In addition, enabling factors such as easy access to blood transfusion facilities and iron chelation therapies are highly effective factors in improving QoL in TDT patients [45]. Honours Internazionale. 4, 2017, pp. S Platania, S Gruttadauria, G Citelli, L Giambrone, and S Di Nuovo, Associations of thalassemia major and satisfaction with quality of life: the mediating effect of social support, Health Psychol Open, Vol. DJ Weatherall, Thalassemia as a global health problem: recent progress toward its control in the developing countries, Ann N Y Acad Sci, Vol. Indeed, they influence an individual’s motivation to undertake that particular behavior [10]. Stefano Faita vous fait découvrir ses produits et recettes simples, faits d'ingrédients simples et authentiques, inspirés de sa famille! Cappellini Caprice Carlington Carmens Padova Carrément Beau Casadei Casanova Cassis Côte d'Az.. Casta Castaner Casual Attitude Caterpillar Catimini. The lowest and highest values that can be obtained from the original scale. A versenyt 2013. január 21. és január 27. között rendezték meg a horvát fővárosban, Zágrábban, a Dom športovaban. 93, 2001, pp. Therefore, factors having a stronger effect on QoL should be given higher priority in future QoL interventions. The effects of thalassemia disease on QoL are not well evaluated [5]. 2004 Oct;89(10):1187-93. Finally, more studies are needed to identify other predictive factors of QoL in TDT patients. L’Associazione Italiana Acquerellisti nasce nel 1974 a Milano dal desiderio di alcuni pittori di promuovere e diffondere la tecnica dell’acquerello. 16. Signs and Symptoms in Adults 6. Out of this double culture, he has acquired a taste for the chic and the beautiful . 215-30. Another study has also reported that anxiety–depression negatively affected the physical and mental components of QoL in TDT patients. SMM Hazavehei, L Sabzmakan, A Hasanzadeh, and K Rabiei, The effect of PRECEDE model-based educational program on depression level in patients with coronary artery bypass grafting, Qazvin Univ Med Sci, Vol. Findings from this study revealed that HPL was a significant predictive factor for QoL in TDT patients. Thalassemia patients may attribute daily barriers to the particular condition of the disease. Therefore, having a model as a conceptual framework to identify factors affecting QoL in TDT patients is an advantage. The final conceptual framework of the predictors of QOL in TDT patients based on the constructs of the PRECEDE mode. Before testing the hypotheses and final conceptual model of the study, the second-order confirmatory factor analysis in SEM was used to test the appropriateness of the measurement model of the independent, mediating, and dependent variables. 19, 2006, pp. The two-piece maple back is of narrow to medium curl descending from the center joint. 85, 2010, pp. In addition, Platania et al. Items are rated on a 5-point Likert Scale (from I strongly agree to I strongly disagree), with higher scores indicating individual’s capability to effectively control and manage his or her health outcomes [23]. 1187-93. Reinforcing factors refer to factors that reward or strengthen the desired behavior [10]. The higher the score, the better the QoL [15]. Financial support was provided by Tehran University of Medical Sciences (No. 76-81. Thus, we suggest that PRECEDE is a valid and practical model for application in future health promotion and QoL interventions among TDT patients. 12, 2018, pp. Facebook is showing information to help you better understand the … In the first step, the relationship between the latent variables and manifest variables was analyzed using the factor loadings. 200-8. Ethical approval for this study was obtained from the Tehran University of Medical Sciences (IR.TUMS.REC.1394.1153) and informed consent was received from all patients. 1984, Livorno • entries/finish - ?/? AA Shamshirsaz, MR Bekheirnia, M Kamgar, N Pourzahedgilani, N Bouzari, M Habibzadeh, et al., Metabolic and endocrinologic complications in beta-thalassemia major: a multicenter study in Tehran, BMC Endocr Disord, Vol. 1. (ed.) 22-31. Join Facebook to connect with Stefano Capellini and others you may know. Di Stefano B. The two-piece spruce table is of fine grain. Learn about our remote access options, Paediatrics Department and Department of Chemical Pathology University College Hospital London, England. In: Vairo, G. The goodness-of-fit values of the measurement model of the independent, mediating and dependent variables. Hypotheses 1–4: Predisposing factors (H1), reinforcing factors (H2), enabling factors (H3), and Health-Promoting Lifestyle (HPL) (H4) affect QoL in TDT patients. 59, 2006, pp. Jan 10, 1974 (18) 106923 5935 3151 169648 42049 10055 91795 106898 5803 142521 102483 70667 3390 116755 102474 4227 102475 89545 35894 171685 101045 102480 74471 17168 3524 116741 28015 Detailed squad Born in 1974, Stefano Bigi grew up between France and Italy. Le Dily F. Quilez J. Gomez A. Collombet S. Berenguer C. Cuartero Y. et al. 324-508. The high levels of depression and anxiety hurt the social life, and occupational and recreational activities, increase the risk of hospitalization and mortality, and finally affect QoL in TDT patients [33]. 