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

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

khani Jeihooni A, Hidarnia A, Kashfi S M, Ghasemi A, Askari A. A Health Promotion Program based on the Health Belief Model regarding Women’s Osteoporosis. IJMPP 2016; 1 (1) :7-16
URL: http://ijmpp.modares.ac.ir/article-32-1464-en.html
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:   (12621 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.
Full-Text [PDF 286 kb]   (7631 Downloads)    
Subject: Musculoskeletal Pain Prevention
Received: 2015/10/2 | Accepted: 2015/11/11 | Published: 2016/02/16

1. Adaghi, J. D., Adami, S., Gehlbach, S., Anderson, F. A., Boonen, S., Chapurl AT, R. D et al. (2010) Impact of prevalent fractures on quality of life: baseline results from the global longitudinal study of osteoporosis in women. Mayo Clinic Proceedings. 85(9),806-813. [DOI:10.4065/mcp.2010.0082]
2. Al Seraty, W. H. H. & ALI, W. G. M. (2014) The impacts of health belief model based intervention for osteoporosis prevention among female students in Al Dawadmi Applied Medical Science, Shaqraa University, Saudi Arabia. Journal of Biology, Agriculture and Healthcare. 4(7), 125-131.
3. Anderson, K. D., Chad, K. E. & Spink, K. S. (2005) Osteoporosis knowledge, beliefs, and practices among adolescent females. Journal of Adolescent Health. 36, 305-312. [DOI:10.1016/j.jadohealth.2004.03.007]
4. Anoosheh, M., Ghofranipour, F., Ahmadi, F. & Houshiar-rad A. (2009) The effect of education based on health belief model on preventive factors of osteoporosis among postmenopausal women. Iran Journal of Nursing. 22, 71-82.
5. Baheiraei, A., Ritchie, J. E., Eisman, J. A. & Nguyen, T. V. (2005) Psychometric properties of the Persian version of the osteoporosis knowledge and health belief questionnaires. Maturitas.50, 134-139. [DOI:10.1016/j.maturitas.2004.05.001]
6. Boot, A. M., DE Ridder, M. A., Pols, H. A., Krenning, E. P. & De Muinck Keizer-Schrama, S. M. (1997) Bone Mineral Density in Children and Adolescents: Relation to Puberty, Calcium Intake, and Physical Activity 1. The Journal of Clinical Endocrinology & Metabolism.82, 57-62. [DOI:10.1210/jc.82.1.57]
7. Costanzo, C., Walker, S. N., Yatez, B. C., Mccabe, B. & Berg, K. (2006) Physical activity counseling for older women. Western journal of nursing research. 28, 786-801. [DOI:10.1177/0193945906289495]
8. Doheny, M. O., Sedlak, C. A., Hall, R. J. & Estok, P. J. (2010) Structural model for osteoporosis preventing behavior in men. American journal of men's health. [DOI:10.1177/1557988309351953]
9. Ebadi FardAzar F, Solhi M, Zohoor AR, Ali Hosseini M. The effect of health belief model on promoting preventive behaviors of osteoporosis among rural women of Malayer. JQUMS. 2012;16 (2):58-64. [Persian]
10. Hazavehei S., TaghdisiI, M. & Saidi, M. (2007) Application of the Health Belief Model for osteoporosis prevention among middle school girl students, Garmsar, Iran. Education for health. 20 (1), 23.
11. Huang, C.-M., SU, C.-Y., Chien, L.-Y. & GUO, J.-L. (2011) The effectiveness of an osteoporosis prevention program among women in Taiwan. Applied Nursing Research. 24, 29-37. [DOI:10.1016/j.apnr.2010.02.006]
12. Ghaffari M, Tavassoli E, Esmaill Zadeh A, Hasan Zadeh 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. J Health Sys Res. 2011; 6 (4):1-10. [Persian] [DOI:10.4103/2277-9531.98572]
13. Irani, A. D., PoorolajalL, J., Khalilian, A., Esmailnasab, N. & Cheraghi, Z. (2013) Prevalence of osteoporosis in Iran: A meta-analysis. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 18 (9), 759-766.
14. Jessup, J. V., Horne, C., Vishen, R. & Wheeler, D. (2003) Effects of exercise on bone density, balance, and selfefficacy in older women. Biological Research for nursing. 4 (3), 171-180. [DOI:10.1177/1099800402239628]
