bluuebunny/crossref_metadata_2025_split huggingface dataset:
211: VALIDITY AND RELIABILITY OF A TOOL EVALUATING EVIDENCE UTILIZATION IN HEALTH POLICY MAKING BASED ON THE THEORY OF PLANNED BEHAVIOR
Authors: Nasab Mohammad Hasan Imani , Yazdizadeh Bahareh , Salehi Masoud , Seyedin Hesam , Majdzadeh Reza 
Published: May 2024

Background and aims:Although many models exist for designing knowledge translation interventions aimed at supporting evidence – based policy-making, no valid, reliable and domesticized measuring tool exists for assessing the changes taking place in utilization of research evidence by policy-makers and stakeholders. The goal of this study was to design and validate one such tool based on the Theory of Planned Behavior (TPB). This tool can then be applied to determine the status quo, design interventions and assess their impact.Methods:The study population consisted of all the technical units and their employees in the five deputies of the Ministry of Health and Medical Education in 2013. All those eligible to participate were included in the study, which comprised 373 persons. The reliability of the tool was determined through test-retest; its internal consistency and composite construct reliability and validity were determined by face, content, divergent, convergent, discriminant and construct validities. SPSS-20 and LISREL-8.8 were employed to analyze the data. To assess the fitness of the measurement models three groups of indices were used, absolute, relative and parsimonious.Results:The content & face validities of the tool were 83% and 67% respectively. The reliability was tested through internal consistency, where Cronbach's alpha of different constructs ranged from 0.7 to 0.9. In the test-retest method, the intra-class correlation was between 0.75 and 0.87. The composite reliability of all the constructs was higher than the acceptable value. Confirmatory Factor Analysis showed that the penta-factorial structure of the experimental data had acceptable fitness with the TPB (GFI=0.86, NFI=0.94, RSMEA=0.075).Conclusion:Based on our results, the TPB – based tool has relatively good reliability and validity to assess evidence utilization in health policy-making.
4: A STUDY ON THE RATE OF INFORMATION LITERACY OF FACULTY MEMBERS AND PHD STUDENTS OF FACULTY OF NURSING AND MIDWIFERY, TABRIZ UNIVERSITY OF MEDICAL SCIENCES, BASED ON SUCCESSFUL EVIDENCE HEALTHCARE
Authors: Razmkhah Maryam , Moghadam Hadi Sharif , Ziaei Soraya , Zarea Vahideh , Narimani Mohammad Reza 
Published: May 2024

Background and aims:Evidence based care is an approach to clinical problem-solving in which merging the results of several studies and information on specialty clinical care as well as patients' wishes and values leads to effective decision making, to avoid seeking frequent care facilitating the patient cares, empowering healthcare workers, maintaining and improving the health of patients and the families. Results of the conducted studies suggest that using such an approach requires information literacy skills. Therefore, the present study aimed to assess information literacy of the faculty members and PhD students of Nursing and Midwifery School of Tabriz University of Medical Sciences about evidence based care.Methods:In this cross-sectional survey 53 PhD students and faculty members were selected using census sampling method. Data gathering tool was a researcher-made questionnaire. This inventory was developed regarding valid scientific literature on information literacy and evidence-based care with 68 items and 5 standards of literacy prepared within some steps. After confirming the validity, its reliability was concluded by Cranach's Alpha (0.89). Data was analyzed using SPSS/22.Results:Average information literacy skill level for faculty members and students related to evidence-based care and information literacy standards was higher than the average index, except for “information exchange” standard (50±10). The highest and lowest mean scores in evidence based care were for, respectively, questions formation (respectively, 96.18±18.6.17 and 48.51±14.69) and evaluation results (respectively 95.56±6.66 and 45.94±14.08). For information literacy standards there were calculated for (respectively) finding information as the highest score for (respectively, 95.56±6.66 and 72.44±13.62) and the lowest for information exchange (respectively, 74.19±11.83 and 48.51±11.35).Conclusion:According to the results of this study and also regarding to this subject that PhD students' and faculty members' information literacy level was above the average; it is recommended to develop optimal measures to promote evidence based decision making.
41: CRITICAL APPRAISAL OF EVIDENCE-BASED NURSING CARE GUIDELINE BY USING THE AGREE II INSTRUMENT
Authors: Ghanbari Atefeh , Rahmatpour Pardis , Jafaraghayee Fatemeh , Khalili Malahat 
Published: May 2024

