@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2015;1(4):1-10
ISSN: 2383-2150 Journal of Education and Community Health 2015;1(4):1-10
Effects of Education Based on Focus Group Discussions on Menstrual Health Be-haviors of Female Adolescents in Boarding Centers of the Welfare Organization, Tehran, Iran
ARTICLE INFO
Article Type
Original ResearchAuthors
Shirzadi Sh. (1)Mahmoodi H. (1)
Niksadat N. (2)
Taghdisi M.H. (3)
Shojaeizadeh D. (4*)
(1) Department of Health education, School of Health, Tehran University of Medical Sciences, Tabriz, Iran
(2) Department of Public Health, School of Health, Shahid-Beheshti University of Medical Sciences, Tehran, Iran
(3) 3Department of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran
(4*) Department of Health Education and Promotion, School of Health, Tehran University of Medical Sciences, Tehran, Iran
Correspondence
Article History
Received: December 31, 2014Accepted: April 20, 2015
ePublished: June 22, 2015
ABSTRACT
Aims
Problems caused by menstruation are common among women. Focus group discussions are a method of data collection in which a small group of participants discuss a specified topic or issue. This study mainly aimed to determine the effects of health education based on focus group discussions on the promotion of health behaviors of female adolescents residing boarding centers of the Welfare Organization (Tehran, Iran) during their menstruation periods.
Materials & Methods This quasi-experimental interventional study recruited all eligible 12-19-year-old female residents (n=61) of the boarding centers affiliated to the Welfare Organization, Tehran, Iran. The data collection tool was a questionnaire including demographic information and puberty health behaviors (health behaviors during the menstruation period). The questionnaires were completed through interviews before and one month after training. The educational intervention lasted for three months. Data were analyzed using paired t and Kolmogorov-Smirnov tests in SPSS16.
Findings The mean scores of performance increased from 12.11±4.43 before the intervention to 16.50±2.79 after the intervention (P<0.001).
Conclusion Since the educational intervention based on focus group discussions had positive effects on the participants’ puberty health, such discussions are recommended to educate adolescent girls about puberty issues.
Materials & Methods This quasi-experimental interventional study recruited all eligible 12-19-year-old female residents (n=61) of the boarding centers affiliated to the Welfare Organization, Tehran, Iran. The data collection tool was a questionnaire including demographic information and puberty health behaviors (health behaviors during the menstruation period). The questionnaires were completed through interviews before and one month after training. The educational intervention lasted for three months. Data were analyzed using paired t and Kolmogorov-Smirnov tests in SPSS16.
Findings The mean scores of performance increased from 12.11±4.43 before the intervention to 16.50±2.79 after the intervention (P<0.001).
Conclusion Since the educational intervention based on focus group discussions had positive effects on the participants’ puberty health, such discussions are recommended to educate adolescent girls about puberty issues.
Keywords:
Education,
Group Discussion,
Female Adolescents,
Pubertal Physical Health,
Welfare Boarding Centers,
CITATION LINKS
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[19]Nejat N, Kashaninia Z, Memarian R. [Healthy behaviors of female teenagers living in orphanage centers and living with their families]. Journal of Hayat.2008; 14(1):49-59. (Persian)
[20]Bayat M, Akbarsharifi T, Nazari Jayrani M, Shahrivar Z, Haghani H. [Behavioral problems of children at age of 7-11 years old in foster care centers]. Iranian Journal of Nursing.2006; 19(46):53-60. (Persian)
[21]Solaymanifard S. The comparison of social skills of orphaned teenagers in in welfare boarding centers with adolescents in alternative family and adolescents in family in the Tehran [MSc thesis]. Tehran: University of Social Welfare Rehabilitation Sciences; 2009.
[22]Wickman ME, Anderson NL, Greenberg CS. The adolescent perception of invincibility and its influence on teen acceptance of health promotion strategies. J Pediatr Nurs.2008; 23(6):460-8.
[23]Shin YH, Rew L. Nursing student participation in mentoring programs to promote adolescent health: practical issues and future suggestions. Nurse Educ Today.2010; 30(1):26-30.
[24]Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 6ed. New Jersy: Julie Levin Alexander; 2002.
[25]El-Gilany AH, Badawi K, El-Fedawy S. Menstrual hygiene among adolescent schoolgirls in Mansoura, Egypt. Reprod Health Matters.2005; 13(26):147-52.
