Department of Public Health, Faculty of Health, Birjand University of Medical Sciences, Birjand, IR, Iran
Abstract
BACKGROUND AND AIM: Arthritis is the most common type of arthritis in people over 40 years. This study aimed to determine the effect of an educational intervention on the prevention of arthritis among middle‑aged women using the health belief model. MATERIALS AND METHODS: This was a randomized controlled field trial. The study population was women aged 29–59 years who referred to health centers in Birjand. Seventy‑three women were selected by a systematic random sampling method and were randomly divided into intervention (n = 36) and control (n = 37) groups. The data collection tool was a researcher‑made questionnaire. Data were analyzed using the Chi‑square test, Fisher’s exact test, t‑test, repeated‑measures ANOVA, and Bonferroni post hoc test. As for the cases where the data were not normally distributed, the Friedman nonparametric test, Mann–Whitney U‑test, and Wilcoxon post hoc tests were used. RESULTS: In the intervention group, the mean score of knowledge, perceived susceptibility, severity, benefits, self–efficacy, and behavior significantly increased, and the mean score of perceived barriers significantly decreased after the intervention (≤0.001). In the control group, there were significant differences in the mean scores of perceived susceptibility, perceived severity, perceived self‑efficacy, and performance after an intervention (P ≤ 0.001). However, this increase was significantly higher in the intervention group than in the control group. CONCLUSION: Based on the present study and according to the positive impact of the educational intervention based on the health belief model on the prevention of arthritis, it is recommended to use this theory in educational programs to prevent arthritis.
Keshtkaran Z, Ghodsbin F, Solouki S, Razeghi M, Zare N. The Impact of Self Care Education on Quality of Life of those Clients Suffering from Osteoarthritis in Rehabilitation Centers of Shiraz University of Medical Science (Iran); 2010. 2. Paul L, Gudith H. Overcoming Arthritis. Tehran: Hayyan; 2011. p. 128. 3. Mehdinasab S, Haddadpoor A, Sarrafan N, Dashtbozorg A, Ebrahimi M. Prevalence and evaluation of risk factors in primary knee osteoarthritis. Sci Med J 2010;9:135‑41. 4. Abdohadi N, Masoomeh A. Osteoarthritis. Tehran: Tehran University of Medical Sciences; 2012. p. 552. 5. Dahaghin S, Tehrani‑Banihashemi S, FrouzanfarM, BarghamdiM, Norollahzadeh E, Gholami J, et al. Risk factors of knee osteoarthritis, WHO‑ILAR‑COPCORD study. Tehran Univer Med J 2009;6:721‑8. 6. Mousavi SH, Al‑hammadi W, Azimi SA. The knowledge of people referred to Al‑Zahra Hospital Orthopedic Clinic (Isfahan, Iran) about risk factors of knee osteoarthritis. J Isfahan Med Sch 2013;31:258. 7. Enjezab B, Farajzadegan Z, Taleghani F, Aflatoonian A, Morowatisharifabad MA. Health promoting behaviors in a population‑based sample of middle‑aged women and its relevant factors in Yazd, Iran. Int J Prev Med 2012;3:S191‑8. 8. Mazloumi MS, Bajalan M, Dormohammadi TT, Tarahi M, Bonyadi F. The Effect of Training on Adopting Behaviors Preventing from Knee Osteoarthritis Based on Planned Behavior Theory; 2015. 9. Sadeghi R, Rezaeian M, Khanjani N, Iranpour A. The applied of health belief model in knowledge, attitude and practice in people referred for diabetes screening program: An educational trial. J Rafsanjan Univer Med Sci 2015;13:1061‑72. 10. Tehrani FJ, Nikpoor S. Evaluation of the effect of health belief model on preventive behaviors of urinary tract infection in women. Faculty Nurs Univer Med Sci Iran 2014;3:1‑11. 11. Ghafari M, Nasirzadeh M, Aligol M, Davoodi F, Nejatifar M, Kabiri S, et al. Determinants of physical activity for prevention of osteoporosis among female students of Shahid Beheshti University of Medical Sciences: Application of health belief model. Pajoohandeh J 2014;19:244‑50. 12. Shojaezadeh D, Sadeghi R, Tarrahi MJ, Asadi M, Lashgarara B. Application of Health Belief Model in Prevention of Osteoporosis in Volunteers of Khorramabad City Health Centers, Iran; 2012. 13. Berarducci A, Lengacher CA, Keller R. The impact of osteoporosis continuing education on nurses’ knowledge and attitudes. J Contin Educ Nurs 2002;33:210‑6.
