Volume 7, Issue 4 (Autumn 2021)                   JCCNC 2021, 7(4): 303-310 | Back to browse issues page


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Pirooz-arjmandi S, Sajadi M, Bayati A, Sajadei N. Effect of Face-to-Face and Multimedia Methods of Education on Children’s Constipation Severity. JCCNC 2021; 7 (4) :303-310
URL: http://jccnc.iums.ac.ir/article-1-325-en.html
1- Department of Pediatrics Nursing, School of Nursing, Arak University of Medical Sciences, Sardasht Region, Arak, Iran.
2- Department of Pediatrics Nursing, School of Nursing, Arak University of Medical Sciences, Sardasht Region, Arak, Iran. , sajadimahbobeh@yahoo.com; m.sajadi@arakmu.ac.ir
3- Department of Pediatrics, School of Medicine, Arak University of Medical Sciences, Sardasht Region, Arak, Iran.
Abstract:   (1397 Views)
Background: Constipation is a common problem among children. The aim of this study was to compare the effect of face-to-face and multimedia education on the severity of functional constipation in children. 
Methods: It was a two-group pre-test post-test quasi-experimental study that was carried out at the Specialized Clinics of Pediatrics affiliated with the Arak University of Medical Sciences, Arak, Iran. The sample consisted of 96 eligible children in the age range of 6 to 12 years that were randomly assigned to face-to-face (n=48) and multimedia (n=48) groups. Functional constipation was detected by Rome ΙΙΙ criteria. Data were collected by a demographic characteristics form and the Constipation Assessment Scale (CAS) before intervention and one month later in both groups. In the face-to-face group, education was provided using two 15-min training sessions in the form of a lecture in the presence of the mother. The multimedia training group received a 15-min training video. Both groups were given a pamphlet. The data were analyzed by Fisher’s exact test, independent t-test, and paired t-test using SPSS 16. 
Results: There was no significant difference between the groups’ constipation severity before the intervention (P=0.12). There was a significant difference between the mean score of constipation severity between the face-to-face (P=0.01) and multimedia (P=0.001) groups before and after the intervention. However, the mean±SD score of constipation severity after the intervention was 7.05±1.79 in the face-to-face group and 5.91±1.69 in the multimedia group (p=0.001). 
Conclusion: The results of this study showed that both educational interventions reduced the severity of constipation in children. However, multimedia training was more effective than face-to-face education so that it reduced the severity of constipation to a greater extent.
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● The face-to-face method of education, as an effective method, can decrease children’s constipation severity.
● Education by multimedia technique is more effective than the face-to-face method in reducing the severity of functional constipation in children.
● The multimedia method of education about constipation provides the children with the opportunity to frequently review educational content, answer questions, and experience deep learning.

Plain Language Summary 
Constipation is a common problem among children. Functional constipation usually occurs when a child intentionally refuses to defecate to prevent painful bowel movements. Constipation could occur because of children’s lack of awareness about it. There are many techniques for teaching appropriate behaviors to children; e.g. multimedia and face-to-face methods. These methods have their own advantages and disadvantages. According to the results of this study, both multimedia and face-to-face educational techniques decreased constipation severity but the multimedia method was more effective. 

Type of Study: Research | Subject: General
Received: 2021/05/10 | Accepted: 2021/09/15 | Published: 2021/11/1

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