Application of the Health Belief Model Educational Program to Reduce the Tendency of Cesarean Birth

2020 ◽  
Vol 10 (3) ◽  
pp. 116-125
Author(s):  
Nasrin Bahri ◽  
Fariba Eshaghi Hesar ◽  
Narjes Bahri
Keyword(s):  
Pregnant Women ◽  
Health Belief Model ◽  
Intervention Group ◽  
Health Belief ◽  
Normal Vaginal Delivery ◽  
Delivery Mode ◽  
Delivery Modes ◽  
Significant Difference ◽  
Belief Model ◽  
The Health Belief Model

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.

scholarly journals The Effect of Health Belief-Based Education on Physical Activates of Nulliparous Women: A Randomized Control Trial

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Safoura Taheri ◽  
Zohre Momenimovahed ◽  
Ashraf Direkvand-Moghadam ◽  
Nasibe Sharifi ◽  
Saba Farzi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Pregnant Women ◽  
Health Belief Model ◽  
Randomized Control Trial ◽  
Intervention Group ◽  
Health Belief ◽  
Nulliparous Women ◽  
Randomized Control ◽  
Belief Model ◽  
The Health Belief Model

Background: Regular physical activity during pregnancy is known to have positive effects on the health of the mother and fetus. However, reports indicate that more than half of pregnant women in Iran do not have adequate physical activity. This study was conducted in order to change the behavior of pregnant women in regard to physical activity and also to develop suitable educational/interventional measures. Objectives: This study was conducted to investigate the effects of health belief-based education on the physical activity of nulliparous women. Methods: This triple blinded randomized control trial was conducted among 64 nulliparous women attending the health centers of Ilam, Iran, in 2018. Participants were selected randomly by the cluster sampling method and were allocated to the two groups of control and intervention. Participants in the intervention groups received education and theoretical training based on the health belief model for at least 45 minutes, and then individual practical training was provided. Samples in the control group received routine pregnancy training. Data were collected in two pre-test and post-test stages by a valid questionnaire and were analyzed by SPSS, version 19, using statistical tests, including Chi-square, paired t-test, and independent t-test. Results: The results showed that the levels of perceived sensitivity (-4.750 ± 2.119), (t = 12.215, P ≤ 0.001), perceived severity of threat (-5.312 ± 1.874), (t = -16.036, P < 0.001), perceived benefits (-2.750 ± 1.502), (P < 0.001, t = -10.352), and self-efficacy (-3.656 ± 1.405), (P < 0.001, t = -14.708) in the intervention group significantly increased after the training compared to pre-training. Also, the level of perceived barriers (4.093 ± 1.444), (P < 0.001, t = 16.027) after the training was significantly less than pre-training level. In the intervention group, the total physical activity with the intensity of moderate/severe (2049/000 ± 963.342), (P < 0.001, t = -12.032) was significantly higher than pre-training. Conclusions: The results of this study indicated that training based on the health belief model can increase the physical activity of pregnant women with moderate/severe intensity and bring it to the optimal level of 150 minutes per week by increasing the health beliefs of pregnant women. Therefore, it is suggested that training based on this model should be appropriately incorporated into the routine education of pregnant women.

scholarly journals The Effect of Educational Intervention on Safe and High-Risk Driving Behaviors in Taxi Drivers

2020 ◽  
Vol 24 (2) ◽  
Author(s):  
Asghar Razmara ◽  
Teamur Aghamolaei ◽  
Zahra Hosseini ◽  
Abdolhossein Madani ◽  
Shahram Zare
Keyword(s):  
High Risk ◽  
Health Belief Model ◽  
Intervention Group ◽  
Health Belief ◽  
Safe Driving ◽  
Taxi Drivers ◽  
Driving Behaviors ◽  
Belief Model ◽  
Risk Driving ◽  
The Health Belief Model

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.

scholarly journals Effect of Education Based on the Health Belief Model on Prevention of Sexually Transmitted Diseases in Female Victims of Sexual Assault

2020 ◽  
Author(s):  
Zohreh Khakbazan ◽  
Arezu Mehdizadeh ◽  
Khadijeh Azimi ◽  
Mandana Mirmohammadali
Keyword(s):  
Sexual Assault ◽  
Sexually Transmitted Diseases ◽  
Health Belief Model ◽  
Health Belief ◽  
Sexually Transmitted ◽  
Female Victims ◽  
Significant Difference ◽  
Women And Girls ◽  
Belief Model ◽  
The Health Belief Model