[26]Dasgupta A, Sarkar M. Menstrual hygiene: How hygienic is the adolescent girl?. Indian J Community Med.2008; 33(2):77-80.
[27]Omidvar Sh, Begum K. Factors influencing hygienic practices during menses among girls from south India-A cross sectional study. Int J Collab Res Intern Med Public Health.2010; 2(12):411-23.
[28]Jangsten E, Hellström AL, Berg M. Management of the third stage of labour-focus group discussions with Swedish midwives. Midwifery.2010; 26(6):609-14.
[29]Safari M, Salsali M, Ghofranipour F. [The effect of nurses education with method group dicusssion on the quality of nursing care in pationts with myocardial infarction]. Annals of Military and Health Sciences Research.2004; 2(4):437-41. (Persian)
[30]Baghcheghi N, Kouhestani H, Rezaei K. [Comparison of the effect of teaching through lecture and group discussion on nursing students' communication skills with patients]. Iranian Journal of Medical Education.2010; 10(3):211-8. (Persian)
[31]Forouhari S, Safarirad M, Moattari M, Mohit M, Ghaem H. [The effect of education on quality of life in menopausal women referring to Shiraz Motahhari clinic in 2004]. Journal of Birjand University of Medical Sciences.2009; 16(1):39-44. (Persian)
[32]Ruff CC, Alexander IM, McKie C. The use of focus group methodology in health disparities research. Nurs Outlook.2005; 53(3):134-40.
[33]Abdolahi F, Shaabankhani B, Khani S. [Study of puberty health educational needs of adolesecents in mazandaran province in 2003]. Journal of Mazandaran University of Medical Sciences.2004; 4(43):56-63. (Persian)
[34]Dabiri F, Abedini S, Shahi A, Kamjoo A. [The effect of different methods of health education on knowledge, attitudes and practice of female students regarding menstrual hygiene in Bandar Abbas (2006)]. Hormozgan Medical Journal.2008; 12(4):271-9. (Persian)
[35]Noori M, Merghati Khoi E. [The impact of peer-based educational approaches on girls' physical practice of pubertal health]. Arak Medical University Journal.2010; 12(4):129-35. (Persian)
[36]Burgess-Champoux T, Marquart L, Vickers Z, Reicks M. Perceptions of children, parents, and teachers regarding whole-grain foods, and implications for a school-based intervention. J Nutr Educ Behav.2006; 38(4):230-7.
[37]Wright CA, Jolly B, Schneider-Kolsky ME, Baird MA. Defining fitness to practise in Australian radiation therapy: A focus group study. Radiography.2011; 17(1):6-13.
[38]Houston AM, Abraham A, Huang Z, D'Angelo LJ. Knowledge, attitudes, and consequences of menstrual health in urban adolescent females. J Pediatr Adolesc Gynecol.2006; 19(4):271-5.
[39]Zare M, Malek Afzali H, Jandaghi J, Alameh MR, Kolahdoz M, Asadi O. [Effect of training regarding puberty on knowledge, attitude and practice of 12-14 year old girls]. Journal of Guilan University of Medical Sciences.2006; 14(56):18-26. (Persian)
[40]Bhatia JC, Cleland J. Self-reported symptoms of gynecological morbidity and their treatment in south India. Stud Fam Plann.1995; 26(4):203-16.
[41]Chan SS, Yiu KW, Yuen PM, Sahota DS, Chung TK. Menstrual problems and health-seeking behaviour in Hong Kong Chinese girls. Hong Kong Med J.2009; 15(1):18-23.
[42]Nair MK, Chacko DS, Ranjith Darwin M, Padma K, George B. Menstrual disorders and menstrual hygiene practices in higher secondary school girls. Indian J Pediatr.2012; 79:74-8.
[43]Oster E, Thornton R. Menstruation and education in Nepal. NBER Web Site: 2015, [cited 15 June, 2015]; Available from: http://www.nber.org/papers/w14853.pdf
[44]Baridalyne N, Reddaiah V. Menstruation knowledge, beliefs and practices of women in the reproductive age group residing in an urban resettlement colony of Delhi. Health & Population Perspectives & Issues.2004; 27(1):9-16.
[2]Escalada M, Heong K. Focus Group Discussion. Rice Planthopper Project Web Site; 2015 [cited 25 June, 2015]; Available from: http://ricehoppers.net/wp-content/uploads/2009/10/focus-group-discussion.pdf
[3]Conley CS, Rudolph KD. The emerging sex difference in adolescent depression: Interacting contributions of puberty and peer stress. Dev Psychopathol.2009; 21(2):593-620.