Background and aims:Clinical practice guidelines (CPGs) are useful tools based on the best available evidence for bridging the gap between available scientific evidence and clinical practice. Implementation according CPGs in practice have positive effects on health professionals' practice and patient outcomes. However, with the increase in published CPGs, concerns about their quality have risen. The aim of this study is to Critical Appraisal of Evidence-based Nursing Care Guideline by Using the AGREE II instrument.Methods:Evidence-based Nursing Care Guideline in patients with diabetic foot ulcer was developed based on Stetler Model from March to December 2015by our research team. Critical appraisal of guideline was evaluated in 6 domains of AGREEII tool by expert panel. Expert panel(n=10) consist of specialist in endocrinology and diabetes field and nursing faculty member of Guilan University of Medical Sciences(GUMS) had research in diabetes and DFU. Applicability of guideline in clinical was assess with checklist by nursing group. Nursing group (n=28) consists of head nurses and all nurses of endocrine and surgery units, and educational nursing supervisor of RAZI hospital affiliated to GUMS.Results:Among 114studies, evidence of 19 studies was selected and categorized based on 8NDs. According to mean scores of CVI/CVR of evidence, some evidence was revised by research team. In AGREEII domains, guideline had the highest score in “Scope and Purpose” (92.7%) and the lowest in “Applicability” (76.2%). About applicability of guideline, 92.9% of nurses reported the positive effect of implementation of guideline recommendations on caring DFU and lack of needed equipment for its implementation.Conclusion:According to results, developed guideline in all domains had acceptable score. Recommendations of guideline had effective role in prevention, reduction of complication and length of stay in hospital among DFU patients. Development, implementation and evaluation of these guidelines are recommended for diabetes complications.
48: EFFECT OF EDUCATION EMPOWERMENT PROGRAM THE FAMILY PHYSICIAN IN MEDICINE STUDENT FASA UNIVERSITY OF MEDICAL SCIENCES
Authors: Ghasemi Afsaneh , koohpaayh Mohammad Amin , makulaty Zohre , hedayati Arvin 
Published: May 2024

Background and aims:Based on the resolutions of the World Conference in Edinburgh Scotland in 1988 community health and how to care and maintain the health of the population increase, which leads to changes in the training programs for medical education. The necessity of change in medical education programs based on the needs of the modern society and the role of the physician in the next century will cause medical education programs changes occur Medical education programs in which changes occur in a manner that their graduates to be in identifying health problems – how to do the treatment and community care and maintain the health of the people, which led to increased changes in public medical education programs. Certainly a capable practitioners in the section t in the field of community family physician plan will be successful. “on the other hand clearly on the need to re-think the rules and regulations of the performance assessment again family physician check it strengths training a key role planning and strength challenges the strengths of the plan should not forget the aim of this project is to determine the impact of family physician training empowerment program in medical students internship FASA University of medical sciences.Methods:this study of an intervention which was to investigate and determine impact of educational intervention on health according to the work position of the courses. In a sample of the population of students Extern In the year of Example of terms of entry or exit of resource is not loyal medical students s that 40 persons Extern 1394. In this study for training should discuss the needs analysis training is done verification by attendance doctors of family has been training package machinery create destroyed that rubric courses of the doctor family manage health system therapy literacy and related to mothers and children, and the elderly. treatment and management of then closed education issues confuse group test means two months later, witness results, using the Software SPSS method statistics T couple due post test and test was used to test the questionnaire awareness made special educational closed use it credit by specialist health education and medical is determined by socialResults:Analysis of covariance showed that after adjusting for effects of pretest scores, the difference between mean posttest scores all constructs of in the intervention group 1 and control group were significant (P<0.0001). In addition, changes in mean scores of knowledge (42.4±13.6), acknowledge scale (29.1±14.2), before and after intervention were significant in the intervention group 2 (P<0.0001).Conclusion:Application of family physicians is practically feasible and can result in enhancement and improvement of their knowledge and empowerment student.
53: EVALUATE THE EFFECT OF PERCEIVED STRESS ON DYSMENORRHEA
Authors: Dehkordi Ziba Raisi 
Published: May 2024

