Volume 8, Issue 2 (June 2021)                   J Educ Community Health 2021, 8(2): 81-87 | Back to browse issues page

Ethics code: IR.MUK.REC.1398.030

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Barati M, Ezzati Rastgar K, Bagheri S, Usefi J, Hosseini A, Saeedi S et al . Effectiveness of Educational Intervention on Improving Preventive Behaviors in Fireworks Injuries: Applying the Extended Parallel Process Model. J Educ Community Health. 2021; 8 (2) :81-87
URL: http://jech.umsha.ac.ir/article-1-963-en.html
1- Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
2- Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
3- Health Network of Sanandaj, Kurdestan University of Medical Sciences, Sanandaj, Iran , shararehb79@gmail.com
4- Health Network of Sanandaj, Kurdestan University of Medical Sciences, Sanandaj, Iran
Abstract:   (2404 Views)
Aims: Charshanbeh Suri is one of the most important Iranian ceremonies every year when many people are injured due to the use of explosives on the day. The present study aimed to investigate the effectiveness of the developed parallel process model in injury prevention in students.
Materials & Methods: This experimental study was conducted in 2020-21 with 240 male students in Sanandaj who were randomly and equally divided into experimental and control groups. The intervention consisted of two 90-minute training sessions in the form of lectures, questions, and answers, group discussions, and screenings of related videos. The researcher-made questionnaire based on the model constructs of the developed parallel process, the validity, and reliability of which were confirmed, was used before the intervention and two months after the intervention. Data were analyzed by independent t-test and logistic regression analysis using SPSS 16 software.
Findings: The mean age of students was 15.82±1.05 years. There was no significant difference in fireworks behavior between the two groups before the intervention, and 88% of the students used explosives during the Charshanbeh Suri ceremony. The results of the logistic regression test before the intervention showed that the perceived threat predicted the non-use of incendiary materials. The effectiveness of the educational intervention caused the students in the experimental group to be in the path of risk control, and the use of incendiary substances after the intervention in the experimental group was significantly reduced (p<0.001).
Conclusion: Education with the content of sensitization and fear and efficiency is an appropriate educational intervention in reducing Charshanbeh Suri events in adolescents.
Full-Text [PDF 513 kb]   (678 Downloads)    
Type of Study: Research Article | Subject: Injury Prevention
Received: 2020/03/4 | Accepted: 2020/08/9

