This document summarizes a journal article that studied the effectiveness of training according to the welfare organization's pattern in cognitive empowerment, self-regulation, and self-efficacy of mentally and physically disabled individuals. The study used a pretest-posttest design with 40 participants randomly assigned to experimental and control groups. Psychological empowerment, self-efficacy, and self-regulation questionnaires were administered before and after the training. The results showed that the training had a significant positive impact on improving self-regulation, self-efficacy, and psychological empowerment. The conclusion recommends widely using the welfare training center's educational programs in interventions and training related to disabled individuals.
This document outlines an assignment for a student named Awing Mukat to complete a study on the challenges of raising autistic children in families in Malaysia. The study will employ qualitative research methods, including interviews with 8 mothers of autistic children. The student will explore the experiences of mothers in raising autistic children and adapting within their families, as well as factors that contribute to well-being. The literature review discusses research on the impact of autism on families globally and in Asia, including common challenges like stress, as well as protective factors like social support. The methodology section provides details of the interpretative phenomenological analysis approach that will be used to analyze interview data.
This document discusses using exercise to decrease depression in a 34-year-old female client. It outlines her health history and depression symptoms. The health promotion focus is an exercise regimen of 30-45 minutes of cardio 3-4 times per week for 2 months. Models like the Trans-Theoretical Model of Change and Health Promotion Model are used. Evaluation tools measured depression levels before and after. Results included less depressed thoughts, more energy, and social participation. The client plans to continue the program.
This document discusses health education, including its introduction, concepts, components, philosophy, and principles. It provides definitions for key terms like health literacy and health promotion. It also outlines stages in the adoption of new ideas and practices, emphasizing the need to proceed from known to unknown concepts for effective learning. The document presents an analogy that people are the soil, health facts are the seeds, and educators are the sowers, highlighting the importance of interrelating these components. The overall purpose is to explain what health education involves and how it works to change attitudes and behaviors to promote wellness.
The Health Promotion Model focuses on individual characteristics and experiences, behaviors, and cognitions that influence health behaviors. It addresses personal factors such as age, gender, and socioeconomic status, as well as perceptions of benefits, barriers, self-efficacy, and social and environmental influences. The model leads to a commitment to a plan of action and ultimately a behavioral health outcome.
This document provides biographies for four students involved in a stress management program called "More Sweat, Less Stress" at Georgia Southern University. It then summarizes research showing high levels of stress among college students and the need for stress management programs. The program consisted of a powerpoint presentation and two interactive activities (Zumba and meditation) to teach stress management techniques. Pre- and post-tests were used to evaluate the program, finding an 8-point increase in stress management knowledge among participants who reported a mean pre-test score of 25.8 increasing to a mean post-test score of 33.1. The summary concludes the data suggests techniques like Zumba and meditation are effective ways to reduce college student stress.
The document summarizes several prominent health behavior theories that are relevant for nursing practice and research. It describes theories such as the health belief model, social cognitive theory, transtheoretical model, and theories of reasoned action. Key concepts discussed include an individual's perceptions, self-efficacy, environmental influences, and how behavior change is best understood as a process rather than a single event. The theories provide guidance for nurses to enhance patient motivation and effectively support individuals through the various stages of behavior change.
This document discusses theories of health behaviour and models for behaviour change. It provides an overview of several influential theories:
- Health Belief Model which assumes behaviour change occurs when an individual perceives a health threat and believes a behaviour can reduce it.
- Transtheoretical Model which proposes individuals progress through stages of change.
- Theory of Planned Behaviour which links behaviours to beliefs, norms and perceived behavioural control.
- Social Cognitive Theory which emphasizes learning from models and social environment.
The document also outlines barriers to behaviour change and notes behavioural science can help design effective public health interventions by understanding factors influencing individual and population health decisions and actions.
The document provides information about the goals, objectives, values and outcomes of the College of Nursing at NEUST.
The College of Nursing aims to provide affordable nursing education and make NEUST a center of excellence in the region. Its objectives include developing students' skills and knowledge in nursing, communication, leadership and research.
The core values of NEUST are Nationalism, Excellence, Unity, Service and Transparency. Program outcomes include demonstrating competencies in areas like safe nursing care, communication and utilization of the nursing process. Students are expected to gain an understanding of clients from a biopsychosocial perspective with a focus on maternal and child health.
This document outlines an assignment for a student named Awing Mukat to complete a study on the challenges of raising autistic children in families in Malaysia. The study will employ qualitative research methods, including interviews with 8 mothers of autistic children. The student will explore the experiences of mothers in raising autistic children and adapting within their families, as well as factors that contribute to well-being. The literature review discusses research on the impact of autism on families globally and in Asia, including common challenges like stress, as well as protective factors like social support. The methodology section provides details of the interpretative phenomenological analysis approach that will be used to analyze interview data.
This document discusses using exercise to decrease depression in a 34-year-old female client. It outlines her health history and depression symptoms. The health promotion focus is an exercise regimen of 30-45 minutes of cardio 3-4 times per week for 2 months. Models like the Trans-Theoretical Model of Change and Health Promotion Model are used. Evaluation tools measured depression levels before and after. Results included less depressed thoughts, more energy, and social participation. The client plans to continue the program.
This document discusses health education, including its introduction, concepts, components, philosophy, and principles. It provides definitions for key terms like health literacy and health promotion. It also outlines stages in the adoption of new ideas and practices, emphasizing the need to proceed from known to unknown concepts for effective learning. The document presents an analogy that people are the soil, health facts are the seeds, and educators are the sowers, highlighting the importance of interrelating these components. The overall purpose is to explain what health education involves and how it works to change attitudes and behaviors to promote wellness.
The Health Promotion Model focuses on individual characteristics and experiences, behaviors, and cognitions that influence health behaviors. It addresses personal factors such as age, gender, and socioeconomic status, as well as perceptions of benefits, barriers, self-efficacy, and social and environmental influences. The model leads to a commitment to a plan of action and ultimately a behavioral health outcome.
This document provides biographies for four students involved in a stress management program called "More Sweat, Less Stress" at Georgia Southern University. It then summarizes research showing high levels of stress among college students and the need for stress management programs. The program consisted of a powerpoint presentation and two interactive activities (Zumba and meditation) to teach stress management techniques. Pre- and post-tests were used to evaluate the program, finding an 8-point increase in stress management knowledge among participants who reported a mean pre-test score of 25.8 increasing to a mean post-test score of 33.1. The summary concludes the data suggests techniques like Zumba and meditation are effective ways to reduce college student stress.
The document summarizes several prominent health behavior theories that are relevant for nursing practice and research. It describes theories such as the health belief model, social cognitive theory, transtheoretical model, and theories of reasoned action. Key concepts discussed include an individual's perceptions, self-efficacy, environmental influences, and how behavior change is best understood as a process rather than a single event. The theories provide guidance for nurses to enhance patient motivation and effectively support individuals through the various stages of behavior change.
This document discusses theories of health behaviour and models for behaviour change. It provides an overview of several influential theories:
- Health Belief Model which assumes behaviour change occurs when an individual perceives a health threat and believes a behaviour can reduce it.
- Transtheoretical Model which proposes individuals progress through stages of change.
- Theory of Planned Behaviour which links behaviours to beliefs, norms and perceived behavioural control.
- Social Cognitive Theory which emphasizes learning from models and social environment.
The document also outlines barriers to behaviour change and notes behavioural science can help design effective public health interventions by understanding factors influencing individual and population health decisions and actions.
The document provides information about the goals, objectives, values and outcomes of the College of Nursing at NEUST.
The College of Nursing aims to provide affordable nursing education and make NEUST a center of excellence in the region. Its objectives include developing students' skills and knowledge in nursing, communication, leadership and research.
The core values of NEUST are Nationalism, Excellence, Unity, Service and Transparency. Program outcomes include demonstrating competencies in areas like safe nursing care, communication and utilization of the nursing process. Students are expected to gain an understanding of clients from a biopsychosocial perspective with a focus on maternal and child health.
Maslow's hierarchy of needs proposes that humans have five levels of needs: physiological, safety, love/belonging, esteem, and self-actualization. The lower needs must be satisfied before moving up the hierarchy. Physiological needs include food, water, shelter. Safety needs include security and stability. Love and belonging needs include friendship and intimacy. Esteem needs include achievement and respect. Self-actualization involves fulfilling one's potential. Meeting needs involves both direct and indirect methods, and stress can occur if defense mechanisms are inadequate.
1. The document discusses human behavior and factors that influence it. It defines behavior as actions that have specific frequency, duration and purpose, whether conscious or unconscious.
2. Human behavior is influenced by many intrinsic and extrinsic factors, including culture, attitudes, emotions, values, genetics, social norms, and environmental incentives or restrictions.
3. Learning plays a key role in shaping behavior over time through experiences and reinforcement. Learning occurs through association and is strengthened by positive or negative reinforcement.
Change Process of Human Health behaviourdr natasha
- The document discusses attitudes, the change process, and resistance to change in the context of health promotion and education.
- It defines attitude as a tendency to react in a particular way, and identifies three components: cognitive, feeling, and action tendency.
- Two models of the change process are described: Rogers' five stages of awareness, interest, evaluation, trial, and adoption. Lewin's three phases of unfreezing old attitudes, moving to new attitudes, and refreezing the change.
- Resistance to change is said to come from threats to social structures, vested interests, or individuals. Late adopters also resist change.
Pender's health promotion model from 1982 explains factors that influence healthy behaviors. The model identifies individual characteristics, cognitions regarding behaviors, and interpersonal/situational influences as impacting behavioral outcomes. It draws from expectancy value theory and social cognitive theory. Research has applied the model to areas like cancer screening, HIV care, smoking cessation, and health behaviors in homeless women. The model provides a framework for nurses to assess factors impacting patients' health behaviors and design interventions accordingly.
