Volume 22, Issue 3 (9-2023)
TB 2023, 22(3): 1-15 |
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Mazloumi Mahmoud Abad S, majd H, zareei H, Miri M R, Mandegar M. The Effect of Educational Program Based on the COM-B Model on the Adoption of Preventive Behaviors against the Tendency for Addiction in Sensation-Seeking Male Students of Junior School. TB 2023; 22 (3) :1-15
URL: http://tbj.ssu.ac.ir/article-1-3508-en.html
URL: http://tbj.ssu.ac.ir/article-1-3508-en.html
Shahid Sadoughi University of Medical Sciences, Yazd , mazharimajdhossein@gmail.com
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The Effect of Educational Program Based on the COM-B Model on the Adoption of Preventive Behaviors against the Tendency for Addiction in Sensation-Seeking Male Students of Junior School
Seyed Saeed Mazloomi Mahmoodabad (Ph.D.)1, Hassan Zarei Mahmoodabadi (Ph.D.)2, Hossein Mazhari Majd (Ph.D.)3, Mohammad Reza Miri (Ph.D.)4,Mehdi Mandegar (M.Sc.)5
1.Professor, Department of Health Education and Promotion, Social Determinants of Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2.Associate Professor, Department of Psychology, Yazd University, Yazd, Iran.
3.Corresponding Author: Ph.D. Student of Health Education, School of Health, Shaheed Sadoughi University of Medical Sciences, Yazd, Iran. Email: saeiderastjoo@yahoo.com Tel: 09159626938
4.Professor, Department of Health Education and Promotion, Social Determinants of Health Research Center, School of Public Health, Birjand University of Medical Sciences, Birjand, Iran.
5.Master of Clinical Psychology, Education Management, Birjand City, Birjand, Iran
Abstract
Introduction: Drug abuse usually starts in adolescence; it is influenced by factors such as gender, age, psychological factors affecting sensation seeking and social communication. The COM-B model includes a full range of behavioral concepts and is suitable for intervention regarding substance abuse. This research was carried out with the aim of evaluating the impact of education on the prevention of substance abuse among students.
Methods: An experimental study with a randomized controlled trial type was carried out. Using cluster method, two clusters were randomly selected from trhe schools on the outskirts of the city; one school was determined as intervention, and the other as control with a sample size of 50 people in each group. With Zuckerman's sensation seeking questionnaire, students were examined, and those with a positive score were evaluated with the COM-B substance abuse tendency questionnaire. Educational interventions were implemented for the intervention group. After completion of the intervention and three later, this questionnaire was completed by both groups.
Results: In the intervention group, the scores of physical capacity (p=0/001), mental capacity (p=0/001), reflective motivation (p<0/05), automatic motivation (p<0/05), and preventive behavior against substance abuse increased after the intervention (p<0/05), but no significant difference was observed in the opportunity score in the studied times. In the control group, there was no significant difference in the scores of any of the variables during the study.
Conclusion: The implementation of educational programs based on COM-B model is effective in reducing the tendency of students to abuse drugs.
Keywords: Substance Abuse, Sensation Seeking, COM-B Model, adolescent, Educational Intervention
References
1- Gray KM, LM Squeglia. Research Review: What have we learned about adolescent substance use? J Child Psychol Psychiatry, 2018. 59(6): 618-627.
2-Altobelli E, Rapacchietta, Tiberti L, Petrocelli S, Cicioni R, di Orio L, Profeta F, et al. Association between drug, alcohol and tobacco use in adolescents and socio-familiar factors. Ann Ig, 2005. 17(1): 57-65.
3-Soleimanian A, Sarbandi F, Ardestani M, Moghaisi A. National Framework of Service Provision to Promote Healthy Living.1nd ed. Tehran: Tandis. 2017. 24-25[Persian]
4-Pirzadeh A. Students’ performance in Isfahan University of Medical Sciences regarding the use of ecstasy pills based on the health belief model in 2010. Journal of Health system research7(1):1082–89
5- Ewald DR, RW Strack, and MM Orsini. Rethinking Addiction. Glob Pediatr Health, 2019. 6(1): 1-16.
6- Habibi M, Ashouri A and Bagherian Sararoodi. Preventing Addiction in Children and Adolescents: A Review of Individual, Family, and Social Factors. 2013: 574-587. [Persian]
7- Khademi Ashkari M. Evaluation of Individual Risk Factors in Drug Abuse Among High School Students at Risk. Psychological Studies, 2012. 8 (2): 97-122. [Persian]
8-Ahon RA, Ismaili M, Shakelehnia F, Akhlaghi A, Montazeri MS. Perceived effects of addiction (family, attachment, belief) on male adolescents. Knowledge and Research in Applied Psychology, 2017. 15 (58): 110-120.
9- Organization PAH.Youth: Choices and Change 2005, Washington, D.C. 20037 U.S.A.: Pan American Health Organization Pan American Sanitary Bureau, Regional Office of the WORLD HEALTH ORGANIZATION.
10- Edalati H, Conrod PJ. A Review of Personality-Targeted Interventions for Prevention of Substance Misuse and Related Harm in Community Samples of Adolescents. Front Psychiatry, 2018. 9: 770.
