scholarly journals Promoting the adoption of behaviors to prevent osteoporosis using the health belief model integrated with health literacy: quasi-experimental intervention study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rahman Panahi ◽  
Fatemeh Samiei Siboni ◽  
Mansoure Kheiri ◽  
Khadije Jahangasht Ghoozlu ◽  
Mahya Shafaei ◽  
...  

Abstract Background The health belief model (HBM) is effective in preventing osteoporosis and promoting health literacy (HL). In this regard, there are some critical points such as the role of HL in preventing osteoporosis, adoption of preventive behaviors, adoption of behaviors, including physical activity, and the role of health volunteers in transmitting health messages to the community. Considering the aforesaid points this study was performed among the health volunteers aimed to determine the effect of educational intervention based on integrated HBM with HL on walking and nutrition behaviors to prevent osteoporosis. Materials and methods In this quasi-experimental intervention study, 140 health volunteers (70 people in each of the two intervention and control groups) were enrolled in the study using multi-stage random sampling, in 2020. The members of the intervention group received e-learning through social media software, 4 times during 4 weeks (once a week) and were provided with educational booklets and pamphlets. Data collection tools included demographic and background questionnaires; standard questionnaire based on the HBM, awareness, and walking and nutrition behaviors to prevent osteoporosis; and HELIA questionnaire to measure HL. These questionnaires were completed in two stages, before and 3 months after the intervention. The educational intervention in this study was sent to the intervention group in 4 stages. The collected data were analyzed using proportional tests (paired t-test, Wilcoxon test, independent t-test, Mann-Whitney test) and SPSS software version 23. Results The mean and standard deviation related to the score of adoption of nutrition behaviors at the beginning of the study in the intervention group was 5.398 ± 1.447, which changed to 8.446 ± 1.244 after 3 months, indicating a significant increase in the adoption of such behaviors (P = 0.009). In the control group, the mean and standard deviation of the scores of adoption of nutrition behaviors changed from 5.451 ± 1.222 to 6.003 ± 1.005, which was not statistically significant (P = 0.351). Also, the mean and standard deviation related to the scores of adoption of walking behavior at the beginning of the study in the intervention group was 8.956 ± 0.261, which changed to 13.457 ± 0.587 after 3 months, indicating a significant increase in the adoption of such behaviors (P < 0.001). In the control group, the mean and standard deviation related to the scores of the adoption of walking behavior changed from 8.848 ± 0.353 to 9.025 ± 0.545, which was not statistically significant (P = 0.211). Prior to the intervention, there was no significant difference between two groups regarding the variables of demographic and background, knowledge, all constructs of the model, HL, and adoption of walking and nutrition behaviors (P > 0.05). After the intervention, the comparison of the two groups showed that there was a significant change in the mean scores of awareness, all constructs of the model, HL, and adoption of preventive behaviors in the intervention group than the control group (P < 0.05). Conclusion The educational intervention based on an HBM integrated with HL was effective and acceptable in correcting and promoting walking and nutrition behaviors to prevent osteoporosis among health volunteers. Therefore, it can be said that the intervention implemented was in line with the developed model used.

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zahra Hosseini ◽  
Niloofar Seyrafi ◽  
Teamur Aghamolaei ◽  
Shokrollah Mohseni ◽  
Azin Alavi ◽  
...  

Abstract Background Genital warts (GWs) are highly prevalent among Iranian women. GWs are not only highly infectious but are also followed by severe adverse effects, including the development of cervical cancer. Therefore, the present study aimed to explore the effect of an educational intervention based on the health belief model (HBM) on the adoption of GWs preventive behaviors by married women in Bandar Abbas, a city in the south of Iran. Methods A quasi-experimental intervention was conducted between 2019 and 2020 among 150 women participants (75 as the intervention and 75 as the control group). The sampling method was multi-stage clustering. The required data was collected using a reliable and valid tripartite questionnaire which explored demographic information, awareness, and HBM constructs. A total number of 15 educational sessions were held, each 90 min long. The control group received only one 90-min session. The final follow-up was completed three months after the intervention in November 2020. Results The two research groups had no statistically significant differences in terms of awareness, perceived susceptibility, severity, benefits, barriers, and self-efficacy before the intervention (in the pre-test) (p > .05). After the educational intervention, the two groups showed statistically significant differences in all constructs except for the perceived benefits (p < .001). In the intervention group, in the pretest (before the intervention), the behavior score was 2.77 ± 2.59, which was increased to 3.73 ± .52 after the intervention (p < .001). In the control group, however, the difference was not statistically significant (p = 0.227). Conclusion The present findings showed that the educational intervention based on the HBM can improve the prevalence of GWs preventive behaviors in women. This education should be provided by experts at regular intervals in all healthcare centers.


