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Item Perceived Social support and compliance with stay-at-home orders during the COVID-19 outbreak: Evidence from Iran(Springer Nature, 2020-08-19) Paykani, Toktam; Zimet, Gregory D.; Esmaeili, Reza; Khajedaluee, Amir Reza; Khajedaluee, Mohammad; Pediatrics, School of MedicineBackground: Strong evidence demonstrates that social support plays a key role in facilitating preventive health behaviors. The major aim of the current study was to assess the effects of perceived social support on compliance with stay-at-home advice in response to a COVID-19 outbreak during the Persian New Year (Nowruz) holydays, since Nowruz holidays of 2020 coincided with the peak of the coronavirus epidemic in Iran. Methods: This cross-sectional survey was carried out based on phone interviews of 1073 adults aged over 18 years from 4 to 12 April 2020 in Mashhad, Khorasan-Razavi Province, as the second largest city of Iran. A systematic random sampling was carried out using fixed phone number lists provided by Telecommunication Company of Khorasan-Razavi Province. Phone interviews were carried out by four trained interviewers from the Iranian Students Polling Agency (ISPA) at various times of the day. The survey included sociodemographic questions, perceived social support scale (MSPSS) and questions about self-isolation. Statistical analysis included Chi-square test, Kruskal-Wallis and multivariate logistic regression. Results: 20.5% of participants reported poor compliance with self-isolation during the first two weeks of Nowruz. Clear social gradients were not found in people’s compliance with self-isolation. When controlling sociodemographic factors, perceived social support, interestingly, both fostered and hindered personal compliance with self-isolation, depending on the source of support from family members (OR = .875, 95% CI = .800, .957, p < .005), friends (OR = 1.147, 95% CI = 1.073, 1.223, p < .001) and a significant other person (OR = .916, 95% CI = .833, 1.007, p = .069). Conclusions: Public health messaging may need to emphasize the role that friends and families can play in helping to protect those in their friendship/family groups by promoting compliance with social distancing. Further in-depth studies are recommended to evaluate how this kind of messaging can most effectively encourage people to engage in social distancing practices.Item A Service Oriented Architecture Approach to Achieve Interoperability between Immunization Information Systems in Iran(2014) Hosseini, Masoud; Ahmadi, Maryam; Dixon, Brian E.; Department of Biohealth Informatics, School of Informatics and ComputingClinical decision support (CDS) systems can support vaccine forecasting and immunization reminders; however, immunization decision-making requires data from fragmented, independent systems. Interoperability and accurate data exchange between immunization information systems (IIS) is an essential factor to utilize Immunization CDS systems. Service oriented architecture (SOA) and Health Level 7 (HL7) are dominant standards for web-based exchange of clinical information. We implemented a system based on SOA and HL7 v3 to support immunization CDS in Iran. We evaluated system performance by exchanging 1500 immunization records for roughly 400 infants between two IISs. System turnaround time is less than a minute for synchronous operation calls and the retrieved immunization history of infants were always identical in different systems. CDS generated reports were accordant to immunization guidelines and the calculations for next visit times were accurate. Interoperability is rare or nonexistent between IIS. Since inter-state data exchange is rare in United States, this approach could be a good prototype to achieve interoperability of immunization information.Item Telegram as An Immigration Management Tool(ACM, 2018-11) Nikkah, Sarah; Miller, Andrew D.; Young, Alyson L.; Human-Centered Computing, School of Informatics and ComputingThis paper describes an ongoing study that examines Iranian immigrants' use of communication tools and online communities throughout the immigration process. We conducted observations on 30 Iranian immigration-related groups on the Telegram messaging application to understand its impacts on immigrants' collaboration, information-seeking, and information-sharing behavior. This research has implications to support immigration practices through technology.Item The 2025 Global Philanthropy Environment Index Iran(Indiana University Lilly Family School of Philanthropy, 2025) Anonymous