Examining the Effect of the Training Program by Using the Health Belief Model in Performing Self-Care Behaviors of Rural Patients Having High Blood Pressure

Author(s):  
Maryam Afshari ◽  
Behzad Gholamaliee ◽  
Mehdi Kangavari ◽  
Naser Partoi ◽  
Masomeh Afshari ◽  
...  

Background High blood pressure effects on patients’ life. One of the problems in controlling blood pressure is lack of self-care. As a primary form of care, self-care is under patients’ control and the patient's belief plays an important role in self-care behaviors. Using the Health Belief Model, this study aimed to determine the effect of educational program on self-care behaviors of rural patients afflicted with hypertension in Toyserkan city. Methods This study was a quasi-experimental research. It studied 100 hypertensive patients in four health centers in rural areas in Toyserkan city in 2019. The samples were simple random sampling among those people referred to the four health centers. Participants in the intervention group attended three training sessions, but the control group did not take part in any training program. The assessment was conducted in both groups before and after the intervention through personal interviews with patients. The questionnaire including the Health Belief Model and self-care behavior constructs was administered. Results Perceived susceptibility, perceived severity, self-efficacy and self-care behavior constructs did not have significant statistical differences in terms of mean scores before intervention between the two groups, but after intervention, there were statistically significant differences between the two groups. Examining the model factor in predicting self-care in the intervention group showed that the perceived severity and self-efficacy constructs had the highest predictive power. Conclusion The results showed that planning and intervention based on HBM, as the models that were used in education and health promotion could be effective in achieving better performance and attitude of patients suffering from hypertension and their self-care. Also, special mention is needed to health care providers to improve self-care training in patients with high blood pressure.

Author(s):  
Ika Ratna Hidayati ◽  
Cikita Putri

Hypertension is a condition where systolic blood pressure is 140 mmHg or higher, and diastolic blood pressure is 90 mmHg or higher. Generally, hypertension patients use captopril and Amlodipin as treatment of hypertension. It is necessary to take various efforts to improve the obedience of hypertensive patients during drug therapy. One theory studies that obedience behavior is the Health Belief Model. The HBM theory covers perceived susceptibility, severity, benefits, and barrier, along with self-efficacy. To investigate factors affecting the obedience of hypertensive patients during the antihypertensive captopril and amlodipine medications treatment in the Puskesmas Pandanwangi, Malang, this study using the approach of HBM theory and instrument. Sampling was done through a purposive and accidental sampling method. The data analysis was done through multivariate analysis, which used multiple regression to determine the effecting factors based on the HBM theory on the obedience of hypertensive patients during the antihypertensive captopril and amlodipine medications therapy. Factors of HBM theory that affect the obedience of hypertensive patients are self-efficacy, perceived severity, and perceived barrier. Whereas, the unaffected factor are perceived suspectibility and perceived benefits. Overall, factors of HBM theory affect obedience.


2021 ◽  
Author(s):  
Roghieh Bayrami ◽  
Alireza Didarloo ◽  
Sima Masudi ◽  
Homeira Nournezhad

Abstract Background COVID-19 is an infectious disease caused by the new coronavirus, and its widespread epidemic has caused many deaths and health, social, and economic consequences in the world. The purpose of this study was to explain self-care behaviors against COVID-19 based on the health belief model (HBM) in pregnant women. Method The present study was conducted using a descriptive-analytical approach with the participation of 230 pregnant women referred to health centers in Urmia in 2021. The participants were selected using multi-stage random sampling. The data were collected using a valid and reliable questionnaire including participants’ demographic characteristics, the HBM items, and items relating to self-care behaviors against COVID-19. The data were analyzed using descriptive and inferential statistical methods (frequency, mean, standard deviation, Pearson correlation coefficient, and linear regression) in SPSS software (version 25). Results The results of this study showed that the rate of self-care behaviors against COVID-19 in the pregnant women participating in the present study was not very favorable. It was also shown that among the constructs of the HBM, awareness, self-efficacy, perceived barriers, and perceived severity were the most important predictors of self-care behaviors with a variance of 24% change among the pregnant women. Conclusion Awareness, self-efficacy, perceived barriers, and perceived severity were found in this study as the strongest predictors of self-care behaviors among pregnant women. The results of the study can be useful in planning educational and behavioral interventions to increase the adoption of self-care behaviors against COVID-19 and institutionalize health-promoting behaviors in women.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Homamodin Javadzade ◽  
Azam Larki ◽  
Rahim Tahmasebi ◽  
Mahnoush Reisi

The purpose of this study is to assess the effectiveness of a theory-based self-care intervention with the application of health literacy strategies in patients with high blood pressure and limited health literacy. This is a randomized controlled trial, with measurements at baseline and 1 and 3 months follow-up. 100 patients with high blood pressure and limited health literacy will be randomly allocated to either an intervention group or a usual care control group. We will mainly establish the intervention model based on the principal health belief model components. Patients randomized to the intervention group will receive four educational sessions during four weeks. Considering the limited health literacy level of the patients of the study, health literacy strategies will be used in educational material design for enhancing the quality of the intervention. In order to cover these strategies, we will design four standard animated comics and fact sheets with illustrations and photos consistent with the health belief model constructs and educational sessions’ topics. Data will be collected using some questionnaires and will be analyzed using the SPSS software. The findings of this study may assist with the development of a theoretical model for self-care intervention in patients with high blood pressure and limited health literacy.