2020 ◽  
Vol 22 (5) ◽  
Author(s):  
Khanali Mohammadi ◽  
Sedigheh Sadat Tavafian

Background: Addiction in Afghanistan, as the largest opium producer in the world, is relatively high, and limited studies have indicated that the youth, especially students are the majority of the addicted cases in this country. Objectives: This quasi-experimental study aimed at designing and evaluating the effect of educational intervention based on the Health Belief Model (HBM) on drug abuse prevention among the students of Khatam Al-Nabieen University in Afghanistan. Methods: In this quasi-experimental study, 120 students of Khatam Al-Nabieen University residing in Ghazni city, Afghanistan, were randomly divided into two groups of the intervention and control (60 students per group). The HBM-based educational intervention was performed for the intervention group. The data in both groups were collected and evaluated at four time points, including before intervention, and immediately, 3, and 6 months after the intervention using a valid researcher-made questionnaire. Results: Although there was no significant difference between the mean score of the HBM constructs (P > 0.05) before the intervention, the results of repeated measures ANOVA showed significant differences in the intervention group in HBM constructs and also intention toward substance abuse preventive behavior (P < 0.001). There were significant inter- and intra-group differences, as well as the group-time interaction in all HBM constructs mean scores (P < 0.001). Also, as the valuable finding, the preventive behavioral intention significantly (P < 0.001) improved following a 3- and 6-month follow-up in the intervention group (17.63 ± 1.34 and 17.66 ± 1.42, respectively) compared with the control group (10.95 ± 1.33 and 10.87 ± 1.22, respectively). Conclusions: The results showed that the HBM-based educational program by preventing substance abuse can help students adopt proper behaviors.


2016 ◽  
Vol 8 (11) ◽  
pp. 242 ◽  
Author(s):  
Maryam Ghavami ◽  
Tayebeh Fasihi Harandy ◽  
Kourosh Kabir

<p><strong>PURPOSE:</strong> Road traffic accidents account for the biggest mortality rate in Iran and children are among the main victims of these accidents. The present study was conducted to assess the effect of an educational intervention based on the Health Belief Model on behaviors associated with obeying traffic regulations in primary school students during the academic year 2014-15 in Khorramabad, Iran.</p><p><strong>METHODS:</strong> The present quasi-experimental has a pre-post-intervention design and was conducted on 106 sixth-grade primary school students selected through multi-stage sampling and divided into an intervention and a control group. The students were assessed before, a week after and two months after the intervention. Data were collected using a two-part questionnaire containing a demographic section and a section with items on the constructs of the Health Belief Model. The data obtained were then analyzed in SPSS-20.</p><p><strong>RESULTS:</strong> The mean scores of perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy and cues to action significantly improved in the intervention group compared to the control group (P&lt;0. 01).</p><p><strong>CONCLUSION:</strong> An educational intervention based the Health Belief Model managed to effectively improve behaviors associated with obeying traffic regulations.</p>


2020 ◽  
Vol 16 (3) ◽  
pp. 229-235
Author(s):  
Alireza Didarloo ◽  
Leila Mokhtary ◽  
Hamid-Reza Khalkhali ◽  
Soheila Ahangarzadeh-Rezaei