Abstract Background: Preventing sexually transmitted diseases is one of the main needs of the victims of sexual assault which their risks could be restricted by providing education to the victims. Therefore, the present study was conducted to evaluate the effect of education based on the Health Belief Model on the prevention of sexually transmitted diseases in female victims of sexual assault.Methods: The present randomized clinical trial was conducted at the forensics center of Babol. Samples were selected randomly and included 70 eligible women and girls who had complained of sexual assault. The intervention group was educated during a half an hour session based on the Health Belief Model with phone follow-up and educational pamphlets; the control group received routine care from the forensic center. Information was gathered at two stages before and after the intervention and then was analyzed.Results: Comparing the intervention and the control groups after the education showed a significant difference in perceived sensitivity and intensity (p = 0.001), perceived benefits (p = 0.04), perceived barriers (p = 0.001), and the performance of complained women and girls after sexual assault in preventing sexually transmitted diseases (p = 0.001).Conclusions: Education based on the Health Belief Model was effective on preventing sexually transmitted diseases. Therefore, it is recommended that this model would be used for the education of sexual assault victims for preventing sexually transmitted diseases.Trial registration: IRCT 2014101413542N3

scholarly journals Using the Health Belief Model to Analyse Murses’ Perception Towards their Behaviours for Keeping Surgical Instruments Moist

2020 ◽  
Author(s):  
Yanhua Chen ◽  
Juan Hu ◽  
Yan Huang ◽  
Liangying Yi ◽  
Ruixue Hu
Keyword(s):  
Health Belief Model ◽  
Linear Regression Analysis ◽  
Health Belief ◽  
Surgical Instruments ◽  
University Hospital ◽  
Length Of Service ◽  
Intensive Training ◽  
Significant Difference ◽  
Belief Model ◽  
The Health Belief Model

Abstract Background: Because of conflicts with work schedule of central sterile supply department (CSSD), surgical instruments might not be immediately cleaned or sterilized by CSSD staff members after use. If surgical instruments are not kept appropriately moist, tarnish or rusting may occur on the instruments, which will not only affect cleaning quality, but also shorten the normal service life of the instruments. Nurses’ perception towards their behaviours for keeping surgical instruments moist has been rarely studied. We aimed to use the health belief model to analyse nurses’ perception towards their behaviours for keeping surgical instruments moist. Methods: The survey utilising a general information questionnaire, and a self-designed nurses’ perception-behaviour scale for keeping surgical instruments moist was conducted with 360 nurses from the West China Second University Hospital, Sichuan University. Data was gathered with cluster sampling, and analysed in SPSS20.0. Results: Total score of nurses’ perception-behaviour scale for keeping surgical instruments moist was 139.93±15.145, among which mean score for perceived severity, perceived susceptibility, perceived benefits, perceived barriers, and self-efficacy was 4.49±0.57, 4.62±0.48, 4.57±0.52, 3.47±0.94 and 4.16±0.66, respectively. Single factor analysis showed that score of nurses’ perception-behaviour scale for keeping surgical instruments moist varied with age, length of service and job title, with a statistically significant difference (P < 0.05). Multivariable linear regression analysis showed that length of service was the main factor affecting nurses’ perception towards their behaviours for keeping surgical instruments moist. Conclusion: Nurses should be offered intensive training on keeping surgical instruments moist due to their inadequate perception on it. However, an increase in knowledge does not necessarily bring behavior change. The nurses’ change in health beliefs and behaviours must be based upon developing the right attitude. As a result, they could realize the benefits of keeping surgical instruments moist, identify the barriers, and finally obtain the solutions.

Effect of Virtual Nutrition Training Based on the Health Belief Model on the Awareness of Patients with Type II Diabetes

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Mostafa Jafari ◽  
Hossein Ashtarian ◽  
Parvin Nokhasi
Keyword(s):  
Health Belief Model ◽  
Self Efficacy ◽  
Type Ii Diabetes ◽  
Health Belief ◽  
Diabetic Patients ◽  
Type Ii ◽  
Nutrition Training ◽  
Significant Difference ◽  
Belief Model ◽  
The Health Belief Model

Background: Various teaching methods could be used to reduce complications in diabetic patients. Objectives: The present study aimed to assess the effect of nutrition training based on the health belief model (HBM) and electronic methods on the awareness of patients with type II diabetes in Kermanshah, Iran in 2012. Methods: This quasi-experimental study was conducted at a diabetes clinic in Kermanshah City. In total, 60 patients were selected via convenience sampling and divided into three groups of 20, including SMS, blog, and collaborative blog. Data were collected before, immediately after, and three months after the educational intervention using a standard questionnaire. Data analysis was performed in SPSS version 16 using the Kruskal-Wallis test, Friedman’s test, and analysis of variance (ANOVA) at the significance level of 0.05. Results: The mean score of awareness was considered significant (P < 0.01). In addition, significant differences were observed in the perceived sensitivity and barriers, cue to action, and self-efficacy in the blog group (P < 0.05) before and three months after the intervention. In the collaborative blog group, a significant difference was denoted in the perceived severity and cue to action before and three months after the intervention (P < 0.05). Cue to action also differed significantly in the SMS group, and the self-efficacy score significantly changed only in the blog group after the intervention (P = 0.006). Conclusions: According to the results, using blogs, group/collaborative blogs, and SMS could effectively increase the awareness of the diabetic patients. Therefore, virtual training could enhance the structures of the HBM, with the exception of the perceived sensitivity domain.

