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Showing 11 results for Health Belief Model

E Tavassoli, A Hasanzadeh, R Ghiasvand, A Tol, D Shojaezadeh,
Volume 8, Issue 3 (9-2010)
Abstract

Background and Aim: Today cardiovascular diseases are the main cause of disability and mortality in many countries. This study was performed to determine the effect of health education based on the Health Belief Model on the knowledge, attitude and practice of housewives in Isfahan, Iran regarding improving their nutritional behavior for preventing heart disease.

Materials and Methods: This was a quasi-experimental intervention, including 68 Isfahani housewives randomly divided into an experimental (n=34) and a control (n=34) group. Data were collected using a standard health belief model (HBM) and a food-frequency (FFQ) questionnaire. The experimental group attended, after a pre-test, 6 weekly education sessions. The HBM questionnaire was completed 3 times (before and immediately, and 2 months, after education), while the FFQ questionnaire was completed twice (before and 2 months after education) by the housewives. The data were analyzed using SPSS16 software, the statistical tests being t-test, and repeated measure ANOVA.

Results: The two groups were not significantly different with regard to demographic variables. Similarly, before the intervention they were statistically similar with respect to the scores of the HBM components (P>0.05). After the intervention, significant differences appeared between the experimental and the control groups with regard to all the components (knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived efficacy, and performance in all cases, P<0.001)

Conclusion: Based on the findings, it can be concluded that the intervention had a positive impact on the feeding pattern of the women and was effective in increasing or improving their knowledge, attitude and practice.


Fatemeh Vasheghani, Fereshteh Majlesi, Mahmoud Mahmoudi, Davoud Shojaeezadeh,
Volume 10, Issue 2 (10-2012)
Abstract

Background and Aim: Cervical cancer is the second most common cancer in women with incidence of more than 500000 cases per year. It is preventable because of its long pre-cancerous period, suitable screening programs and effective treatments. Since the social and cultural barriers alongside the lack of knowledge are deterrents to participation in screening programs, the current study was performed to assess the effect of educational intervention through the Health Belief Model on knowledge and attitude of teachers about pap smear, considering their role in making people aware. Materials and Methods: This was a controlled before-after interventional study conducted on 72 individuals selected through simple sampling, assigned to two groups. Data collection tool was a questionnaire used and compared before training and one month after that. Training methods (intervention) included lectures with questions and answers. Data were analyzed with SPSS, version 11.5. Results: 47.2% of intervention and 45.8% of control group were 40 to 50 years old and majority of them (47.2% and 50% respectively) had undergraduate educational level and 86.1% were married. Respectively, 67.2% and 74.2% have experience of being examined via Pap smear, while the knowledge of women in both groups was moderate about the disease. Study results revealed significant differences in knowledge, attitude and Health Belief Model constructs within intervention group (before and after training) as well as between groups (p<0.05). Conclusion: Using Pap smear test among the participants was lower compared with healthy people aims targeted by 2010. Therefore, necessity of education and knowledge promotions are obvious.
Shayesteh Shirzadi, Davoud Shojaeezadeh, Mohammad Hossein Taghdisi, Agha Fatemeh Hosseini,
Volume 10, Issue 2 (10-2012)
Abstract

Background and Aim: Puberty as a stage of life is an important developmental process. Teen girls have numerous health care needs and their specific issues should be considered. This study mainly aimed to determine the impact of education based on health belief model on promotion of physical puberty health among female teenagers who were residents in welfare boarding centers in Tehran city.
Materials and Methods: It was a quasi-experimental intervention study, conducted in welfare boarding centers of Tehran city among inhabitant girls with 12 to 19 years old. All eligible persons were selected (n=61). Data collection tool was a questionnaire including demographic information, health belief components, physical function during menstruation, completed before and one month after training by interview. Educational intervention was implemented in 3 months. Data was analyzed by Wilcoxon statistical test using SPSS16 software.
Results:
After educational intervention, perceived severity (p<0.001), perceived susceptibility (p<0/001), perceived barriers (p<0.001), perceived benefits (p<0.001), and physical function during menstruation were significantly different.
Conclusion:
Educational intervention improved girls' perceptions and performance. Thus, health belief model should be used for puberty health education planning in female adolescents.
Mehdi Mir Heydari, Sedighe Sadat Tavafian, Ali Montazeri, Homeyra Fallahi,
Volume 12, Issue 2 (10-2014)
Abstract

  Background and Aim: Addiction behaviors have been established among high risk behaviors among different age groups in Iran. This study aimed to investigate the effects of a designed educational program on high risk behaviors of a sample of addicts in Qom, Iran.

  Materials and Methods: Totally, 128 men with addiction history in self help groups referred to health centers in Qom were studied. The instruments used to collect data were a self administered demographic questionnaire and the designed scale high risk behavior based on Health Belief Model (HBM).

  Results: The mean age of participants was 32.4 years. There were no significant difference between two groups at baseline in terms of all demographic data and all HBM constructs. The mean scores of HBM constructs, improved significantly in comparison with baseline. (p < 0.05).

