1Department of Public Health, Fasa University of Medical Sciences, Fasa, Iran.
2Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
3Department of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran.
4Department of Orthopedics, Shiraz University of Medical Sciences, Shiraz, Iran.
Background: Osteoporosis is one of the most common metabolic bone diseases. The purpose of this study is to investigate the effect of a walking education program based on the health belief model (HBM) on osteoporosis among women. Material and Methods In this quasi-experimental research design, 120 patients (60 experimental and 60 control),who were registered with the health centers in Fasa City of Fars Province, Iran, participated in the study in 2014. A questionnaire consisting of demographic information and HBM constructs was used at pre-intervention, immediately after their intervention, and then six months later. Bone mineral density (BMD) was recorded at the lumbar spine and femur prior to and six months post-intervention. Data were analyzed using SPSS19' through 'chi-square test, independent t-test, repeated measure ANOVA at a significance level of 0.05. Results Immediately and six months after the intervention, the experimental group showed increased in knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived barriers perceived, self-efficacy, perceived internal cues to action and walking performance compared to the control group. Six months after the intervention, the value of lumbar spine BMD T-Score in the experimental group increased to 0.127, while in the control group it decreased to -0.043. The value of the hip BMD T Score in the intervention group increased to 0.125 and in contrast, it decreased to -0.028 in the control group. Conclusions This study showed the increased knowledge and walking behavior regarding walking benefits could improve bone density. Therefore, HBM model can be a basic framework for designing and 'carrying out' educational interventions for women’s osteoporosis.
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