scholarly journals Knowledge, Attitude, Practices, and Health Beliefs of Pregnant Women about Urinary Tract Infection and Its Associated Risk Factors: A Local Filipino Community Experience

2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Annalyn Navarro ◽  
Raphael Enrique Tiongco ◽  
Reynaldo Bundalian Jr.
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Health Belief Model ◽  
Health Beliefs ◽  
Positive Attitude ◽  
Health Belief ◽  
Belief Model ◽  
The Health Belief Model

Urinary tract infection (UTI) during pregnancy is assumed to be associated with increased maternal and fetal morbidity and mortality; hence, a proper assessment of knowledge and practices is crucial to formulate preventive strategies to ensure the health of both the mother and the baby. The study determined the knowledge, attitude, practices (KAP), and the beliefs of pregnant women about UTI based on the Health Belief Model. A survey questionnaire was used to gather data from pregnant women with and without UTI. The association of the pregnant women’s sociodemographic characteristics with their KAP and health beliefs was determined using Pearson’s chi-square test. Results of the study showed that the majority of pregnant women have unsatisfactory knowledge with a positive attitude and good hygienic practices against UTI. Educational qualification and socioeconomic status showed a significant association with the KAP of pregnant women. Positive attitude and satisfactory hygienic practices were evident among the respondents despite their unsatisfactory knowledge. The salient traits of the Filipino women are exhibited on the descriptive of the Health Belief Model that include being resilient amid a problem and considering difficulties not as barriers but opportunities to make life healthier and better.

scholarly journals The impact of education intervention on the Health Belief Model constructs regarding anxiety of nulliparous pregnant women

2015 ◽  
Vol 4 (1) ◽  
pp. 27 ◽  
Author(s):  
Gholamreza Sharifirad ◽  
Kamal Mirkarimi ◽  
Akbar Hassanzadeh ◽  
Hossein Shahnazi ◽  
Sahar Sabooteh
Keyword(s):  
Pregnant Women ◽  
Health Belief Model ◽  
Health Belief ◽  
Education Intervention ◽  
Belief Model ◽  
The Impact ◽  
The Health Belief Model

Comparison between pamphlets and SMS on patterns of breakfast and between meal based on the health belief model among girl students of high schools in Sheiban city during academic year 2015-2016

2016 ◽  
Vol 5 (11) ◽  
pp. 5004
Author(s):  
Moradi S. H. ◽  
Karami K. B.* ◽  
Shakeri Nejad G.H. ◽  
Saki Malehi A.
Keyword(s):  
High Schools ◽  
Health Belief Model ◽  
Food Consumption ◽  
Educational Intervention ◽  
Health Belief ◽  
Snack Food ◽  
Consumption Behavior ◽  
Significant Difference ◽  
Belief Model ◽  
The Health Belief Model

Nutrition has a direct role in creating, maintaining and improving of health. Breakfast is considered as one of the main meals and snacks as a major part of energy and nutrients supplier for children. This study aim to comparison between pamphlets and SMS instruction on breakfast and snack food consumption pattern based on the Health Belief Model among girls in high schools of Sheiban City. This intervention study involved three groups that were conducted by the two intervention groups and a control group among 300 female high school students. To determine the samples, three schools of girls and from each school 100 students were selected using random sampling method. The tools of data collection was a questionnaire which validated by a panel of experts and test-retest reliability and Cronbach's alpha calculation. Educational intervention was distribution of pamphlets and texting to the pamphlet and SMS groups, respectively. The statistical analysis of variance and covariance of collected data were performed by SPSS software version 22. The results were significant at level of P≤0.05. Comparing the two control and tested groups showed that mean score of Health Belief Model (susceptibility, severity, benefits, barriers, self-efficacy and cues to action) as well as breakfast and snack food consumption behavior scores of students significantly increased after the educational intervention in the intervention group compared to the control, but the education effects in both groups were similar. Education based on Health Belief Model by SMS and pamphlets was effective on breakfast and snack consumption behavior. There was no significant difference between educational effects of two methods. 

scholarly journals Effectiveness of a health promotion intervention and education based on Health Belief Model on improving the preventive behaviors of self-Medication among women in Tehran, Iran

2021 ◽  
Author(s):  
Negin Niksadat ◽  
Mehrnoosh Akhtari- Zavare ◽  
Mahmood Reza Gohari ◽  
Davood Shojae Zadeh ◽  
Mahnaz Solhi
Keyword(s):  
Health Promotion ◽  
Health Belief Model ◽  
Intervention Group ◽  
Health Belief ◽  
Health Promotion Intervention ◽  
Preventive Behaviors ◽  
Self Medication ◽  
Significant Difference ◽  
The Mean ◽  
Belief Model

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.

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