Document Type : Original Article
Authors
1 Health Sciences Research Center, School of Health, Hamedan University of Medical Sciences, Hamedan, Iran
2 Food Security Research Center, Department of Clinical Nutrition, School of Nutrition and Food Sciences
3 Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan
Abstract
Introduction: The purpose of this study was to determine the effectiveness of an educational
program based on the Belief, Attitude, Subjective Norm, and Enabling Factors (BASNEF) Model
on the nutritional behavior among second‑grade, middle school, female students in Isfahan
city. Materials and Methods: This quasi‑experimental study was performed on 72 students.
The samples were randomly divided in two groups (36 in the intervention group and 36 in
the control group). The data collection tools were validated and had reliable questionnaires.
For the intervention group, a 75‑minute educational session was held thrice. The control
group had no education. The BASNEF model constructs guided the development of the
questionnaires and content of the educational sessions. The independent t‑test and paired
t‑test were used to analyze the data. A two-tailed P value lower than 0.05 was considered to
be statistically significant. Result: According to the results, the mean scores of knowledge and
model variables (Belief, Attitude, Subjective Norm, and Enabling Factors) had a significant
difference in the two groups after intervention (P < 0.001). On the basis of the findings, after
educational intervention, 36.1% of the students had unfavorable nutritional behavior. In the
control group, 88.9% of the students had unfavorable nutritional behavior, before and one month
after intervention. Conclusion: The present study showed that nutrition education intervention
based on the BASNEF model could promote the nutritional behavior in girl students.
Keywords
editors. Krause’s Food, Nutrition and Diet Therapy. Philadelphia:
WB Saunders; 2000.
2. Garrow JS, James WP, Ralph A. Human nutrition and dietetics.
10th ed. London: Churchill and Livingstone; 2000.
3. Mary S, Micheal DR. Adolescents views on food and nutrition.
J Nutr Educ 1986;18:188‑92.
4. Kimyagar M, Fallahi E (Translators). In: Morgan LS, Weinsier R,
authors. Osoole taghziyeye balini. 1st ed. Tehran: Poorsina;
2002.
5. Azadbakht M, Mirmiran P. Tanzime barnameye ghazaei
dar dorehaye mokhtalefe zendegi. Tehran: Tabib; 2003.
6. Popkin BM. Nutrition in transition: The changing global nutrition
challenge. Asia Pac J Clin Nutr 2001;10 Suppl: S13‑8.
7. Khor GL. Update on the prevalence of malnutrition among children
in Asia. Nepal Med Coll J 2003;5:113‑22.
8. Doost Mohammadian A, Keshavarz A, Dorosty A, Mahmoodi M,
Sadrzadeh Yeganeh H. The relationship between some food factors
with the weight status of high of high school adolescent girls in
Semnan, 2004. Iran J Nutr Sci Food Technol 2007;1:51‑6.
9. Salmani Barough N, Pashaeypour Sh, Rezaiepour A, Kazemnejad A.
Study of quality of snacking in adolescents (12‑18 years old). Hayat
2007;12:21‑9.
10. Jafari S, Keshavarz A, Dorosty AR. Factors associated with the
nutritional status of adolescent girls based on body mass index in
Sari. Iran J Nutr Sci Food Technol 2007;2:51‑6.
11. Alavi Naeini AM, Jazayeri A, Chamari M, Hamedi S. Comparison
of the nutritional status of adolescentgirls in the secondary schools
of two educational districts of Kerman. Payesh 2008;7:287‑93.
12. Hazavehei MM, Pirzadeh A, Entezari MH, Hasanzade A,
Bahraynian N. Investigating the Knowledge, Attitude and Nutritional
Practice of Female Middle School Second Graders in Isfahan in
2008. Knowl Health J 2009;4:24‑7.
13. Pei–Lin H. Factors influencing students’ decisions to choose healthy
or unhealthy snacks at the University of Newcastle, Australia. J Nurs
Res 2004;12:83‑91.
14. Zalilah MS, Siti Sabariah B, Norlijah O, Normah H, Maznah I,
Zubaidah J, et al. Nutrition education intervention improves
nutrition knowledge, attitude and practices of primary school
children: A pilot study. Int Electron J Health Educ 2008;11:119‑32.
15. Friel S, Kelleher C, Campbell P, Nolan G. Evaluation of the Nutrition
Education at Primary School (NEAPS) programme. Public Health
Nutr 1999;2:549‑55.
16. Powers AR, Struempler BJ, Guarino A. Parmer SM. Effects of a
nutrition education program on the dietary behavior and nutrition
knowledge of second‑grade and third‑grade students. J Sch Health
2005;75:129‑33.
17. Piperakis SM, Sotiriou A, Georgiou E, Thanou A. Understanding
nutrition: A study or greek primary school children habits, before
and after classroom nutrition intervention. J Sci Educ Technol
2004;13:129‑36.