11- Jensen M, L Chassin, NA Gonzales. Neighborhood Moderation of Sensation Seeking Effects on Adolescent Substance Use Initiation. Journal of Youth and Adolescence, 2017. 46(9): 1953-1967.
12-Mason M, Mennis J, Light J, Rusby J, Westling E, Crewe S,Way T, Flay B, Zaharakis N. Parents, Peers, and Places: Young Urban Adolescents' Microsystems and Substance Use Involvement. J Child Fam Stud, 2016. 25(5): 1441-1450.
13. West R.Models of addiction.14nd ed. Luxembourg: European Monitoring Centre for Drugs and Drug Addiction. 2013:12.
14- Karimi M, Vand Z. A Survey of High School Students' Attitudes Towards Drugs (Case Study of Darrehshahr). Ilam Law Enforcement Quarterly. 2013 (8): 73-102. [Persian]
15-Allin L, Haighton C, Dalkin S, Das J, Allen G. Understanding the challenges and impact of training on referral of postnatal women to a community physical activity programme by health professionals: A qualitative study using the COM-B model. Midwifery. 2023;116:103516.
16-Bobak A, Raupach T. Effect of a Short Smoking Cessation Training Session on Smoking Cessation Behavior and Its Determinants Among General Practitioner Trainees in England. Nicotine & tobacco research: official journal of the Society for Research on Nicotine and Tobacco. 2018;20(12):1525-8.
17-Silva MN, Godinho C, Salavisa M, Owen K, Santos R, Silva CS, et al. "Follow the Whistle: Physical Activity Is Calling You": Evaluation of Implementation and Impact of a Portuguese Nationwide Mass Media Campaign to Promote Physical Activity. International journal of environmental research and public health. 2020;17(21): 7062.
18-Castro O, Vergeer I, Bennie J, Biddle SJH. Feasibility of Reducing and Breaking Up University Students' Sedentary Behaviour: Pilot Trial and Process Evaluation. Front Psychol. 2021;12: 661994.
19-Combes G, Owen G, Damery S, Flanagan S, Brown C, Currie G. Implementing a new clinical pathway in a non-receptive context: Mixed methods evaluation of a new fracture pathway for older people in a hospital Trust in the West Midlands, UK. PloS one. 2021;16(2): 0247455.
20-Hartmann CW, Mills WL, Pimentel CB, Palmer JA, Allen RS, Zhao S, et al. Impact of Intervention to Improve Nursing Home Resident–Staff Interactions and Engagement. The Gerontologist. 2018;58(4): 291-301.
21-Hayes CV, Eley CV, Ashiru-Oredope D, Hann M, McNulty CA. Development and pilot evaluation of an educational programme on infection prevention and antibiotics with English and Scottish youth groups, informed by COM-B. Journal of infection prevention. 2021;22(5):212-219.
Seyed Saeed Mazloomi Mahmoodabad (Ph.D.)1, Hassan Zarei Mahmoodabadi (Ph.D.)2, Hossein Mazhari Majd (Ph.D.)3, Mohammad Reza Miri (Ph.D.)4,Mehdi Mandegar (M.Sc.)5
1.Professor, Department of Health Education and Promotion, Social Determinants of Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2.Associate Professor, Department of Psychology, Yazd University, Yazd, Iran.
3.Corresponding Author: Ph.D. Student of Health Education, School of Health, Shaheed Sadoughi University of Medical Sciences, Yazd, Iran. Email: saeiderastjoo@yahoo.com Tel: 09159626938
4.Professor, Department of Health Education and Promotion, Social Determinants of Health Research Center, School of Public Health, Birjand University of Medical Sciences, Birjand, Iran.
5.Master of Clinical Psychology, Education Management, Birjand City, Birjand, Iran
Abstract
Introduction: Drug abuse usually starts in adolescence; it is influenced by factors such as gender, age, psychological factors affecting sensation seeking and social communication. The COM-B model includes a full range of behavioral concepts and is suitable for intervention regarding substance abuse. This research was carried out with the aim of evaluating the impact of education on the prevention of substance abuse among students.
Methods: An experimental study with a randomized controlled trial type was carried out. Using cluster method, two clusters were randomly selected from trhe schools on the outskirts of the city; one school was determined as intervention, and the other as control with a sample size of 50 people in each group. With Zuckerman's sensation seeking questionnaire, students were examined, and those with a positive score were evaluated with the COM-B substance abuse tendency questionnaire. Educational interventions were implemented for the intervention group. After completion of the intervention and three later, this questionnaire was completed by both groups.
Results: In the intervention group, the scores of physical capacity (p=0/001), mental capacity (p=0/001), reflective motivation (p<0/05), automatic motivation (p<0/05), and preventive behavior against substance abuse increased after the intervention (p<0/05), but no significant difference was observed in the opportunity score in the studied times. In the control group, there was no significant difference in the scores of any of the variables during the study.
Conclusion: The implementation of educational programs based on COM-B model is effective in reducing the tendency of students to abuse drugs.
