Journal of Education and Health Promotion

The effectiveness of nutrition education program based on health belief model compared with traditional training

Document Type : Original Article

Authors

. Gholam Reza Sharifirad
. Azar Tol
. Siamak Mohebi 1
. Mohammad Matlabi 2
. Hossein Shahnazi
. Marzieh Shahsiah 1

1 Department of Health, Qom University of Medical Sciences, Qom.

2 Department of Health, Gonabad University of Medical Sciences, Gonabad, Iran

Abstract
Introduction: This study was aimed to compare the effect of nutrition educational program
based on HBM with traditional education recommended weight gain among pregnant women
in Gonabad. Target population was pregnant women who were resided in Gonabad and went
to urban health care centers for prenatal cares. Materials and Methods: 110 pregnant women
(case group: 54, control group: 56) were selected who had come to this centers in the first
stage of prenatal care (6th -10th week of pregnancy) in 1388 and were consequently classified
in case and control group. There is no significant difference for age, education, number of
parity, history of abortion and job between case and control groups. Results: There was no
significant differences in nutritional behavior mean score before intervention in case (74.42
± 12.78) and control (77.14 ± 15.35) groups (P value = 0.82, independent t- test); but after
education, intervention was significant in nutritional behavior between two groups (P value =
0.01, independent t- test); Discussion: after intervention, there also was significant difference
in HBM structures mean score in case group compare with control group and the highest rise
in score was related to perceived benefits (15.13 increment).

Keywords

BMI
health belief model
pregnant women
prenatal nutrition
traditional education
1. Safari M, Saadatmand N, Azarman M. Food Intake Pattern and
Related Factors in Women Referred to Medical and Health Centers
of Yasouj. Dena, Quarterly Journal of Yasuj 2007;2:27-37. [Persian]
2. Szwajcer EM, Hiddink GJ, Koelen MA, van Woerkum CM. Nutrition
awareness and pregnancy: Implications for the life course
perspective. Eur J Obstet Gynecol Reprod Biol 2007;135:58-64.
3. Dnncan SS, Malnutrition CJ . Pregnancy and Infant Mortality. A
biometric model of interdisciplinary history. Pregnancy and infant
mortality 1999;30:37-60.
4. Sharifzadeh GH, Moodi M, Nasseh N. Evaluation of pregnant
women weight gain in Birjand Health Centers. J Birjand Univ Med
Sci 2009;3:21-7 [Persian].
5. Tabandeh A, Kashani E. Effects of maternal body mass index and
weight gain during pregnancy on the outcome of delivery. J Gorgan
Univ Med Sci 2007;1:20-4 [Persian].
6. Cunningham FG, Norman FG, Leveno KJ, Gilstrap LC, Hauth JC,
Wenstrom KD. Williams Obsteetrics. 21st ed. USA: McGraw-Hill
Professional; 2001. p. 231-2.
7. Panahandeh Z, Pour Ghasemi M, Asghar Nia M. Body mass index
and prenatal weight gain. J Gilan Univ Med Sci 2006;57:15-20
[Persian].
8. Kalk P, Guthmann F, Krause K, Relle K, Godes M, Gossing G, et al.
Impact of maternal body mass index on neonatal outcome. Eur J
Med Res 2009;14:216-22.
9. Valero De Bernabé J, Soriano T, Albaladejo R, Juarranz M, Calle
ME, Martínez D, et al. Risk factors for low Birth weight: A review.
Eur J Obstet Gynecol Reprod Biol 2004;116:3-15.
10. Evenson KR, Bradley CB. Belief about exercise and physical activity
among pregnant women. Patient Educ Couns 2010;79:124-9.
11. Cogswell ME, Serdula MK, Hungerford DW, Yip R. Gestational
weight gains among average- weight and overweight women what
is excessive? Am J Obstet Gynecol 1995;172:705-12.
12. Whitehead D. Health educations behavioral and social
psychology: Nursing contribution to health promotion. J Adv Nurs
2001;34:822-32.
13. Whitehead D, Russell G. How effective are health education
programmers: Resistance, reactance, rationality and risk?
Recommendation for affection practice. Int J Nurs Stud
2003;41:163-72.
14. Sharifirad GH, Entezari MS, Kamran A, Azadbakht L. Effectiveness
of nutrition education to type II diabetic patients: Application of
Health Belief Model. Iranian J Diabetes Lipid Disord 2008;4:379-86
[Persian].
15. Sharifirad GH, Hazavehie SM, Mohebi S, Rahimi MA, Hasanzadeh A.
The effect of educational program based on Health Belief Model
(HBM) on the foot care by type II diabetic patients. Iranian J
Endocrinol Metab2006;3:231-9 [Persian].
16. Morowati Sharifabad MA, Rouhani Tonekaboni N,
Baghianimoghadam MH. Predictors of self-care behaviors among
diabetic patients referred to Yazd diabetes research Centre based
on extended health belief model. J Shahid Sadoughi Univ Med
Sciences Health Serv 2007;3:85-96 [Persian].
17. Abood DA, Black DR, Feral D. Nutrition education worksite
intervention for university staff: Application of the health belief
model. J Nut Edu Behav 2003;35:260-7.
18. Anderson AS, Cox DN, McKellar S, Reynolds J, Lean ME, Mela DJ.
Take five a nutrition education intervention to increase fruit and
vegetable intakes: Impact on attitude towards dietary change. Br J
Nutr 1998;90:133-40.
19. Khajavi Shojaii K, Parsay S, Fallah N. Assessment of nutritional
knowledge, attitude and practices in pregnant women in
university hospitals of Tehran. J Gorgan Uni Med Sci 2001;8:70-5
[Persian].
20. Mahmood S, Atif MF, Mujeeb SS, Babo N, Mobasher H. Assessment
of nutritional beliefs and practices in pregnant and lactating mothers
in an urban rural area of Pakistan. J Pak Med Assoc 1997;47:60-2.
21. Kapil U, Bhasin S, Manocha S. Knowledge amongst adolescent girls
about nutritive value foods and diet during disease pregnancy and
lactation. Indian Pediatr 1992;28:1135-9.
22. Kozlowska- Wojciechowska M, Wujes MM. Dietary knowledge and
practice in pregnant women. Rocz Panstw Zaki Hig 2002;53:165-75.
23. Zeng G, Zhang J, Liang JZ, Zhou R, Song MY, Zhang YJ. Study
on the knowledge of nutition and related dietary behavior among
floating women under pregnancy. Zhonghua Liv Xing Bing Xue Za
Zhi 2005;26:408-11.
24. Sajadi P, Bakhtiyari A, Haji Ahmadi M. Knowledge of nutritional
assessment of pregnant women referred to health centers in Babol
city. J Babol Univ Med Sci 2007;5:50-4 [Persian].
25. Joseph NP, Hunkali KB, Wilson B, Morgan E, Cross M, Freund KM.
Pre-Pregnancy body mass index among pregnant adolescents:
Gestational weight gain and long term postpartum weight retention.
J Pediatr Adolesc Gynecol 2008;21:195-200.
26. Khosravi F, Sadeghi Khameneh S, Safaeian AR. Relation between
pregnancy weight gain and newborn’s weight and size in women
referring to health centers in Tabriz. J Shaheed Beheshti Univ Med
Sci 2005;49:41-33 [Persian].
Journal of Education and Health Promotion
Volume 3, Issue 3
March 2013
Pages 1-5

Home

Guide for Authors

Submit Manuscript

Reviewers

Contact Us