This document provides an overview of several common health behavior models, including the Health Belief Model and Trans-Theoretical Model. It discusses key concepts and constructs of each model, such as perceived susceptibility, severity, benefits and barriers. The Health Belief Model focuses on attitudes and beliefs that influence behaviors. The Trans-Theoretical Model examines an individual's readiness to change behaviors through different stages. Both aim to help understand health behaviors and design effective interventions.
The health belief model is a psychological model that aims to explain health behaviors. It proposes that a person's likelihood of engaging in a health-related behavior depends on their perceptions of four key areas: susceptibility to an illness, severity of an illness, benefits of preventive action, and barriers to preventive action. The model was later updated to include additional factors like cues to action and self-efficacy. It is used to understand behaviors related to disease prevention and early detection.
Dorothea Orem developed the Self-Care Deficit Nursing Theory, which has three related parts: self-care, self-care deficit, and nursing systems. The theory proposes that individuals require nursing care when they are unable to independently meet their self-care needs. Orem identified universal, developmental, and health-deviation self-care requisites. Her theory provides a framework for the nursing process to assess self-care deficits, design and implement nursing systems to meet needs, and evaluate outcomes. The document outlines Orem's theory and provides an example of its application in planning care for a client.
Health behaviour and health education for family medicine postgraduatesChai-Eng Tan
This document discusses several health behavior theories that can be used to understand health behaviors and design interventions to promote behavior change. It provides an overview of the Health Belief Model, Transtheoretical Model of Change, Theory of Reasoned Action, and Theory of Planned Behavior. For each theory, it describes the key constructs and provides examples of how the theories can be applied to design health education programs around behaviors like condom use and STI screening. It also notes some limitations of each theory.
Impacts of Mentor’s Strategic Communication on Adjustment Problems among Adol...Arun Varghese
The study aimed to assess the impact of a mentor's strategic communication on adjustment problems among adolescents. Sixty adolescents were divided into experimental and control groups. The experimental group received mentorship focusing on stress management, relationships, health, social skills, and emotions. Results found the experimental group had significantly lower adjustment problems after the intervention compared to controls. Areas like home, health, and emotions saw significant improvement. Having fewer siblings and a higher educated father were also associated with fewer adjustment issues. The study concluded mentorship can help adolescents better deal with daily problems and focus on their studies.
Modifying and developing health behavior both imply change of a conscious and planned nature, as distinct from change that occurs unconsciously in the natural history of growth and adaptation. Therefore, sociologists, psychologists and social scientists have been working for centuries to design various behavior modification techniques, some of which are been discussed here including:
Conditioning
Modeling
Fear & Knowledge Appeals
Readiness to change model
Persuasion
The document defines prevention psychiatry as reducing mental disorders and behavioral problems by identifying risk and protective factors and applying evidence-based interventions. It provides examples of different types of prevention including universal, selective, and indicated interventions. It discusses risk and protective factors and illustrates various prevention programs targeting different populations.
Emerging Trends in the Training of Filipino Physicians - ROJoson - 2002Reynaldo Joson
The document discusses emerging trends in the training of Filipino physicians. It summarizes the presentation of Dr. Reynaldo O. Joson at the Zamboanga Medical School Foundation regarding emerging trends in medical education in the Philippines. Specifically, it outlines the traditional medical curriculum practices and emerging trends in areas like philosophy, objectives, content, teaching methods, and assessment. Some of the emerging trends include a more community-oriented and holistic approach, competency-based learning, problem-based learning, and electronic learning materials. Barriers to adopting emerging trends include resistance from school administrations focused on business and faculty lacking teaching competencies.
EFFECTS OF HUMANISTIC-EXISTENTIAL THERAPY ON SELF-CONTROL AMONG REHABILITATED...ijejournal
This study examined the effects of humanistic-existential therapy (HET) on the self-control of rehabilitated female sex workers in Nigeria. The study used a pretest-posttest experimental design with 64 rehabilitated female sex workers randomly assigned to experimental and control groups. The experimental group received 6 weeks of HET while the control group received no therapy. Results showed that HET significantly improved self-control in the experimental group compared to the control group. Additionally, demographic variables like age, family background, and marital status were not found to significantly impact the effectiveness of HET on improving self-control. The study concluded that HET is an effective therapy for treating self-control issues in rehabilitated female
Decision Making Behaviour Related to Wife’s Reproductive Health in Bidayuh Me...iosrjce
The document discusses decision making behavior related to wives' reproductive health among Bidayuh men in rural East Malaysia. It explores factors influencing the men's decisions regarding their wives' healthcare. Interviews were conducted with 12 married Bidayuh men aged 24-50. The men reported that perceptions of their duties as husbands, immediacy of problems, personal and financial considerations determined their decision making. They relied heavily on experience and deferred to doctors' opinions for complicated issues. Cultural influences also played a role as elders' views were considered. Involving men can improve maternal health by providing information and support for effective decision making.
The document discusses applying Pender's Health Promotion Model to assist with smoking cessation in a primary care setting. The HPM provides a framework to understand factors influencing health behaviors. It was developed to promote healthy lifestyles through counseling. The HPM identifies individual characteristics, experiences, and cognitive/affective factors that influence behaviors and can be addressed to support behavioral change. The document proposes using the HPM to guide assessment of factors impacting a patient's smoking and ability to quit, such as perceived benefits/barriers, self-efficacy, social influences and developing a personalized plan to address these. Barriers to smoking cessation efforts are also discussed.
Stress and Coping among the under Graduate Nursing Students A Cross Sectional...ijtsrd
Introduction: Stress among nursing students is an area of growing concern. Nursing students during their professional life undergo stress which may result in psychological distress, physical complaints, behavior problem, and poor academic performance. This study was undertaken to assess the level of stress and coping among the nursing students. Material and Methods: A Descriptive Cross Sectional study was carried out in the year 2015 among 346 nursing students in a selected college at Chidambaram taluk, Tamil Nadu. Data were collected by using demographic profile and Modified Perceived Stress Scale (PSS) and Coping Questionnaire for Adolescents (CQA) to assess the stress and coping level of the participants. Descriptive and inferential statistics were used to analyze the data. Results: The findings revealed that the overall stress level among nursing students, were under mild stress(27%), moderate stress(65%) and high stress (8%) and also the coping level among nursing students, had poor coping (4%), mild coping (43%), moderate coping (45%) and good coping (8%). Conclusion: From this study, the researcher highlights that an effective intervention strategies have to be taught to the B.Sc. nursing students to relieve stress by developing good coping mechanism during their training period to promote stress free life. Mrs. S. Kalaivani | Dr. (Mrs) D. Karaline Karunagari"Stress and Coping among the under Graduate Nursing Students A Cross Sectional Study" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-2 | Issue-3 , April 2018, URL: http://www.ijtsrd.com/papers/ijtsrd11393.pdf http://www.ijtsrd.com/medicine/nursing/11393/stress-and-coping-among-the-under-graduate-nursing-students-a-cross-sectional-study/mrs-s-kalaivani
Introduction to Health Education and Health Promotion Part 2dr natasha
This document provides an introduction to health education, including definitions, objectives, content, principles, methods, settings and evaluation. It defines health education as a process of providing information to promote, maintain and restore health. The objectives are to inform, motivate and guide people into health-promoting actions. Content areas discussed include nutrition, hygiene, disease prevention, and health services. Principles focus on interest, participation, comprehension and learning by doing. Methods vary by setting and can include campaigns, classes, and social marketing. Settings discussed are schools, workplaces, healthcare facilities, and communities. Evaluation is described as an ongoing and iterative process.
This document provides an overview of various behavior models used in health promotion, including definitions, history, and applications. It discusses models such as the Health Belief Model, Trans-Theoretical Model, Theory of Reasoned Action/Planned Behavior, Social Cognitive Theory, Locus of Control, and Sense of Coherence. It also provides examples of applications of these models to oral health research, such as using the Health Belief Model to design an oral health education program and examining oral hygiene behaviors using the Trans-Theoretical Model.
The Health Promotion Model was designed as a counterpart to models of health protection. It defines health as a positive dynamic state rather than just the absence of disease. The model focuses on individual characteristics and experiences, behavioral cognitions and affect, and behavioral outcomes. It aims to increase individuals' levels of well-being by helping them change behaviors toward optimal health through nursing interventions.
This document provides a final research proposal on enrichment opportunities for gifted junior high school students in Chicagoland schools. The research problem identified is the lack of enrichment programs for gifted students compared to support available for underperforming students. The research goals are to evaluate existing gifted programs and make recommendations to better challenge and engage gifted students. A literature review found more research on underachieving versus gifted students. The proposed methodology is qualitative, using interviews of 30 gifted students, 50 teachers/administrators from public and private schools to understand student and educator perspectives on challenges, social issues, and how interests are supported.
Tri Mumpuni is a social entrepreneur from Indonesia who founded IBEKA, an NGO committed to developing micro hydropower systems to provide electricity for impoverished rural communities. As IBEKA's leader, she struggled with regulations and financing but has built 60 plants powering 500,000 people through community participation. Presently, she lobbies for policy changes allowing independent plants to sell to the grid and bringing electricity to 20,000 remaining villages through empowering communities economically and ensuring their involvement.
Maslow's hierarchy of needs proposes that humans have five levels of needs: physiological, safety, love/belonging, esteem, and self-actualization. The lower needs must be satisfied before moving up the hierarchy. Physiological needs include food, water, shelter. Safety needs include security and stability. Love and belonging needs include friendship and intimacy. Esteem needs include achievement and respect. Self-actualization involves fulfilling one's potential. Meeting needs involves both direct and indirect methods, and stress can occur if defense mechanisms are inadequate.
1. The document discusses human behavior and factors that influence it. It defines behavior as actions that have specific frequency, duration and purpose, whether conscious or unconscious.
2. Human behavior is influenced by many intrinsic and extrinsic factors, including culture, attitudes, emotions, values, genetics, social norms, and environmental incentives or restrictions.
3. Learning plays a key role in shaping behavior over time through experiences and reinforcement. Learning occurs through association and is strengthened by positive or negative reinforcement.
