perceived severity (r = 0.110), self-efficacy (r = 0.555), and response efficacy (r = 0.424) demonstrated a significant positive correlation with self-care behaviors. Specifically, self-efficacy and response efficacy were the most powerful predictors of self-care behaviors, respectively.ConclusionThe results showed that several factors can forecast self-care behaviors in patients with hypertension. Researchers are recommended to incorporate PMT in educational interventions and concentrate on self-efficacy and response efficacy constructs.