[4]Britton JA, Wolff MS, Lapinski R, Forman J, Hochman S, Kabat GC, et al. Characteristics of pubertal development in a multi-ethnic population of nine-year-old girls. Ann Epidemiol.2004; 14(3):179-87.
[5]Gajdos ZK, Henderson KD, Hirschhorn JN, Palmert MR. Genetic determinants of pubertal timing in the general population. Mol Cell Endocrinol.2010; 324(1-2):21-9.
[6]Pinyerd B, Zipf WB. Puberty-timing is everything!. J Pediatr Nurs.2005; 20(2):75-82.
[7]Graham M, James EL, Keleher H. Predictors of hysterectomy as a treatment for menstrual symptoms. Womens Health Issues.2008; 18(4):319-27.
[8]Eryilmaz G, Ozdemir F. Evaluation of menstrual pain management approaches by Northeastern Anatolian adolescents. Pain Manag Nurs.2009; 10(1):40-7.
[9]Ali TS, Rizvi SN. Menstrual knowledge and practices of female adolescents in urban Karachi, Pakistan. J Adolesc.2010; 33(4):531-41.
[10]do Amaral MC, Hardy E, Hebling EM. Menarche among Brazilian women: memories of experiences. Midwifery.2011; 27(2):203-8.
[11]Ameh N, Adesiyun A, Ozed-Williams C, Ojabo A, Avidime S, Umar-Sullyman H, et al. Reproductive health in Nigeria. J Pediatr Adolesc Gynecol.2009; 22(6):372-6.
[12]Wei SJ, Cooke M, Moyle W, Creedy D. Health education needs of family caregivers supporting an adolescent relative with schizophrenia or a mood disorder in Taiwan. Arch Psychiatr Nurs.2010; 24(6):418-28.
[13]el-Shazly MK, Hassanein MH, Ibrahim AG, Nosseir SA. Knowledge about menstruation and practices of nursing students affiliated to University of Alexandria. J Egypt Public Health Assoc.1990; 65(5-6):509-23.
[14]Center IS. Selected results of population and housing census, 2006. 1ed. Tehran: Statistics Center Publication; 2007. (Persian)
[15]Naorowzikowmare A, Kamali F. [Awareness, performance and attitude towards girls' high school students Bushehr on menstrual hygiene]. Iranian South Medical of Journals.2001; 3(1):60-6. (Persian)
[16]Rahnama M, Asadi Meshki A, Dalir Z, Mazlom SR. [Health status of Menstruation in girls high school in Zabul]. Dena Journal.2006; 1(2):11-7. (Persian)
[17]Sedghi Sabet M, Hasavari F, Saied Fazelpoor F. [A Survey of Knowledge, Attitude, and Health Behaviour of Girl Studeuts about Puberty]. Journal of Guilan University of Medical Sciences.2003; 12(47):31-8. (Persian)
[18]Radfar M. A comparative study of health behaviors in adolescent girls 11-18 years old during the period under welfare boarding facilities with female-headed households in the Tehran [MSc thesis]. Tehran: University of Sociale Welfare Rehabilitation Sciences; 1997.
[19]Nejat N, Kashaninia Z, Memarian R. [Healthy behaviors of female teenagers living in orphanage centers and living with their families]. Journal of Hayat.2008; 14(1):49-59. (Persian)
[20]Bayat M, Akbarsharifi T, Nazari Jayrani M, Shahrivar Z, Haghani H. [Behavioral problems of children at age of 7-11 years old in foster care centers]. Iranian Journal of Nursing.2006; 19(46):53-60. (Persian)
[21]Solaymanifard S. The comparison of social skills of orphaned teenagers in in welfare boarding centers with adolescents in alternative family and adolescents in family in the Tehran [MSc thesis]. Tehran: University of Social Welfare Rehabilitation Sciences; 2009.
[22]Wickman ME, Anderson NL, Greenberg CS. The adolescent perception of invincibility and its influence on teen acceptance of health promotion strategies. J Pediatr Nurs.2008; 23(6):460-8.
[23]Shin YH, Rew L. Nursing student participation in mentoring programs to promote adolescent health: practical issues and future suggestions. Nurse Educ Today.2010; 30(1):26-30.
[24]Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 6ed. New Jersy: Julie Levin Alexander; 2002.