  Conclusions: This study indicated that designed educational program could improve all HBM constructs after intervention. Additionally, behavior intention might be changed after intervention significantly.


Tahereh Razi, Mohsen Shamsi, Mahboubeh Khorsandi, Nasrin Rouzbehani, Mehdi Ranjbaran,
Volume 13, Issue 3 (12-2015)
Abstract

Background and Aim: Currently there is no standardized and validated questionnaire for assessing the care of danger signs in children less than 5 years by the mothers based on behavioral patterns. The aim of this study was to develop and evaluate psychometrically an instrument for assessment of the care of danger signs in children less than 5 years old by the mothers based on the Health Belief Model.

Materials and Methods: This cross-sectional study was carried out on 350 mothers in the City of Arak, Iran. After reviewing the related literature, an instrument was designed and its content validity ratio (CVR), content validity index (CVI) and face validity were measured. To measure the reliability of the scales, the internal consistency method was used. Data analysis was done using the SPSS software.

Results: The scores of the CVI and CVR of the 81 items were found to be 0.79 and 0.62, respectively, the items being classified into seven categories. Based on the Cronbach's alpha, the overall reliability was 0.86. The reliability of the questionnaire for checklists of performance was 0.99, followed by those of perceived benefits (0.90), severity (0.83), perceived barriers (0.68), knowledge (0.66), perceived susceptibility (0.65), self-efficacy (0.63), and cues to action (0.56). Conclusion: The output of this psychometric process study is a valid and reliable instrument for measuring symptoms of risk behaviors in the care of vulnerable children based on the health belief model constructs, which can be used in health sciences research aiming at helping to protect the health of children.


Dad Khaoda Sadeghi Tejdano, Arezo Fallahi, Babak Nemat Shahrbabaki,
Volume 14, Issue 2 (9-2016)
Abstract

Background and Aim: Physical activity is a low-cost and uncomplicated way for the prevention of osteoporosis. The aim of the present study was to determine the interactive effects of constructs of perceived benefit, barriers, susceptibility and severity on perceived exercise behavior self-efficacy for prevention of osteoporosis based on the Health Belief Model in female-employees of Kermanshah City.

Materials and Methods: This analytic-descriptive study was conducted on 595 female-employees in the governmental and private organizations in 2014. Inclusion criteria included women between the age of 30 years and start of menopause and having no history of osteoporosis. Data were collected using a two-part questionnaire including questions on demographic variables and questions related to the Health Belief Model and analyzed using the SPSS and Lisrel software.      

Results: Analysis of the data showed that perceived severity and perceived barriers had direct and indirect effects on self-efficacy for exercise behavior. Self-efficacy had the highest correlation with perceived benefits (r=0.319). Further analysis of the data revealed a significant inverse correlation between perceived barriers and perceived severity and a significant positive correlation between perceived benefits and perceived severity.

Conclusion: The results of this study show female-employees do not have a high perceived susceptibility or severity to osteoporosis. A high perception of barriers and a low self-efficacy perception indicate the need for implementing appropriate intervention programs and increasing preventive behaviors.


Afsaneh Behroozpour, Mohsen Shams, Masoumeh Mousavi, Rahim Ostovar, Mostafa Maleki,
Volume 14, Issue 3 (12-2016)
Abstract

Background and Aim: Self-medication, as a common risky health behavior, has financial and non-financial costs for Iranians.  This study aimed at determining the situation of self-medication and factors influencing it among women in Yasuj, Iran.

Materials and Methods: This cross-sectional study was performed on 192 women referred to urban health care centers in Yasuj, selected randomly from the existing health files at the centers. Data were collected using a standard questionnaire based on the Health Belief Model and analyzed by SPSS 16 statistical software.

Results: The most widely used medicines for self-medication were those for common cold and antibiotics from among over-the-counter (OTC) drugs and prescription-only-medicines (POM), respectively. Perceived susceptibility (17.63± 3.46) was the main construct associated with self-medication among women.

Conclusion: Once the causes of self-medication and its relationship with the Health Belief Model constructs are known, designing and implementing educational programs aiming at promoting awareness and perception of population groups, especially women, seems necessary.


Elham Rashidian, Gholamreza Garmaroudi, Arash Rashidian, Mehdi Yaseri,
Volume 15, Issue 1 (6-2017)
Abstract

: Materials and MethodsThis study was a randomized controlled trial including 396 patients, conducted in 10 randomly health centers allocated as intervention or control groups. The data were collected using questionnaires. The educational intervention included holding educational classes, distribution of pamphlets, hanging posters/flyers, ResultsAnalysis of the data showed statistically significant differences between mean scores of the health belief model components (knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived barriers) and practice in both the intervention and control groups before and after the educational intervention (p < 0.01).

: <span lang="EN" times="" new="" roman";="" "times="" "b="" lotus";="" en;="" major-bidi;="" major-bidi;"="">Considering the self-reported increased awareness and decreased practice in the intervention group, it seems that the health belief model is an appropriate model for reducing arbitrary use of antibiotics.


