http://localhost:8080/xmlui/handle/123456789/10010 2026-04-11T09:23:35Z 2026-04-11T09:23:35Z Nisa, Hoirun Barsbay, Fadi http://localhost:8080/xmlui/handle/123456789/10110 2025-05-22T07:46:15Z 2022-01-01T00:00:00Z

Title: Digital Health Interventions to Improve Cardiometabolic Risk Profile among Adults with Obesity and Chronic Diseases: A Systematic Review Authors: Nisa, Hoirun; Barsbay, Fadi Abstract: Background: The prevalence of chronic diseases is rapidly increasing globally. Ubiquitous digital technologies give an opportunity for digital health intervention to improve cardiometabolic risk (CMR) profile that may consequently decrease the risk of chronic diseases. However, evidence on digital health associated with chronic disease interventions remains controversial. Purpose: This systematic review aimed to determine the association of digital health intervention with improving CMR profile of adults with obesity and chronic diseases. Methods: A comprehensive search of Medline, CINAHL, Embase, and PubMed was performed using the following criteria: publication between 2016-2021, using digital health tools as interventions, adults with obesity or chronic diseases, cardiometabolic profile as outcomes, and randomized controlled trial (RCT) as the design. The search yielded 548 articles of which 13 studies met the inclusion criteria. The Joanna Briggs checklist for RCT was used to assess the quality of the studies. Data analysis was conducted according to the guidance for synthesis without meta-analysis. Results: There were 8 (61.5%) out of 13 studies assessed the relationship between digital health interventions and weight, of which 7 studies (88%) found positive findings. The association between digital health intervention and blood pressure were assessed in 7 (53.8%) out 13 studies, of which only two studies had positive findings related with systolic blood pressure. The intervention modalities included m-Health (apps) in 2 studies, text-messaging in 4 studies, and combinations of modalities in 8 studies. The interventions used different strategies, including education, self-management, and social support. More than a half of the studies (54%) were about weight-loss interventions and 10 (76.9%) studies used education for intervention components. Conclusions: Digital health intervention may be associated with decreased weight and BMI; however, only a few studies assessed other CMR profile, and the findings were inconsistent. Additional studies are needed to assess digital health interventions targeting other CMR profile, including blood pressure, glucose, and cholesterol level.

2022-01-01T00:00:00Z Mas Bakar, Resekiani Khaerah, Yaumil Hidayati, Nurul Nasrawaty Hamid, Andi http://localhost:8080/xmlui/handle/123456789/10108 2025-05-22T07:44:48Z 2022-01-01T00:00:00Z

Title: The Role of Organizational Culture in Moderating Effect of Emotional Labor Strategies on Nursing Professionalism Authors: Mas Bakar, Resekiani; Khaerah, Yaumil; Hidayati, Nurul; Nasrawaty Hamid, Andi Abstract: Background: Emotional labor strategies are necessary for nurses to provide nursing care for society through friendliness, caring, and positive emotion. The results of a meta-analysis of emotional labor research have proven that previous studies focused more on the impact of deep and surface acting strategies only at the individual level of the nurses. This study emphasizes the impact of emotional labor strategies at the individual and organizational levels. Purpose: The study aimed to measure the effect of emotional labor strategy (surface and deep acting strategy) toward nursing professionalism mediated by organizational culture. Methods: This research design is a quantitative survey. The respondents were 124 hospital nurses recruited by accidental sampling technique. The instrument in this study used emotional labor, organizational culture, and nursing professionalism scale. The mediation model technique by Hayes’s PROCESS was used to analyse the data. Results: The result showed an indirect effect of the role of organizational culture in mediating deep acting strategy toward nursing professionalism (b=0.03, 95% CI [-0.00–0.94]). Nurses who displayed deep acting strategies to their patients indirectly affected professionalism through the mediation of organizational culture. However, the surface acting strategies did not show a significant effect on nursing professionalism (b=-0.02, 95% CI [-0.05–0.00]) . Conclusion: Deep acting strategies indirectly affect nursing professionalism through organizational culture as a mediation variable compared to surface acting strategies. This study supports the control theory that emotional strategies implemented by nurses as organizational culture are a comparator to engage in nurse professionalism to provide healthcare. The deep acting strategies through organizational culture are essentially recommended for nurses in the hospital to improve their professionalism.

