Tarbiat Modares University (TMU) Health Education and Health Promotion 2588-5715 11 5 2025 07 13 Depression’s Associated Factors in Cancer Patients in Post-COVID-19 Pandemic 695 700 2506 10.58209/hehp.11.5.695 EN H. Rabiei “Neurosurgery Research Group (NRG)” and ”Student Research Committee”, Hamadan University of Medical Sciences, Hamadan, Iran R. Rabiei “Department of Nursing, School of Nursing and Midwifery” and “Student Research Committee”, Hamadan University of Medical Sciences, Hamadan, Iran M. Arayeshgari Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran T. Ghasemi Clinical Research Development Unit of Shahid Beheshti Hospital, Hamadan University of Medical Sciences, Hamadan, Iran E. Sadeghian “Department of Nursing, School of Nursing and Midwifery” and “Chronic Diseases (Home care) Research Center”, Hamadan University of Medical Sciences, Hamadan, Iran Journal Article 2025 07 13 Aims: Quarantine during the COVID-19 pandemic was an important factor in developing depression in cancer patients. Early diagnosing of depression in these patients is a health priority for the medical staff. This study aimed to investigate depression in oncology department patients at the end of the COVID-19 pandemic. Instrument & Methods: In the present cross-sectional study, the research population included all patients admitted to the oncology department of Shahid Beheshti Hospital and Imam Khomeini Clinic, selected by the convenience sampling method in 2022. Data were collected using a demographic questionnaire and a depression questionnaire. All the analyses of this research were done using SPSS 25 software. Findings: The Mean depression score was 23.84±9.24. Based on the cutoff points of 13 (mild), 19 (moderate), and 28 (severe) for a total score of depression, 48 patients (16.49%) suffered from mild depression (95%CI: 12.22-20.75), 114 patients (39.17%) suffered from moderate depression (95%CI: 33.56-44.77), and 89 (30.89%) suffered from severe depression (95%CI: 25.29-35.88). The Pearson correlation coefficient also showed significant positive linear correlations between depression and age (r=0.21; p<0.001), age at onset of disease (r=0.20; p=0.001), length of disease (r=0.24; p<0.001) and length of chemotherapy (r=0.14; p=0.016). Conclusion: Most cancer patients suffer from moderate to severe depression. Since there is a relationship between depression, the duration of the disease, and the duration of chemotherapy, it is recommended to check these patients for depression periodically.

https://hehp.modares.ac.ir/article_2506_87682805257e619d49b8e0dfdc14affa.pdf

Tarbiat Modares University (TMU) Health Education and Health Promotion 2588-5715 11 5 2025 07 13 Effect of COVID-19 Fearing on the Quality of Life of Pregnant Women 701 706 2507 10.58209/hehp.11.5.701 EN T.H. Putri Department of Nursing, Faculty of Medicine, Tanjungpura University, West Kalimantan, Indonesia K.L. Abdullah Department of Nursing, School of Medical and Life Sciences, Sunway University, Sunway, Malaysia T. Ligita Department of Nursing, Faculty of Medicine, Tanjungpura University, West Kalimantan, Indonesia N. Nelwati Department of Nursing, Faculty of Nursing, Andalas University, Padang, Indonesia D. Narullita Department of Nursing, Institute Administration and Health, Muaro Bungo, Indonesia V. Dewi Department of Nursing, Polytechnic of Health, Jambi, Indonesia Journal Article 2025 07 13 Aims: Fear is a strategy for dealing with situations in which something is considered a threat. This study aimed to assess the fear of COVID-19 and its effect on Quality of Life in pregnant women. Instrument & Methods: In this cross-sectional study, 12,576 pregnant women were studied in six Pontianak-Health-Centers in West Kalimantan, Indonesia. Three survey instruments, including a sociodemographic questionnaire, obstetric status, the Fear of COVID-19 Scale (FCV-19S), and the QoL Gravidarum (QoL-GRAV), were used to assess for an association between fear of COVID-19 and pregnancy-related QoL using the Pearson correlation test. Generalized linear modeling was used to identify dominant variables. Findings: The fear experienced by pregnant women had an average score of 21.6±9.6. The QoL average score was 25.0±8.7. The general linear model showed a dominant relationship between parity status (β=-0.083; t=-2.141; p=0.005) and job (β=-0.75; t=1.923; p=0.033) with QoL in pregnant women. COVID-19 had no significant relationship with QoL (β=-0.11; t=-2.809; p=0.055). Conclusion: There is no correlation between fear of COVID-19 and quality of life, while job and parity influence the quality of life in pregnant women.

