Introduction Patients with COVID‐19 often suffer from psychological problems such as post‐traumatic stress disorder (PTSD) and self‐stigmatization that may negatively impact their quality of life and sleep. This study examined mental health as a potential mediating factor linking self‐stigmatization and PTSD to quality of life and sleep. Methods Using a cross‐sectional design, 844 people who had recovered from COVID‐19 were called and interviewed. Data were collected using structured scales. Structural equation modeling was applied to assess fitness of a mediation model including self‐stigma and PTSD as independent factors and quality of life and insomnia as dependent variables. Results Mental health, COVID‐19‐related self‐stigma, and mental quality of life were associated. Insomnia, PTSD, and COVID‐19‐related self‐stigma displayed significant direct associations (r = .334 to 0.454; p < .01). A mediation model indicated satisfactory goodness of fit (CFI = 0.968, TLI = 0.950, SRMR = 0.071, RMSEA = 0.068). Mental health as a mediator had negative relationships with COVID‐19‐related self‐stigma, PTSD, and insomnia and positive associations with quality of life. Conclusion Mental health may mediate effects of COVID‐19‐related self‐stigma and PTSD on quality of life and insomnia. Designing programs to improve mental health among patients with COVID‐19 may include efforts to reduce negative effects of PTSD and COVID‐19‐related self‐stigma on quality of life and insomnia.

BACKGROUND:Many of the problems caused by aging can be delayed and the health of the elderly maintained by improving and applying a healthy lifestyle during old age. Therefore, the researcher has designed and implemented a study aimed “compare the impact of group motivational interviews with multimedia education on improving lifestyle in the elderly.”METHODS:This study is triple blind before and after clinical trial was performed on three groups of thirty (n = 90) of the elderly with mean age 63.41 ± 6.88 who were members of the elderly centers of Tehran city neighborhoods with average to unfavorable lifestyle score. The first test group was subjected to group motivational interviewing during five sessions. The second test group was subjected to distant multimedia training. No training was given to the third group as the control group. After 3 months, the lifestyle questionnaire was completed in three groups. The results were analyzed by these techniques as statistical tests such as mean, standard deviation, relative frequency, and absolute frequency were used. The inferential statistical tests such as paired t-test and one-way ANOVA were used, respectively, to compare the pre- and post-mean scores and in each group and compare the mean scores of lifestyle dimensions in three groups.RESULTS:Both motivational interviewing and multimedia education have been effective in changing the lifestyle of the elderly, but according to the findings, motivational interviewing has a greater impact on elderly lifestyle. The total lifestyle score in four areas such as nutrition, self-care, mental health, and physical activity was significantly different in the three groups after the intervention (P < 0.001).CONCLUSIONS:Each educational program can somehow improve behavioral skills in individuals. Effective teaching methods should address the learning difficulties and inability to learn during the aging period. The results of this study can be a step toward the elaboration of strategies for education and promotion of healthy lifestyle in the elderly.

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Introduction: Elderly health is one of the most important health issues in most societies that can be prevented by elderly problems through health care education. The purpose of this study was to determine the effect of multimedia education on promoting healthy lifestyle of the elderly in Tehran. Method: This clinical trial study was performed on two groups of thirty elderly people with mean age (63.41 6 6.88) who were members of the elderly focal points of Tehran neighborhoods with moderate to poor lifestyle scores. Intervention group received healthy lifestyle training in old age using multimedia educational software and the control group did not receive any intervention. Three months later, the lifestyle of the two intervention and control groups was again assessed. Results: There was a statistically significant difference between the two groups in the two groups after the intervention (P<0.001). Conclusion: Lifestyle education using multimedia educational content is effective in the elderly and due to the importance of healthy lifestyle in preventing the problems of old age and due to the limitations of the elderly for attending healthy lifestyle training classes, The above method can improve the health of the elderly.

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