Vol 15, No 3 (2019):146-151

Sharing the power through promoting heart health literacy: A participatory action research in Iran

Mohammad Akbari, Masoumeh Sadat Mousavi, Farimah Shirani, Gholamreza Massoumi, Mohammadreza Shafeie, Reyhaneh Niknejad, Parvaneh Khourasani, Mousa Alavi, Ahmad Ghadami



DOI: http://dx.doi.org/10.22122/arya.v15i3.1902

Abstract


BACKGROUND: Low health literacy can act as a barrier to effective disease self-management. The study aimed to promote heart health literacy in Iranian society.

METHODS: This study was conducted as a participatory action research (PAR) based on Zuber-Skerritt Model to design and implement a program for promoting heart health literacy in Iranian society. Participants were selected among adults with heart diseases and their family members, as well as their health care providers in Chamran Hospital, Isfahan Heart Friends association and researchers, and Isfahan Cardiovascular Research Institute, Isfahan, Iran. Data collection was conducted using interviews. Content analysis was used to analyze the data to promote heart health literacy. Promoting of heart health literacy was implemented in different levels in Isfahan from March 2017 to October 2017. The effect of the program was evaluated based on interviews, feedback, and focus groups at the individual level.

RESULTS: Finally, at the World Heart Week, a healthy heart campaign was formed with the slogan "Share the power". At the end of this program, participants experienced significant empowerment during the project to promote heart health literacy. The three main themes indicating this feeling of empowerment were “Being worried about the hearts of others”, “Sensitization to the care of the heart”, and “General understanding of heart health”.

CONCLUSION: PAR can be an effective way to promote heart health literacy in Iranian society. It integrates the voices of the marginalized group promoting heart health literacy in
Iranian society.

 


Keywords


Heart; Health Literacy; Action Research; Iran

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References


Joshi MD, Ayah R, Njau EK, Wanjiru R, Kayima JK, Njeru EK, et al. Prevalence of hypertension and associated cardiovascular risk factors in an urban slum in Nairobi, Kenya: A population-based survey. BMC Public Health 2014; 14: 1177.

Sarrafzadegan N, Rabiei K, Alavi M, Abedi H, Zarfeshani S. How can the results of a qualitative process evaluation be applied in management, improvement and modification of a preventive community trial? The IHHP Study. Arch Public Health 2011; 69(1): 9.

Siegel R, Ma J, Zou Z, Jemal A. Cancer statistics, 2014. CA Cancer J Clin 2014; 64(1): 9-29.

Akbari Sari A, Babashahy S, Olyaeimanesh A, Rashidian A. Estimating the frequency and rate of first 50 common types of invasive procedures in Iran healthcare system. Iran J Public Health 2012; 41(10): 60-4.

Talebizadeh N, Haghdoust AA, Mirzazadeh A. An epidemiological model (markov chain) of cardiovascular disease in Iran. Payesh Health Monit 2009; 8(2): 163-70. [In Persian].

Lonsdale C, Sanders T, Cohen KE, Parker P, Noetel M, Hartwig T, et al. Scaling-up an efficacious school-based physical activity intervention: Study protocol for the 'Internet-based Professional Learning to help teachers support Activity in Youth' (iPLAY) cluster randomized controlled trial and scale-up implementation evaluation. BMC Public Health 2016; 16(1): 873.

Hersh L, Salzman B, Snyderman D. Health literacy in primary care practice. Am Fam Physician 2015; 92(2): 118-24.

Yavuz H, Simsek Z, Akbaba M. Health-risk behaviors in agriculture and related factors, southeastern Anatolian region of Turkey. J Agromedicine 2014; 19(4): 364-72.

Thompson SC, Haynes E, Woods JA, Bessarab DC, Dimer LA, Wood MM, et al. Improving cardiovascular outcomes among Aboriginal Australians: Lessons from research for primary care. SAGE Open Med 2016; 4: 2050312116681224.

Alavi M, Irajpour A, Giles T, Rabiei K, Sarrafzadegan N. Barriers to education in cardiac rehabilitation within an Iranian society: A qualitative descriptive study. Contemp Nurse 2013; 44(2): 204-14.

Vaidya A, Aryal UR, Krettek A. Cardiovascular health knowledge, attitude and practice/behaviour in an urbanising community of Nepal: A population-based cross-sectional study from Jhaukhel-Duwakot Health Demographic Surveillance Site. BMJ Open 2013; 3(10): e002976.

Awad A, Al-Nafisi H. Public knowledge of cardiovascular disease and its risk factors in Kuwait: A cross-sectional survey. BMC Public Health 2014; 14: 1131.

Miri A, Ghanbari MA, Najafi A. The relationship between health literacy and the recovery rate of cardiovascular patients after bypass surgery. Journal of Health Literacy 2016; 1(2): 83-91. [In Persian].

Saatchi M, Panahi M, Ashraf Mozafari A, Sahebkar M, Azarpakan A, Baigi V, et al. Health literacy and its associated factors: A population-based study, Hormuz Island. Iran J Epidemiol 2017; 13(2): 136-44. [In Persian].

Rezaee Esfahrood Z, Haerian Ardekani A, Rahmanian M, Ghaffari Targhi M. A survey on health literacy of referred diabetic patients to Yazd diabetes research center. Toloo e Behdasht 2016; 15(3): 176-86. [In Persian].

Holloway I, Galvin K. Qualitative research in nursing and healthcare. Hoboken, NJ: John Wiley & Sons; 2016.

Malterud K, Siersma VD, Guassora AD. Sample size in qualitative interview studies: Guided by information power. Qual Health Res 2016; 26(13): 1753-60.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004; 24(2): 105-12.

Denzin NK, Lincoln YS. The SAGE handbook of qualitative research. Thousand Oaks, CA: SAGE; 2011.

Cajita MI, Cajita TR, Han HR. Health literacy and heart failure: A systematic review. J Cardiovasc Nurs 2016; 31(2): 121-30.

Ghisi GLM, Chaves GSDS, Britto RR, Oh P. Health literacy and coronary artery disease: A systematic review. Patient Educ Couns 2018; 101(2): 177-84.

Tawalbeh LI, Ahmad MM. The effect of cardiac education on knowledge and adherence to healthy lifestyle. Clin Nurs Res 2014; 23(3): 245-58.

Ehrenthal DB, Haynes SG, Martin KE, Hitch JA, Addo SF, O'Neill E, et al. Evaluation of the Heart Truth professional education campaign on provider knowledge of women and heart disease. Womens Health Issues 2013; 23(2): e87-e93.

Arslanian-Engoren C. Building partnerships to reduce heart disease in women. Heart Lung 2016; 45(3): 161.

Zite NB, Wallace LS. Use of a low-literacy informed consent form to improve women's understanding of tubal sterilization: A randomized controlled trial. Obstet Gynecol 2011; 117(5): 1160-6.

Wolf MS, Davis TC, Curtis LM, Webb JA, Bailey SC, Shrank WH, et al. Effect of standardized, patient-centered label instructions to improve comprehension of prescription drug use. Med Care 2011; 49(1): 96-100.

Arcia A, Suero-Tejeda N, Bales ME, Merrill JA, Yoon S, Woollen J, et al. Sometimes more is more: Iterative participatory design of infographics for engagement of community members with varying levels of health literacy. J Am Med Inform Assoc 2016; 23(1): 174-83.


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