Document Type : Original Article
Authors
- . Suneerat Yangyuen
- . Manop Kanato 1
- . Thidarat Somdee
- . Fatemeh Shahmohamadi
- . Meimanat Hoseini
- . Mahsa Matbouei
- . Malihe Nasiri 2
1 Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
2 Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
BACKGROUND: Osteoporosis is mainly characterized by a low bone mineral density and a sharp
architectural and biomechanical deterioration in bone tissue required to maintain bone homeostasis.
The theory of planned behavior (TPB) can be considered as one of the leading theories when designing
an evidence‑based intervention. This study was carried out based on the TPB to determine the effect
of an educational intervention aimed at mothers on the prevention of osteoporosis in female students.
MATERIALS AND METHODS: A total of seventy mothers of lower secondary school students
in Tehran, Iran, participated in this experimental study which was conducted in 2019–2020. The
participants were randomly assigned to two groups, namely experimental and control groups. Based
on the TPB, a demographic and a researcher‑made questionnaire consisting of five sections were
used in order to collect data. The validity and reliability of the questionnaires were confirmed before
data collection. Four 45–60 min training programs were delivered to the subjects using the TPB.
Data were collected before, immediately after, and 1 month following the training program. Finally,
IBM SPSS Statistics 21 was used for statistical analysis.
RESULTS: No significant difference was observed in terms of attitude, subjective norms, perceived
behavioral control, behavioral intention, and osteoporosis prevention‑related behavior between the
experimental and control groups before proceeding with the intervention (P > 0.05). However, the
mean scores of attitude, subjective norms, perceived behavioral control, behavioral intention, and
behavior were significantly higher in the experimental group compared to those of the control group
following the educational intervention (P < 0.05).
CONCLUSION: It can be concluded that such interventions based on the TPB can, in fact, produce a
significant effect on osteoporosis prevention‑related behaviors. Thus, it can serve as a useful model
for planning educational interventions.
Keywords
- Hosseini Z, Karimi Z, Mohebi S, Sharifirad G, Rahbar A,
Gharlipour Z. Nutritional preventive behavior of osteoporosis
in female students: Applying Health Belief Model (HBM). Int J
Pediatr 2017;5:4137‑44.
2. Soleymanian A, Niknami S, Hajizadeh E, Shojaeizadeh D,
Montazeri A. Development and validation of a health belief
model based instrument for measuring factors influencing
exercise behaviors to prevent osteoporosis in pre‑menopausal
women (HOPE). BMC Musculoskelet Disord 2014;15:61.
3. Colì G. To prevent the osteoporosis playing in advance. Clin Cases
Miner Bone Metab 2013;10:83‑5.
4. Morfeld JC, Vennedey V, Müller D, Pieper D, Stock S. Patient
education in osteoporosis prevention: A systematic review
focusing on methodological quality of randomised controlled
trials. Osteoporos Int 2017;28:1779‑803.
5. Ebadifard F, Solhi M, Zohoor A, Hosseini MA. The effect of health
belief model on promoting preventive behaviors of osteoporosis
among rural women of Malayer. JQUMS 2012;16:59‑64.
6. Sanaeinasab H, Tavakoli R, Karimizarchi A, Amini ZH,
Farokhian A, Najarkolaei FR. The effectiveness of education using
the health belief model in preventing osteoporosis among female
students. East Mediterr Health J 2014;19 Suppl 3:S38‑44.
7. Kerschan‑Schindl K. Prevention and rehabilitation of osteoporosis.
Wien Med Wochenschr 2016;166:22‑7.
8. Woźniak‑Holecka J, Sobczyk K. Nutritional education in the
primary prevention of osteoporosis in perimenopausal and
postmenopausal women. Prz Menopauzalny 2014;13:56‑63.
9. Etemadifar MR, Nourian SM, Fereidan‑Esfahani M, Shemshaki H,
Nourbakhsh M, Zarezadeh A. Relationship of knowledge about
osteoporosis with education level and life habits. World J Orthop
2013;4:139‑43.
10. Cramm JM, Hoeijmakers M, Nieboer AP. Relational coordination
between community health nurses and other professionals in
delivering care to community‑dwelling frail people. J Nurs Manag
2014;22:170‑6.
11. Rajabi R, Forozy M, Fuladvandi M, Eslami H, Asadabady A. The
effect of family‑centered empowerment model on the knowledge,
attitudes and self‑efficacy of mothers of children with asthma.
J Nurs Educ 2016;5:41‑49.
