1 Associate Professor of Epidemiology, Research Center for Environmental PollutantsResearch Center for Environmental Pollutants, Department of Epidemiology and Biostatistics, School of Health, Qom University of Medical Sciences, Qom, Iran.

2 Associate Professor, EDC of Arak University of Medical Sciences, Arak, Iran.

3 Instructor, Department Nursing and Midwifery, Qom Branch, Islamic Azad University, Qom, Iran.

4 Health Policy and Promotion Research Center, Qom University of Medical Sciences, Qom, Iran

5 Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.

6 Health Promotion Research Center, Department of Epidemiology and Biostatistics, Zahedan University of Medical Sciences, Zahedan, Iran.


Background: Training programs and providing essential information such as preborn educational programs for women, unmarried girls are essential as the most important prevention methods for control and prevention of health outcomes and disability. The current study conducted to assess the training effectiveness of Prevention Disability Package in high school girls in a community trail.
Materials and Methods: A community trial executed among 1,339 high school girls in Qom, Iran. Subjects were the students that training in 10th and 11th years of education. All of students in each class from all majors were included in the study. According to sampling framework, 55 classes selected randomly assigned to lecture (1264 girls [94.4%]), 4 (3%) girls to CD-based group and 35 (2.6%) girls to control group. Data collection was conducted by a standard and valid questionnaire. Analysis of variance test was used to compare the mean of knowledge score among three groups. Analysis of covariance (ANCOVA) used to control the confounding variables.
Results: There were significant differences among three groups according to the total score of awareness of disability. Therefore, the mean score of in handicap, musculoskeletal diseases, pregnancy dimensions, and total knowledge about disability causes was higher than in lecture group than CD-based and control groups (P<0.05). The ANCOVA analysis showed that the effect of intervention among groups was statistically significant after adjusting the effect of pretest scores, educational year, marital status, and field of study (P<0.001).
Conclusion: Our analysis showed that Lecture and CD-based training are effective methods for increasing the knowledge of the high school girls about the control, prevention, and risk factors of disability. However, Lecture based and face-to-face training is better method for growthing the awareness of students than CD-based.