Volume 22, Issue 1 (4-2023)
TB 2023, 22(1): 80-92 |
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Payahoo L, Amouei M, Shafaghi H, Bagherzade H, Askari S, Khajebishak Y. Assessment of the probiotic products usage barriers and the status of knowledge, attitude, practice in nurses and medical sciences students: A descriptive-analytical study. TB 2023; 22 (1) :80-92
URL: http://tbj.ssu.ac.ir/article-1-3456-en.html
URL: http://tbj.ssu.ac.ir/article-1-3456-en.html
Laleh Payahoo 
, Mohammadjavad Amouei , Haniye Shafaghi , Hossein Bagherzade , Shakibaa Askari , Yaser Khajebishak *
, Mohammadjavad Amouei , Haniye Shafaghi , Hossein Bagherzade , Shakibaa Askari , Yaser Khajebishak *
Department of Nutrition and Food Sciences, Maragheh University of Medical Sciences, Maragheh, Iran , khajebishaky@mail.com
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Assessment of the probiotic products usage barriers and the status of knowledge, attitude, practice in nurses and medical sciences students: A descriptive-analytical study
Laleh Pyahoo(Ph.D.)1, Mohammad Javad Amouie(B.S.)2, Haniyeh Shafaghi omam(B.S.)2, Hosein Bagherzadeh(B.S.)2, Shakiba Askari(B.S.)2, Yaser Khajebishak(Ph.D.)3
1.Assistant Professor of Nutrition Sciences, Department of Nutrition and Food Sciences, Maragheh University of Medical Sciences, Maragheh, Iran
2.BS in Nutrition Sciences, Student Research Committee, Maragheh University of Medical Sciences,
3.Corresponding Author: Assistant Professor of Nutrition Sciences, Department of Nutrition and Food Sciences, Maragheh University of Medical Sciences, Maragheh, Iran. Email: khajebishak.y@gmail.com, Phone 041-37276363.
Abstract
Introduction: Probiotics, as live microorganisms, exert beneficial effects on controlling diseases. Considering the lack of study in this field, the present study was conducted to assess the barriers of probiotic product's usage and the status of knowledge, attitude, and practice among nurses and medical sciences students in Maragheh city.
Methods: This descriptive-analytical study was carried out on 386 subjects (59 nurses and 327 students) of both genders at Maragheh University of Medical Sciences between 2020 and 2021. Convenience sampling was used on educational-therapeutic centers of Maragheh University of Medical Sciences. Data were collected by a questionnaire consisting of 35 questions, validity and reliability of which were previously evaluated. Independent sample t-test was used to compare the score of knowledge, attitude, performance and barriers, and Chi-square test was used to compare qualitative variables between the two groups of nurses and students.Values less than 0.05 was considered significant.
Results: Overall, 386 subjects (129 men and 257 women) completed the study. About 54% of participants did not have enough knowledge regarding probiotics. Regarding the barriers to consumption, nearly 57% stated that there was no comprehensive and sufficient information about probiotic products, and 46% of participants mentioned that access to probiotic products was poor. There was a significant difference (p<0.001) between the two groups in terms of being interested in learning more about probiotics, welcoming probiotic workshops, using live microbes in controlling diseases and in the family's shopping basket, the healthier status of probiotic foods compared with current supplements and the effect of probiotics on the outcome of the treatment protocol (p<0.001).
Conclusion: The involvement of media in raising awareness about the safety of probiotic products and general education in schools and the community through nurses and healthcare providers is recommended.
Keywords: Knowledge, Student, Nurse, Probiotics, Attitude, Practice.
References
1-Macintyre S. Health and illness. Key variables in social investigation. Routledge; 2018: 6-98.
2-Palmer K, Marengoni A, Forjaz MJ, Jureviciene E, Laatikainen T, Mammarella F, et al. Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS). Health Policy. 2018;122(1):4-11.
3-Artiga S HE. Beyond health care: the role of social determinants in promoting health and health equity. Health. 2019; 20 (10): 1-13.
4-Presti I DoG, Labra M, La Ferla B, Mezzasalma V, Bizzaro G, Giardina S, Michelotti A, Tursi F, Vassallo M. Evaluation of the probiotic properties of new Lactobacillus and Bifidobacterium strains and their in vitro effect. App Microbiol Biotechnol. 2015;99(13):5613-26.