477-97. 173-89. 21, 2012, pp. Definitions 4. The first-order confirmatory factor analysis was used to examine the validity of the measurement model of the final conceptual model. Self-efficacy (indirect effect = 0.082), enabling factors (indirect effect = 0.023), and reinforcing factors (indirect effect = 0.036) had a significant indirect positive effect on QoL through HPL (Figure 1). A reason behind this inconsistency is not clear; however, the use of different scales and statistical tests, as well as differences in the study population, maybe an explanation for the differences reported. The centers under study were affiliated with the Iran University of Medical Sciences, Tehran University of Medical Sciences, and Iranian Blood Transfusion Organization. We studied survival and disease complications in 1,146 patients with thalassemia major, born from January 1, 1960 to December 31, 1987. Altarino - Nunziata - Sony Alfa100 16-80mm Zeiss. Composizione di successo mondiale del musicista basco Sebastian de Iradier del 1855 con versi italiani di Nino Rastelli. D Sluik, H Boeing, K Li, R Kaaks, NF Johnsen, A Tjønneland, et al., Lifestyle factors and mortality risk in individuals with diabetes mellitus: are the associations different from those in individuals without diabetes?, Diabetologia, Vol. The third part of the survey instrument was a researcher-made questionnaire to assess knowledge of patients about health- and QoL-promoting behaviors and enabling factors involved in health- and QoL-promoting behaviors. The enabling factors within the scope of this research were the degree of availability and accessibility of resources and services for TDT patients. At last follow-up, in March 1997, probability of survival to age 20 years was 89% and to age 25 years was 82% for patients born in the years 1970-1974. A Montazeri, M Vahdaninia, SJ Mousavi, and S Omidvari, The Iranian version of 12-item Short Form Health Survey (SF-12): factor structure, internal consistency and construct validity, BMC Public Health, Vol. According to the results from this study, perceived barriers were the significant predictive factor for QoL in TDT patients. A Montazeri, M Vahdaninia, M Ebrahimi, and S Jarvandi, The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version, Health Qual Life Outcomes, Vol. Predisposing, reinforcing and enabling constructs in educational diagnosis and evaluation model is one of the widely used models for designing and evaluating health education programs [10]. 8, 2011, pp. Thalassemia is the most common hereditary chronic anemia disorders in the world [], and it has become a major global concern because it affects life expectancy and Quality of Life (QoL) of 100s of 1000s of individuals across the globe [].Owing to the chronic condition of the disease, Transfusion-dependent Thalassemia (TDT) patients might deal with a variety of … Tirrenia Rally 1984. Data availability statement: Due to the sensitive nature of the questions asked in this study, survey respondents were assured raw data would remain confidential and would not be shared. 1, 2003, pp. The mean and standard deviation of the scores of QoL, HPL, anxiety–depression, self-efficacy, perceived barriers, knowledge, enabling factors, and reinforcing factors are listed in Table 2. R Bagherian-Sararoudi, A Hajian, HB Ehsan, MR Sarafraz, and GD Zimet, Psychometric properties of the Persian version of the multidimensional scale of perceived social support in Iran, Int J Prev Med, Vol. Although improvements in supportive treatment have significantly improved the prognosis in thalassemia major (TM) and sickle cell disease (SCD) in developed nations, 1-3 hematopoietic stem cell transplantation (HSCT) still remains the only proven curative treatment of these disorders. Stefano Cappellini Nato a Cartania nel 1974, Stefano Cappellini è responsabile della redazione politica del quotidiano “ La Repubblica ”. In this cross-sectional investigation, we studied 389 TDT patients who were under treatment in four major thalassemia centers in Tehran, Iran. K Han, P Lee, S Lee, and E Park, Factors influencing quality of life in people with chronic illness in Korea, J Nurs Scholarsh, Vol. 139-52. Perceived barriers and anxiety–depression had a significant negative effect on QoL, whereas HPL had a significant positive effect on QoL. : Computational fluid dynamic study for aTAA hemodynamics: an integrated image-based and … 110-6. The model is a suitable choice for clinical trials [11], behavior change interventions [12], and QoL interventions among patients with chronic diseases [13]. The total number of TDT patients over 18 years who had medical records in the mentioned centers was 651 patients (according to the Iranian Ministry of Health data, 2015). Roma. [44] also found that self-efficacy had a direct effect on satisfaction with life in TDT patients. Coppa Italia - Zona 4 1984. The lowest and highest values that were obtained in this study. PRECEDE is an acronym for Predisposing, Reinforcing and Enabling Constructs in Educational Diagnosis and Evaluation. 