Effect of education based on the protection motivation theory on the promotion of protective behaviors in medical laboratories’ staff in Yazd, Iran

Document Type : Original Article

Authors

1 Department of Health Education and Health Promotion, Faculty of Public Health, Iran University of Medical Sciences, Tehran, Iran

2 Department of Health Education, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

3 Department of Laboratory Sciences, School of Paramedicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

4 Department of Clinical Biochemistry, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

Abstract

Objectives: The aim of this study was to investigate the effect of education based on the protection motivation theory (PMT) on the promotion of protective behaviors in medical laboratories’ staff in Yazd, Iran.
Methods: This interventional study utilized a census method to survey 90 stafffrom medical laboratories. Data were collected in two stages, before and after the intervention, using a researcher-made questionnaire
 with confirmed validity and reliability that administered through self-reporting. The questionnaire consisted of demographic information, as well as the constructs of PMT (91 items) and protective behavior (20 items). Following the pre-test, the intervention consisted of six one-hour sessions. The same questionnaires were completed three months after the education.
Results: Following the education, there was a significant increase in the constructs scores of perceived vulnerabilities (approximately 4 units), perceived self-efficacy (approximately 2 units), fear (approximately 3 units), protection motivation (approximately 3 units), and protective behavior (approximately 6 units) among the medical laboratory personnel. However, there were no significant differences observed in the constructs of perceived severity, response efficiency, response cost, and perceived reward before and after the intervention.
Conclusion: Intervention interventions aimed at promoting protective behaviors can effectively help reduce laboratory hazards, particularly by focusing on increasing protection motivation. Therefore, the protection motivation theory can serve as a valuable framework for the development of education programs to enhance protective behaviors in medical laboratories.

Keywords

Main Subjects


  1. Rajan D. Occupational Hazards among medical laboratory technicians. J Indian Manag. 2014;11(1):134-48
  2. Aldhamy H, Maniatopoulos G, McCune VL, Mansi I, Althaqafy M, Pearce MS. Knowledge, attitude and practice of infection prevention and control precautions among laboratory staff: a mixed-methods systematic review. Antimicrob Resist Infect Control. 2023;12(1):1-4 doi:10.1186/s13756-023-01257-5 PMid:37312142 PMCid:PMC10262112
  3. Hashemipour M. Needle stick injury in dentistry. J Kerman Univ Med Sci. 2008;15(3):186-94.
  4. Handsfield HH, Cummings MJ, Swenson PD. Prevalence of antibody to human immunodeficiency virus and hepatitis B surface antigen in blood samples submitted to a hospital laboratory: implications for handling specimens. JAMA. 1987; 258 (23):3395-7 doi:10.1001/jama.1987.03400230055031 PMid:3682137
  5. Khabour OF, Al Ali KH, Mahallawi WH. Occupational infection and needle stick injury among clinical laboratory workers in Al-Madinah city, Saudi Arabia. J Occup Med Toxicol. 2018;13(1):1-7 doi:10.1186/s12995-018-0198-5 PMid:29942343 PMCid:PMC5963129
  6. Melamed S, Rabinowitz S, Feiner M, Weisberg E, Ribak J. Usefulness of the protection motivation theory in explaining hearing protection device use among male industrial workers. Health Psychol. 1996; 15 (3): 209-15 doi:10.1037/0278-6133.15.3.209 PMid:8698035
  7. Vance A, Siponen M, Pahnila S. Motivating IS security compliance: Insights from habit and protection motivation theory. Inf Manag. 2012;49(3-4):190-8
  8. Sehat M, Hariri A, Soltani P, Khademi A. Artificial intelligence in detecting mandibular fractures: A review of literature. Arch Trauma Res 2023; 12(2): 102-111. doi: 10.48307/atr.2023.176358
  9. Abraham CS, Sheeran P, Abrams D, Spears R. Exploring teenagers' adaptive and maladaptive thinking in relation to the threat of HIV infection. Psychol Health. 1994;9(4):253-72 doi:10.1080/08870449408407485 PMid:29022378
  10. Kamal Y, Elshorbgy A, Farghaly A. Muscle-sparing versus standard posterolateral approach for urgent ‎thoracotomy in patients with traumatic thoracic injuries. Arch Trauma Res 2023; 12(2): 71-75. doi: 10.48307/atr.2023.175287
  11. Morowatisharifabad MA, Jowzi F, Barkhordi A, Falahzadeh H. Related factors to workers' use of hearing protection device in knitting & ppinning factories of Yazd city based on Protection Motivation Theory. Iran Occup Health J. 2009;6(3):50-9.
  12. Kasvosve I, Ledikwe JH, Phumaphi O, Mpofu M, Nyangah R, Motswaledi MS, Martin R, Semo BW. Continuing professional development education needs of medical laboratory personnel in Botswana. Hum Resour Health. 2014;12:1-8 doi:10.1186/1478-4491-12-46 PMid:25134431 PMCid:PMC4141587
  13. Jassim Mohammed M, Murad S. Intake and output evaluation in post-surgical patients during ICU stay. Novel Clin Med 2023; 2(4): 170-179. doi: 10.22034/ncm.2023.409911.1108
  14. Chugh I, Kumar P, Paruthi C, Garg K, Agrawal V. An observational study of the healing time, associated factors, and complications during non-operative management of patients with blunt abdominal trauma. Arch Trauma Res 2023; 12(2): 76-83. doi: 10.48307/atr.2023.175288
  15. McClendon BT, Prentice-Dunn S. Reducing skin cancer risk: an intervention based on protection motivation theory. J Health Psychol. 2001;6(3):321-8 doi:10.1177/135910530100600305 PMid:22049376
  16. Maseudi GR, Hosseini EO, Mirzaei R, Shahrakipour M, Hosseini SA. The effect of education based on protection motivation theory on the harmful effects of solar rays on male students. Iran J Health Educ Health Promot. 2015;2(4):322-30
  17. Dehdari T, Hassani L, Hajizadeh E, Shojaeizadeh D, Nedjat S, Abedini M. Effects of an educational intervention based on the protection motivation theory and implementation intentions on first and second pap test practice in Iran. Asian Pac J Cancer Prev. 2014;15(17):7257-61 doi:10.7314/APJCP.2014.15.17.7257 PMid:25227824
  18. Foley M. Update on needlestick and sharps injuries: the Needle Stick Safety and Prevention Act of 2000. Am J Nurs. 2004; 104 (8):96 doi:10.1097/00000446-200408000-00049 PMid:15300068
  19. Kothe EJ, Ling M, North M, Klas A, Mullan BA, Novoradovskaya L. Protection motivation theory and pro‐environmental behaviour: A systematic mapping review. Aust J Psychol. 2019;71(4):411-32. doi:10.1111/ajpy.12271
  20. Bucak A, Karakus A. An evaluation of trauma scores (RTS, GAP, EMTRAS) on mortality in multiple trauma patients. Arch Trauma Res 2023; 12(2): 63-70. doi: 10.48307/atr.2023.175285