Volume 7, Issue 2 (12-2021)                   SJNMP 2021, 7(2): 47-59 | Back to browse issues page

XML Persian Abstract Print

1- Student Research Committee, Shahrekord University of Medical Sciences, Shahrekord, Iran
2- Social Health Determinant Research Center, School of Health, ShahreKord University of Medical Sciences, ShahreKord, Iran , leila_rabiei@yahoo.com
Abstract:   (629 Views)
Background & Aim: Type 2 diabetes is the most common type of diabetes in the world. Health education can prevent complications or disease progression in patients by changing their behavior. Therefore, this study was conducted to investigate the effect of applying the health belief model on the change of nutritional behavior in women with type 2 diabetes in Shahrekord.
Materials & Methods: This study is a quasi-experimental study with control group. The target group is patients referring to health centers in Shahrekord. The instrument of study is a 3-part questionnaire including demographic information, model constructs Health Belief and self-assessment checklist of nutritional behaviors. The intervention was conducted in 40-minute six sessions. Data were analyzed by SPSS software and statistical tests before, immediately and three months after the intervention.
Results: The difference between the mean scores of nutritional behaviors and structures of the health belief model, which included: awareness, perceived sensitivity, perceived benefits, perceived barriers before, after and 3 months after the intervention was significant (P <0.05). Among the constructs of the health belief model, the perceived intensity construct was not significant despite the increasing trend (P <0.05).
Conclusion: The findings of this study indicate that education based on the Health Belief Model will improve the nutritional behaviors of female patients with type 2 diabetes and help planners and policymakers to take fundamental steps to change the behavior of this group of patients.
Full-Text [PDF 1267 kb]   (349 Downloads)    
Type of Study: Research | Subject: General
Received: 2021/07/30 | Revised: 2021/12/9 | Accepted: 2021/09/23 | Published: 2021/12/8 | ePublished: 2021/12/8

