scholarly journals The Effect of Implementing Health Promotion Hospitals' Plan on the Awareness of Cardiac Patients Admitted to Selected Educational Hospitals in Yazd

Author(s):  
Rooholah Askari ◽  
Raziyeh Montazeralfaraj ◽  
Sara Jambarsang ◽  
Reyhaneh Sadat Mirhosini

Background: Health promotion includes the concepts of health education, disease prevention and rehabilitation services. Accordingly, the implementation of standards and indicators of health promotion in hospitals is necessary to ensure the quality of the services provided. Therefore, this study was conducted to investigate the effect of implementing a health promotion hospital plan on the awareness of hospitalized cardiac patients in selected educational hospitals in Yazd. Methods: This was an interventional study, which was performed on 62 cardiac patients referred to 2 selected educational hospitals of Yazd University of Medical Sciences. 31 patients from Afshar Hospital (the case group), and 31 patients from Shahid Sadoughi Hospital (the control group) were selected by purposive sampling method. In the case group, in addition to the routine trainings, the subjects received face to face and group educational interventions based on the Health Belief Model and the Guidelines to the American Cardiovascular and Pulmonary Rehabilitation Association for 3 months, and were finally given an educational package. The samples in the control group also underwent routine training. Data analysis was performed using a questionnaire based on Health Belief Model, before the educational intervention and 3 months after, using SPSS 23 software, Chi-square and independent t-tests. Results: Awareness scores in the case and control groups before the intervention were 7.90 ± 4.01 and 10.67 ± 5.31, and after the intervention were 21 ± 1.61 and 11.54 ± 5.31 respectively, and a significant difference was seen in the scores of the post-intervention group (p < 0.001). Conclusion: The implementation of the health promotion hospital plan can be effective in increasing the awareness and improving the performance of cardiac patients. Therefore, it is recommended for hospitals to move towards health promotion.

2021 ◽  
Author(s):  
Negin Niksadat ◽  
Mehrnoosh Akhtari- Zavare ◽  
Mahmood Reza Gohari ◽  
Davood Shojae Zadeh ◽  
Mahnaz Solhi

Abstract Introduction: Self-medication (SM) is used in medicine without consultation with a physician which leads to serious problems, especially in women. This study aimed to investigate the effectiveness of a health promotion intervention and education based on health belief model (HBM) on improving the preventive behaviors of self-Medication among women in Tehran, Iran. Methods: A quasi-experimental survey was carried out among 88 women in 4 selected health institutions of one of the districts in Tehran, Iran. A multi-stage random sampling method was carried out to select the participants. The intervention group received the educational module based on constructs of HBM on the prevention of SM, free medical facilities, and video about SM. The outcomes were assessed at baseline and one month after intervention by validated questionnaire on constructs of HBM and checklist of behavior in self-medication in both groups. The data were analyzed by SPSS16 using descriptive and analytical statistical tests. Result: At baseline, there was no significant difference between the mean scores of knowledge, perceptions (self-efficacy, susceptibility, severity, perceived benefits and barriers, self-Efficacy) , and prevention of self-medication behavior in both intervention and control groups (p > 0.05); but after the intervention, there was a significant difference between the mean scores of both groups in all variables (p<0.001). Also, post-test results showed the considerable promotion of perceived barriers scores in the intervention group, especially on simple and fast inaccessibility to physician and high physician expenses. Conclusion: Educational and promotional intervention based on the health belief model is effective in improving the perceptions and behavior of women in the prevention of self-medication.


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.


2021 ◽  
Author(s):  
Hoda Joorbonyan ◽  
Ghaffari Mohtasham ◽  
Rakhshanderou Sakineh

Abstract Background & Aim: HIV/AIDS is one of the most dangerous viruses known in the world. In addition, considering its fatality rate and high cost of care, it is a serious threat to the health and economy of social communities. Adolescents are one of the high-risk groups. One of the most effective ways to prevent this disease is to promote healthcare, raise awareness, and change health-related beliefs and attitudes. This study aims at determining the effect of peer education, based on the health belief model, on the preventative measures against AIDS adopted by girls. Methods & Materials: In this empirical-interventionist study two schools were randomly selected, one of which was considered as the intervention group and the other as the control group. The classes were also randomly selected and 80 students from each school took part in the project following the entry criterion. A questionnaire with acceptable validity and reliability was used to collect data. In this study a few bright students were chosen as peer educators after being trained. The intervention group received 4 sessions of 60-minute education through training, lectures, question and answer, and group discussion. The posttest was administered two months after the treatment. The data was fed into the SPSS 16. Finally, T-test, Chi-Square, and ANCOVA were employed to analyze the data. 2 Results: The average scores obtained from the intervention group and the control group were not significantly different in terms of awareness level, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, behavioral intention, and pre-intervention behavior (P˃0.05). Two months after the intervention there was a significant increase in the average scores of all the variables in the experimental group (P>0.05). However, there was no significant change in the scores of the control group (P>0.05). Conclusion: Following a health belief model focusing on peer eduaction among high school girls, the intervention eduaction can affect awareness level, susceptibility, severity, benefits, perceived barriers, perceived self-efficacy, behavioral intention, and finally avoidance of high-risk behavior.


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.  


