scholarly journals Effects of Health Education Intervention Using Health Belief Model on Haemoglobin Level Among Anaemic Pregnant Women in rural Malaysia: a quasi–experimental study

2019 ◽  
Author(s):  
Hasneezah Hassan ◽  
Rosliza Abdul Manaf ◽  
Salmiah Md S ◽  
Geeta Appannah ◽  
Rozita Rosli

Abstract Background Anaemia in pregnancy is a problem threatening public health throughout the world especially in the developing countries. Current anaemia prevention programme in Malaysia includes oral iron supplementation and health education. However, the effect of the existing intervention in ensuring compliance to the subscribed regimen and the impact of nutrition education in enhancing dietary modification during pregnancy were minimal. This study aims to develop, implement and evaluate the effects of a theory-based health educational intervention using Health Belief Model (HBM) on haemoglobin level among anaemic pregnant women. Methods This is a quasi-experimental research with pre-post test design with control group involving 81 participants per group from two health clinics in Sepang, Malaysia. The primary outcome was haemoglobin level. Secondary outcome include knowledge on anaemia, HBM constructs, dietary iron intake and compliance towards iron supplementation. Both groups received routine antenatal care. Additionally, the intervention group received a theory-based health education intervention programme. Results The response rate in the intervention and control group were 83.9% and 82.7% respectively. Generalized estimating equations analysis showed that the intervention was effective in improving the mean haemoglobin level (β=0.75, 95%CI=0.52, 0.99, P<0.001), the knowledge score (β=1.42, 95%CI=0.36, 2.49, P=0.009), perceived severity score (β=2.2, 95%CI= 1.02, 3.39, P<0.001) and increased proportion of high compliance level (AOR=4.59, 95%CI=1.58, 13.35, P=0.005). Conclusion Health education intervention based on the HBM is proven to be effective in improving the mean haemoglobin level, knowledge score, perceived severity score and compliance level of participants. The study results emphasized on the effectiveness of such an approach, therefore it is recommended that future educational interventions which aim at increasing preventive healthy behaviours in pregnant women could benefit from applying this model in primary health care settings. Trial registry Australian New Zealand Clinical Trials Registry with registration number of ACTRN12618001824257 (retrospectively registered)

Author(s):  
Dahui Wang ◽  
Chenhui Li ◽  
Yi Wang ◽  
Shichang Wang ◽  
Shuang Wu ◽  
...  

Young people, like college students, are at risk of hearing loss from prolonged and excessive exposure to loud sounds. However, behavioral interventional studies on them are inadequate. This study explored the application of a health belief model to the health education intervention on college students for improving hearing health knowledge, health belief, and hearing behaviors. From November 2017 to September 2018, a cluster randomized controlled trial was conducted, enrolling 830 college students, with 419 in the intervention group and 411 in the control group. The intervention group received a 3-month hearing health education, while the control group received no intervention. The information of hearing health knowledge, health belief, and hearing behaviors were collected using hearing health questionnaires before the intervention, after the intervention, and 3 months after the intervention cessation. The intervention significantly improved hearing health knowledge, health belief, perceived severity, and self-efficacy in female students, and effectively reduced the frequency of using headphones per day, duration of using headphones each time, and proportion of using headphones at high volume in female students, and reduced the behaviors of sleeping with headphones listening in females and males. Therefore, this study confirms the effectiveness of health belief model-based intervention for changing hearing loss-related risk behaviors.


Jurnal NERS ◽  
2017 ◽  
Vol 12 (2) ◽  
pp. 278
Author(s):  
Zay Yar Tun ◽  
Tintin Sukartini

Introduction: Males are the most important members and care-takers of the family, but they are considered to be uncooperative when it comes to the usage of family planning methods. Traditionally, family planning programs have focused primarily on women, and most of the methods are designed for women considering that it is the women who become pregnant and it is easy to deliver reproductive health services as part of maternal and child health programs. The main objective of this study was to study the effectiveness of Health Education (HE) Family Planning Guidelines on Health Belief and Behaviours regarding family planning methods among married men Methods: A quasi-experimental study design was used to compare the results of the effectiveness of health education on the health beliefs and behaviours regarding family planning methods among married men. Mann-Whitney test and Manova test were used to analyse the data. Results:  It was found that there was a difference of health belief with p= 0.038, knowledge with p= 0.000 and attitude with p= 0.000 between the treatment and control group. Conclusions: There was an impact on the improvement of health belief and behaviours regarding family planning methods in the study group which was significantly improved after intervention. As the predetermined hypothesis, a difference was found between the knowledge, attitude and health beliefs of the married men who received health education and those who did not receive health education.


2019 ◽  
Vol 11 (1) ◽  
pp. 47-52
Author(s):  
Martini Martini ◽  
Sri Yuliawati ◽  
Retno Hestiningsih ◽  
Nissa Kusariana ◽  
Sudjut Haryanto

Semarang, the capital city of Central Java Province, is one of the endemic areas in Indonesia with increasing case fatality rate in the last three years. Accordingly, the educational intervention is fundamentally requested. The aim of the study was to evaluate the influence of health education intervention on  the community knowledge improvement and its implication for reducing the rat populations. The study was performed using field experiment with pretest and post test designs. A total of 55 cadres and housewives joining on the various education program at Sumurboto Village, Banyumanik Sub district, Semarang was used as research subjects. The health education interventions introduced in the study were counselling and mentoring. ,Data were analyzed using paired t-test. The results revealed that the knowledge of the subject research significantly increased and the rat populations significantly decreased after being given the educational intervention. The rat species identified in Sumurboto Village were Rattus norvegicus, R. tanezumi, R. exulans and Suncus murinus. The knowledge score before and after the intervention was 80.87 and 88.83 respectively. Meanwhile, the rat populations measured by trap success method reduced from 8% to 6% after the intervention. Nevertheless, the rat population in Sumurboto Village is considerably relative high indicating that the village possessed a high risk on leptospirosis attack. It is strongly suggested that the health education intervention in the community should be regularly maintained in order to accelerate the knowledge of leptospirosis and reduce the rat populations.   


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.


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