Background: Breast cancer is the most prevalent type of cancer among women that is fatal if not diagnosed and treated in due time. Health beliefs play an important role in people's willingness to engage in health-promoting behaviors. Objective: The aim of the study was to examine the effects of the health belief model (HBM)-based training intervention on women’s health beliefs towards breast cancer screening behaviors. Methods: The study of educational intervention was conducted on women referred to healthcare centers. The sample was selected by convenient sampling and randomly assigned to control and intervention groups of 50 subjects. The intervention group received the theory-based training intervention, but the control group received only the routine care. Champion’s Health Belief Model Scale (CHBMS) was used for collecting the study data. Data analysis was performed using independent t-test, paired t-test, Chi-squared test, and correlation coefficient in SPSS software version 16.00. Results: The mean age of the subjects for control and intervention groups was 39.06±9.78, 38.32±8.27, respectively. Overall, 38%, 12% and 13%of the subjects reported breast selfexamination behavior, mammography and clinical breast examinations, respectively. Before the intervention program, the overall mean score of health beliefs in groups of control and intervention was 160.82±23.28, and 159.14±20.61, respectively. After educational intervention, the overall mean score of beliefs in the intervention group changed from 159.14±20.61 to 195.26±24.42, and it was statistically significant (p<0.001). In the control group, after the intervention, no significant changes were observed in the mean score of total health beliefs and were not statistically significant (p>0.05). Among the variables of the HBM, women's perceived self-efficacy toward breast selfexamination experienced the most positive change after an educational intervention. Conclusion: Our results indicated that HBM-based training significantly improved women’s beliefs toward breast cancer screening behaviors. It is suggested that trainers in the healthcare system use these educational approaches to promote people’s beliefs toward breast cancer and its screening methods.


2021 ◽  
Author(s):  
Farhad Bahadori ◽  
Fazlollah Ghofranipour ◽  
Fatemeh Zarei ◽  
Reza Ziaei ◽  
Saeideh Ghaffarifar

Abstract Background This article reports the steps of an educational intervention, which is designed to change livestock breeders’ preventive behavior in terms of vaccinating their livestock against brucellosis. The study has been conducted in a rural area in a country with the second highest brucellosis prevalence in the world. Methods In a quasi-experimental study and applying PRECEDE-PROCEED model, 45 livestock breeders were trained through basket method, accompanied with constructive feedback from researchers and peers and a brief interactive lecture at the end. The livestock breeders’ awareness, attitude and practice level in the intervention group was compared with those of other 45 livestock breeders in a control group, one and six months after the intervention. The presence of anti-brucellosis antibodies in livestock’s blood was compared in groups and considered as the outcome measure of the intervention. Results Immediately and one month after the intervention, the mean scores of knowledge, awareness and practice of livestock breeders in the intervention group were significantly higher. Six months after the intervention, the results of the Rose Bengal tests were positive in more livestock in the intervention group compared to the animals in the control group. Conclusion The model-driven educational intervention could significantly increase livestock breeders' awareness, attitude and practice regarding prevention of brucellosis and vaccination of their livestock against brucellosis; however, a period of non-continuous reinforcement and gradual reduction of the number of the reinforcements by health educator workers is recommended in order to increase the maintenance of the learnt behavior. Trial registration: Conducting this study was registered at Iranian Registry of Clinical Trials (IRCT20180304038945N1). Registered 24 December 2018(https://www.irct.ir/trial/29996).The proposal was registered before enrollment of the first participant.


2020 ◽  
Vol 3 (2) ◽  
pp. 80-87
Author(s):  
Radhika Thapaliya ◽  
Samir Kumar Adhikari

Background: Sexual harassment is a public health problem which has serious effects to girls’ psychosomatic health. Due to social stigma and lack of skills, even the girls can’t refuse sexual harassment. This study was done to evaluate the effectiveness of sexual harassment risk reduction education based on Health Belief Model. Methods: A quasi experimental study was conducted in secondary level public schools of Tokha Municipality, Kathmandu. The study was done from 5th February 2016 to 5th May 2016. The sample size was 117 for each group which was calculated with input of 95% CI, power of test=80%, assuming 38 % change based on baseline study and 10% nonresponse rate. The ratio of participants in intervention and control group was 1:1 and the total numbers of participants were 128 in pretest and 121 in posttest at the intervention group and 131 in pretest and 122 in posttest in the control group. Data was collected by using self-administered questionnaire for knowledge and likert’s scale was used for attitude and behavioural intention. Lecture, group discussion, role play and brainstorming were methods used for intervention. After two weeks of intervention, a post-test was done. Results: Testing of hypothesis revealed that the knowledge about sexual harassment, anti-sexual harassment attitude and behavioural intention of using refusal skills in sexual harassment in the intervention group were significantly higher than that of control groups i.e. p<0.001, p<0.001 and p<0.05 respectively. Conclusion: Sexual harassment risk reduction education intervention based on health belief model is effective to increase the knowledge, attitude and behavioural intention of participants. The findings of the study encourage further exploring creative approaches to programming in other violence prevention areas.  