https://hehp.modares.ac.ir/article_2507_83691715fdc5baf20ed0742b0b85785b.pdf

Tarbiat Modares University (TMU) Health Education and Health Promotion 2588-5715 11 5 2025 07 13 Prevalence of Common Mental Disorders in Indonesian Pregnant Women on Pandemic Situation and its Influencing Factors 707 714 2508 10.58209/hehp.11.5.707 EN Y. Wibowo Department of Public Health and Community Medicine, Faculty of Medicine, Jenderal Soedirman University, Purwokerto, Indonesia E. Priyanto Department of Obstetrics and Gynecology, Faculty of Medicine, Jenderal Soedirman University, Purwokerto, Indonesia J. Mulyanto Department of Public Health and Community Medicine, Faculty of Medicine, Jenderal Soedirman University, Purwokerto, Indonesia S. Munfiah Department of Public Health and Community Medicine, Faculty of Medicine, Jenderal Soedirman University, Purwokerto, Indonesia L. Rujito Department of Genetics and Molecular Medicine, Faculty of Medicine, Jenderal Soedirman University, Purwokerto, Indonesia N. Roestijawati Department of Public Health and Community Medicine, Faculty of Medicine, Jenderal Soedirman University, Purwokerto, Indonesia Journal Article 2025 07 13 Aims: Common mental disorders increase the risk of pregnancy, and the number is relatively high in economically developing nations. This study aimed to measure the prevalence of common mental disorders and assess the associated risk factors for common mental disorders in a pandemic situation in Indonesia. Instrument & Methods: A cross-sectional study involving 1,543 subjects in Banyumas-District, Central Java, Indonesia, recruited from January to August 2022. Social support, marital satisfaction, COVID-19 diagnosis, and pregnancy characteristics were the main risk factors measured. Data were collected using a standardized online questionnaire distributed through snowball sampling. Multiple logistic regression was applied to estimate the risk of having common mental disorders in gravid individuals. Findings: The prevalence of common mental disorders was 17.5%, with a higher case of common mental disorders found in pregnant women who had low social support, poor marital satisfaction, COVID-19 survivors, primigravida, and early pregnancy. After the bivariate analysis, family income, type of family, number of pregnancies, gestational age, and social and marital satisfaction were analyzed in the multivariate test. In the final model, poor relationship quality was the highest risk factor for having common mental disorders in the subjects (OR=5.11; 95%CI=3.33-7.83; p<0.001). Conclusion: The number of common mental disorders in Indonesian pregnant women is relatively high. Poor relationship quality is the highest risk factor for having common mental disorders. Addressing social and educational determinants is vital for enhancing maternal mental health.

https://hehp.modares.ac.ir/article_2508_30aaf34d6afd4b11cc3b3ac4704c7908.pdf

Tarbiat Modares University (TMU) Health Education and Health Promotion 2588-5715 11 5 2025 07 13 Stigma Against Health Care Providers; Caring for COVID-19 Patients in Iran 715 721 2509 10.58209/hehp.11.5.715 EN F. Amin Shokravi Department of Health Education & Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran H. Sanaei Nasab Department of Health Education, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran A.A. Karimi Zarchi Department of Biostatistics, Faculty of Biostatistics, Baqiyatallah University of Medical Sciences, Tehran, Iran A.J. Nashwan Department of Nursing Education & Practice Development, Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC), Doha, Qatar H. Shahbazi Department of Health Education & Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran Journal Article 2025 07 13 Aims: The pandemic corona is known as one of the most important challenges in the world. At the same time, the stigma associated with COVID-19 threatens different groups, including patients, recoveries, and healthcare workers. This study aimed to investigate the prevalence of stigmatization during the COVID-19 pandemic among healthcare providers in Iran. Instrument & Methods: This descriptive cross-sectional study, in which 527 people were selected using simple random sampling, was conducted in 2022. The overall COVID-19-related stigma score was calculated from 18 to 62 with a Cronbach’s alpha of 0.906. SPSS 25 software was used for data analysis by independent t-tests, one-way analysis of variance, and Chi-square. Findings: The highest percentage of the obtained score was assigned to, the practices to avoid infection with COVID-19 (48.1%) and anxiety or fear of being affected (47%). Among the domains of stigma, the most important predictor of anxiety or fear of being affected was the policy of health settings (R2=0.735). Conclusion: Ongoing education, adherence to infection prevention and control protocols, and personalized strategies have the most significant role in improving healthcare workers' compliance in averting COVID-19 transmission.