[25]El-Gilany AH, Badawi K, El-Fedawy S. Menstrual hygiene among adolescent schoolgirls in Mansoura, Egypt. Reprod Health Matters.2005; 13(26):147-52.
[26]Dasgupta A, Sarkar M. Menstrual hygiene: How hygienic is the adolescent girl?. Indian J Community Med.2008; 33(2):77-80.
[27]Omidvar Sh, Begum K. Factors influencing hygienic practices during menses among girls from south India-A cross sectional study. Int J Collab Res Intern Med Public Health.2010; 2(12):411-23.
[28]Jangsten E, Hellström AL, Berg M. Management of the third stage of labour-focus group discussions with Swedish midwives. Midwifery.2010; 26(6):609-14.
[29]Safari M, Salsali M, Ghofranipour F. [The effect of nurses education with method group dicusssion on the quality of nursing care in pationts with myocardial infarction]. Annals of Military and Health Sciences Research.2004; 2(4):437-41. (Persian)
[30]Baghcheghi N, Kouhestani H, Rezaei K. [Comparison of the effect of teaching through lecture and group discussion on nursing students' communication skills with patients]. Iranian Journal of Medical Education.2010; 10(3):211-8. (Persian)
[31]Forouhari S, Safarirad M, Moattari M, Mohit M, Ghaem H. [The effect of education on quality of life in menopausal women referring to Shiraz Motahhari clinic in 2004]. Journal of Birjand University of Medical Sciences.2009; 16(1):39-44. (Persian)
[32]Ruff CC, Alexander IM, McKie C. The use of focus group methodology in health disparities research. Nurs Outlook.2005; 53(3):134-40.
[33]Abdolahi F, Shaabankhani B, Khani S. [Study of puberty health educational needs of adolesecents in mazandaran province in 2003]. Journal of Mazandaran University of Medical Sciences.2004; 4(43):56-63. (Persian)
[34]Dabiri F, Abedini S, Shahi A, Kamjoo A. [The effect of different methods of health education on knowledge, attitudes and practice of female students regarding menstrual hygiene in Bandar Abbas (2006)]. Hormozgan Medical Journal.2008; 12(4):271-9. (Persian)
[35]Noori M, Merghati Khoi E. [The impact of peer-based educational approaches on girls' physical practice of pubertal health]. Arak Medical University Journal.2010; 12(4):129-35. (Persian)
[36]Burgess-Champoux T, Marquart L, Vickers Z, Reicks M. Perceptions of children, parents, and teachers regarding whole-grain foods, and implications for a school-based intervention. J Nutr Educ Behav.2006; 38(4):230-7.
[37]Wright CA, Jolly B, Schneider-Kolsky ME, Baird MA. Defining fitness to practise in Australian radiation therapy: A focus group study. Radiography.2011; 17(1):6-13.
[38]Houston AM, Abraham A, Huang Z, D'Angelo LJ. Knowledge, attitudes, and consequences of menstrual health in urban adolescent females. J Pediatr Adolesc Gynecol.2006; 19(4):271-5.
[39]Zare M, Malek Afzali H, Jandaghi J, Alameh MR, Kolahdoz M, Asadi O. [Effect of training regarding puberty on knowledge, attitude and practice of 12-14 year old girls]. Journal of Guilan University of Medical Sciences.2006; 14(56):18-26. (Persian)
[40]Bhatia JC, Cleland J. Self-reported symptoms of gynecological morbidity and their treatment in south India. Stud Fam Plann.1995; 26(4):203-16.
[41]Chan SS, Yiu KW, Yuen PM, Sahota DS, Chung TK. Menstrual problems and health-seeking behaviour in Hong Kong Chinese girls. Hong Kong Med J.2009; 15(1):18-23.
[42]Nair MK, Chacko DS, Ranjith Darwin M, Padma K, George B. Menstrual disorders and menstrual hygiene practices in higher secondary school girls. Indian J Pediatr.2012; 79:74-8.
[43]Oster E, Thornton R. Menstruation and education in Nepal. NBER Web Site: 2015, [cited 15 June, 2015]; Available from: http://www.nber.org/papers/w14853.pdf
[44]Baridalyne N, Reddaiah V. Menstruation knowledge, beliefs and practices of women in the reproductive age group residing in an urban resettlement colony of Delhi. Health & Population Perspectives & Issues.2004; 27(1):9-16.