5-Kerry RG PJ, Gouda S, Park Y, Shin HS, Das G. Benefaction of probiotics for human health: A review. J Food Drug Anal. 2018;26(3):927-39.
6-Aggarwal A S, AN, Gaur P, Shukla A, Aggarwal R. Gut microbiome in children with enthesitis-related arthritis in a developing country and the effect of probiotic administration. Clin Exp Immunol. 2017;187(3):480-9.
7-Ambalam P RM, Purama RK, Doble M. Probiotics, prebiotics and colorectal cancer prevention. Best Pract Res Clin Gastroenterol. 2016;30(1):119-31.
8-Gayathri D, Rashmi B. Anti-cancer properties of probiotics: a natural strategy for cancer prevention. EC Nutr. 2016;5(4):1191-202.
9-Hulston CJ CA, Venables MC. Probiotic supplementation prevents high-fat, overfeeding-induced insulin resistance in human subjects. Br J Nutr. 2015;113(4):596-602.
10-Tamtaji ORm KE, Salami M, Aghadavod E, Akbari E, Tajabadi-Ebrahimi M, Asemi Z. The effects of probiotic supplementation on gene expression related to inflammation, insulin, and lipids in patients with multiple sclerosis: a randomized, double-blind, placebo-controlled trial. J Am College Nutr. 2017;36(8):660-5.
11-Park S, Kang J, Choi S, Park H, Hwang E, Kang Y, et al. Cholesterol-lowering effect of Lactobacillus rhamnosus BFE5264 and its influence on the gut microbiome and propionate level in a murine model. PLoS One. 2018;13(8):1-15.
12-Xiaoxia LOU LS, Jieyun HU, Shangzhi XU, Kai TANG. Therapeutic and preventing effect of probiotics for antibiotic-associated diarrhea in elderly severe lung infection. Chin J Biochem Pharmaceutics. 2017;6:276-8.
13-Sharif MR KH, Ardakani AT, Keirkhah D, Tabatabaei F, Sharif A. The effect of a yeast probiotic on acute diarrhea in children. Probiotics Antimicrob Proteins. 2016;8(4):211-4.
14-Ganesh BP, Nelson JW, Eskew JR, Ganesan A, Ajami NJ, Petrosino JF, et al. Prebiotics, probiotics, and acetate supplementation prevent hypertension in a model of obstructive sleep apnea. Hypertension. 2018;72(5):1141-50.
15-Rabetafika HN RA, Razafindralambo H. Probiotics from Food and Non-Food Sources. Trends Probiotic App. 2018:33-49.
16-Kechagia M BD, Konstantopoulou S, Dimitriadi D, Gyftopoulou K, Skarmoutsou N, Fakiri EM. Health benefits of probiotics: a review. Int Schol Res Notices. 2013:1-8.
17-Payahoo L NZ, Mahdavi R, Asghari M. Perceptions of medical sciences students towards probiotics. HPP. 2012;2(1):96-102.
18. Chukwu EE NF, Yisau JI, Coker,AO. Assessment of the knowledge and perception of probiotics among medical science students and practitioners in Lagos state. Br J Med Med Res. 2015;5(10):1-9.
19-Philip C SG, Muhammed A, Majid SA. Knowledge and awareness of probiotics among the dental students in Thodupuzha-A questionnaire study. GJRA. 2019;8(3):1-3.
20-Ababneh M EN, Al-Azayzih A. Evaluation of Jordanian healthcare providers’ knowledge, attitudes, and practice patterns towards probiotics. Expert Rev Pharmacoecon Outcomes Res. 2020;20(1):93-7.
21-Bridgman SL AM, Field CJ, Letourneau N, Johnston DW, Kaplan BJ, Kozyrskyj AL. Maternal perspectives on the use of probiotics in infants: a cross-sectional survey. BMC Complement Altern Med 2014;14(1):1-9.
22-CO A. Assessing the awareness and knowledge on the use of probiotics by healthcare professionals in Nigeria. J Young Pharmacists. 2015; 8(1):53-5.