1995 ◽  
Vol 23 (2) ◽  
pp. 191-197
Author(s):  
Murray G. Millar ◽  
Karen U. Millar

In the present study, we examined whether the Health Belief Model (HBM) variables were appropriate for understanding thought about different types of health behaviors. It was predicted that thought about performing a disease detection behavior would produce more responses referring to susceptibility and severity than thought about health promotion behaviors. Ninety-five participants indicated their spontaneous responses to thought about five disease detection behaviors or five health promotion behaviors. Responses were content analyzed for references to HBM variables. As expected, participants who considered disease detection behaviors made significantly more references to perceived severity and personal susceptibility than participants who considered health promotion behaviors.


Background and Aim: Anemia caused by iron deficiency, an important health issue is especially in teenager girls. The purpose of this study was, to determine the application of the Health Belief Model (HBM) constructs for the identification of influential factors on iron supplementation consumption among 9 th-grade female students in Birjand. Materials and Methods: This descriptive-analytical cross-sectional study was performed on 517 of 9th grade female students. Students were selected by the randomized multistage sampling method. Data were collected through a researcher-made questionnaire whose validity and reliability was confirmed. The questionnaire included demographic information, HBM structures, and knowledge questions. Data were analyzed by Pearson correlation coefficient and regression model. Results: The results of the study showed that public knowledge was about iron supplementation consumption, 10.1%, 42.6%, and 34.7%. Their attitudes are 1.4%, 52.6%, and 46%, and also their performance was 57.8%, 34.6% and 7.5%, respectively that were in poor, moderate and good levels, respectively. Iron supplementation consumption behavior predictors include: Self-efficacy (p = 0.196, P <0.001), practice guidelines (030/330 =, <0.001) and perceived severity (P < 0.046, β = 0.085). These structures predicted 32.4% (R = 0.324) of behavioral changes overall. Conclusion: Students' knowledge and attitude are moderate, and most 9th-grade female students do not take iron tablet, it is suggested that by conducting educational interventions and practice guidelines, perceived severity, and self-efficacy in students be strengthened. Key Words: Attitude; Health Belief Model; Iron; Knowledge; Supplementary; Students


2020 ◽  
Vol 24 (2) ◽  
Author(s):  
Asghar Razmara ◽  
Teamur Aghamolaei ◽  
Zahra Hosseini ◽  
Abdolhossein Madani ◽  
Shahram Zare

Background: High-risk driving behaviors is one of the leading causes of death and disability. Objectives: The aim of this study was to determine the effect of educational intervention on promoting safe-driving behaviors and reducing high risk-driving behaviors in taxi drivers based on the health belief model and planned behavior theory. Methods: A quasi-experimental study of interventional and control drivers (n = 40) selected by a cluster sampling method was conducted. The participants were selected from taxi stations. The intervention group was divided into 4 groups, including 10 people. The contents of the training program were based on driving laws, avoiding high-risk behaviors, and advising on safe driving behaviors. The driving behaviors were measured at baseline and 3-month post-intervention. Constructs of the health belief model and theory of planned behavior were used as an interventional program framework. Independent t-test and Paired t-test were used to compare the scores between intervention and control drivers and the intervention group before and after the intervention at each of the variables, respectively. Results: Three months post-intervention, the scores of safe driving behaviors in the intervention group were higher than the control group, and high-risk driving behaviors in the intervention group were less than the control group. After the intervention, a significant difference was observed in the mean scores of perceived barriers, self-efficacy, cues to action, attitude, subjective norms, and perceived behavioral control between two groups (P < 0.05). Conclusions: Educational intervention within the framework of the combined constructs of the health belief model and theory of planned behavior can reduce high-risk driving behaviors and promote safe driving behaviors in taxi drivers.


2021 ◽  
Vol 10 (2) ◽  
pp. 77-83
Author(s):  
Hajar Habibi ◽  
Behnaz Sedighi ◽  
Yunes Jahani ◽  
Marzieh Hasani ◽  
Abedin Iranpour

Abstract Introduction: Self-care programs can raise health in patients with Multiple Sclerosis (MS). This study aimed to identify the self-care behaviors and determinants in patients with MS according to the Health Belief Model (HBM). Methods: In this cross-sectional study, we included 280 MS patients through convenience sampling method. The collection tool was a self-administered questionnaire based on HBM. The participants were the members of MS society in Kerman, Iran. The data were analyzed using descriptive statistics, path analysis, and multivariable linear regression in SPSS software Version 22. Results: The mean (SD) score for self-care practices was 2.86 (0.64), and medication adherence was the most conducted practice. The perceived benefits and cues to action exerted positive influence on self-care practices. The most frequent symptoms experienced by the participants were fatigue (82.5%), visual impairment (76.4%), headaches (72.1%), and muscle weakness (71.4%). The most important cues to action for self-care behavior were the physician (77%), media (52%), and other MS patients (32%). Conclusion: The quality of life (QOL) of MS patients is heavily influenced by self-care behaviors. In this study, only about half of the patients accomplished self-care behaviors, which seems to be insufficient. Since the perceived benefits and cues to action are the main predictors of self-care practices, intervention based on these two constructs can be utilized to promote self-care programs and QOL in MS patients. Health-care providers should pay more attention to these factors for promoting self-care behaviors.


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