https://hehp.modares.ac.ir/article_2509_8db9264228dc48fbf47535e888c02ae0.pdf

Tarbiat Modares University (TMU) Health Education and Health Promotion 2588-5715 11 5 2025 07 13 Impact of a Blended Educational Intervention on COVID-19 Preventive Behavior in Teachers 723 731 2510 10.58209/hehp.11.5.723 EN M. Omid Department of Health Education & Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University (TMU), Tehran, Iran F. Aminshokravi Department of Health Education & Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University (TMU), Tehran, Iran F. Zarei Department of Health Education & Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University (TMU), Tehran, Iran Journal Article 2025 07 13 Aims: This study aimed to investigate the effect of a blended educational intervention based on the health belief model (HBM) about COVID-19 on teachers' preventive behavior. Materials & Methods: A randomized controlled trial was conducted on female teachers in four districts affiliated with Education Organization Karaj Iran. Then, one of these two districts was assigned to the intervention group (n=70) and the other to the control group (n=70) by the lottery method. The educational intervention was conducted via three online platforms. Our intervention was named BEHTA. It included a specifically designed website, holding virtual and group discussion classes, and using a popular social network messenger. Findings: The results showed that there was no significant difference between the intervention and control groups before training (p>0.05) but immediately and 12 weeks after training, the two groups had a statistically significant difference in all constructs (p<0.05). In the control group, the mean score of knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy did not differ significantly (p>0.05), but the mean score of behavior decreased (p=0.027). Conclusion: The educational intervention improves all constructs regarding COVID-19 in the intervention group.

https://hehp.modares.ac.ir/article_2510_4e0223a87610176ef0d24ef6d2dcde3a.pdf

Tarbiat Modares University (TMU) Health Education and Health Promotion 2588-5715 11 5 2025 07 13 Stakeholders’ Communication of COVID-19 Pandemic in Yogyakarta, Indonesia 733 742 2511 10.58209/hehp.11.5.733 EN I. Mardalena Department of Nursing, Health Polytechnic Ministry of Health Yogyakarta, Yogyakarta, Indonesia H.I. Wahyuni Department of Communication Science, Faculty of Social and Political Sciences, University Gadjah Mada, Yogyakarta, Indonesia S.P. Wastutiningsih Department of Communication Science, Faculty of Social and Political Sciences, University Gadjah Mada, Yogyakarta, Indonesia Journal Article 2025 07 13 Aims: The objective of this study was to explore the coordination and communication governance processes utilized by the Yogyakarta provincial government in addressing the COVID-19 pandemic. Participants & Methods: Qualitative research with a phenomenological approach was performed with a total of 7 informants from various stakeholders, including government institutions, professional organizations, and task forces collaborating with the Yogyakarta Provincial Health Office to address the challenges posed by COVID-19 in the region. Data were collected using in-depth interviews and observations. The data were analyzed by Colaizzi’s method. Findings: Two primary themes were produced, including, 1) training and development of human resources for the management of the crisis, with two sub-themes emerging, including, a) the healthcare stage in handling and b) recruitment in human resources fulfillment, and 2) the communication governance of the Yogyakarta Special Region's government, with four key themes, including, a) effective information through easily accessible applications, b) comprehensive information from reliable sources, c) diverse media for socialization meetings during coordination, and d) dissemination of recommendations. Conclusion: An effective response to the pandemic hinged on a cooperative strategy that brought together diverse stakeholders, such as government entities, healthcare organizations, and community leaders.