Change Process of Human Health behaviourdr natasha
- The document discusses attitudes, the change process, and resistance to change in the context of health promotion and education.
- It defines attitude as a tendency to react in a particular way, and identifies three components: cognitive, feeling, and action tendency.
- Two models of the change process are described: Rogers' five stages of awareness, interest, evaluation, trial, and adoption. Lewin's three phases of unfreezing old attitudes, moving to new attitudes, and refreezing the change.
- Resistance to change is said to come from threats to social structures, vested interests, or individuals. Late adopters also resist change.
Pender's health promotion model from 1982 explains factors that influence healthy behaviors. The model identifies individual characteristics, cognitions regarding behaviors, and interpersonal/situational influences as impacting behavioral outcomes. It draws from expectancy value theory and social cognitive theory. Research has applied the model to areas like cancer screening, HIV care, smoking cessation, and health behaviors in homeless women. The model provides a framework for nurses to assess factors impacting patients' health behaviors and design interventions accordingly.
This document provides an overview of several common health behavior models, including the Health Belief Model and Trans-Theoretical Model. It discusses key concepts and constructs of each model, such as perceived susceptibility, severity, benefits and barriers. The Health Belief Model focuses on attitudes and beliefs that influence behaviors. The Trans-Theoretical Model examines an individual's readiness to change behaviors through different stages. Both aim to help understand health behaviors and design effective interventions.
The health belief model is a psychological model that aims to explain health behaviors. It proposes that a person's likelihood of engaging in a health-related behavior depends on their perceptions of four key areas: susceptibility to an illness, severity of an illness, benefits of preventive action, and barriers to preventive action. The model was later updated to include additional factors like cues to action and self-efficacy. It is used to understand behaviors related to disease prevention and early detection.
Dorothea Orem developed the Self-Care Deficit Nursing Theory, which has three related parts: self-care, self-care deficit, and nursing systems. The theory proposes that individuals require nursing care when they are unable to independently meet their self-care needs. Orem identified universal, developmental, and health-deviation self-care requisites. Her theory provides a framework for the nursing process to assess self-care deficits, design and implement nursing systems to meet needs, and evaluate outcomes. The document outlines Orem's theory and provides an example of its application in planning care for a client.
Health behaviour and health education for family medicine postgraduatesChai-Eng Tan
This document discusses several health behavior theories that can be used to understand health behaviors and design interventions to promote behavior change. It provides an overview of the Health Belief Model, Transtheoretical Model of Change, Theory of Reasoned Action, and Theory of Planned Behavior. For each theory, it describes the key constructs and provides examples of how the theories can be applied to design health education programs around behaviors like condom use and STI screening. It also notes some limitations of each theory.
Impacts of Mentor’s Strategic Communication on Adjustment Problems among Adol...Arun Varghese
The study aimed to assess the impact of a mentor's strategic communication on adjustment problems among adolescents. Sixty adolescents were divided into experimental and control groups. The experimental group received mentorship focusing on stress management, relationships, health, social skills, and emotions. Results found the experimental group had significantly lower adjustment problems after the intervention compared to controls. Areas like home, health, and emotions saw significant improvement. Having fewer siblings and a higher educated father were also associated with fewer adjustment issues. The study concluded mentorship can help adolescents better deal with daily problems and focus on their studies.
Modifying and developing health behavior both imply change of a conscious and planned nature, as distinct from change that occurs unconsciously in the natural history of growth and adaptation. Therefore, sociologists, psychologists and social scientists have been working for centuries to design various behavior modification techniques, some of which are been discussed here including:
Conditioning
Modeling
Fear & Knowledge Appeals
Readiness to change model
Persuasion
The document defines prevention psychiatry as reducing mental disorders and behavioral problems by identifying risk and protective factors and applying evidence-based interventions. It provides examples of different types of prevention including universal, selective, and indicated interventions. It discusses risk and protective factors and illustrates various prevention programs targeting different populations.
Emerging Trends in the Training of Filipino Physicians - ROJoson - 2002Reynaldo Joson
The document discusses emerging trends in the training of Filipino physicians. It summarizes the presentation of Dr. Reynaldo O. Joson at the Zamboanga Medical School Foundation regarding emerging trends in medical education in the Philippines. Specifically, it outlines the traditional medical curriculum practices and emerging trends in areas like philosophy, objectives, content, teaching methods, and assessment. Some of the emerging trends include a more community-oriented and holistic approach, competency-based learning, problem-based learning, and electronic learning materials. Barriers to adopting emerging trends include resistance from school administrations focused on business and faculty lacking teaching competencies.
EFFECTS OF HUMANISTIC-EXISTENTIAL THERAPY ON SELF-CONTROL AMONG REHABILITATED...ijejournal
This study examined the effects of humanistic-existential therapy (HET) on the self-control of rehabilitated female sex workers in Nigeria. The study used a pretest-posttest experimental design with 64 rehabilitated female sex workers randomly assigned to experimental and control groups. The experimental group received 6 weeks of HET while the control group received no therapy. Results showed that HET significantly improved self-control in the experimental group compared to the control group. Additionally, demographic variables like age, family background, and marital status were not found to significantly impact the effectiveness of HET on improving self-control. The study concluded that HET is an effective therapy for treating self-control issues in rehabilitated female
Decision Making Behaviour Related to Wife’s Reproductive Health in Bidayuh Me...iosrjce
The document discusses decision making behavior related to wives' reproductive health among Bidayuh men in rural East Malaysia. It explores factors influencing the men's decisions regarding their wives' healthcare. Interviews were conducted with 12 married Bidayuh men aged 24-50. The men reported that perceptions of their duties as husbands, immediacy of problems, personal and financial considerations determined their decision making. They relied heavily on experience and deferred to doctors' opinions for complicated issues. Cultural influences also played a role as elders' views were considered. Involving men can improve maternal health by providing information and support for effective decision making.
The document discusses applying Pender's Health Promotion Model to assist with smoking cessation in a primary care setting. The HPM provides a framework to understand factors influencing health behaviors. It was developed to promote healthy lifestyles through counseling. The HPM identifies individual characteristics, experiences, and cognitive/affective factors that influence behaviors and can be addressed to support behavioral change. The document proposes using the HPM to guide assessment of factors impacting a patient's smoking and ability to quit, such as perceived benefits/barriers, self-efficacy, social influences and developing a personalized plan to address these. Barriers to smoking cessation efforts are also discussed.
Stress and Coping among the under Graduate Nursing Students A Cross Sectional...ijtsrd
Introduction: Stress among nursing students is an area of growing concern. Nursing students during their professional life undergo stress which may result in psychological distress, physical complaints, behavior problem, and poor academic performance. This study was undertaken to assess the level of stress and coping among the nursing students. Material and Methods: A Descriptive Cross Sectional study was carried out in the year 2015 among 346 nursing students in a selected college at Chidambaram taluk, Tamil Nadu. Data were collected by using demographic profile and Modified Perceived Stress Scale (PSS) and Coping Questionnaire for Adolescents (CQA) to assess the stress and coping level of the participants. Descriptive and inferential statistics were used to analyze the data. Results: The findings revealed that the overall stress level among nursing students, were under mild stress(27%), moderate stress(65%) and high stress (8%) and also the coping level among nursing students, had poor coping (4%), mild coping (43%), moderate coping (45%) and good coping (8%). Conclusion: From this study, the researcher highlights that an effective intervention strategies have to be taught to the B.Sc. nursing students to relieve stress by developing good coping mechanism during their training period to promote stress free life. Mrs. S. Kalaivani | Dr. (Mrs) D. Karaline Karunagari"Stress and Coping among the under Graduate Nursing Students A Cross Sectional Study" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-2 | Issue-3 , April 2018, URL: http://www.ijtsrd.com/papers/ijtsrd11393.pdf http://www.ijtsrd.com/medicine/nursing/11393/stress-and-coping-among-the-under-graduate-nursing-students-a-cross-sectional-study/mrs-s-kalaivani
Introduction to Health Education and Health Promotion Part 2dr natasha
This document provides an introduction to health education, including definitions, objectives, content, principles, methods, settings and evaluation. It defines health education as a process of providing information to promote, maintain and restore health. The objectives are to inform, motivate and guide people into health-promoting actions. Content areas discussed include nutrition, hygiene, disease prevention, and health services. Principles focus on interest, participation, comprehension and learning by doing. Methods vary by setting and can include campaigns, classes, and social marketing. Settings discussed are schools, workplaces, healthcare facilities, and communities. Evaluation is described as an ongoing and iterative process.
This document provides an overview of various behavior models used in health promotion, including definitions, history, and applications. It discusses models such as the Health Belief Model, Trans-Theoretical Model, Theory of Reasoned Action/Planned Behavior, Social Cognitive Theory, Locus of Control, and Sense of Coherence. It also provides examples of applications of these models to oral health research, such as using the Health Belief Model to design an oral health education program and examining oral hygiene behaviors using the Trans-Theoretical Model.
The Health Promotion Model was designed as a counterpart to models of health protection. It defines health as a positive dynamic state rather than just the absence of disease. The model focuses on individual characteristics and experiences, behavioral cognitions and affect, and behavioral outcomes. It aims to increase individuals' levels of well-being by helping them change behaviors toward optimal health through nursing interventions.
This document provides a final research proposal on enrichment opportunities for gifted junior high school students in Chicagoland schools. The research problem identified is the lack of enrichment programs for gifted students compared to support available for underperforming students. The research goals are to evaluate existing gifted programs and make recommendations to better challenge and engage gifted students. A literature review found more research on underachieving versus gifted students. The proposed methodology is qualitative, using interviews of 30 gifted students, 50 teachers/administrators from public and private schools to understand student and educator perspectives on challenges, social issues, and how interests are supported.