Zahra Farahmand, Davoud Shojaeizadeh, Azar Tol, Kamal Azam,
Volume 15, Issue 2 (9-2017)
Abstract

Background and Aim: Diabetes mellitus (DM) is one of the most common public health problems worldwide. Diabetic foot as a late complication of DM imposes high physical and emotional costs to the patients. The purpose of this study was to determine the effect of an educational program based on the Health Belief Model (HBM) on diabetic foot care in type-2 DM patients.
Materials and Methods: Ninety seven (female=57, male=40) type-2 diabetes patients, randomly divided into two groups ̶ and intervention (n = 47) and a control group (n = 50) ̶   participated in this study. Using questionnaires data were collected, initially and 3 months after the educational intervention, on demographic characteristics, awareness and the HBM constructs. The intervention group participated in 3 educational sessions during the3-month period. The data were analyzed by SPSS 20, the statistical test being Shapiro-Wilk, Chi-Square, Wilcoxon, McNemar tests and paired T-Test.
Results: There were no statistically significant differences before the intervention between the experimental and control groups with respect to the mean scores of knowledge and HBM’s components (perceived susceptibility, severity, benefits and barriers, as well as self-efficacy and self-care). The intervention improved the scores significantly in the experimental groups (p<0.05), while there were no significant changes in the control group scores (p>0.05). 
Conclusion: This study shows that type-2 diabetic patients need to learn how to take care of their feet and that implementing educational programs based on the Health Belief Model can be effective in this regard.
 
Masoumeh Amiri Siavashani, Davoud Shojaeizadeh, Kamal Azam,
Volume 16, Issue 1 (6-2018)
Abstract

Background and Aim: Observance of the principles of infection control in dentistry is the basis of preventing the transmission of dangerous diseases such as AIDS, hepatitis and preventing the spread of diseases in the community. In view of the importance of dentistry education in the field of observance of the principles of infection control, the aim of this study was to determine the effect of educational intervention on infection control among dental students of Shahid Beheshti University of Medical Sciences.
Materials and Methods: The present study is a pre and post interventional study that the number of samples is 75 dental students referred to Endodontics Department of Shahid Beheshti University of Medical Sciences for endodontic treatment and radiotherapy of teeth during treatment in the academic year of 95-96 that were selected by available sampling method and after determining the sample size, a researcher-made questionnaire was prepared based on the Health Belief Model and verified in terms of validity and reliability, and completed in two stages before and after training with a 3 month interval. Three training sessions were conducted in this study for 15-30 minutes during the course of one month as group training and question and answer. During these meetings, students were given useful materials about infection control in dentistry, pathogenic microorganisms, transmission methods, and infection control guidelines in dentistry radiology. The data gathering tool was a questionnaire based on Health Belief Model. after data collection, spss21 software was used to analyze them. Non-parametric Kolmogorov-Smirnov tests, paired t-test and non-parametric Wilcoxon test were used for statistical analysis of the 0/05 significance level before and after the knowledge and structures of the health belief model.
Results: The results of statistical analysis showed that 62.7% of the participants were female students and 89.3% of single students, and the participants in the study were from 8,9,11 terms. The results of this study showed that the mean and standard deviation of knowledge and performance scores of students toward infection control before training were 11.48 ± 2.23 and 5.48 ± 0. 93, respectively, and after the training were increased to 14.75±0.57 and 9.36 ± 0.91. This difference was statistically significant by doing paired t-test (p  the comparison of the mean and standard deviation of the scores of other aspects of the health belief model regarding infection control among dentistry students also showed a significant increase.
Conclusion:  According to the results, it can be concluded that education based on the health belief model has been effective in controlling infection in dentistry students.
Somayeh Nouri, Azar Tol, Roya Sadeghi, Afshin Bahmani, Mehdi Yaseri,
Volume 18, Issue 4 (3-2021)
Abstract

Background and Aim: Despite the increasing prevalence of infection with some blood-borne viruses, no standard precautions have been developed so far based on the Health Belief Model (HBM). This study aimed to assess, based on the HBM, the predictors of adherence to standard precautions in preventing needle stick injuries among the Personnel of Sanandaj Teaching Hospitals, Sanandaj City, Iran in 2020.
Materials and Methods: This cross-sectional study included 444 medical and non-medical staff members of the Sanandaj teaching hospitals in Sanandaj City, Iran, using a researcher-developed questionnaire. Descriptive and analytical data analysis was performed using Mann-Whitney U and Kruskal-Wallis tests, Pearson correlation coefficient, one-way analysis of variance, multivariate regression and the chi-square test, the software being SPSS version 22.
Results: The results of multivariate regression analysis showed that from among the HBM constructs, three constructs, namely perceived sensitivity (p=0.033), perceived benefits (p=0.032) and self-efficacy (p=0.001), were the predictors of staff duty performance (implementation of  standard precautions) in preventing needle stick injuries. As regards the implementation of standard precautions, 22%, 75.3% and 2.7% of the staff members had a low, medium and high performance level, respectively.
Conclusion: The constructs of perceived sensitivity, perceived benefits and self-efficacy are the strongest predictors in adherence to standard precautions.

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