https://hehp.modares.ac.ir/article_2511_f8b932c70d0b2e6bf071729a4fa68dfc.pdf

Tarbiat Modares University (TMU) Health Education and Health Promotion 2588-5715 11 5 2025 07 13 Stress and Depression among Elementary and Secondary School Teachers in the Philippines during the COVID-19 Pandemic 743 748 2512 10.58209/hehp.11.5.743 EN C.C. Orlanda-Ventayen Industrial Technology Department, Pangasinan State University, Lingayen, Philippines Journal Article 2025 07 13 Aims: This study aimed to investigate the relationship between educators' demographic characteristics and their stress and depression during the COVID-19 pandemic. Instrument & Methods: This descriptive study was carried out on 21132 teachers in 14 regions of the Philippines during 2021-2022. The data were collected using the Patient Health Questionnaire-9 by pnline mode. The collected data were analyzed using the Pearson correlation coefficient through SPSS22 Software. Findings: There was a significant difference between the workplace stress and demographic characteristics (p<0.05) except for the salary range (p>0.05). There was a significant difference between the frequency of depression and demographic characteristics (p<0.05). Conclusion: There is a significant correlation between workplace stress and depression with demographic characteristics in Filipino teachers.

https://hehp.modares.ac.ir/article_2512_831caa1b600f852b7844499430ecac17.pdf

Tarbiat Modares University (TMU) Health Education and Health Promotion 2588-5715 11 5 2025 07 13 Quality of Life of the Elderly During the COVID-19 Pandemic in Iran; A Cross-Sectional Study 749 753 2513 10.58209/hehp.11.5.749 EN M. Lotfizadeh School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran Sh. Habibi Department of Community Medicine, Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran Z. Karimi Students Research Committee, Shahrekord University of Medical Sciences, Shahrekord, Iran Z. Davoodi Department of Community Medicine, International Medical School, Management and Science University, Shah Alam, Malaysia R.R. Marzo Department of Community Medicine, International Medical School, Management and Science University, Shah Alam, Malaysia F. Fatahian Department of Health Education and Health Promotion, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran Journal Article 2025 07 13 Aims: Populations are generally susceptible to the new coronavirus, but the elderly are more susceptible to severe disease and are admitted to the intensive care unit, and the mortality rate is higher in elderly patients. This study aimed to evaluate the quality of life of the elderly during the COVID-19 pandemic in Iran. Instrument & Methods: The present cross-sectional survey was conducted on 461 Iranian elderly. Data collection tools include a questionnaire focusing on the quality of life in physical and mental dimensions. Stark quality of life questionnaire to adapt and be useful in COVID-19 disease outbreak conditions; only short phrases have been added to relate it to the disease. Data analysis was done using independent t and ANOVA tests. Findings: Out of 461 participants in this study, 236 (51.2%) were men and the rest were women. Their average age was 70.46 years. The mean score of the mental component was 7.6±1.8 in women and 6.8±1.9 in men. The mean score of the physical component was 17.3±5.6 in women and 14.9±5.8 in men. There has been a significant relationship between the mental and physical components of gender. The results also showed that physical states of men enjoy better conditions compared to women (p=0.001). Conclusion: Therefore, it can be concluded that the quality of life of the elderly during the COVID-19 pandemic was low. Men also enjoyed better conditions in comparison with women.