1202, 2010, pp. Consistent with experts’ recommendations, we excluded the manifest variables with factor loadings of <0.5 from the model [26,27]. All Rights Reserved, Annals of the New York Academy of Sciences, Transactions of the New York Academy of Sciences, I have read and accept the Wiley Online Library Terms and Conditions of Use, https://doi.org/10.1111/j.1749-6632.1974.tb20586.x. Endogenous variable: A variable that is changed or determined by its relationship with other variables in the model. View the profiles of people named Stefano Cappellini. 3. MM and RS contributed to the conceptualization and writing of the first draft of the manuscript. 2018; 50: 238-249. Graf T. Transcription factors and 3D … We offer world-class services, fast turnaround times and personalised communication. 1970–71 AS Roma - Renato Cappellini.jpg 412 × 822; 126 KB Sergio Santarini - AS Roma 1971 summer jersey.jpg 639 × 960; 210 KB 1974–75 AS Roma - Piergiorgio Negrisolo.jpg 480 × 900; 161 KB QoL, quality of life; HPL, health-promoting lifestyle; RMSE, root mean square error; CFI, comparative fit index, GFI, goodness-of-fit index; AGFI, adjusted goodness-of-fit index. Associations of QoL with all of the PRECEDE model constructs, including anxiety–depression, self-efficacy, perceived barriers, knowledge, enabling factors, and reinforcing factors were significant (all p < 0.001) (Table 3). 1. If you do not receive an email within 10 minutes, your email address may not be registered, 34, 1996, pp. The mean and standard deviation of independent and dependent variables (N = 389). Proceedings VII Meeting Italian Chapter of the European Society of Biomechanics (ESB-ITA 2017) (2017) Google Scholar. Naturally, anxiety is a temporary condition; however, it is considered a disease when it is extended in the absence of mental pressure or threats [34]. Scores on some items should be recoded and then will be transformed into a 0 to 100-point scale. Hrál za Ajax Amsterdam a AC Milán.. Je považován za jednoho z nejlepších fotbalistů, kteří kdy hráli. †Recipient of a Sir Halley Stewart Research Fellowship. 14, 2009, pp. A 2013-as műkorcsolya- és jégtánc-Európa-bajnokság a 105. alkalommal megrendezett kontinensviadal volt. : An image-based and RBF mesh morphing CFD simulation for parametric aTAA hemodynamics. This study sought to identify the predictors of QoL in TDT patients based on the constructs of the PRECEDE model. 32-40. Please check your email for instructions on resetting your password. HPL, health-promoting lifestyle; QoL, quality of life. However, knowledge alone may not guarantee QoL-promoting behaviors and along with an increase in knowledge, TDT patients should be provided with the necessary skills and training to tackle psychosocial distress and physical limitations. Results indicated that enabling factors were not direct predictive factors of QoL in TDT patients; however, they had an indirect effect on QoL through a mediating role of HPL. Transfers: Overview of all signed and sold players of club AS Roma for the current season. Owing to the chronic condition of the disease, Transfusion-dependent Thalassemia (TDT) patients might deal with a variety of complications such as heart failure, arrhythmia, diabetes, hypogonadism, hypothyroidism, HIV infection, and thrombosis [2] that might affect their QoL. Enabling factors are resources and skills that facilitate health behavior change [10]. Several studies have reported similar results, indicating the significant positive effect of health-promoting behaviors and HPL on QoL [37,40,41]. Testing 1. Genet. The higher the anxiety–depression, the lower the QoL [33]. Measurements: Length of Back: 355 mm, Upper Bouts: 167 mm, … 1054, 2005, pp. Management 1. Furthermore, applied educational–behavioral interventions should be implemented to assist thalassemia patients to overcome barriers, particularly personal barriers such as lack of information about health care behaviors, lack of motivation to adhere health-promoting behaviors, and psychosocial distress. 15, 2011, pp. 1-9. In this study, using the structural equation modeling approach, we aimed to identify the predictors of QoL in TDT patients based on the constructs of the PRECEDE model. Therefore, timely diagnosis and treatment of mental disorders in TDT patients are necessary. Nat. 2, 2015, pp. Home Decor. Z Hosseini, B Moeini, S Hazavehei, T Aghamollai, and A Moghimbeigi, Effect of educational stress management, based on Precede model, on job stress of nurses, Bimonthly J Hormozgan Univ Med Sci, Vol. A p-value of <0.05 was considered to indicate statistical significance. He has 30 caps in national team from 1975 to 1984. After studying at Art School, he started a career in webdesign within a SSII before becoming self-employed. Each item is given a response on a 4-point Likert Scale (from never to routinely). Investigation of overt and occult GI and GU bleeding 8. The final measurement model and the structural model were also examined (Tables 4 and 5). Ha lavorato anche al Riformista e al Messaggero. 