Tri Mumpuni is a social entrepreneur from Indonesia who founded IBEKA, an NGO committed to developing micro hydropower systems to provide electricity for impoverished rural communities. As IBEKA's leader, she struggled with regulations and financing but has built 60 plants powering 500,000 people through community participation. Presently, she lobbies for policy changes allowing independent plants to sell to the grid and bringing electricity to 20,000 remaining villages through empowering communities economically and ensuring their involvement.
A Purposeful Change: Utilizing Digital Age Resourcesjcasazza315
The document discusses how the United States is falling behind other countries in terms of students attending higher education and performance on international assessments. It argues that integrating digital age resources can help engage students and improve learning outcomes. Specifically, it proposes increasing the school's bandwidth, providing professional development for teachers on educational technology, and purchasing additional Chromebooks.
Ejercicios. Division de Tension - Corriente - Yolfred UzcateguiYolfred Uzcategui
The document discusses three exercises involving voltage and current dividers. In the first exercise, it calculates the total resistance, input current, and currents through each resistor in a three-resistor divider. The second exercise does the same for a two-stage divider. It finds the equivalent resistances and input/output currents. The third exercise calculates the total resistance and input current for a three-resistor divider, then uses ohm's law to determine the voltages across each resistor.
This document discusses supporting students with mental health problems in schools. It begins by defining mental health and well-being, noting that many students struggle with issues like anxiety, depression, and attention difficulties. The document then reviews literature showing schools play an important role in students' mental health and outlines the research background, aims, questions, and structure. It examines the role of government and authorities in implementing programs to develop students' social skills and mental well-being. Overall, the document analyzes how schools currently support students with mental health issues and ways to potentially improve these practices.
Educational & Child Psychology; Vol. 36 No. 3 33
Evaluating the impact of an autogenic
training relaxation intervention on levels
of anxiety amongst adolescents in school
Tracey Atkins & Ben Hayes
Aim: This study aimed to investigate the impact of a group-based autogenic training (AT) relaxation
intervention on levels of anxiety in adolescents in mainstream school settings.
Method: A mixed-methods design was used to measure differences in levels of anxiety and explore a range
of perceived changes between groups over time. Sixty-six young people aged between 14 and 15 years old
from four mainstream schools in the UK were randomly assigned within each school to an intervention
or wait-list control group. Quantitative data were analysed using a mixed between-within subjects ANOVA.
Qualitative information from 12 volunteer participants was analysed using thematic analysis.
Findings: Results showed a main effect of time for both the intervention group and the wait-list group
however, no significant main interaction was found. Qualitative results showed perceived improvements
in social relationships and connectivity; reflectiveness; self-awareness; physiological symptoms; and a sense
of control.
Limitations: Measures were reliant on self-reported data. Schools were recruited through self-referral and
expression of interest, excluding participants who may not have the opportunity to take part. There were
no opportunities to collect follow-up data.
Conclusions: Results suggest that a structured AT relaxation intervention delivered in a familiar
school environment may significantly reduce levels of anxiety amongst adolescents. However, significant
improvements for the wait-list group also raises questions around the potential of other supportive
variables, such as acknowledgement and validation of feelings, the promise and availability of
forthcoming support and the potential impact of raised awareness and interest in pupil wellbeing
amongst school staff.
Keywords: autogenic training; relaxation; adolescence; mind-body interventions; anxiety.
M
ENTAL HEALTH difficulties in
young people are a serious cause for
concern across the world. The World
Health Organization (WHO) reports that in
half of all cases of mental health conditions,
onset has occurred by the age of 14 years
old; suicide is the third leading cause of
death in 15–19 year olds; and the second
leading cause of death in girls (WHO, 2018).
It is estimated that one in ten children and
young people aged 5–16 years old have
a diagnosable mental health disorder in the
UK alone; and at least one in 12 children
and young people deliberately self-harm
(Young Minds, 2018).
In 2009, the UK government identi-
fied mental health as everyone’s business
(Department of Health; DoH, 2009) and
was specific about prevention and the tran-
sition time between adolescence and early
adulthood. Suggestions for schools include
promoting students’ mental health as part
of ...
How to choose thesis topic | Bed | Med Thesis description | Guidelines | AIOU...NaumanMalik30
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This document outlines a proposed curriculum to educate college students about improving sleep health. The curriculum aims to increase students' knowledge on topics like the importance of sleep, sleep disorders, and sleep management skills. It provides learning goals and identifies relevant health education curriculums and local community resources. Prevalent health issues in society related to poor sleep quality are also discussed, such as increased risk of type 2 diabetes and cardiovascular disease. The curriculum intends to help students develop strategies to enhance their overall sleep health and quality of life.
1
Positive Social Change
Name: Christabel Ekechukwu
Institution: Walden University
Date: 11/05/2016
Walden makes the implication that in order for social change to exist, there must be pragmatic efforts to cause the intended change, whether by taking action as an individual or as group. Therefore, in the effort to create environment and living conditions that produce a society of happy, healthy people, actions must support and reinforce environmental health and enable people to adopt and maintain healthy relationship with their environment for the sake of happiness and well-being of others and the sustainability of the environment. As a conservation psychologist, I endeavor to promote positive social change through encouraging a healthy and sustainable relationship between human and nature.
Typically, comprehending and promoting the linkage between humans and the natural world greatly boost sustainable behaviors such as recycling and hence, reinforcing on environmental development and sustainability. Ideally, I chose the role of the conservation psychologist due to the fact that, people are interwoven and inseparable with the natural ecosystem. It is imperative to understand the way people experience, think about, and relate with nature in order to promote environmental sustainability and human well-being.
In my course of advocating for healthy environment and human well-being, I do not concentrate on creating small behavior changes rather, I desire for people to re-evaluate, rethink and prioritize their relationship with nature. I educate people to develop positive attitude towards environment. They need to affirm their identities and push for protection of nature and be the steward own valued places. People need to be courageous to correct their own values, systems and lifestyle through self-validation and system justification by advocating for conservation of environment, and encouraging people to participate actively, I help them understand the complex sources of environmental attitudes and behavior. Paradoxically, encouraging human well-being and ignoring on the threats to the natural environment, lead to depletion of resources, which later people complain of the adverse effects. In this regard, I encourage people to establish a connection with the environment to represent a positive image of oneself. For instance, tendering a beautiful.
At an individual level, a person has to develop profound connections with natural environment. Of course, an individual loves some natural entity like a tree, an animal or a lake. This implies that the human connection to nature is an integral part of human existence. When a person has strong connection to the environment, he/she will be able to champion for it preservation and will not be bound by structured public policies that propagate indiscriminate exploitation of natural resources (Clayton, and Myers, 2015; Roth and Sweatt, 2011). Indeed, social structure often determine how ...
Social Determinants of Mental Health (1).pptxsarojrimal7
This document provides an overview of a paper on the social determinants of mental health produced by the World Health Organization and Calouste Gulbenkian Foundation. It discusses the background, methods, findings, and key concepts around how social, economic, and environmental factors impact mental health across the lifespan. The paper takes a life course approach and finds that factors like socioeconomic status, gender, education level, employment conditions, and community support influence mental health outcomes. It provides a framework for understanding these determinants and pursuing multi-sectoral actions and policies to promote mental well-being at all stages of life.
The document discusses the health belief model, which is a theoretical framework used in healthcare to guide health promotion plans and disease prevention. It has five stages: precontemplation, contemplation, preparation, action, and maintenance. The model focuses on perceived susceptibility, severity, benefits, and confidence. It can be used to understand behaviors like substance abuse in youth. Barriers to implementing it include lack of resources. Benefits are improving health knowledge and behaviors.
In Topic 3, you conducted research to identify three sources t.docxjaggernaoma
This document provides guidance for a 750-word assignment discussing the author's vision for their career after completing a master's degree. It instructs the author to address how completing the degree will benefit social good in their industry and community. The author must integrate information from at least three scholarly sources relating to servant leadership, ethics, and entrepreneurism, which are pillars of the Colangelo College of Business. The assignment must be prepared according to APA style guidelines.
Running Head LIFE SPAN PARENTING PROJECT1LIFE SPAN PARENTING.docxwlynn1
Running Head: LIFE SPAN PARENTING PROJECT 1
LIFE SPAN PARENTING PROJECT 2
Student's name: Emmanuel Domenech
Professor's name: Dr. Suzi Hundemer
Class: BEHS 343
Topic: Chapter 2: Theoretical Perspectives on Parenting (trait theory) Chapter 3: Approaches to parenting research(Group counseling and psychotherapy with children and adolescents)
Institution: University of Maryland University College
Date: June 9, 2019
Life Span Parenting Project
Children ought to be evaluated when it comes to their entire environment with the inclusion of whatever negative or positive parental influences that could exist, this is according to Group counseling and psychotherapy with children and adolescents. I have learned that one of the most refreshing impacts concerning parents is because mainly we work with their kids who are reaching the adolescent stage in regions of their personal/social, academic success, career development, and realm. Their work comprises of working in intervention and prevention (Denno et al., 2015). Counselors help students like who undergo rough times, for instance, in adolescent and help them in enlightening their skills of resilience to be equipped better in case of hitting tough times in the future.
The adolescent stage is characterized by uneven and dramatic integration of changes that are developmental into the day to day lives of young persons. Simultaneously, teenagers experience growing independence from their families, mood swings, and at times, rapidly increasing sexuality. The tasks of talking to them usually start within the units of the family. Often, as guardians, we tend to view our teens as fragile thus visit our pediatricians or doctors since we see them as people whom to seek advice from regarding both behavioral and physiologic issues (Shechtman, 2017). The ongoing relationship with the pediatrician and the family gives for enough prospects to offer support and guidance that is anticipated as our kids get into and move through the stage of adolescence.
Determinants of Parenting
As we all know, the parent-child relationship has a massive influence on most aspects of the development of a child. When behaviors, parenting skills, and optimal capabilities have a positive effect on the school achievement or self-esteem of a child, there is positive behavior and development on the kids.
Fig: Family-Based Therapy
Some other treatment programs that can be used to work in families include family therapy, family-centered therapy, or family-based therapy. These programs change from one to the other. These are effective when it comes to family counseling and help in coming to terms with the stage or any disorder that could arise in the process.