2022-01-01T00:00:00Z Hossein Delshad, Mohammad Pourhaji, Fahimeh Pourhaji, Fatemeh http://localhost:8080/xmlui/handle/123456789/10107 2025-05-22T07:42:37Z 2022-01-01T00:00:00Z

Title: The Relationship between Self-Efficacy, Self-Care Behavior, and Generalized Anxiety Disorder in COVID-19: A Path Analysis Model Authors: Hossein Delshad, Mohammad; Pourhaji, Fahimeh; Pourhaji, Fatemeh Abstract: Background: The outbreak of the COVID-19 pandemic has a strong impact on individuals and becomes a very stressful period. Long-term exposure to stress due to lockdown scenario may also increase psychological distress by reducing support resources, and in these circumstances, personal resources such as self-efficacy and its relationships appear important. It is essential to explore people’s beliefs about their capabilities to produce designated levels of behavior in the face of COVID-19, which is not known in the target population, and also to show its effect on anxiety. Purpose: This study aimed to investigate the relationship between self-efficacy, self-care behavior, and generalized anxiety disorder in COVID-19. Methods: A cross-sectional online survey was performed after COVID-19 was confirmed in Iran. The samples of the study were 500 residents in the Razavi Khorasan province, Iran, that were randomly selected. Demographic data, general self-efficacy, self-care behavior, and the Generalized Anxiety Disorder (GAD-7) questionnaires were used for data collection. The data were analyzed using bivariate correlation and hierarchical linear regression models. Results: The mean(SD) age of the participants was 31.9(11.9). Their GAD-7 scores had severe anxiety (score ≥17). There was a negative and significant relationship between generalized anxiety disorder and self-efficacy (r=-0.238, p≤0.01). Also, there was a positive and significant relationship between self-efficacy and self-care behavior. No significant relationship between generalized anxiety disorder and self-care behavior was found. The path analysis model estimated anxiety and self-efficacy as about 4% of the variance self-care behavior in COVID-19. Conclusion: This study revealed that enhancing self-efficacy levels might reduce anxiety. Self-efficacy-enhancing programs should be used as part of the routine readiness effort drives and health care system change

2022-01-01T00:00:00Z Jannat, Forouzandeh Alipour, Sadaf Noori, Fariba http://localhost:8080/xmlui/handle/123456789/10106 2025-05-22T07:40:34Z 2022-01-01T00:00:00Z

Title: Comparison of the Effectiveness of Breast Cancer Education through Two Virtual Methods for Increasing Knowledge in Nurses Authors: Jannat, Forouzandeh; Alipour, Sadaf; Noori, Fariba Abstract: Background: Virtual education today is about to become one of the most important educational methods in nursing. However, there have been few studies that examine the effectiveness of virtual education to increase knowledge towards breast cancer among nurses in Iran. Purpose: The aim of this study was to compare the knowledge towards breast cancer among nurses who were provided with two different methods of virtual training. Methods: This quasi-experimental study was conducted among 182 nurses in two hospitals in Tehran, Iran, who were randomly selected and divided into two groups of 91 nurses. Participants of the first group got virtual training about breast cancer in two sessions within two weeks by Skyroom. In the second group, the content was sent as educational messages by WhatsApp within two weeks. Participants’ knowledge in both groups was measured using valid and reliable questionnaires developed by the researchers as a pretest and three posttests, and the satisfaction of the participants was also measured. To analyze the data, analysis of variance, standard deviation, t-test and Tukey test were performed. Results: According to the average score observed in the post-test period, the score of the WhatsApp group was 7.62, significantly higher than the Skyroom group of 6.25. The scores of the three post-test were higher than the pre-test in the two groups (with no significant difference between the two groups, p-value = 0.825 in the first post-test), but the scores declined from the first to third tests, showing a decline in the learning effect with time. However, the slope was gentler in the WhatsApp group, indicating a more persistent learning effect. Conclusion: This study showed that teaching with educational messages through WhatsApp had a greater impact on the sustainability of learning than teaching via lecturing through Skyroom.

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