3, 2014, pp. H Becker, AK Stuifbergen, and D Sands, Development of a scale to measure barriers to health promotion activities among persons with disabilities, Am J Health Promot, Vol. Biography. Thirty patients were asked to fill out the questionnaires twice with a 2-week interval. 15, 2000, pp. Journal of Epidemiology and Global Health. Investigation of the Etiology of Iron Deficiency 1. Health-Promoting Lifestyle Profile [16]: The questionnaire measures six dimensions of HPL (nutrition, physical activity, health responsibility, stress management, interpersonal relations, and spiritual growth) through 52 items. Transcription factors orchestrate dynamic interplay between genome topology and gene regulation during cell reprogramming. Associations of QoL with all of the PRECEDE model constructs, including anxiety–depression, self-efficacy, perceived barriers, knowledge, enabling factors, and reinforcing factors were significant (all p < 0.001). The raw score for each item ranges from 1 to 6. Stadhouders R. Filion G.J. Home; Random; Nearby; Log in; Settings; Donate; About Wikipedia; Disclaimers Consequently, health policymakers should pay more attention to reducing barriers that interfere or prohibit access to health facilities. It is to be noted that in our study, social support had an indirect effect on QoL through a mediating role of HPL. The model was considered to have an acceptable fit if CFI > 0.9, RMSEA < 0.08, GFI > 0.8, and AGFI > 0.8 [30,31]. Lack of interest, fatigue, lack of money, and transportation problems are common barriers that hinder an individual from undertaking healthy behaviors [24]. From 31 January 2021 he is the new president of Italian Athletics Federation (FIDAL). SN Walker, KR Sechrist, and NJ Pender, The health-promoting lifestyle profile: development and psychometric characteristics, Nurs Res, Vol. Dependent variable or endogenous latent variable: QoL. LW Green, Toward cost-benefit evaluations of health education: some concepts, methods, and examples, Health Educ Monogr, Vol. 8. 22. Latent variable: A variable that cannot be directly measured or observed. 139-44. Pearson correlation between QoL and independent variables. VIRGILIO CAPELLINI, Cremona, 1974, A Stradivarius model violin made by a modern Cremonese maker and bearing his label. The results of this study revealed that self-efficacy, knowledge, enabling factors, and perceived social support were not the predictors of QoL and had no direct effect on QoL in TDT patients. Therefore, it can be concluded that social support alone may not improve the QoL of TDT patients, but it can improve the QoL through HPL. 57, 2014, pp. Four centers, including Zafar Adult Thalassemia Clinic with 288 patients, Baharloo Hospital with 54 patients, Ali Asghar Children’s Hospital with 70 patients, and Children’s Medical Center Hospital with 103 patients were included in the study. Scores 0–7 represent normal status, 8–10 mirror a borderline abnormality, and 11–21 represent severe anxiety and depression [19]. We found that anxiety–depression, perceived barriers, and HPL were the significant predictors of QoL in TDT patients. 35, 2003, pp. L Mednick, S Yu, F Trachtenberg, Y Xu, DA Kleinert, PJ Giardina, et al., Symptoms of depression and anxiety in patients with thalassemia: prevalence and correlates in the thalassemia longitudinal cohort, Am J Hematol, Vol. 1277-81. DL Jackson, JA Gillaspy, and R Purc-Stephenson, Reporting practices in confirmatory factor analysis: an overview and some recommendations, Psychol Methods, Vol. HJ supervised investigation and methodology. Structural equation modeling includes a series of statistical methods and mathematical models that specify the causal relationship between one or more independent variables and one or more dependent variables by combining the measurement model and structural model [25]. Home Decor. In the current study, the relationship between some of the potential factors affecting QoL was analyzed in two steps. JF Hair, CM Ringle, and M Sarstedt, PLS-SEM: indeed a silver bullet, J Market Theor Pract, Vol. 6-23. H Mohamadian, H Eftekhar Ardebili, A Rahimi Foroushani, MH Taghdisi, and D Shojaiezade, Evaluation of Pender’s health promotion model for predicting adolescent girls’ quality of life, J School Publ Health Inst Publ Health Res, Vol. For more information, please contact us at: Department of Public Health, School of Health, Reproductive Health Research Center, Urmia University of Medical Sciences, Urmia, Iran, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran, Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, Department of Health Education, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran, This is an open access article distributed under the CC BY-NC 4.0 license (.