23. Edmunds L. The underuse of probiotics by family physicians. CMAJ. 2001;164(11):1577.
24-Sorensen SA. A Behavioral Assessment of College Students' Knowledge, Awareness, and Consumption on Snack Foods that May Contain Probiotics: California State University, Long Beach; 2018.
25-Al-Nabulsi AA OB, Ali R, Osaili TM, Bawadi H, Abushelaibi A, Shaker RR, Holley RA. Knowledge of probiotics and factors affecting their consumption by Jordanian college students. Int J Probiotics Prebiotics. 2014; 9(3): 77-86.
Laleh Pyahoo(Ph.D.)1, Mohammad Javad Amouie(B.S.)2, Haniyeh Shafaghi omam(B.S.)2, Hosein Bagherzadeh(B.S.)2, Shakiba Askari(B.S.)2, Yaser Khajebishak(Ph.D.)3
1.Assistant Professor of Nutrition Sciences, Department of Nutrition and Food Sciences, Maragheh University of Medical Sciences, Maragheh, Iran
2.BS in Nutrition Sciences, Student Research Committee, Maragheh University of Medical Sciences,
3.Corresponding Author: Assistant Professor of Nutrition Sciences, Department of Nutrition and Food Sciences, Maragheh University of Medical Sciences, Maragheh, Iran. Email: khajebishak.y@gmail.com, Phone 041-37276363.
Abstract
Introduction: Probiotics, as live microorganisms, exert beneficial effects on controlling diseases. Considering the lack of study in this field, the present study was conducted to assess the barriers of probiotic product's usage and the status of knowledge, attitude, and practice among nurses and medical sciences students in Maragheh city.
Methods: This descriptive-analytical study was carried out on 386 subjects (59 nurses and 327 students) of both genders at Maragheh University of Medical Sciences between 2020 and 2021. Convenience sampling was used on educational-therapeutic centers of Maragheh University of Medical Sciences. Data were collected by a questionnaire consisting of 35 questions, validity and reliability of which were previously evaluated. Independent sample t-test was used to compare the score of knowledge, attitude, performance and barriers, and Chi-square test was used to compare qualitative variables between the two groups of nurses and students.Values less than 0.05 was considered significant.
Results: Overall, 386 subjects (129 men and 257 women) completed the study. About 54% of participants did not have enough knowledge regarding probiotics. Regarding the barriers to consumption, nearly 57% stated that there was no comprehensive and sufficient information about probiotic products, and 46% of participants mentioned that access to probiotic products was poor. There was a significant difference (p<0.001) between the two groups in terms of being interested in learning more about probiotics, welcoming probiotic workshops, using live microbes in controlling diseases and in the family's shopping basket, the healthier status of probiotic foods compared with current supplements and the effect of probiotics on the outcome of the treatment protocol (p<0.001).
Conclusion: The involvement of media in raising awareness about the safety of probiotic products and general education in schools and the community through nurses and healthcare providers is recommended.
Keywords: Knowledge, Student, Nurse, Probiotics, Attitude, Practice.
References
1-Macintyre S. Health and illness. Key variables in social investigation. Routledge; 2018: 6-98.
2-Palmer K, Marengoni A, Forjaz MJ, Jureviciene E, Laatikainen T, Mammarella F, et al. Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS). Health Policy. 2018;122(1):4-11.
3-Artiga S HE. Beyond health care: the role of social determinants in promoting health and health equity. Health. 2019; 20 (10): 1-13.
4-Presti I DoG, Labra M, La Ferla B, Mezzasalma V, Bizzaro G, Giardina S, Michelotti A, Tursi F, Vassallo M. Evaluation of the probiotic properties of new Lactobacillus and Bifidobacterium strains and their in vitro effect. App Microbiol Biotechnol. 2015;99(13):5613-26.
5-Kerry RG PJ, Gouda S, Park Y, Shin HS, Das G. Benefaction of probiotics for human health: A review. J Food Drug Anal. 2018;26(3):927-39.
6-Aggarwal A S, AN, Gaur P, Shukla A, Aggarwal R. Gut microbiome in children with enthesitis-related arthritis in a developing country and the effect of probiotic administration. Clin Exp Immunol. 2017;187(3):480-9.
7-Ambalam P RM, Purama RK, Doble M. Probiotics, prebiotics and colorectal cancer prevention. Best Pract Res Clin Gastroenterol. 2016;30(1):119-31.