https://hehp.modares.ac.ir/article_2513_84b20b1f5a0d103f5710bb67a043cd78.pdf

Tarbiat Modares University (TMU) Health Education and Health Promotion 2588-5715 11 5 2025 07 13 Effects of a Pandemic on the Professional Quality of Life in Vietnamese Healthcare Workers 755 760 2514 10.58209/hehp.11.5.755 EN N.T. Trung Department of Community Medicine and Preventive Medicine, University of Medicine and Pharmacy, Hanoi, Vietnam N.D. Long Saint Paul Hospital, Hanoi, Vietnam T.L. Huong Saint Paul Hospital, Hanoi, Vietnam D.T. Thuan Saint Paul Hospital, Hanoi, Vietnam N.T. Tam Department of Preventive Medicine, Faculty of Medicine, Dai Nam University, Hanoi, Vietnam N.T.P. Lan Department of Basic Medicine and Pharmacy, University of Medicine and Pharmacy, Hanoi, Vietnam M.D. Tuan Department of Community Medicine and Preventive Medicine, University of Medicine and Pharmacy, Hanoi, Vietnam N.X. Bach Department of Basic Pharmaceutical Sciences, Faculty of Pharmacy, University of Medicine and Pharmacy, Hanoi, Vietnam Journal Article 2025 07 13 Aims: This study aimed to measure the professional quality of life of healthcare workers in an urban hospital in Vietnam after the epidemic and identify the associated factors. Instrument & Methods: This cross-sectional study was conducted among healthcare workers in an urban hospital in Hanoi, Vietnam, from July to September 2022. A total of 924 participants were recruited in the study. The Professional Quality of Life Scale for Health Workers was employed. Chi-square and Kruskal-Wallis tests were used for data analysis. Findings: The mean professional quality of life score for healthcare workers was moderate. Being female was positively associated with the PS domain (r=0.7) but negatively related to STS (r=-0.9) and MD domains (r=-0.9). Living with a spouse/partner positively affected the CS domain (r=0.6). Lower education level was negatively correlated with CS and PS scores. Participants with other professionals had higher CS (r=0.9) and PS (r=1.1) scores but lower BO (r=-1.0), STS (r=-0.6), and MD scores (r=-0.6). Being staff was negatively associated with CS and PS scores. Higher working days per week were negatively correlated with CS (r=-0.4) and PS scores (r=-0.4), while a higher number of working hours per day was positively correlated with BO (r=0.2) and STS scores (r=0.1). Conclusions: This study shows a moderate professional quality of life among Vietnamese healthcare workers after the pandemic.

https://hehp.modares.ac.ir/article_2514_b06f50d1f89bd8b2a0fb771c1a69c2b0.pdf

Tarbiat Modares University (TMU) Health Education and Health Promotion 2588-5715 11 5 2025 07 13 Impact of Physical Therapy on Post Traumatic Stress Disorder in Post COVID-19 Geriatric Survivors 761 765 2515 10.58209/hehp.11.5.761 EN S. Sridhar Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India V. Srinivasan Saveetha Institute of Medical and Technical Sciences, Chennai, India K. Muthulakshmi Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India B. Bhuvana Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India A. Arithra Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India P. Suganthirababu Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India J. Alagesan Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India Journal Article 2025 07 13 Aims: The traumatic experiences the elderly faced during the COVID-19 outbreak were tremendous, which led to the majority of the elderly developing Post-Traumatic Stress Disorder. The vagal nerve plays a major role in stress regulation. One effective method for controlling the activity of the autonomic nervous system is vagal nerve stimulation. Surgical implantable vagal nerve stimulators are expensive and their discomfort limits their use. Non-invasive vagal nerve stimulation is found to be effective. The purpose of the study was to find the effect of transcutaneous auricular vagal nerve stimulation on treating post-traumatic stress disorder among post-COVID-19 geriatric survivors. Materials & Methods: The study was conducted with 24 geriatric participants, who were diagnosed with post-traumatic stress disorder. Participants were randomly allocated into the taVNS group and the JPMRT group during a four-week period (one month); the taVNS group received transcutaneous auricular vagal nerve stimulation, and the JPMRT group received the Jacobson progressive muscle relaxation technique. Each week, four sessions were held, and each session lasted 30 minutes. Impact of Event Scale-Revised (IES-R) was used as an outcome measure. Findings: When compared to the JPMRT group, the taVNS group demonstrated a significant difference in reducing post-traumatic stress. Post-test values of the taVNS group in IES-R had a significant difference (p<0.001). Conclusion: Transcutaneous auricular vagal nerve stimulation is more effective than Jacobson’s progressive muscle relaxation technique in reducing post-traumatic stress disorder among elderly survivors of COVID-19.

https://hehp.modares.ac.ir/article_2515_415e1af7ea95f89f4e375162b21ae38c.pdf