Comparison of the effect of two training methods (webinar and group discussion) on improving the attitude and performance of health workers in providing counseling with fertility promotion approach

نویسندگان

1 MSc of Midwifery, Larestan University of Medical Sciences, Larestan, Iran Graduate, Master of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

2 Assistant Professor in Reproductive Health, Manager of Midwifery Department, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

3 Ph.D in Biostatistics, Professor, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

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چکیده

INTRODUCTION: Due to the significant decrease in fertility in recent decades and the important roleof health workers and health‑care providers in providing healthy reproductive counseling, their trainingis necessary using effective educational methods. Webinar and group discussion (GD) are effectivein this regard. This study was conducted to determine the most effective method and with the aimof comparing the effect of two training methods (webinar and GD) on the attitude and performanceof health workers in providing counseling with fertility promotion approach in comprehensive healthcenters in Mashhad.METHODS: In this randomized trial study with a control group, 108 health workers working in healthcenters no. 2–3 and 5 of Mashhad entered the study and were randomly divided into three groups oftraining by webinar, GD, and control. Intervention groups received healthy fertility counseling skillsin three training sessions. Research tools were demographic information questionnaires, fertilityattitudes, and performance measurement checklists for fertility counseling. The questionnaires werecompleted in three groups at the beginning and after the completion of the interventions. Data analysiswas performed by Chi‑square test and one‑way analysis of variance using SPSS software version 16.RESULTS: The analysis of variance test showed that before the intervention, there was no statisticallysignificant difference between the three groups in terms of average scores of fertility attitude andperformance scores of fertility counseling. After the interventions, the difference between the fertilityattitude scores (P < 0.001) and the performance scores of fertility counseling (P < 0.001) was significantin the three groups. There was no significant relationship between demographic characteristics andattitude and performance.CONCLUSION: Teaching by webinar and GD promotes the attitude and performance of healthworkers in providing counseling with a fertility promotion approach. Therefore, it is recommended touse new educational methods such as webinar and GD to promote childbearing counseling, whichhas been emphasized in the country’s population policies. Since the mean score difference forthe webinar training method was the highest due to the mean scores, this method could be moreeffective than the GD method.