Effect of the PRECEDE-PROCEED Model-Based Training on the Cutaneous Leishmaniasis Preventive Behaviors among Rural Population under the Coverage of the Comprehensive Health Centers of Larestan, Iran; A Quasi-Experimental Study

Aims: Leishmaniasis is a skin disease spread by mosquitos from infected animals or humans to healthy humans. It can have a negative effect on a patient’s quality of life. The purpose of this study was to assess the impact of PRECEDE model-based training of healthcare personnel on the preventive behavior of the disease in covered households in Larestan, Iran. Materials & Methods: This controlled semi-experimental study was done on the households served by comprehensive rural health centers in Larestan, Iran. First, two comprehensive health centers were randomly assigned to the intervention or control groups. Eighty covered households were divided into two groups. The intervention group's health workers received training in four face-to-face sessions. Health workers then trained the families who were covered by them. Both groups completed a researcher-made questionnaire before and two months after the intervention. The independent t-test, paired t-test, ANCOVA, and Cohen's D were used to analyze the data by SPSS ۲۰ software at a significance level of less than ۰.۰۵. Findings: The mean scores of predisposing factors, enabling factors, reinforcing factors, and behavior in the intervention group differed significantly from the control group after training, and the effect size of each construct indicated the effectiveness of training. Conclusion: Training of health workers based on the PRECEDE model plays a significant role in adopting Leishmaniasis prevention behavior in people under their care.

Keywords:

Leishmaniasis , Cutaneous , Health Personnel , Prevention and Control , Health Education