As far as I am concerned, therapy is vital when looking at parenting approaches. This is because when an individual is a child, through adolescent to when they mature to being adults, they require guideline on being better per.
Technical And Business Of EntrepreneurshipDiane Allen
The document discusses technical and business undergraduate students' self-efficacy in entrepreneurship. It finds that business undergraduates may have higher self-efficacy in entrepreneurial endeavors than non-business students, as business students had more opportunities to be involved in business activities. Preliminary analyses were conducted to ensure assumptions of normality, linearity and homoscedasticity were not violated.
The document discusses theories of health behavior change, including the Theory of Planned Behavior and Transtheoretical Model. The Theory of Planned Behavior suggests that behavioral intentions are influenced by attitudes, subjective norms, and perceived behavioral control. Research has found this theory can predict smoking behaviors. The Transtheoretical Model stages behavioral change over time through pre-contemplation, contemplation, preparation, action, and maintenance phases. This model is useful for analyzing physical activity levels and attitude changes.
10 STRATEGIC POINTS DOCUMENT 2 THE 10 STRATEGIC POsimisterchristen
10 STRATEGIC POINTS DOCUMENT 2
THE 10 STRATEGIC POINTS 2
SAMPLE 10 STRATEGIC POINTS
Grand Canyon University
DNP-820A: Translational Research and Evidence-Based Practice
10 Strategic Points Document for a Quality Improvement Project
Ten Strategic Points
The 10 Strategic Points
Title of Project
1)
Title of Project
Impact the number of depression screenings and referrals to a child psychologist
Background
Theoretical Foundation
Literature Synthesis
Practice Change Recommendation
2)
Background to Chosen Evidence-Based Intervention:
List the primary points for six sections.
i) Background of the practice problem/gap at the project site
One of the primary causes of disability worldwide, depression affects a sizable percentage of the population. Persistent feelings of sadness and guilt, changes in sleeping patterns (insomnia or oversleeping), changes in appetite, decreased mental and physical energy, unusual irritability, inability to enjoy once-enjoyed activities, difficulty working, and thoughts of death or suicide are all symptoms that can be associated with any type of depressive disorder. These "down" symptoms alone may indicate a unipolar depressive disorder like dysthymia or severe depression if they are present. A person may be diagnosed with bipolar illness if they experience alternating spells of depression and euphoria. Adolescents and young adults increasingly have difficulties with their mental health (Poppen et al., 2016). An individual's mental health is something only they can fully comprehend, making it difficult for friends and loved ones to spot warning signs in time to intervene. Juvenile and young adult suicide is a major problem in today's world. A lack of life experiences, self-confidence, and faith in one's own skills contribute to the suicides of many young individuals.
ii) Significance of the practice problem/gap at the project site
Mental illness has been a problem that is affected the population for a long period and worryingly young people and adolescents are experiencing many effects that lead to some committing suicide. The stress that today's youth encounter nowadays is the most significant of all these issues, especially the pressure they receive based on their academic expectations and poor communication about their troubles to their parents. There is also a gap in the schools in terms of students receiving counseling services because there are limited professional counselors that attend to student needs. Despite the fact that psychologists claim stress could be caused by anything, many young people find the rapid pace of modern life to be a significant source of anxiety. Many young individuals are inspired to take their own lives by the media's glorified depiction of suicide (Poppen et al., 2016). The reality that suicide is always fatal seems to be lost on many young people. Young people, in other words, consider suicide an o ...
Stress and Emotional Bases, investigating the Effectiveness of Emotional Inte...QUESTJOURNAL
Introduction: Specific occupational environments such as mining activities are the source of various stressors. This study aimed to investigate the effectiveness of emotional intelligence training on job stress of the employees of GolGohar Mining and Industrial Company in Sirjan, Kerman. Method: A quasi-experimental design with pretest and posttest was used and 86 employees of GolGohar Mining and Industrial Company in Sirjan were selected using the stratified random sampling method and were divided into two groups of treatment and control. Experimental group received training protocol of ten sessions of 90 minutes and the control group was inserted in the waiting list. Structured clinical interview, demographic questionnaire, Bar-On emotional intelligence questionnaire and job stress questionnaire were used for data collection. Chi-square test and analysis of covariance were used for data analysis. Results: Data analysis showed that emotional intelligence training intervention on the components of workload, perceived incompetence, duplicity, restrictions and responsibilities has played a significant effectiveness (p<0.01).><0.01). Conclusion: The findings of this study suggest the effectiveness of emotional intelligence training on occupational stress index. This finding can be taken into consideration in planning of the preventive and therapeutic interventions.
Developing Emotional Intelligence for Healthcare LeadersYasmin AbdelAziz
Skills in emotional intelligence (EI) help healthcare leaders understand, engage and
motivate their team. They are essential for dealing well with conflict and creating workable
solutions to complex problems.
Causal relationships between risk estimates and alcohol consumptio.docxcravennichole326
Causal relationships between risk estimates and alcohol consumption must be made cautiously as most studies have used a cross-sectional methodology, poor definitions of alcohol use, and inadequate assessments of risk perceptions. Despite a lack of evidence, the concept of adolescent “invulnerability” remains pervasive in both scientific and lay circles, is used to explain adolescents' decisions to engage in a potentially harmful behavior and is incorporated into many intervention programs (Fell, et al., 2015). Longitudinal, prospective studies are needed to understand fully the extent to which perceptions of low risk predict and motivate alcohol use.
I. Perceptions of Alcohol-Related Benefits:
An emphasis on perceived risk alone may be inadequate to predict or change behavior because a risk is only part of the behavioral decision-making equation. What is missing knows the extent to which adolescents perceive benefits of risky behaviors. The decision literature has argued that individuals should consider both the risks and benefits when making decisions. In addition, alcohol expectancy researchers have found that perceived benefits, in addition to perceived risks, are significant predictors of drinking behavior. More recently, Goldberg and colleagues (2002) concluded that, regardless of age, participants with more drinking experience perceived benefits to be more likely to occur, and risks less likely (Grube & Voas, 2014).
Indeed, adolescents' reasons for drinking alcohol often include an acknowledgment or identification of alcohol-related benefits, such as alcohol being used in social interactions to help them to reduce inhibitions, feel more relaxed reduce tension, foster courage, and reduce worry. Attachment theories are based on the view that human beings have an intrinsic and universal desire to be accepted by others. Parent attachment is broadly conceptualized as the overall level of parental responsiveness toward the offspring.
The youth’s internalization of the security of attachment is expected to be imprinted heuristically through interaction with the caregiver, in time becoming relatively resistant to change, showing enduring effects across the lifespan (Miller, et al., 2010). Through the formation of secure bonds to parents, children acquire a robust internal working model of themselves and others.
Youth with secure attachment to parents develop the skills necessary to regulate their Attachment emotional theories are based on the view that human beings have an intrinsic and universal desire to be accepted by others. Parent attachment is broadly conceptualized as the overall level of parental responsiveness toward the offspring (Foster, et al., 2013).
The youth’s internalization of the security of attachment is expected to be imprinted heuristically through interaction with the caregiver, in time becoming relatively resistant to change, showing enduring effects across the lifespan. Through the formation of ...
This document summarizes key points from a community health nursing assignment submitted by a student. It discusses two main topics:
1. Healthy People 2020 goals and objectives for older adults, including increasing physical activity, improving nutrition, and promoting socialization.
2. Nursing actions that address the needs of older adults, such as encouraging health screenings and exams, promoting fitness, monitoring chronic conditions, ensuring safety of medications, and addressing spiritual and end-of-life needs.
This document discusses using social media as a therapeutic intervention and stigma reduction effort for emerging adults with mental illness. Emerging adulthood is a peak time for developing mental health issues but this age group is least likely to seek treatment, partly due to social stigma. The document reviews efforts to reduce stigma, like encouraging contact with people with mental illness and personal narratives. It suggests leveraging social media, as emerging adults use it for self-expression, and it can change social norms. Allowing therapeutic self-expression on social media may effectively reduce stigma and empower emerging adults with mental health issues.
The document discusses models of health psychology, focusing on the biopsychosocial model. The biopsychosocial model views health and illness as influenced by biological, psychological, and social factors. It was first proposed by George Engel in 1977 as an alternative to purely biomedical models. The model examines the interconnections between biology, psychology, and socio-environmental factors in topics like health, disease, and human development. Strengths include improved patient outcomes, while limitations include being time-consuming and lacking a strong theoretical basis.
[Type here]Ok. This school makes me confused. The summary of t.docxhanneloremccaffery
[Type here]
Ok. This school makes me confused. The summary of this week they posted like this:
SUMMARY:
This week introduced you to grand theories and middle-range theories that serve to articulate the voice of nursing within healthcare.
Here are the key points covered:
Grand theories are comparatively more abstract than middle-range theories since they are at a higher level of abstraction. Compared to grand theories, middle-range theories are made up of limited number of concepts that lend themselves to empirical testing. All theories help to explain human health behavior.
· Sister Callista Royï's adaptive model theory is built on the conceptual foundation of adaptation. It identifies the positive role that nursing plays in the promotion and enhancement of client adaptation to environments that facilitate the healing process.
· Leiningerï's culture care theory is pertinent in the current multicultural healthcare environment where nurses are exposed to diverse cultures.
· Penderï's health promotion and disease prevention theory can be called as a "direction setting exercise" for nursing professionals. It believes in fostering the spirit of health promotion and disease and risk reduction.
From the chapter, Models and Theories Focused on Nursing Goals and Functions, read the following:The Health Promotion Model: Nola J. Pender
From the chapter, Models and Theories Focused on a Systems Approach, read the following:
The Roy Adaptation Model
From the chapter, Models and Theories Focused on Culture, read the following:
Leininger's Cultural Care Diversity and Universality Theory and Model
SO, THAT IS WHY I ASSUMED THAT HAS TO BE ONE OF THEM (Pender, Roy Adaptaion or Leininger)
ANYWAY, I AM PUTTING INFORMATION TOGETHER.
