Volume 1, Issue 1 (2016)                   IQBQ 2016, 1(1): 7-16 | Back to browse issues page

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1- Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2- Department of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran.
3- Department of Public Health, Fasa University of Medical Sciences, Fasa, Iran.
4- Department of Orthopedics, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract:   (4630 Views)
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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Received: 2015/10/2 | Accepted: 2015/11/11 | Published: 2016/02/16