Background and aims:Dysmenorrhea is one of the most commonly reported symptoms by adolescent girls and adult women in obstetrics and gynaecology departments that can have adverse effects on their quality of life. The aim of this research was to evaluate psychologic risk factors of primary dysmenorrhea.Methods:A cross-sectional study was conducted on female students residing in dormitory in Shahrekord University of Medical Sciences in Shahrekord, Iran. In this study, 96 females with dysmenorrhea and 100 females without dysmenorrhea were enrolled. A questionnaire along with the Perceived Stress Scale (PSS) and Pictorial Blood Assessment Chart (PBAC) was provided to the students.Results:66 students had a PSS score >20 while 130 had a score ≤20. An association was established between high stress levels (PSS >20) and menstrual irregularity. No association was found in students with PSS >20 with hypomenorrhoea, menorrhagia, dysmenorrhea, long cycle length and short cycle length.Conclusion:High stress levels (PSS >20) was associated with only menstrual irregularities and not with duration, amount of flow or dysmenorrhea. Hence, other causes should be looked for in young women complaining of menstrual problems before stress is assumed to be the cause.
56: EVALUATION OF SCIENTIFIC OUTPUTS OF HEALTH TECHNOLOGY ASSESSMENTS IN PUBMED
Authors: Abbasi Fahime , Jalalzadeh Sara , Pashazadeh Fariba 
Published: May 2024

Background and aims:Health technology assessments (HTA's) have been known as a scientific approach for improving of patient outcomes also efficacy promoting of health systems. Therefore, in this study, scientific publications of HTAs in PubMed have been assessed.Methods:In this descriptive-scientometrics research, all HTA studies were searched in PubMed in August 2016. For this purpose, special keywords were searched in title, abstract and Mesh subject headings without any date limitation. Then, 2881 retrieved documents were analyzed.Results:According to the findings, the first document in the field of HTA published in 1978 and then in 1983. Also, the most of documents published in 2015, 2014, 2016 consequently. In addition, the most frequency of affiliations belonged to VANCOUVER BC' TORONTO ON and MONTREAL QC. Furthermore, SIEBERT U' DRUMMOND M and HAILEY D were the most active authors. Moreover, three journals include INTERNATIONAL JOURNAL OF TECHNOLOGY ASSESSMENT IN HEALTH CARE' HEALTH TECHNOLOGY ASSESSMENT (WINCHESTER, ENGLAND) and VALUE IN HEALTH: THE JOURNAL OF THE INTERNATIONAL SOCIETY FOR PHARMACOECONOMICS with 32% of publications had the highest portion in this area and English language with 90% were in the first rank, then, German, French and Spanish were in the next ranks. Finally, the majority of publications were Journal Article and then RESEARCH SUPPORT, NON-U.S. GOV'T and REVIEW allocated next places.Conclusion:Health technology assessments are important tools in order to help for policy making, programming and technology management in health care services. Hence, evaluation of publication in this domain can reflect published research trend and lead to conduct ongoing studies to provide studies Effectiveness toward society requirements and government's policies.
58: EVALUATION OF THE EFFECTS OF ACOUSTIC STIMULATION AND FEEDING MOTHER STIMULATION ON NON-REACTIVE NON-STRESS TEST
Authors: Raouf Shiva 
Published: May 2024