Week 4 Chapter 17
Models and Theories Focused on Nursing Goals and Functions
The Health Promotion Model: Nola J. Pender
Background
Nola J. Pender was born in 1941 in Lansing, Michigan. She graduated in 1962 with a diploma in nursing. In 1964, Pender completed a bachelor’s of science in nursing at Michigan State University. By 1969, she had completed a doctor of philosophy in psychology and education. During this time in her career, Pender began looking at health and nursing in a broad way, including defining the goal of nursing care as optimal health.
In 1975, Pender published a model for preventive health behavior; her health promotion model first appeared in the first edition of the text Health Promotion in Nursing Practice in 1982. Pender’s health promotion model has its foundation in Albert Bandura’s (1977) social learning theory (which postulates that cognitive processes affect behavior change) and is influenced by Fishbein’s (1967) theory of reasoned action (which asserts that personal attitudes and social norms affect behavior).
Pender’s Health Promotion Model
McCullagh (2009) labeled Pender’s health promotion model as a middle-range integrative theory, and rightly so. Fawcett (2005) decisively presented the differenc.
[Type here]Ok. This school makes me confused. The summary of t.docx
787-798
1. Journal of Administrative Management,
Education and Training (JAMET)
ISSN: 1823-6049
Volume (12), Issue (4), 2016, 787-798
Available online at http://www.jamet-my.org
Citation:
H.Ghasemian.R, The Effectiveness of Training According to the Pattern of Welfare Organization in
Cognitive Empowerment, Self-Regulation and Self-Efficacy of Mentally - Physically Disabled, Journal of
Administrative Management, Education and Training, Volume (12), Issue (4), 2016, pp. 787-798
2. 787
The Effectiveness of Training According to the Pattern
of Welfare Organization in Cognitive Empowerment,
Self-Regulation and Self-Efficacy of Mentally -
Physically Disabled
H.Ghasemian.R
ABSTRACT
Introduction: This study was conducted with the aim of investigating the effectiveness of
training according to the pattern of welfare organization in cognitive empowerment,
self-regulation and self-efficacy of mentally - physically disabled.
Method: This study is a two-group pretest-posttest, the population of this study included
all men and women mentally and physically disabled 14 to 34 years old referred to
Tehran welfare training centers in the second half of 2015, among the research
community, a sample of 40 people with matching in kind of disability and age and in two
experimental and control groups was randomly replaced. At the beginning of entering
people to the quarter trainings and at the end of the training, psychological
empowerment questionnaires of Spritzer and Mishra, general self-efficacy scale of
Scherer and self-regulation of Bouffard were used to gather information. Information
gathered using descriptive- inferential statistics were analyzed including covariance
with SPSS software, version 22.
Results: Data analysis results showed that training has had a significant impact in
improving the self-regulation, self-efficacy and psychological empowerment of subjects
of research.
Conclusion: Considering the effectiveness of welfare training centers in self-efficacy,
self-regulation and psychological empowerment of disabled, it is recommended that the
educational programs of this center widely to be used in interventions and training
related to disabled.
Key words: training, welfare organization, cognitive empowerment, self-regulation, self-
efficacy, mentally – physically disabled
Introduction
Someone said to be disabled that due to physical or mental defect, a significant disorder to be
created continuously on public health and performance, or in social affairs, economic and
vocational of him, so this disorder causes to decrease his individual, social and economic
independence. This group includes deaf, blind, physically disabled and mentally disabled; mental
3. Journal of Administrative Management, Education and Training (JAMET)
788
retardation is a disorder that is specified with intellectual function under normal limit and disorder
in adaptive skills. Less than 18 years old is the age of starting mental retardation and the purpose
of adaptive skills is to do works that at any age typically is expected of the person (Papadatou
Tomprou, 2015). Many reasons for mental and physical disabilities are listed which include
prenatal factors that include genetic effects and chromosome changes. In addition, uterine
infections and rubella and toxoplasmosis disease (a serious disease that is transmitted through cat)
are also involved in the development. What is common, the most cause of mental retardation is
prenatal factors that are important in terms of prevention, particularly chromosomal factors such
as Down syndrome and infectious agents such as rubella, and congenital toxoplasmosis. In the
meantime, factors at birth, such as complicated childbirth and breathing problems and bleeding
skull during childbirth and… are effective (Mehrabizadeh et al., 2001). Other factors are factors
after birth, including severe blows to the child's skull (jaundice), cyanosis (blackened), infections
during infancy with fever and convulsions, hypothyroidism and .... That with the care of children,
especially before the age of four can be prevented to some degree of mental retardation
(Mehrabizadeh et al., 2001). Social environmental factors also affect, they have smaller impacts
on the incidence of mental retardation and include poverty, nutrition, family instability, poor
socio-economic status and cultural deprivation and intense stress in child's life environment
(Mehrabizadeh et al., 2001). Prevent the emergence of factors creating mental retardation in
particular factors before birth is particularly important. Family education, prevent consanguineous
marriages, prevent pregnancy after age 35 years, pregnancy hygiene (avoid radiation, drug,
trauma to the abdomen, maternal nutrition, prevention and control of congenital infections, etc.)
in primary prevention are very effective. Protect the child after birth, especially in infancy and
early therapeutic intervention in diseases such as hypothyroidism (CH) is also important in the
prevention of mental retardation. Mental retardation has no cure, and the best way to control it is
to prevent it. It seems certain medications also control the development of disorder. The main
treatment of mentally retarded individuals is to increase their compatibility, living conditions and
set environmental and efficiency expectations of the people in the family and society. Family
counseling and individual counseling is necessary in order to limit the impacts of mental
retardation. Using methods recommended by experts for achieving and maintaining operational
efficiency can increase their self-confidence and better compatibility with the normal stresses of
life of mentally retarded person. Teaching kid and family, teaching language skills, environment,
communication, social, and physical therapy as well as special education and training physical
skills can all be effective in compatibility and better growth of these people and physical
rehabilitation of them (Halahan et al., 2001). People with mental disabilities are at risk of
psychological problems and medical, mental disabilities due to limits in social relationships,
family, work, education and interpersonal relationships causes to protect the individual against
various problems such as sexual abuses, financial, and legal. About 49 percent of people with
mental disabilities experience sexual abuses in their lifetime at least ten times or more, many
disabled women are raped and about 90% experience sexual abuse at least one time (Chave,
2014). One of the problems that people with mental and physical disabilities face with it is self-
efficacy, self-efficacy in these patients is extremely low that is with negative consequences of
4. 789
each month and has an important role in the maintenance of the negative consequences (Higgins
et al., 2012) Self-efficacy is raised as a concept of social learning theory and first was proposed in
1997 by Bandura. Stoke Rosen and colleagues in 1988 considered it as an important case for
health model, particularly when the model is used to predict chronic lifestyle diseases. Stoke
Rosen acknowledged in 1988 that Bandura and colleagues believe that feeling self-efficacy is an
important prerequisite for changing behavior. Self-efficacy is a confidence that the person will
feel about certain activities. This concept influences the effort and level of performance of
individual (Moroti Sharifabad and Rohani Tonekaboni, 2008). The concept of self-efficacy is
based on detailed research and theorizing about the importance of people's expectations about
their ability to successfully deal with problematic situations. Much of our knowledge about the
process and transformation of self-efficacy is obtained of Albert Bandura's studies (Klinke, 1998,
translated by Mohammad Khani, 2005). In fact, self-efficacy is person's belief in his ability to do
something. They are not trying to do anything unless they think they are capable of doing it. If a
person believes that doing something is useful but do not believe that he can do it, he will not
attempt to do it (Jones and Bartlett, 2009). Now self-efficacy is used as a conception of wide
range of different health domains. For example, self- efficacy associated with the ability to
control pain. The results also show that people with high self-efficacy before surgeries of the
mouth has had low anxiety. Research in patients with respiratory disorders has shown that high
self-efficacy predicts the psychological impacts of respiratory diseases. The feeling of self-
efficacy has been one of the predictors of recovery (Badri Gargari and Salek Hadadian, 2010).
Another area that people with mental and physical disabilities are dealt with is self-regulation,
today social services for people with disabilities throughout the world pay special attention to the
issue of self-regulation in these individuals and self-regulation is used as a way to reduce costs,
reduce the damages and improve the overall situation of people with mental and physical
disabilities (Van and Poort, 2012). Self-regulation is one of the trending topics in the field of
learning and one of the proposed concepts and known in contemporary education so today,
experts believe self-regulation is converted to a major focus of research and to one main points in
education and given its characteristics, it seems it has a significant role in achieving a
spontaneous learning process of learners (Montalvo, Torres, 2004) motivation and their academic
achievement (Jacobson and Vico, 2010; Panaoura , Gagatsis, 2009) and even success in life
(Kharazi and Kareshki, 2009) Self-regulation is a process in which the learner looks at learning as
orderly and controllable process and is responsible for academic outcomes (Zimmerman and Pon,
2006) and regulates and moderates thoughts, feelings and actions planned (Keramati, et al., 2011)
in order to achieve personal goals, monitor and continuous and comprehensive evaluation on the
academic achievement and career (Kate and Fres, 2005). Psychologists such as Pintrich (Patyprin
and Johnson, 1991) also believe that learning self-regulated is the ability of person to perform
action based on changing internal and external conditions, including the administrative processes
in the design, implementation and guiding actions. Pintrich considers the most important
strategies of the self-regulated learning as cognitive strategies, metacognitive and resource
management (according to the Pintrich, 2004). Other areas that have been considered in the
context of people with disabilities are cognitive empowerment (Cowan and Oh, 2015). Although
the concept of empowerment in the late 1980s and early 1990s in management literature and
organizational psychology, is imported, but historical survey shows that empowerment is rooted
5. Journal of Administrative Management, Education and Training (JAMET)
790
in the past. Whetten and Cameron (1998) state that the concept is not new, but it is rooted in
different disciplines of psychology and sociology and religious studies and that turns to the past
decade, even last centuries. In the field of psychology, empowerment means the tendency of
individuals to experience self-control, self-care and freedom respectively. Spreitzer (1996- 1995)
according to the pattern of Thomas and Velthus defines psychological empowerment as a
motivational sense consisting four dimensions of competence, autonomy (freedom of choice),
significance and efficiency that these dimensions reflects one personal direction to the role of
work in the organization. Whetten and Cameron (1998) added the dimension of confidence to it
while emphasizing the multifaceted of empowerment and confirmation of the above four aspects
(quoted from Bordin& Bartram, 2007). Regarding the purpose of study and research conducted,
the main issue in this study is whether training according to the pattern of welfare organization in
cognitive empowerment, self-regulation and self-efficacy of mentally –physically disabled is
effective?