15. Kelley, G. A. & Kelley, K. S. (2006) Exercise and bone mineral density at the femoral neck in postmenopausal women: a meta-analysis of controlled clinical trials with individual patient data. American journal of obstetrics and gynecology. 194 (3), 760-767. [DOI:10.1016/j.ajog.2005.09.006]
16. Khani Jeihooni, A., Hidarnia, A., Kaveh, M., Hajizadeh, E., Babaei Heydarabadi, A. & Nobakht Motlagh, B. (2013) Prevalence of osteoporosis and its related factors in women referred to Fasas densitometry center. Scientific Journal of Ilam University of Medical Sciences. 21 (4), 150-158.
17. Khosandi, M., Shamsi, M. & Jahani, F. (2010) The effect of education based on Health Belief Model on osteporosis preventive behaviors among pregnant women referred to Arak health centers. Daneshvar. 18 (89), 23-32.
18. Plaseu, N., Belza, B. & Mitchelil, P. (2001) Testing the effectiveness of an osteoporosis educational program for nursing students in Thailand. Arthritis Care & Research. 45 (3), 246-251. https://doi.org/10.1002/1529-0131(200106)45:3<246::AID-ART256>3.0.CO;2-Y [DOI:10.1002/1529-0131(200106)45:33.0.CO;2-Y]
19. Sanaeinasab, H., Tavakoli, R., Farrokhian, A., Karimi Zarchi, A. A. & Hajiamini, Z. (2013) 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. Urmia Medical Journal. 24 (3), 163-169.
20. Schacter, D. L. (1999) The seven sins of memory: insights from psychology and cognitive neuroscience. American psychologist. 54 (3), 182-203. [DOI:10.1037/0003-066X.54.3.182]
21. Shirazi, K. K., Wallace, L. M., Niknami, S., Hidarnia, A., Torkaman, G., Gilchrist, M et al., (2007) A home-based, transtheoretical change model designed strength training intervention to increase exercise to prevent osteoporosis in Iranian women aged 40-65 years: a randomized controlled trial. Health education research. 22 (3), 305-317. [DOI:10.1093/her/cyl067]
22. Shojaezadeh D, Mehrab baic A, Mahmoodi M, Salehi L. To Evaluate of efficacy of education based on health belief model on knowledge, attitude and practice among women with low socioeconomic status regarding osteoporosis prevention. Iran J Epidemiol. 2011; 7 (2): 30-37. [Persian].
23. Stubss, B. (2010) Osteoporosis and falls: some further considerations for the nursing profession. British Journal of Nursing. 19 (22), 1431-1431. [DOI:10.12968/bjon.2010.19.22.1431]
24. Turner, L. W., Hunt, S. B., Dibrezzo, R. & Jones, C. (2004) Design and implementation of an osteoporosis prevention program using the health belief model. American journal of health studies.19 (2), 115-121.
25. Tussing, L. & Chapman-Novakofski, K. (2005) Osteoporosis prevention education: behavior theories and calcium intake. Journal of the American Dietetic Association. 105 (1), 92-97. [DOI:10.1016/j.jada.2004.10.025]
26. Wallace, L. S. (2002) Osteoporosis prevention in college women: application of the expanded health belief model. American journal of health behavior.26 (3), 163-172. [DOI:10.5993/AJHB.26.3.1]
27. WHO, E. C. (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 363 (9403), 157-163. [DOI:10.1016/S0140-6736(03)15268-3]
28. Winzenberg, T., Oldenburg, B., Frendin, S., Dewit, L. & Jones, G. (2005) Effects of bone density feedback and group education on osteoporosis knowledge and osteoporosis selfefficacy in premenopausal women: a randomized controlled trial. Journal of Clinical Densitometry. 8 (1), 95-103. [DOI:10.1385/JCD:8:1:095]
29. Zhao, J., ZHANG, L. & TIAN, Y. (2007) Effect of 6 months of Tai Chi Chuan and calcium supplementation on bone health in females aged 50-59 years. Journal of Exercise

Add your comments about this article : Your username or Email:

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.