1. Zheng Y, Ley SH, Hu FB. Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nature Reviews Endocrinology. 2018;14(2):88-98. [DOI:10.1038/nrendo.2017.151]
2. 2 .American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes care. 2013;36(Supplement 1):67-74. [DOI:10.2337/dc13-S067]
3. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes care. 2005;28(1):37. [DOI:10.2337/diacare.28.suppl_1.S37]
4. Nitzan O, Elias M, Chazan B, Saliba W. Urinary tract infections in patients with type 2 diabetes mellitus: review of prevalence, diagnosis, and management. Diabetes, metabolic syndrome and obesity: targets and therapy. 2015;8(1):129-36. [DOI:10.2147/DMSO.S51792]
5. Moneim AA, Tayel DI, Zeid A, Darwish O, Matrawy K, Eid M. Dietary Intervention in Clinical Improvement of Nonalcoholic Fatty Liver Patients. World. 2018; 6(1): 11-22. [DOI:10.12691/jnh-6-1-2]
6. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes research and clinical practice. 2010;87(1):4-14. [DOI:10.1016/j.diabres.2009.10.007]
7. Nasli-Esfahani E, Farzadfar F, Kouhnavard M, Ghodssi-Ghassemabadi R, Khajavi A, Peimani M, et al. Iran diabetes research roadmap (IDRR) study: a preliminary study on diabetes research in the world and Iran. Journal of Diabetes & Metabolic Disorders. 2017;16(1):1-8. [DOI:10.1186/s40200-017-0291-9]
8. Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. Journal of diabetes & Metabolic disorders. 2013;12(1):1-5. [DOI:10.1186/2251-6581-12-14]
9. Shahbazian H, Yazdanpanah L, Latifi SM. Risk assessment of patients with diabetes for Foot ulcers according to risk classification consensus of International Working Group on Diabetic Foot (IWGDF). Pakistan journal of medical sciences. 2013; 29(3): 730. [DOI:10.12669/pjms.293.3473]
10. Rahman F, McEvoy JW, Ohkuma T, Marre M, Hamet P, Harrap S, et al. Effects of Blood Pressure Lowering on Clinical Outcomes According to Baseline Blood Pressure and Cardiovascular Risk in Patients With Type 2 Diabetes Mellitus: The ADVANCE Trial. Hypertension. 2019;73(6):1291-99. [DOI:10.1161/HYPERTENSIONAHA.118.12414]
11. Ahmadi A, Soori H, Mehrabi Y, Etemad K, Khaledifar A. Epidemiological pattern of myocardial infarction and modelling risk factors relevant to in-hospital mortality: the first results from the Iranian Myocardial Infarction Registry. Kardiologia polska. 2015;73(6):451-57. [DOI:10.5603/KP.a2014.0230]
12. Golyan Tehrani S, Ghobadzadeh M, Arastou M. Promoting health status of menopausal women by educating self care strategies. Journal of hayat. 2007;13(3):67-75 .[Persian]
13. Mohajer R. A transcendental approach to John Coltrane: applying conceptsof spirituality to Giant Steps into the Cosmos: California State University, Long Beach; 2012.
14. Allahverdipour H. Passing from Traditional health education to achieving theory-based health education programs. Journal of Professional Health Education & Health promotion. 2004;1(3):75-80.
15. McEvoy CS, Cantore KM, Denlinger LN, Schleich MA, Stevens NM, Swavely SC, et al. Use of medical students in a flipped classroom programme in nutrition education for fourth-grade school students. Health Education Journal. 2016;75(1):38-46. [DOI:10.1177/0017896914561879]
16. Hazavehi MM, Taheri M, Moeini B, Roshanaei G. The effect of educational program on mother's child (6 to 9 month age) for reducing growth failure in Hamadan: applying Health Belief Model (HBM). Jundishapur Journal of Health Sciences. 2013;5(2):129-39.
17. Lawson PJ, Flocke SA. Teachable moments for health behavior change: a concept analysis. Patient education and counseling. 2009;76(1):25-30. [DOI:10.1016/j.pec.2008.11.002]
18. Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice: John Wiley & Sons; 2008.
19. Khiyali Z, Manoochri M, Babaei Heydarabadi A, Mobasheri F. Educational intervention on preventive behaviors on gestational diabetes in pregnant women: Application of health belief model. International Journal of Pediatrics. 2017;5(5):4821-31. [Persian]
20. Mohebbi B, Tol A, Sadeghi R, Mohtarami SF, Shamshiri A. Self-management Intervention Program Based on the Health Belief Model (HBM) among Women with Gestational Diabetes Mellitus: A Quazi-Experimental Study. Archives of Iranian Medicine (AIM). 2019;22(4):168-73.
21. Movahed E, Arefi Z, Ameri M. The effect of health belief model-based training (HBM) on self-medication among the male high school students. Iranian Journal of Health Education and Health Promotion. 2014;2(1):65-72.
22. Sharifirad G, Entezari MH, Kamran A, Azadbakht L. The effectiveness of nutritional education on the knowledge of diabetic patients using the health belief model. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2009;14(1):1-6.
23. Jalilian F, Motlagh FZ, Solhi M, Gharibnavaz H. Effectiveness of self-management promotion educational program among diabetic patients based on health belief model. Journal of education and health promotion. 2014; 3(1): 75-79. [DOI:10.4103/2277-9531.127580]
24. Zinat MF, SHarifirad G, Jalalian F, Mirzaei AM, Aghaei A, Ahmadi JT. Effectiveness of educational programs to promote nutritional knowledge in type II diabetes patients based on health belief model. Journal of Health System Research. 2013; 9(4): 412-20. [Persian]
25. Bayat F, Shojaeezadeh D, Baikpour M, Heshmat R, Baikpour M, Hosseini M. The effects of education based on extended health belief model in type 2 diabetic patients: a randomized controlled trial. Journal of diabetes & Metabolic disorders. 2013;12(1):1-6. [DOI:10.1186/2251-6581-12-45]
26. Fani N, Mohebbi B, Sadeghi R, Tol A, Shamshiri A. Assessing The Effect Of Educational Intervention On Promoting Nutrition Adherence Among Patients With Type 2 Diabetes Referee To South Health Center Of Tehran University Of Medical Sciences: Application Of Health Belief Model. Iranian Journal of Diabetes and Metabolism. 2018;17(1):13-22. [Persian]
27. Sadeghi R, Rezaeian M, Khanjani N, Iranpour A. The applied of health belief model in knowledge, attitude and practice in people referred for diabetes screening program: an educational trial. Journal of Rafsanjan University of Medical Sciences. 2015;13(11):1061-72. [Persian]
28. VahedianShahroodi M, Tehrani H, RobatSarpooshi D, GHolianAval M, Jafari A, AlizadehSiuki H. The impact of health education on nutritional behaviors in female students: An application of health belief model. International Journal of Health Promotion and Education. 2021; 59(2):70-82. [DOI:10.1080/14635240.2019.1696219]
29. Nooriani N, Mohammadi V, Feizi A, Shahnazi H, Askari G, Ramezanzade E. The effect of nutritional education based on health belief model on nutritional knowledge, Health Belief Model constructs, and dietary intake in hemodialysis patients. Iranian journal of nursing and midwifery research. 2019;24(5):372-78. [DOI:10.4103/ijnmr.IJNMR_124_18]
30. Amini N, Bayat F, Rahimi M, Bekri G, Taheri G, Shojaeezadeh D. Effect of education on knowledge, attitude and nutritional behavior of patients with type 2 diabetes. Journal of Health and Development. 2013;1(4):306-14

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