8-Gayathri D, Rashmi B. Anti-cancer properties of probiotics: a natural strategy for cancer prevention. EC Nutr. 2016;5(4):1191-202.
9-Hulston CJ CA, Venables MC. Probiotic supplementation prevents high-fat, overfeeding-induced insulin resistance in human subjects. Br J Nutr. 2015;113(4):596-602.
10-Tamtaji ORm KE, Salami M, Aghadavod E, Akbari E, Tajabadi-Ebrahimi M, Asemi Z. The effects of probiotic supplementation on gene expression related to inflammation, insulin, and lipids in patients with multiple sclerosis: a randomized, double-blind, placebo-controlled trial. J Am College Nutr. 2017;36(8):660-5.
11-Park S, Kang J, Choi S, Park H, Hwang E, Kang Y, et al. Cholesterol-lowering effect of Lactobacillus rhamnosus BFE5264 and its influence on the gut microbiome and propionate level in a murine model. PLoS One. 2018;13(8):1-15.
12-Xiaoxia LOU LS, Jieyun HU, Shangzhi XU, Kai TANG. Therapeutic and preventing effect of probiotics for antibiotic-associated diarrhea in elderly severe lung infection. Chin J Biochem Pharmaceutics. 2017;6:276-8.
13-Sharif MR KH, Ardakani AT, Keirkhah D, Tabatabaei F, Sharif A. The effect of a yeast probiotic on acute diarrhea in children. Probiotics Antimicrob Proteins. 2016;8(4):211-4.
14-Ganesh BP, Nelson JW, Eskew JR, Ganesan A, Ajami NJ, Petrosino JF, et al. Prebiotics, probiotics, and acetate supplementation prevent hypertension in a model of obstructive sleep apnea. Hypertension. 2018;72(5):1141-50.
15-Rabetafika HN RA, Razafindralambo H. Probiotics from Food and Non-Food Sources. Trends Probiotic App. 2018:33-49.
16-Kechagia M BD, Konstantopoulou S, Dimitriadi D, Gyftopoulou K, Skarmoutsou N, Fakiri EM. Health benefits of probiotics: a review. Int Schol Res Notices. 2013:1-8.
17-Payahoo L NZ, Mahdavi R, Asghari M. Perceptions of medical sciences students towards probiotics. HPP. 2012;2(1):96-102.
18. Chukwu EE NF, Yisau JI, Coker,AO. Assessment of the knowledge and perception of probiotics among medical science students and practitioners in Lagos state. Br J Med Med Res. 2015;5(10):1-9.
19-Philip C SG, Muhammed A, Majid SA. Knowledge and awareness of probiotics among the dental students in Thodupuzha-A questionnaire study. GJRA. 2019;8(3):1-3.
20-Ababneh M EN, Al-Azayzih A. Evaluation of Jordanian healthcare providers’ knowledge, attitudes, and practice patterns towards probiotics. Expert Rev Pharmacoecon Outcomes Res. 2020;20(1):93-7.
21-Bridgman SL AM, Field CJ, Letourneau N, Johnston DW, Kaplan BJ, Kozyrskyj AL. Maternal perspectives on the use of probiotics in infants: a cross-sectional survey. BMC Complement Altern Med 2014;14(1):1-9.
22-CO A. Assessing the awareness and knowledge on the use of probiotics by healthcare professionals in Nigeria. J Young Pharmacists. 2015; 8(1):53-5.
23. Edmunds L. The underuse of probiotics by family physicians. CMAJ. 2001;164(11):1577.
24-Sorensen SA. A Behavioral Assessment of College Students' Knowledge, Awareness, and Consumption on Snack Foods that May Contain Probiotics: California State University, Long Beach; 2018.
25-Al-Nabulsi AA OB, Ali R, Osaili TM, Bawadi H, Abushelaibi A, Shaker RR, Holley RA. Knowledge of probiotics and factors affecting their consumption by Jordanian college students. Int J Probiotics Prebiotics. 2014; 9(3): 77-86.
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Received: 2022/12/10 | Accepted: 2023/03/5 | Published: 2023/04/30
Received: 2022/12/10 | Accepted: 2023/03/5 | Published: 2023/04/30
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