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Hoda Joorbonyan ◽  
Mohtasham Ghaffari ◽  
Sakineh Rakhshanderou

Abstract Background & aim HIV/AIDS is one of the most dangerous viruses known in the world. In addition, considering its fatality rate and high cost of care, it is a serious threat to the health and economy of social communities. Adolescents are one of the high-risk groups. One of the most effective ways to prevent this disease is to promote healthcare, raise awareness, and change health-related beliefs and attitudes. This study aims at determining the effect of peer education, based on the health belief model, on the preventative measures against AIDS adopted by girls. Methods & materials In this empirical-interventionist study two schools were randomly selected, one of which was considered as the intervention group and the other as the control group. The classes were also randomly selected and 80 students from each school took part in the project following the entry criterion. A questionnaire with acceptable validity and reliability was used to collect data. In this study a few bright students were chosen as peer educators after being trained. The intervention group (N = 80) received 4 sessions of 60-min education through training, lectures, question and answer, and group discussion, But the control group received no instruction. The posttest was administered two months after the treatment. The data was fed into the SPSS 16. Finally, T-test, Chi-Square, and ANCOVA were employed to analyze the data. Results The average scores obtained from the intervention group and the control group were not significantly different in terms of awareness level, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, behavioral intention, and behavior in baseline (P>0.05). Two months after the intervention there was a significant increase in the average scores of all the variables in the experimental group (P > 0.05). However, there was no significant change in the scores of the control group (P > 0.05). Conclusion Following a health belief model focusing on peer eduaction among high school girls, the intervention eduaction can affect awareness level, susceptibility, severity, benefits, perceived barriers, perceived self-efficacy, behavioral intention, and finally avoidance of high-risk behavior.


2020 ◽  
Vol 10 (3) ◽  
pp. 116-125
Author(s):  
Nasrin Bahri ◽  
Fariba Eshaghi Hesar ◽  
Narjes Bahri

BACKGROUNDPregnant women are an important population in all health systems and they are responsible for making decisions about their delivery mode.OBJECTIVEThis study aimed to investigate the effects of an educational intervention based on the Health Belief Model (HBM) to reduce the tendency of cesarean section among pregnant women.METHODThis field trial was conducted in Mashhad, Iran. 180 primigravida women who had a healthy and uncomplicated pregnancy with 28–32 weeks of gestational age were recruited in the study by the cluster sampling method and randomly allocated to intervention (90 women) and control (90 women) groups. A 6-hour workshop that was designed based on the HBM about delivery modes was conducted for the intervention group. The control group did not receive any intervention. All the participants filled out demographic and reproductive characteristics, knowledge about mode of delivery, and the HBM constructs questionnaires at the beginning of the study and 1 month after the intervention. Analyses were carried out using SPSS 16 software. The level of significance was set at p less than .05.RESULTSThere was no significant difference between the two groups in terms of knowledge about delivery modes and constructs of the HBM as well as selected delivery mode before the intervention (p > .05), but the results showed a significant difference between the two groups in the mentioned variables 1 month after the intervention (p < .0001). Also, the change of score between 1 month after and before the intervention had a significant difference between the two groups in terms of knowledge about delivery modes (p < .0001) and constructs of the HBM (p < .0001). The two groups were significantly different in terms of selected delivery mode and more participants opted for normal vaginal delivery in the intervention group (p = .025).CONCLUSIONSThe overall results showed that instruction of delivery modes based on the HBM can lead to more selection of normal delivery by pregnant women. Therefore, it is recommended that this model be used in educational programs during pregnancy.


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 ◽  
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.


2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Tona Zema Diddana ◽  
Gezahegn Nigusse Kelkay ◽  
Amanuel Nana Dola ◽  
Abinet Arega Sadore

Background. In Ethiopia, poor dietary practice among pregnant women ranges from 39.3 to 66.1%. Limited nutritional knowledge and wrong perception towards dietary behaviours were underlying factors. Hence, this study was aimed to determine the effect of nutrition education based on Health Belief Model on nutritional knowledge and dietary practice of pregnant women in Dissie town, northeast Ethiopia, 2017 GC. Methods. Community-based cluster randomized control trial was employed. A total of 138 pregnant women participated. Nutrition education was given using Health Belief Model (HBM) theory and general nutrition education for intervention and control group, respectively. The baseline and endline nutrition knowledge and dietary practice was assessed using knowledge and dietary practice questions. HBM construct was assessed using five-point likert scale. Data were analyzed using SPSS version 20. Student’s t-tests and chi-square tests were used. At 95% confidence level, P<0.05 was considered statistically significant. Result. The mean pre- and postintervention nutritional knowledge was 6.9 and 13.4, and good dietary practice was 56.5% and 84.1% in intervention group, respectively. The increase in mean nutritional knowledge was statistically significant (P<0.001). In control group, the pre- and postintervention mean nutritional knowledge was 7.4 and 9.8, and good dietary practice was 60.9% and 72.5%, respectively. There was significant difference (P<0.05) in mean nutritional knowledge and proportion of good dietary practices between two groups at endline, but the difference was not significant (P>0.05) at baseline. There was significant (P<0.001) improvement in the scores of HBM constructs in intervention group. Conclusion and Recommendations. Providing nutrition education based on Health Belief Model improves nutritional knowledge and dietary practices of pregnant women. Hence, governmental, nongovernmental organization, health extension workers, and other health-care provider should include Health Belief Model construct into existing nutrition education programs. Moreover, government should incorporate HBM theory into national nutrition education guidelines.


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.


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