18. Baghianimoghadam MH, Rahaee Z, Morowatisharifabad MA,
Sharifirad G, Andishmand A, Azadbakht L. Effects of education
on self‑monitoring of blood pressure based on BASNEF model in
hypertensive patients. J Res Med Sci 2010;15:70‑7.
19. Baghyani‑Moghadam MH, Shafiei F, Haydarneia AR, Afkhami M.
Efficacy of BASNEF model in controlling of diabetic patients in the
city of Yazd, Iran. Indian J Community Med 2005;30:10‑2.
20. Hazavehei MM, Khani Jyhouni A, Hasanzade A, Rashidi M.
The effect of educational program based on BASNEF model on
diabetic (type II) eyes care in Kazemis clinic (Shiraz). Indian Journal
of Endocrinology and Metabolism 2006;10:145‑54.
21. Khalaj M, Mohammadi Zeidi E. Health education effects on
nutritional behavior modification in primary school students in
Ghazvin. J Shahrekord Univ Med Sci 2006;8:41‑9.
22. Sharifirad Gh, Najimi A, Hassanzadeh A, Azadbakht L. Application
of BASNEF educational model for nutritional education among
elderly patients with type 2 diabetes: Improving the glycemic
control. J Res Med Sci 2011;16:1149‑58.
23. Khani Jeihooni A, Kashfi SM, Hazavehei SM. Effects of
the BASNEF model‑based educational programs on blood
sugar control, (Type 2 Diabetes). Health Educ Health Promot
2013;1:33‑ 49.
24. Roostaei Patapeh S. Assessing the effect of lifestyle education
based on BASNEF model on nutritional and exercise behaviors in
the elderly [MS Thesis]. Tehran (Iran): Tehran University of Medical
Sciences, School of Nursing; 2013.
25. Jeffrey CL, Danielle RP, Volpe SL. Effect of nutrition supplement
education on nutrition supplement knowledge among high school
students from a low‑ income community. J Community Health
2002;27:25‑35.
26. Vakili M, Baghiani‑ Moghadam MH, Pirzadeh A, Dehghani M.
Assessing the effect of education on knowledge, attitude and
practice of guidance school students about milk and dairy products.
Knowl Health J 2008;2:39‑43.
27. Kohzadi K. The effect of educational program based on BASNEF
Model on the knowledge, attitude and practice among first grade
middle school students in Bane city about dental health [MS Thesis].
Tehran (Iran): Tehran University of Medical Sciences, School of
Health; 2005.
28. Hazavehei MM, Asadi Z, Hassanzadeh A, Shekarchizadeh P.
Comparing the effect of two methods of presenting physical
education Π course on the attitudes and practices of female students
towards regular physical activity in Isfahan University of Medical
Sciences. J Med Educ 2008;8:121‑30.
29. Taslimi Taleghani M, Djazayeri SA, Keshavarz SA, Sadrzadeh
Yeganeh H, Rahimi A. Comparison of the effectiveness of two
nutrition education methods on the nutritional knowledge, attitude
and practice of first‑grade school girl students. Tehran Univ Med
Sci J 2004;2:69‑78.
30. Salehi M, Kimiagar SM, Shahbazi M, Mehrabi Y, Kolahi AA.
Assessing the impact of nutrition education on growth indices
of Iranian nomadic children: An application of a modified beliefs,
attitudes, subjective – norms and enabling – factors model. Br J
Nutr 2004;91:779‑87.
31. Manios Y, Kafas A. Health and nutrition education in elementary
schools: Changes in health knowledge, nutrition intakes and physical
activity over a six year period. Public Health Nutr 1999;2:445‑8.
32. Barati M. The effect of educational program based on BASNEF
model on pregnant women breastfeeding behavior in Arak city [MS
Thesis]. Isfahan (Iran): Isfahan University of Medical Sciences,
School of Health; 2007.
33. Alizadeh R. Safety culture educational intervention study using the
model of BASNEF promote the production staff of a petrochemical
complex Kimia Bandar Mahshahr safe city in 2005 [MS Thesis].
Tehran (Iran): Tehran University of Medical Sciences, School of
Health; 2007.
34. Mohamaei F, Nouri Tajer M, Noohi F, Maleki M. Application
of BASNEF health belief model in preventing the occurrence of
risk factors contributing to myocardial infarction in patients with
coronary artery disease. Iran Heart J 2004;5:29‑32.35. Taghdisi MH, Madadzadeh N, Shadzi S, Hasanzadeh A. Effect of
education interventions on the coke workers immune performances
on BASNEF model basis at Isfahan melting factory 2005. journal of
Ilam university of medical sciences 2008;16: 20‑9.
36. Turnin MC, Tauber MT, Couvaraso O, Jouret B, Bolzonella C,
Bourgeois O, et al. Evaluation of microcomputer nutritional
teaching games In 1,876 children at school. Diabetes Metab
2001;27:459‑64.