Author(s):  
Mohammad Hosein Fadaei ◽  
Jamileh Farokhzadian ◽  
Sakineh Miri ◽  
Reza Goojani

AbstractBackgroundNowadays, drug abuse is one of the most important health problems that can affect the quality of life of people in mental, psychological, physical, and social dimensions. Theory-based education can help the adolescents to promote their drug abuse preventive behaviors.ObjectivesThe aim of this study was to determine the effectiveness of education based on the health belief model (HBM) on drug abuse preventive behaviors in adolescent students.MethodsThis study was an interventional quasi-experimental study with a pre-test/post-test design conducted in two high schools in the southeast of Iran. A two-step cluster sampling method was used and 120 students were randomly selected and categorized into the control (n = 60) and intervention (n = 60) groups. The intervention group participated in an education program based on the HBM in four 75-min sessions. Data were collected using demographic and drug abuse preventive behavior questionnaires based on the HBM.ResultsIn the pre-test stage, the mean scores of drug abuse preventive behaviors and its dimensions were not significantly different between the intervention and control groups (t = −2.597 p = 0.641). In the post-test stage, the mean scores of the intervention and control groups were significantly different; the drug abuse preventive behaviors and its dimensions improved in the intervention group (t = 14.57, p < 0.001).ConclusionThe findings showed that education based on the HBM had a significant effect on drug abuse preventive behaviors and its dimensions. Therefore, educational packages based on the HBM are recommended to improve these behaviors in adolescents.


Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3272
Author(s):  
Mie Shiraishi ◽  
Masayo Matsuzaki ◽  
Rina Tsunematsu ◽  
Sachi Watanabe ◽  
Risa Kobayashi ◽  
...  

No dietary intervention that focuses on the diet quality of postpartum women has been developed in Japan, although most postpartum women experience an insufficient intake of vitamins and minerals. We aimed to examine whether dietary intervention, based on the health belief model, at both 1 and 3 months postpartum affects nutrient intake and food group consumption at 6 months postpartum. A randomized controlled trial was conducted at a university hospital in Tokyo between 2015 and 2016. Healthy women at 1 month postpartum were randomly allocated to either an intervention group (n = 100) or a control group (n = 94). Dietary intervention included dietary assessment, individual feedback, and dietary guidance. The dietary intakes between the two groups were compared using the Mann-Whitney U test. At 6 months postpartum, the energy-adjusted intakes of protein, total dietary fiber, potassium, magnesium, phosphorus, zinc, vitamin B6, and β-carotene were significantly higher in the intervention group than in the control group. The changes in energy-adjusted intakes of total dietary fiber and iron from 1 month postpartum to 6 months postpartum were significantly different between the two groups. Dietary intervention based on the health belief model improved nutrition at 6 months postpartum, although the impact was limited.


2020 ◽  
Author(s):  
Nemam Ali Azadi ◽  
arash ziapour ◽  
Javad Yoosefi lebni ◽  
Saied Fahim Irandost ◽  
Jaffar Abbas ◽  
...  

Abstract Background: Hypertension is the leading cause of many diseases, including heart attacks, strokes, kidney failure and many internal diseases.Methods: This pretest-posttest quasi-experimental study was conducted using 128 staff of Iran University of medical sciences. They were randomly assigned to an intervention (n=64) or a control (n=64) group. Data collection tool was a questionnaire based on health belief model constructs, which included 42 questions. Results were interpreted using ANCOVA or robust ANCOVA as appropriate.Results: ANCOVA showed improvement in the cues to action of participants following educational intervention (P = 0.011). Robust ANCOVA revealed that the intervention was successful for participants with low to moderate initial levels of knowledge, perceived susceptibility, perceived severity, perceived barriers, and self-efficacy scores. The levels of these components didn’t change in participants with very high baseline scores. Compared to control group, regardless on baseline score, the perceived benefits and practice (behavior) of participants at intervention group were improved significantly (P < 0.05).Conclusion: The results of this study showed that education based on the health belief model is effective in promoting hypertension preventive behaviors in university staff.


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