Method
The research method is applied, this study is pretest-posttest with control group so that from
subjects are taken pretest and are exposed to stimulus or test variable and re-test is executed, and
no intervention on control group.
Population
The study population included all men and women mentally and physically disabled 14 to 34
years old referring to Tehran welfare training centers in the second half of 2015.
1- Sample size and sampling method
Among the study population, a sample of 40 patients with matching in the type of disability and
age were assigned randomly into two experimental and control groups. It should be noted in this
study, purposive sampling and consideration of inclusion and exclusion criteria for the study
included informed consent, minimum age 14 and maximum age 34 years, the lack of psychiatric
drugs, no drugs, and no history of psychiatric disorders and at least primary education.
1-2 used tools
Spritzer and Mishra psychological empowerment questionnaire: This questionnaire has 15
questions and its aim is the assessment of psychological empowerment of employees in the
organization and its dimensions (competence, autonomy, effectiveness, significance and trust).
Likert-type response spectrum is used, in research of Teimurnajad et al (2010), to increase the
validity, the written and oral point of views of professors, scientists and experts of the Ministry of
Economic Affairs and Finance in accordance with the terms and conditions governing the
organization are used. Also, to determine the reliability, first 30 people were selected from
population and the questionnaire was given to them and then Cronbach's alpha was used to
determine the reliability of the questionnaire that the alpha value was equal to 0.95 that it can be
said that the questionnaire has an acceptable stability and reliability. Sherer General Self-Efficacy
Scale (SGSES): Some researchers have considered this concept as a general concept and called it
general self-efficacy. Scherer and Maddox (1982) argue that self-efficacy theory is a model of
cognitive processes for compatibility and they built general self-efficacy scale for the first time to
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measure the general belief that not dedicated to a certain position of behavior. Sherer General
Self-efficacy scale has 17 words. Scherer and Maddox (1982) without specifying the factors and
phrases believe that the scale measures three aspects of behavior including desire to startup
behavior, desire to expand the effort to complete the task in the face of obstacles (Asgharnejad et
al., 2006).General self-efficacy questionnaire scoring method is in this case that to any Article
from one to five points (strongly disagree = 1, to strongly agree = 5) is awarded. In general, the
questionnaire contains 17 articles that Articles 3 and 8, 9, 13 and 15 from left to right and others
from right to left, their scores increase and the score reflects higher efficacy (Asgharnejad, 2006).
Reliability and Validity: Woodruff and Kashman (1993), in reviewing Sherer general self-
efficacy confirmed the validity and reliability of this scale. The internal consistency coefficient of
the scale is 83.0 and for the study of criterion validity, its correlation with the "Rotter's Internal
Locus of Control" equal to r = 0 /342 is obtained that at P <0/01 is significant (Haghayegh and
colleagues, 2011). The reliability of sample group in the study for self-efficacy variable is 0.81
(Cronbach's alpha = 0.81). Bouffard self-regulation questionnaire: the questionnaire is designed
by Bouffard et al (1995) based on cognitive theory and validated by Kadyor in Iran. Questions are
in Likert scale and have two subscales of cognitive and metacognitive strategies. To determine its
validity, factor analysis has shown that this instrument is capable to explain of 0.52 of variance in
self-regulation. Also Kadyor (2001) has reported coefficient of reliability of the questionnaire
based Cronbach's alpha on 0.71. Reliability of cognitive strategies subscale has been 0.70 and
metacognitive strategies subscale has been 0.68.
Results
-Question: Is training according to the pattern of welfare organization effective in self-regulation,
self-efficacy and cognitive empowerment of mentally - physically disabled between 14 and 34
years in Tehran?
Table 1. Descriptive statistics of self-regulation, self-efficacy and cognitive empowerment
Significant
level
Kolmogorov-
Smirnov
ElongationTiltSDMeanThe
number
of
subjects
GroupMeasurement
time
0.6120.783-1.591-0.0676.5225.3020ExperimentalPretest
0.9170.548-0.2130.6124.7324.8820Control
0.8690.640-1.244-0.03475.6331.6520ExperimentalPosttest
0.6510.770-1.1380.4736.5725.0720Control
Descriptive statistics of self-efficacy
Significant
level
Kolmogorov-
Smirnov
ElongationTiltSDMeanThe
number
of
subjects
GroupMeasurement
time
0.8180.633-1.099-0.1925.0927.9020ExperimentalPretest
0.9940.420-1.0070.1276.6128.2520Control
0.7980.646-0.909-0.3755.0235.520ExperimentalPosttest
0.6030.765-0.898-0.4696.3229.3020Control
7. Journal of Administrative Management, Education and Training (JAMET)
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Descriptive statistics of cognitive empowerment
Significant
level
Kolmogorov-
Smirnov
ElongationTiltSDMeanThe
number
of
subjects
GroupMeasurement
time
0.6370.744-1.551-0.0936.5529.7520ExperimentalPretest
0.8930.577-0.1820.5914.8227.3520Control
0.8500.610-1.234-0.1875.9434.7020ExperimentalPosttest
0.6460.739-1.060-0.4586.1427.9020Control
Analysis of covariance was used to check out. To be able to use analysis of covariance, it is
necessary to first examine the assumptions of this type of analysis. It is necessary to examine the
assumptions of analysis of covariance to investigate normal distribution of data, consistency of
variance, canonical correlation of independent variable and the covariate and homogeneity of
regression lines slope.
- Descriptive statistics related to self-regulation, self-efficacy and cognition empowerment are
shown in two groups. Descriptive statistics include mean, standard deviation, tilt, elongation,
Kolmogorov-Smirnov test result to investigate the normality of distribution of observations. As it
can be seen tilt and elongation of self-regulation, self-efficacy and cognitive empowerment in
pretest and posttest of both groups is between -2 to +2. Kolmogorov-Smirnov test results also
show that the variable distribution of self-regulation, self-efficacy, and cognition empowerment is
normal in both groups.
Table 2. Review the correlation assumptions of independent variable and covariate and
homogeneity of regression slopes (dependent variable: self-regulation, self-efficacy, cognition
empowerment)
Significant levelFMean of squaresDegree of freedomSum of squaresSource of changes
0.00024.538723.3401723.340Pretest
0.1172.05298.703198.703Interaction of Group × retest
14.91637436.284Error
Review the correlation assumptions of independent variable and covariate and homogeneity
of regression slopes (dependent variable: self-efficacy)
Significant levelFMean of squaresDegree of freedomSum of squaresSource of changes
0.00015.895471.7461471.746Pretest
0.0733.382137.5061137.506Interaction of Group × pretest
9.74737377.640Error
Review the correlation assumptions of independent variable and covariate and homogeneity
of regression slopes (dependent variable: cognition empowerment)
Significant levelFMean of squaresDegree of freedomSum of squaresSource of changes
0.00015.250634.6421634.642Pretest
0.0543.948164.3041164.304Interaction of Group × pretest
12.61537539.760Error
8. 793
Levin test significant level to evaluate the homogeneity of variance was not significant (0.05 <P
and F(1-38)=1.733); thus the assumption of homogeneity of variances was confirmed. The
significant level of pretest effect is significant; therefore it can be said that the assumption of
correlation of independent variable and covariate is also observed. The significant level related to
interaction and pre-test is not significant, and this result means that the assumption of
homogeneity of regression slopes is established.
Table 3. Impacts test between subjects (dependent variable: self-regulation)
Chi
Eta
Significant
level
FMean of
squares
Degree of
freedom
Sum of squaresSource of changes
0.5120.00032.8641059.47211059.472Pretest
0.3440.00016.492675.2521675.252Group
4.06237148.536Error
Test results of impacts among subjects show after adjustment of effects of pre-test, F value is
significant for the group (0.001> P and F=16.492); In other words, after removing the effects of
pre-test, there was a significant difference between the scores of all subjects in posttest and 0.34
percent of variance of self-regulation is explained by groups of subjects (η2=0.344).
Table 4. Impacts test between subjects (dependent variable: self-efficacy)
Chi
Eta
Significant
level
FMean of
squares
Degree of
freedom
Sum of squaresSource of changes
0.3190.00017.532544.1951544.195Pretest
0.4880.00030.209968.7561968.756Group
11.74237312.191Error
Test results of impacts among subjects show after adjustment of effects of pre-test, F value is
significant for the group (0.001> P and F=30.209); In other words, after removing the effects of
pre-test, there was a significant difference between the scores of all subjects in posttest and 0.49
percent of variance of self-efficacy is explained by groups of subjects (η2=0.488).
Table 5. Impacts test between subjects (dependent variable: cognition empowerment)
Chi
Eta
Significant
level
FMean of
squares
Degree of
freedom
Sum of squaresSource of changes
0.4280.00016.728703.6351703.635Pretest
0.3120.00013.860583.0171583.017Group
4.06237155.365Error
Test results of impacts among subjects show after adjustment of effects of pre-test, F value is
significant for the group (0.001> P and F=13.860); In other words, after removing the effects of
pre-test, there was a significant difference between the scores of all subjects in posttest and 0.31
percent of variance of cognition empowerment is explained by groups of subjects (η2=0.312).
