scholarly journals Intervention “Premenopause Empowerment Model (PEM)” to Change Health Belief in the Control of Perimenopause Complaints in Pematangsiantar City, Indonesia

2021 ◽  
Vol 13 (8) ◽  
pp. 56
Author(s):  
Dame Evalina g Simangunson ◽  
Rosa Delima Ekwantini ◽  
Marlisa Marlisa

Prevention efforts against the effects of decreased estrogen hormones are very noteworthy, these conditions can lead to a variety of health problems and are very much complained of in the perimenopause period. This research is to achive the improvement of premenopausal women’s Health Belief by using PEM for the perimenopause period. The research will involve two Group Design pretest–Posttest with control group that took the location in two sub districts involving women aged 40 yr to 45 yr, as many as 70 people The quasi-experimental designed study employed two groups: the pretest–posttest and control group and was conducted at two sbdistricts: Kahean, for the control group, and Tomuan, for the intervention group. Data processed with univariate and bivariate analysis, sufficient with t test. The results showed that there was an increase in the health belief score before the intervention (59.74 ± 7.01), after the intervention (76.89 ± 9.70) with P = < 0.001. The provision of information based on Health Belief Model in the study able to change the perception of premenopause community in the village Tomuan, shown by increasing the value of the perception of seriousness and vulnerability to the interference that will be experienced and can considering the gains to be gained so decided to behave as expected. It is recommended that women empowerment premenopause with sustainable PEM and the development of health service efforts in the community through Peer Education.

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.


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 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.  


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.


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.


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.


2018 ◽  
Vol 14 (3) ◽  
pp. 304 ◽  
Author(s):  
Veronica Silalahi ◽  
Mohammad Hakimi ◽  
Wiwin Lismidiati

Kanker serviks menjadi penyebab tingginya kematian ibu. Pencegahan kanker serviks dapat dilakukan dengan skrining Inspeksi Visual dengan Asam Asetat (IVA). Tujuan penelitian untuk menganalisis efektifitas pendidikan kesehatan dengan menerapkan Health Belief Model (HBM) menggunakan media audiovisual dan booklet terhadap perilaku wanita dalam melakukan pemeriksaan IVA di wilayah kerja Puskesmas Pacarkeling Surabaya. Metode penelitian menggunakan Quasi Experimental dengan desain Non Equivalent Control Group Design. Subjek penelitian wanita berusia 30-50 tahun yang belum pernah melakukan pemeriksaan IVA sebelumnya. Pemilihan sampel menggunakan teknik cluster sampling dengan jumlah sampel 79 responden untuk masing-masing kelompok intervensi dan kelompok kontrol. Pendidikan kesehatan menggunakan media audiovisual dan booklet. Data diolah menggunakan uji wilcoxon, chi-square, mann-whitney, dan regresi linier. Hasil penelitian menunjukkan pendidikan kesehatan menggunakan media audiovisual dan booklet efektif dalam meningkatkan perilaku responden dalam melakukan skrining IVA. Peningkatan pengetahuan, sikap, kepercayaan kesehatan kelompok intervensi lebih besar dibandingkan dengan kelompok kontrol. Perilaku wanita dalam melakukan skrining IVA pada kelompok intervensi lebih besar dibandingkan dengan kelompok kontrol setelah diberikan intervensi. Variabel luar seperti usia, pendidikan, pekerjaan, penghasilan, informasi sebelumnya memiliki pengaruh terhadap peningkatan perilaku. Pendidikan kesehatan efektif dalam meningkatkan perilaku wanita melakukan pemeriksaan IVA.


2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Afsaneh Behroozpour ◽  
Mohsen Shams ◽  
Masomeh Mosavi ◽  
Rahim Ostovar

: Self-medication is a serious health problem in Iran. In this quasi-experimental study with a control group, four healthcare facilities were selected and divided into intervention and control groups. Based on the health files of women in healthcare facilities, 192 women were selected randomly and completed a self-reported questionnaire to measure Health Belief Model constructs and self-medication. After analyzing the data, perceived susceptibility was found as the main predictive factor for self-medication, and an intervention was developed to increase it. The intervention consisted of lectures and group discussions, along with distributing pamphlets and sending short messages for four weeks. Three months later, the data was collected again and analyzed. Perceived susceptibility was improved, and self-reported behavior was reduced significantly in intervention groups compared to the control groups.


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.


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