Background and aims:Non-stress test (NST) is known as one of the most common assessments for evaluation of fetus wellbeing. Since the prevalence of its false positive resultsishigh and majority of fetuses with non-reactive results are not at risk, it is important to find out effective approaches to identify such results to avoid unnecessary interventions. So this survey was conducted with the aim of comparing the effects of acoustic stimulation with feeding mothers stimulation on non-reactive NST results.Methods:This study performed on 104 healthy pregnant women with non-reactive NST results and gestational ages between 32 and 42 weeks in Tabriz Alzahra hospital. Subjects were divided into two groups for acoustic stimulation and feeding mother stimulation. Halfan hour later NST repeated for participants of each group in the same environmental condition and again the results evaluated.Results:According to our findings, 75% of subjects with non-reactive NST results changed to reactive after acoustic stimulation group. However, 80% of participants with non-reactive NST results changed into reactive after feeding Stimulation. No significant differences found while comparing test results.Conclusion:Both stimulating approaches were effective in the identification of false positive NSTs and might be useful in preventing the unnecessary interventions.
59: EVIDENCE BASED DECISION MAKING ABOUT FACTORS AFFECTING CONSULTATION LENGTH OF PHYSICIANS WORLDWIDE: A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: HajEbrahimi Sakineh , Janati Ali , Hasanpoor Edris , Arab-Zozani Morteza , Sokhanvar Mobin , Pashzadeh Fariba , HaghGoshyie Elaheh 
Published: May 2024

Background and aims:Consultation length is a crucial aspect of patient-physician interaction that its inadequacy can negatively influence the treatment and diagnosis efficiency. The purpose was to determine factors related to consultation length of physicians and we sought to compare consultation length in different countries worldwide.Methods:We searched PubMed, Web of Science, Cochrane, ProQuest, and Scopus. Also, we searched Google Scholar for finding of the entire articles that theses related to consultation length. We used data sources up to November, 2015, without language restriction and searched the reference lists of retrieved articles. We extracted Consultation length and Factors related to it and assessments for their methodological quality using the AXIS (Appraisal tool for Cross-Sectional Studies) checklist. Meta-analyses were conducted using Comprehensive Meta-Analysis Version (CMA) 2.0. We used a random-effects model for the meta-analyses of factors.Results:Of the 16 911 identified studies, 189 met full inclusion criteria. Of 189 studies assessed, 125 cases (67%) were conducted in USA, UK, Australia and Netherlands. Only, 49 (26%) studies were strong evidence. 164 (86.77%) studies were face to face consultations. The effect of three variables physicians' gender, patients' gender and type of consultation investigated on the consultation length. According to moderate and strong evidence, no statistically significant difference was found in the consultation length in female and male doctors (p=0.891). Also, no statistically significant difference was found in the consultation length between female and male patients (p=0.314) and telemedicine and face to face (p=0.170) visits.Conclusions:According to all evidence, The results showed that no association was identified between consultation length and three factors in the random-effects model. It seems patient-physician interaction more than studied variables, influence the length of consultations.
65: EXPLORING FACTORS INFLUENCING OVER-MEDICALIZATION: A SCOPING REVIEW
Authors: Doshmangir Parinaz , Doshmangir Leila , Shaghaghi Reza 
Published: May 2024

Background and aims:Medicalization is the process of extending medical gaze on human conditions which is not intrinsically bad phenomenon. Engaging in the medicalization out of defined thresholds or the bad form of medicalization is called over-medicalization. Detriment, dispensable death and waste of numerous resources are the causes of over-medicalization. The aim of this scoping review was to explore influential factors on over medicalization in the world.Methods:We did search in PubMed, Scopus, Cochrane, Ovid, Proquest as reliable databases. Articles that were investigated determinants of over medicalization in different themes were selected. All data entered in data extractions table and Meta synthesis method was used for qualitative research. Factors were grouped according to the musicalized subjects and categorized into three levels (personal, professional and social).Results:Out of 5118 articles identified for the study, over 70 factors were extracted from 30 articles addressing factors affecting over medicalization in various subjects. Among the extracted factors, the social and professional factors were respectively more than personal factors.Conclusion:Over-medicalization originates from a wide range of factors. Identifying potential influential factors in provision of unnecessary care is pivotal to eliminate the menace of this phenomenon. Extra social, political and cultural resources will be needed if the reported factors are to be tackled.
70: HEALTH INSURANCE AND THE UTILIZATION OF HEALTH CARE: A SYSTEMATIC REVIEW
Authors: Nosratnejad Shirin , Shami Elham 
Published: May 2024

