Title: A Comprehensive Health-promoting Neighborhood Intervention to Improve Health Care
Seeking Behavior Among Reproductive age Iranian Women
Version: 4 Date: 25 Feb 2023
Reviewer:  Jamal Alkhudhairi
Reviewer's report:
Reviewer notes
Line 1: Title changed into initial capitals # A Comprehensive Health-Promoting Neighborhood
Intervention to Improve Health Care Seeking Behavior Among Iranian Reproductive-Aged
Woman
Line 2: Iranian reproductive-aged woman # reproductive age Iranian woman
Line 30: delays in seeking health care # health care seeking delays
Line 35: two experimental and control groups # two groups: experimental and control.
Line 35: Data was collected # Data were collected
Line 37: and # replaced by dot.
Line 38: measured # were measured
Line 39: significance level. # significant.
Line 44: Also # In addition,
Line 60: Because of biological and physiological differences, women experience health related
problems and issues differently from men # No need for this sentence, as it is understood from
the next sentence.
Line 67: delay in health care seeking by women was 39% for sexually transmitted diseases for
more than 7 days # delay for more than 7 days in health care seeking by women, was 39% for
sexually transmitted diseases
Line 77: treatment may # treatment that may
Line 84: woman and # woman, and
Line 118: obtained from a pilot study # clarify in brief the pilot study: its sample (10 women?),
why (to test face validity for the questionnaire?)
Line 186: A booklet titled “Guidelines for health care... #this reference “in Farsi” better be citied
with references (Authors & publisher: MOH? Or translated from English?).
Line 191: health stuff # health staff
Line 199: resources were offered to experimental group # Is there a possibility for women
from control group to be exposed to some educational resources (posters, pamphlets, internet
channel)?
Line 225: p<0.05 was considered significance level. # p value <0.05 was considered significant.
Line 228: HPM constructs and referral # HPM constructs, and referral
Line 231: commitment to plan and HCSB # commitment to plan, and HCSB
Line 235: significantly was increased # was significantly increased
Table 2: Age categories # put the age range (17?- 49) under the variable name
Table 2: #12th grade # >12th grade (to avoid overlap with previous class interval)
Table 3: positive # positive feelings; negative # negative feelings (or emotions, as it was
mentioned in the discussion)
Table 3&4: includes intervention results for control group. Why should a control group have
any intervention? (Being a baseline comparison to the experimental group) # Please clarify in
the methodology what was the intervention for the control group (was it similar to that for
experimental group?)
Table 4: this table was not discussed in the discussion # Either you include few lines discussing
it, or remove the table.
Line 367: it was welcomed by other women #I think this is an outcome rather than a strength!
Line 371: cluster randomized controlled trial study # each study has got its advantages &
limitations. I don’t think that the study type is considered as a point of strength.
Line 377: replicate the study among women in the rural # add: after modification of educational
interventions to suit illiterate women.
Line 391: Acknowledgments # I feel that health managers & relevant health staff in the 4 selected
health centers also need to be acknowledged.
Line 408: none of the participants refused to take part in the study # add in the method: The
response rate was 100%
Ref 24:  page number 1018-16 # 1018-6