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The Positive Impact of Educational Intervention Program Based on Precede Model on Preventive Behaviors to Reduce Brucellosis in the Rural People of Khomein
Mr Mohammad Ali Oruoji , Mr Seyyed Javad Hashemi, Mr Seyyed Mehdi Hazavehei, Mr Abdolrahman Chrkazi, Mr Javad Javaheri, Mr Mohammad Moazeni,
Volume 9, Issue 1 (8-2012)
Abstract

  Background and Objective : Brucellosis is a zonosis that can be transmitted between species from animals to humans or from humans to animals, which is still a major health and economic problem. The main preventive strategy for ­brucellosis is to educate rural ranchers on the basis of Precede framework. ­We aimed to study the effect of educational intervention program based on Precede Model and its main components on preventive behaviors to reduce Brucellosis in the rural district of Khomein.

  Material and Methods : In this pre-experimental randomized controlled study, the samples were 400 adult men of rural district of Khomein city randomly allocate d to case and control groups. Data gathering instrument was a questionnaire based on Precede framework. Reliability of the questionnaire through the internal consistency test on the pilot phase was approved on 25 individual and the validity was confirmed by face validity. The intervention, based Precede framework, was a package of three 60-90 minute sessions conducted weekly. The subjects were followed for three months and the data analyzed by independent T-­test, paired T-­test, analysis variance with repeated observations.

  Results: After intervention, the mean scores of predisposing­(knowledge and attitude), reinforcing and enabling factors in case group is different significantly from that in control group (p<0.05).

  Conclusion:­ Planning and implementation­ of health education intervention via Precede framework could be positive in increasing preventive behaviors to reduce brucellosis incidence.

  Keywords: Health education, Brucellosis, Precede framework


Effect of Lecture and Group Discussion on Improving the Nutritional knowledge of Pregnant Women in Gorgan
Soheila Esfahankalate, Seyedeh Maryam Hasheminsab, Azam Esfahankalate,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: It is imperative that the application of appropriate educational methods is of paramount importance to nutrition knowledge and health of pregnant women. Hence, this study aimed at investigating the effect of lecture and group discussion on improving pregnant women's awareness. 
Material and Methods: This peri-experimental study was conducted on 110 pregnant women selected via cluster random sampling in eight villages of Gorgan, Iran, in 2009. They were allocated to two groups of lecture (n=52) and group discussion (n=36). The instrument was researcher made awareness questionnaire, consisting of 22 questions, whose reliability was confirmed by Alpha Cronbach (0.647) for data analysis, we used Pearson correlation, pared t test and t-dependent. 
Results: The mean age of lecture group was 24.65± 5.13 and that of group discussion was 23.56± 14.48. the educational level in 86.5% of lecture group and 94.4% of group discussion was at the level of middle school. There was no significant relationship between lecture group and group discussion. Furthermore , both groups had not any significant correlation with variables such as gestational age, pregnancy history and education level.
Conclusion: Given that the current training programs in health system are adequate, it is a necessity to motivate and promote healthy behavior in pregnant women.

Predicting Mental Health Based on Social Capital and Organizational Citizenship Behavior in Female Nurses
Narges Khatoon Zabihi Hesari , Zahra Dashtbozorgi , Farideh Hashemiannejad , Khadijeh Hatamipour ,
Volume 15, Issue 1 (2-2018)
Abstract
Background: Mental health is an essential requirement for any profession, especially nursing and plays an important role in improving positive psychological characteristics. Some variables related to mental health can be social capital and organizational citizenship behavior. Thus, the aim of this study was the   prediction of mental health based on social capital and organizational citizenship behavior in female nurses.
Methods: This correlational cross-sectional study was carried out on 180 female nurses, selected via simple random sampling, of state hospital in the west of Mazandaran province, 2017.  The questionnaires were short form of mental symptoms, social capital and organizational citizenship behavior. Data was analyzed by SPSS-19 software using Pearson correlation and multivariate regression with enter model methods (p≤0.01).
Results: The average age of the participants was 35.94±4.36 years, most of them (90.56%) married and undergraduate education (80.56%). The results showed that social capital (r=-0/381) and organizational citizenship behavior (r=-0/456) have a negative and significant relationship with mental health in female nurses. Given that the high score in mental health questionnaire means low mental health, mental health in female nurses enhances by increasing social capital and organizational citizenship behavior.  In addition, both social capital and organizational citizenship behavior variables could predict 25.4 percent of variance of mental health in female nurses and the share of organizational citizenship behavior was higher than social capital (p≤0.01).
Conclusion: The results verified the role of social capital and organizational citizenship behavior in predicting mental health of nurses. Thus, officials should pay attention to the indications of social capital and organizational citizenship behavior to design and implement appropriate programs to improve the mental health of nurses.
Effectiveness of cinnamol and chlorhexidine in treating oral mucositis in cancer patients: A Randomized Clinical Trial
Mohammad Siavoshi , Hossein Rahimi , Mehrdad Rohaninasab , Mostafa Motamedi Heravi , Fatemeh Khorashadizadeh, Mohammad Gholizadeh Gerdrodbari , Morteza Hasheminik ,
Volume 22, Issue 4 (12-2025)
Abstract
Background: Oral mucositis is a common complication of chemotherapy that significantly reduces patients' quality of life. While chlorhexidine mouthwash has been shown to improve oral mucositis, it can also cause side effects such as dysgeusia. In this context, simpler, plant-based alternatives like cinnamol may offer similar benefits without the associated side effects. This study aimed to compare the effectiveness of cinnamol mouthwash with that of chlorhexidine mouthwash in treating oral mucositis in cancer patients undergoing treatment with doxorubicin.
Methods: This randomized clinical trial included 81 patients with cancer (breast, ovarian, bladder, lung, and colorectal) from two hospitals in Neyshabur and Sabzevar cities, located in northeastern Iran, in 2023. Participants were allocated to the control (n=27), chlorhexidine (n=27), and cinnamol (n=27) groups using a block randomization method. The control group received 0.9% physiological saline; the chlorhexidine group used chlorhexidine mouthwash, and the cinnamol group used cinnamol mouthwash. Participants were instructed to mix 25 drops of their assigned solution with 50 mL of lukewarm water, gargle for 30 seconds, and then expel the mixture. The intervention was administered twice every 12 hours for 14 days. Data were collected using a demographic questionnaire and the Standard Mucositis Assessment Tool on the first, seventh, and fourteenth days of the intervention. Data analysis was performed using R software version 4.2.2, employing univariate tests and the cumulative link mixed-effects model (CLMM). Results were presented as odds ratios with 95% confidence intervals.
Results: Both cinnamol and chlorhexidine mouthwashes significantly reduced oral mucositis severity compared to the control group. The odds of more severe mucositis in patients using chlorhexidine were 0.0021 times the odds in the control group (OR = 0.0021, p<0.001), meaning a lower risk in the chlorhexidine group by a factor of about 1/0.0021 ≈ 476). Also, cinnamol administration significantly diminished the odds of severe mucositis (OR = 0.0005, p<0.001) compared to the control. Over time, the protective effects of chlorhexidine (OR = 0.024, p<0.001) and cinnamol (OR = 0.269, p=0.060) became more pronounced, indicating a progressive healing trajectory.
Conclusion: Cinnamol and chlorhexidine mouthwashes demonstrated significant efficacy in reducing oral mucositis severity, while chlorhexidine effects were more enhanced over time. These insights suggest that both interventions are valuable in managing oral mucositis, offering valuable guidance for nursing practice and patient care.

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