9. Journal of Administrative Management, Education and Training (JAMET)
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Table 6. Compare the score of self-regulation of subjects in two groups (dependent variable: self-
regulation)
Confidence interval 95%Significant
level
Standard
error
Mean difference (I-J)Group (J)Group (I)
High limitLow limit
7.1120.6720.0002.0816.350***ControlExperimental
As seen in Table 7, the mean difference of score of self-regulation of subjects in the experimental
group with mean of self-regulation score of control groups is significant (P <0.01); therefore it
can be said training intervention according to the pattern of welfare organization significantly is
effective in self-regulation of mentally –physically disabled between 14 to 34 years in Tehran.
Table 7. Compare the score of self-efficacy of subjects in two groups (dependent variable: self-
efficacy)
Confidence interval 95%Significant
level
Standard
error
Mean difference (I-J)Group (J)Group (I)
High limitLow limit
7.5612.1760.0031.8235.869***ControlExperimental
As can be seen , the mean difference of score of self-efficacy of subjects in the experimental
group with mean of self-efficacy score of control groups is significant (P <0.01); therefore it can
be said training intervention according to the pattern of welfare organization significantly is
effective in self-efficacy of mentally –physically disabled between 14 to 34 years in Tehran.
Table 8. Compare the score of cognition empowerment of subjects in two groups (dependent
variable: cognition empowerment)
Confidence interval 95%Significant
level
Standard
error
Mean difference (I-J)Group (J)Group (I)
High limitLow limit
5.2541.7540.0081.0975.004***ControlExperimental
As can be seen, the mean difference of score of cognition empowerment of subjects in the
experimental group with mean of self-efficacy score of control groups is significant (P <0.01);
therefore it can be said training intervention according to the pattern of welfare organization
significantly is effective in cognition empowerment of mentally –physically disabled between 14
to 34 years in Tehran.
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Discussion and conclusion
Is training according to the pattern of welfare organization effective in self-regulation, self-
efficacy and cognitive empowerment of mentally - physically disabled between 14 and 34 years
in Tehran? The results showed that welfare training centers are caused significant improvement of
self-regulation of physically-mentally disabled. Training improves process such as cognitive
processes (Neg et al., 2006), improve ability to plan (Nakama et al., 2014), improve motor
processes (Kryschak et al., 2013), better compatibility with disabilities (Dahl Alb, Williams and
Lowez, 2014), improve verbal ability (Baoliyo et al., 2015) and that hese factors are the most
important elements and components in the process of self-regulation (Spireglot et al., 2016). This
explanation is indirect because the study is the first study that has investigated the effectiveness of
training centers in disabled self-regulation. Learning a professional in long time and existing
environment that improve this activity and can be as an incentive and stimulus that individual
can act to learn and develop a skill that can change all mentally and physically structures of these
people despite monitor, manage and proper advice. When people are in an environment that
require the timely presence, compliance laws preset that for everyone is the same, existing social
network that person with people interact as colleague, friend, guider and other roles, learning
through observation of guider and friends, strengthened through help and other people in this
cycle and provide a program that a person can lead it according to it in time specified and under
the guidance that is familiar with the characteristics of people (Markowitz, 2006).The same rules
and practices can lead to improve self-regulation, self-regulation is a process in which through
change and improve the structure and run cognitive, behavioral, emotional, biological of person
leads to improve performance and efficiency. Process of self-regulation is faced with improving
motivational performance in the person, so that person from external motivations that
environment provides for him faces to internal motivations and leads to spontaneous work and
internal management, as well as with improving cognitive empowerments such as ability to plan,
problem solving, learning, following small goals and ultimately achieve the ambitious goal could
lead to improve self-regulation, because self-regulation requires proper performance of cognitive
empowerments. As well as changes in biological structures also occur in the process of self-
efficacy, improve the activity of the prefrontal cortex, an increase of neurotransmitters and
increase these neurotransmitters are the benefits of self-efficacy that directly increases
performance and compatibility of person so that increase prefrontal cortex function that is the
location of our empowerments will lead directly to improve compatibility and performance, as
well as an increase in neurotransmitters such as dopamine due to improve self- regulating can
lead to duplicate cycle in the presence of appropriate behaviors and strengthen the
neurotransmitter of dopamine which directs the person's behavior (Rob, Fres and Behr, 2007)
Training according to the pattern of welfare organization by providing a place can improve
behavioral factors, cognitive and emotional that disabled person can under the guidance of experts
and in the presence of friends learn. Exist an environment that learners are often on the same level
and individual can improve his performance by comparing and creating instant boosts has a great
impact in improving people's learning, self-regulation means increasing motivation and
improving planning and behavioral function, emotional and cognitive of individual that training
centers will be effective in all these changes with conditions that provide for disabled person, a
safe environment, a supervisor and mentor, and other people who have the same goal and in the
11. Journal of Administrative Management, Education and Training (JAMET)
796
same and potential abilities are together as well as gradual increase of intrinsic motivation in this
environment will directly improve self-regulation of these people. -Results of data analysis
showed that welfare training centers has a significant effectiveness in improving self-efficacy of
disabled people that is in line with studies (Gag et al., 1994), Landa and Molnar (2012), Sampel
(2013). In fact, self-efficacy refers to the fact that individual to what extent accepts his
empowerments and believes him. In other words, does the person consider himself powerful and
effective in various fields or not? Self-efficacy is a concept that has a close relation with self-
confidence and self-esteem and implicitly associates with them. People with high self-efficacy in
different life situations by awareness that have from their weaknesses and abilities in the face of
difficulties and obstacles choose the best solution and by believing their ability solve the serious
problems ahead. Self-efficacy includes several components, including the ability to design and
plan and run it, effort when faced with an obstacle, the ability to achieve the objectives, the ability
to deal with problems, try out complex tasks, stability in inappropriate activities, focus on doing
what we have decided to implement it, solve unexpected problems that arise, self-confidence,
simply not give up, more effort in the face of failure, the ability to learn new things that seem
difficult and ... (Rudbakh , 2006) Training by creating a situation in which one learns art or
professional and specific performance and can also use it in the context outside the place of
learning, as well as compare self with others and compare its performance with the past can lead
to a sense of self-efficacy, the feeling that one with all the restrictions still can act usefully to self
and the environment, and gain immediate and long-term strengthens (Gag et al., 1994) Self-
efficacy is a factor that if there is a favorable environment, motivation of person and external
strengthens can quickly recover, training under the supervision of mentor and guider as well as
the environment in which do the training officially and in accordance with the specific rules, can
provide these conditions, a person who in an environment with special law acts to functional
learning that has short-term and long-term boost to person, and continuous assessments over time
can provide tailored feedback to the individual that attempted to correct their performance and
further strengthen and improve the performance that promotes individual's self-efficacy (Landau
Molnar, 2012), Self-efficacy in people with various disabilities can improve significantly quality
of life, hope, happiness, welfare, psychological, interpersonal relationships, self-confidence of
these people, as well as by creating the feeling of being able and gain environmental strengthens
is effective in reducing symptoms of depression and anxiety (Sampele, 2013) Training can
improve self-efficacy of people according to the pattern of welfare organization by creating an
appropriate place with expertise in this area that are familiar with the characteristics of cognitive,
emotional and behavioral of people with different disabilities and have experienced necessary
training, as well as programs preset that are in accordance with characteristics of people with
disabilities have major role in increasing the efficacy of these people, coach and guider that in
accordance with the characteristics of people with disabilities apply training to these people and
provide appropriate strengthens. People with disabilities due to limitations that have in the real
environment not have the possibility of strengthening and training commensurate with their
abilities, but in these centers can gain these strengthening and skills with space and specialized
staff that is provided, being in an environment that people with abilities almost identical in
12. 797
purpose of acquiring specific skills are together and the feeling of being on the side of people
similar to each other leads to improve happiness, well-being, psychological and behavioral. If
self-efficacy of these people improves, it can be expected to improve mental health of these
people and by learning professional and skills, for self, family and community to be more useful
person. Finally, the results showed that training according to the pattern of welfare organization
has a significant effectiveness in cognitive empowerment of disabled. Cognitive empowerment is
a variable that is defined with a proper understanding of tasks, doing things with intrinsic
motivation and planned that with factors such as self-efficacy, ability of self-effective and
intrinsic factor in the events, understand its importance, a sense of self-confidence, ability to plan,
follow certain programs that lead to the desired goal, behaviors modification and programs if
needed (Oruei Yazdani, 2002). People with physically-mentally disabilities in all aspects
mentioned have cognitive empowerment with defect, training centers by providing a place where
one must practice the preset programs, does repetition and learning can over time cause the
people to be able to plan, experts of this issue that can answer their questions and correct their
possible errors is one of the most important effects of these programs, also existing process makes
the person to learn and practice gradually certain skills that can improve self-efficacy of these
people, self-efficacy is a process which over time and with practice achieves, training centers by
creating a place where one can gradually and under the relevant coach gain skills directly lead to
increase self-efficacy, also this skill are also led to believe that the person knows self as the agent
of happenings and somehow the source of internal control is shaped in him, this change makes the
person as someone involved in all aspects of his life as an influential person that can affect all
aspects of psychological, it can lead to improve cognitive abilities and memory and reduce
anxiety and depression as well. Existing coach who can give feedback of possible errors and
express reforms needed, it cause learning in the individual that person can internalize the ability
to reform and later automatically impose these reforms (Rodriguez et al., 2008) Training
according to welfare organization by providing a place that people can practice continuously with
the presence of mentor that can certainly improve their learning and it is certainly is effective in
improving cognitive empowerment of these individuals. The results according to the number and
size of sample and type of measurement tools have their limitations in terms of generalizability so
it is suggested that in future research to be used larger sample sizes and comprehensive
measurement tools.
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HOSSEIN GHASEMIAN REZAMAHALEH, Master of Science in Psychology Azad University, Shahrod Branch