1. Mansouri MR, Mohammadi SF, Hatef E, Rahbari H, Khazanehdari MS, Zandi P, et al. The Persian wednesday eve festival “Charshanbe-Soori” fireworks eye injuries: A case series. Ophthalmic Epidemiol. 2007;14(1):17-24.
2. Tavakoli H, Khashayar P, Ahmadi Amoli H, Esfandiari K, Ashegh H, Rezaii J, et al. Firework-related injuries in Tehran's Persian wednesday eve festival (Chaharshanbe Soori). J Emerg Med. 2011;40(3):340-5.
3. Chakraborti C, Majumdar S, Gayen S. Profile of firecracker injuries of the eye during Diwali: A tertiary eye-care center study. Med J Dr DY Patil Vidyapeeth. 2019;12(5):415-8.
4. Tu Y, Ng J. Fireworks-related deaths, emergency department-treated injuries, and enforcement activities during 2018 [Report]. Washington: U.S. Consumer Product Safety Commission; 2019.
5. Akbari H, Hajijafari M, Sabbaghi MM, Jazayeri M, Sadat Asgarian F. An Epidemiologic study of wednesday eve festival “Charshanbe Soori” in Iran 2017. Arch Trauma Res. 2020;9(3):124-8.
6. Saadat S, Naseripour M, Smith GA. The health and economic impact of fireworks-related injuries in Iran: A household survey following the new year's festival in Tehran. Injury. 2010;41(7):28-33.
7. Kumar R, Puttanna M, Sriprakash KS, Rathod BLS, Prabhakaran VC. Firecracker eye injuries during Deepavali festival: A case series. Indian J Ophthalmol. 2010;58(2):157-9.
8. Witte K, Allen M. A meta-analysis of fear appeals: Implications for effective public health campaigns. Health Educ Behav. 2000;27(5):591-615.
9. Barati M, Amirzargar MA, Bashirian S, Kafami V, Mousali AA, Moini B. Psychological predictors of prostate cancer screening behaviors among men over 50 years of age in Hamadan: Perceived threat and efficacy. Iran J Cancer Prev. 2016;9(4):4144.
10. Moeini B, Ezati E, Barati M, Rezapur-Shahkolai F, Gholi Mezerji NM, Afshari M. Skin cancer preventive behaviors in Iranian farmers: Applying protection motivation theory. Workplace Health Saf. 2019;67(5):231-40.
11. Allahverdipour H, Macintyre R, Hidarnia A, Shafii F, Kzamnegad A, Ghaleiha A, et al. Assessing protective factors against drug abuse among high school students: Self-control and the extended parallel process model. J Addict Nurs. 2007;18(2):65-73.
12. Witte K. Putting the fear back into fear appeals: The extended parallel process model. Commun Monogr. 1992;59(4):329-49.
13. Zohar Z, Waksman I, Stolero J, Volpin G, Sacagiu E, Eytan A. Injury from fireworks and firecrackers during holidays. Harefuah. 2004;143(10):698-701.
14. Puri V, Mahendru S, Rana R, Deshpande M. Firework injuries: A ten-year study. J Plast Reconstr Aesthet Surg. 2009;62(9):1103-11.
15. Alinia S, Rezaei S, Daroudi R, Hadadi M, Sari AA. Extent, nature and hospital costs of fireworks-related injuries during the wednesday eve festival in Iran. J Inj Violence Res. 2011;5(1):11-6. [Persian]
16. Suresh KP, Chandrashekara S. Sample size estimation and power analysis for clinical research studies. J Hum Reprod Sci. 2012;5(1):7-13.
17. Hajian S, Shariati M, Mirzaii Najmabadi K, Yunesian M, Ajami MI. Use of the extended parallel process model (EPPM) to predict Iranian women’s intention for vaginal delivery. J Transcult Nurs. 2015;26(3):234-43.
18. Saadat S, Naseripour M, Karbakhsh M, Rahimi-Movaghar V. Perceived risk and risk-taking behavior during the festival firework. Am J Health Behav. 2010;34(5):525-31.
19. Ghaffari M, Rakhshanderou S, Ezati E. Using the extended parallel process model in world studies on health behaviors: A systematic review. J Health Field. 2018;6(1):20-7. [Persian]
20. Russell JC, Smith S, Novales W, Lindsey LLM, Hanson J. Use of the extended parallel processing model to evaluate culturally relevant kernicterus messages. J Pediatr Health Care. 2013;27(1):33-40.
21. Rad EH, Kouchakinezhad-Eramsadati L, Mohtsham-Amiri Z, Davoudi-Kiakalayeh A, Yousefzadeh-Chabok S. Effectiveness of an educational program on decreasing burns and injuries in Persian festival of fire: A burden of diseases approach. Burns. 2019;45(2):466-70.
22. Naseripour M, Hamidian R, Smith GA, Saadat S. Effectiveness of educational interventions on fireworks-related injuries among schoolboys. Am J Health Behav. 2017;41(3):223-7.
23. Ebrahimpour H, Izi R, Allahverdipour H, Vafaee Najar A, Esmaili H, Gharlipour Z, et al. Perception of fear and adoption of risk control for hookah use among male students: Using the extended parallel process model. J Res Health. 2014;4(3):788-94. [Persian]
24. Gerrard M, Gibbons FX, Houlihan AE, Stock ML, Pomery EA. A dual-process approach to health risk decision making: The prototype willingness model. Dev Rev. 2008;28(1):29-61.
25. Botta RA, Dunker K, Fenson-Hood K, Maltarich S, McDonald L. Using a relevant threat, EPPM and interpersonal communication to change hand-washing behaviours on campus. J Commun Healthc. 2008;1(4):373-81.
26. Bashirian S, Barati M, Sharma M, Abasi H, Karami M. Water pipe smoking reduction in the male adolescent students: An educational intervention using multi-theory model. J Res Health Sci. 2019;19(1):438.
27. Wisse RPL, Bijlsma WR, Stilma JS. Ocular firework trauma: A systematic review on incidence, severity, outcome and prevention. Br J Ophthalmol. 2010;94(12):1586‑91.
28. Apakama AI, Anajekwu CC. Ocular fireworks injuries in eastern Nigeria: A 3-year review. Niger J Surg. 2019;25(1):42-4.
29. Banker C, Gondaliya M. Spectrum of ocular firework injuries in children: A 5 year retrospective study during a festival season attending tertiary healthcare referral centre. Int J Sci Res. 2015;4(12):2196-200.

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