12. Laukkanen A, Pesola AJ, Heikkinen R, Sääkslahti AK, Finni T.
Family‑based cluster randomized controlled trial enhancing
physical activity and motor competence in 4–7‑year‑old children.
PLoS One 2015;10:e0141124.
13. Mazloomy‑Mahmoodabad SS, Navabi ZS, Ahmadi A,
Askarishahi M. The effect of educational intervention on weight
loss in adolescents with overweight and obesity: Application of
the theory of planned behavior. ARYA Atheroscler 2017;13:176‑83.
14. Taghdisi MH, Babazadeh T, Moradi F, Shariat F. Effect of
educational intervention on the fruit and vegetables consumption
among the students: Applying theory of planned behavior. J Res
Health Sci 2016;16:195‑9.
15. Ahmad MH, Shahar S, Teng NI, Manaf ZA, Sakian NI, Omar B.
Applying theory of planned behavior to predict exercise
maintenance in sarcopenic elderly. Clin Intervent Aging
2014;9:1551.
16. O’Neal CW, Wickrama KK, Ralston PA, Ilich JZ, Harris CM,
Coccia C, et al. Eating behaviors of older African Americans:
An application of the theory of planned behavior. Gerontologist
2014;54:211‑20.
17. Matlabi M, Esmaeili R, Moshki M, Ranaei A, Haji A, Mehrabi R.
The status and predictors of hypertension preventive nutritional
behaviors in adolescents based on the constructs of the Theory of
Planned Behavior. Electron Physician 2018;10:6223‑30.
18. Pooreh S, Hosseini NodehZ. Impact of education based on theory of
planned behavior: An investigation into hypertension‑preventive
self‑care behaviors in iranian girl adolescent. Iran J Public Health
2015;44:839‑47.
19. Shirvani ZG, Ghofranipour F, Gharakhanlou R, Kazemnejad A.
Determinants of physical activity based on the theory of planned
behavior in Iranian Military Staff’s Wives: A path analysis. Glob
J Health Sci 2015;7:230. - 20. Holland A, Moffat T. Comparing measured calcium and vitamin
D intakes with perceptions of intake in Canadian young adults:
Insights for designing osteoporosis prevention education. Public
Health Nutr 2017;20:1760‑7.
21. Park KS, Yoo JI, Kim HY, Jang S, Park Y, Ha YC. Education and
exercise program improves osteoporosis knowledge and changes
calcium and vitamin D dietary intake in community dwelling
elderly. BMC Public Health 2017;17:966.
22. Rastgoo F, Vasli P, Rohani C, Amini A. Osteoporosis preventive
behaviors in adolescent girls: The educational program based on
BASNEF model. Arch Osteoporos 2019;14:71.
23. Menshadi F, Azari A, Kuhpayeh Zadeh J, Ghasemi M. Knowledge,
attitude and practice of osteoporosis among a group of iranian
adolescent females. MRJ 2009;2:47‑54.
24. Ayre C, Scally AJ. Critical values for Lawshe’s content validity
ratio: Revisiting the original methods of calculation. Meas Eval
Couns Dev 2013;47:79‑86.
25. Merghati Z, Hemmati Maslakpak M, Didarlu A, Ghareaghaji R.
Assessment of the effect of BASNEF model based education on
the attitedes, subjective norms, behavioral intention and enabling
factors regarding healthy lifestyle in parients with heart failure.
Nurs Midwifery J 2017;14:822‑9.
26. Jalambadani Z, Borji A, Delkhosh M. The effect of education
based on the theory of planned behavior on iron supplementation
among pregnant women. Korean J Fam Med 2018;39:370.
27. Ebrahimipour S, Ebrahimipoiur H, Alibakhshian F,
Mohamadzadeh M. Effect of education based on the theory of
planned behavior on adoption of oral health behaviors of pregnant
women referred to health centers of Birjand in 2016. J Int Soc Prev
Community Dent 2016;6:584‑9.
28. Sarayloo K, Moghadam ZB, Saffari M, Esmaily H, Najmabadi KM.
The effect of educational program based on theory of planned
behavior on health promotion and childbearing of minor
thalassemia couples. J Educ Health Promot 2019;8:200.
29. Taghipour A, Shahroudi MV, Tabesh H, Safari‑Moradabadi A,
Alipour Anbarani M. The effect of educational intervention based
on the theory of planned behavior and stages of change construct
on women’s physical activity. J Edu Health Promot 2019;8:195.
)