Keywords: Substance Abuse, Sensation Seeking, COM-B Model, adolescent, Educational Intervention
References
1- Gray KM, LM Squeglia. Research Review: What have we learned about adolescent substance use? J Child Psychol Psychiatry, 2018. 59(6): 618-627.
2-Altobelli E, Rapacchietta, Tiberti L, Petrocelli S, Cicioni R, di Orio L, Profeta F, et al. Association between drug, alcohol and tobacco use in adolescents and socio-familiar factors. Ann Ig, 2005. 17(1): 57-65.
3-Soleimanian A, Sarbandi F, Ardestani M, Moghaisi A. National Framework of Service Provision to Promote Healthy Living.1nd ed. Tehran: Tandis. 2017. 24-25[Persian]
4-Pirzadeh A. Students’ performance in Isfahan University of Medical Sciences regarding the use of ecstasy pills based on the health belief model in 2010. Journal of Health system research7(1):1082–89
5- Ewald DR, RW Strack, and MM Orsini. Rethinking Addiction. Glob Pediatr Health, 2019. 6(1): 1-16.
6- Habibi M, Ashouri A and Bagherian Sararoodi. Preventing Addiction in Children and Adolescents: A Review of Individual, Family, and Social Factors. 2013: 574-587. [Persian]
7- Khademi Ashkari M. Evaluation of Individual Risk Factors in Drug Abuse Among High School Students at Risk. Psychological Studies, 2012. 8 (2): 97-122. [Persian]
8-Ahon RA, Ismaili M, Shakelehnia F, Akhlaghi A, Montazeri MS. Perceived effects of addiction (family, attachment, belief) on male adolescents. Knowledge and Research in Applied Psychology, 2017. 15 (58): 110-120.
9- Organization PAH.Youth: Choices and Change 2005, Washington, D.C. 20037 U.S.A.: Pan American Health Organization Pan American Sanitary Bureau, Regional Office of the WORLD HEALTH ORGANIZATION.
10- Edalati H, Conrod PJ. A Review of Personality-Targeted Interventions for Prevention of Substance Misuse and Related Harm in Community Samples of Adolescents. Front Psychiatry, 2018. 9: 770.
11- Jensen M, L Chassin, NA Gonzales. Neighborhood Moderation of Sensation Seeking Effects on Adolescent Substance Use Initiation. Journal of Youth and Adolescence, 2017. 46(9): 1953-1967.
12-Mason M, Mennis J, Light J, Rusby J, Westling E, Crewe S,Way T, Flay B, Zaharakis N. Parents, Peers, and Places: Young Urban Adolescents' Microsystems and Substance Use Involvement. J Child Fam Stud, 2016. 25(5): 1441-1450.
13. West R.Models of addiction.14nd ed. Luxembourg: European Monitoring Centre for Drugs and Drug Addiction. 2013:12.
14- Karimi M, Vand Z. A Survey of High School Students' Attitudes Towards Drugs (Case Study of Darrehshahr). Ilam Law Enforcement Quarterly. 2013 (8): 73-102. [Persian]
15-Allin L, Haighton C, Dalkin S, Das J, Allen G. Understanding the challenges and impact of training on referral of postnatal women to a community physical activity programme by health professionals: A qualitative study using the COM-B model. Midwifery. 2023;116:103516.
16-Bobak A, Raupach T. Effect of a Short Smoking Cessation Training Session on Smoking Cessation Behavior and Its Determinants Among General Practitioner Trainees in England. Nicotine & tobacco research: official journal of the Society for Research on Nicotine and Tobacco. 2018;20(12):1525-8.
17-Silva MN, Godinho C, Salavisa M, Owen K, Santos R, Silva CS, et al. "Follow the Whistle: Physical Activity Is Calling You": Evaluation of Implementation and Impact of a Portuguese Nationwide Mass Media Campaign to Promote Physical Activity. International journal of environmental research and public health. 2020;17(21): 7062.
18-Castro O, Vergeer I, Bennie J, Biddle SJH. Feasibility of Reducing and Breaking Up University Students' Sedentary Behaviour: Pilot Trial and Process Evaluation. Front Psychol. 2021;12: 661994.
19-Combes G, Owen G, Damery S, Flanagan S, Brown C, Currie G. Implementing a new clinical pathway in a non-receptive context: Mixed methods evaluation of a new fracture pathway for older people in a hospital Trust in the West Midlands, UK. PloS one. 2021;16(2): 0247455.
20-Hartmann CW, Mills WL, Pimentel CB, Palmer JA, Allen RS, Zhao S, et al. Impact of Intervention to Improve Nursing Home Resident–Staff Interactions and Engagement. The Gerontologist. 2018;58(4): 291-301.
21-Hayes CV, Eley CV, Ashiru-Oredope D, Hann M, McNulty CA. Development and pilot evaluation of an educational programme on infection prevention and antibiotics with English and Scottish youth groups, informed by COM-B. Journal of infection prevention. 2021;22(5):212-219.
Type of Study: Research |
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Received: 2022/11/23 | Accepted: 2023/03/5 | Published: 2023/09/1
Received: 2022/11/23 | Accepted: 2023/03/5 | Published: 2023/09/1
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