14. Gammage KL, Francoeur C, Mack DE, Klentrou P. Osteoporosis health beliefs and knowledge in college students: The role of dietary restraint. Eat Behav 2009;10:65‑7. 15. Sanaei Nasab H, Tavakoli R, Farrokhian A, Karimi Zarchi AA, Haji Amini Z. The effect of educational intervention with the health belief model on knowledge, perceptions and self‑efficacy among adolescent of high school girls about osteoporosis, Tehran, Iran 2010‑2011. J Urmia Univer Med Sci 2013;24:163‑9. 16. Hazavehei SM, Taghdisi MH, Saidi M. Application of the health belief model for osteoporosis prevention among middle school girl students, Garmsar, Iran. Educ Health (Abingdon) 2007;20:23. 17. Ghaffari M, Tavassoli E, Esmaillzadeh A, Hasanzadeh A. The Effect of Education Based on Health Belief Model on the Improvement of Osteoporosis Preventive Nutritional Behaviors of Second Grade Middle School Girls in Isfahan; 2011. 18. Tussing L, Chapman‑Novakofski K. Osteoporosis prevention education: Behavior theories and calcium intake. J Am Diet Assoc 2005;105:92‑7. 19. Torshizi L, Anoosheh M, Ghofranipour F, Ahmadi F, Houshyar‑Rad A. The effect of education based on health belief model on preventive factors of osteoporosis among postmenopausal women. Iran J Nurs 2009;22:71‑82. 20. Piaseu N, Belza B, Mitchell P. Testing the effectiveness of an osteoporosis educational program for nursing students in Thailand. Arthritis Rheum 2001;45:246‑51. 21. Franko DL, Cousineau TM, Trant M, Green TC, Rancourt D, Thompson D, et al. Motivation, self‑efficacy, physical activity and nutrition in college students: Randomized controlled trial of an internet‑based education program. Prev Med 2008;47:369‑77.
Ensiyeh Norozi,.. , Fatemeh Nazari,.. and Mitra Moodi,.. (2020). The effect of educational intervention based on the health belief model on osteoarthritis‑preventive behaviors in middle‑aged women. Journal of Education and Health Promotion, 10(11), 1-7.
MLA
Ensiyeh Norozi,.. , , Fatemeh Nazari,.. , and Mitra Moodi,.. . "The effect of educational intervention based on the health belief model on osteoarthritis‑preventive behaviors in middle‑aged women", Journal of Education and Health Promotion, 10, 11, 2020, 1-7.
HARVARD
Ensiyeh Norozi .., Fatemeh Nazari .., Mitra Moodi .. (2020). 'The effect of educational intervention based on the health belief model on osteoarthritis‑preventive behaviors in middle‑aged women', Journal of Education and Health Promotion, 10(11), pp. 1-7.
CHICAGO
.. Ensiyeh Norozi, .. Fatemeh Nazari and .. Mitra Moodi, "The effect of educational intervention based on the health belief model on osteoarthritis‑preventive behaviors in middle‑aged women," Journal of Education and Health Promotion, 10 11 (2020): 1-7,
VANCOUVER
Ensiyeh Norozi .., Fatemeh Nazari .., Mitra Moodi .. The effect of educational intervention based on the health belief model on osteoarthritis‑preventive behaviors in middle‑aged women. J Educ Health Promot, 2020; 10(11): 1-7.