Background and aims:All the countries are moving towards universal coverage insurance. in their ability to achieve universal coverage, it is likely that they would have similar effects on the health care utilization of the people who gained coverage. This study aimed to examine the relationship between health insurance status and utilization of health services.Methods:We conducted a systematic review using five electronic databases (PubMed, Scopus, and Web of science, ProQuest Medical Library, and Science Direct). We did the search up to April 2015. Two authors appraised the identified studies and then examined Factors associated with the coverage and utilization of health insurance of the study. We used two synthesis approaches: narrative synthesis and vote- counting.Results:According to inclusion criteria, 19 studies were included in the study. All retrieved articles were qualitative study. age, Gender, Education, Marriage, Employment, Health status, insurance status, household size, Income, Inpatient and Outpatient services, Physician visit, and Emergency visit are important factors on the utilization and influence the utilization of health services positively. Also health services utilization among insured was significantly higher than that of the uninsured households.Conclusion:health insurance increased access to health care and utilization of health services. Health insurance can also be induced demand too. But increasing utilization through health insurance doesn't improve health outcomes.
85: KNOWLEDGE, ATTITUDE AND PRACTICE OF HIV/AIDS: A SYSTEMATIC REVIEW AMONG KEY POPULATIONS AT RISK FOR HIV INFECTION IN IRAN
Authors: Hooshyar Samira Hosseini , Shahesmaeili Armita , Faramani Roya Safari , Khajehkazemi Razieh , Nasirian Maryam , Sharifi Hamid , Kamali Kianoosh 
Published: May 2024

Background and aims:According to the Ministry of Health and Medical education in Iran, 27000 cases of HIV/AIDS have been registered so far. Given the importance of key groups in the spread of HIV/AIDS alongside the significant role of prevention as the most important approach to tackle this infection, this study was designed to document the current state of the knowledge, attitude and practices of key populations towards HIV/AIDS in Iran.Methods:In this study, we systematically reviewed the scientific literature up to July 2014 on HIV/AIDS knowledge, attitude and practices. We focused on four key populations including female sex workers, prisoners, and injecting and non-injecting drug users. We searched PubMed, Scopus, Google Scholar, SID and Iranmedex databases. The search strategy was constructed using “and” and “or” operators and the following keywords: Female Sex Worker, Injecting Drug User, HIV, Prisoners, Drug User, Knowledge, Attitude, Practice and Iran. A checklist was designed to assess the internal validity and overall quality of each paper. Two independent reviewers assessed the quality of each paper. In case of disagreement, a third expert-opinion was sought.Results:A total of 195 studies were retrieved, of which 25 were repetitive and only 8 studies were included in the final review based on their good quality. Due to the diversity of research methodologies and applied tools in existing studies, performing a meta-analysis was not considered feasible. Among included studies, none had evaluated the HIV/AIDS related practice. Mean knowledge score was ranged from 40.29 to 50.6 and the mean attitude score was from 38.3 to 67.5. Moreover, the percentage of those with high level of knowledge varied between 6 and 44.5 and those with a high positive attitude between 7.6 and 38.1.Conclusion:Despite the importance of preventive behaviors among key groups in breaking the chain of HIV transmission, the lack of evidence in this area is clear. The need to design a comprehensive tool to assess the knowledge, attitude and practice of all subgroups, especially key populations at risk for HIV is a top priority of research in this area.