The impact of health promotion model and self efficacy based education intervention on women’s knowledge, beliefs and clinical outcomes regarding osteoprosis prevention
Keywords:
Osteoporosis prevention, Knowledge, Beliefs, Self efficacy, Health Promotion ModelAbstract
Osteoporosis causes almost 9 million fractures worldwide each year, accounting for considerable costs to health care systems and substantial disability and mortality of women .Few studies to date have applied the HBM framework to study the role of knowledge, self-efficacy, and health beliefs in osteoporosis-related preventive behaviors among women. Aim of the study was to determine the impact of health promotion model and self-efficacy based education intervention on women’s knowledge beliefs and clinical outcomes regarding osteoporosis prevention. The research design quasi experimental design was utilized. Setting: It was conducted at ante-natal and rheumatoid clinics at Beni-Suef University Hospital, Egypt. Sample: A convenient sample included 128 women divided into control and study groups. Tools of data collection: Four data collection tools were used: I) Structured interview questionnaire, II) Osteoporosis knowledge assessment sheet (OKAT), II) Osteoporosis health belief scale (OHBS) IV) Factor loadings for the osteoporosis self-efficacy scale (OSES). The results: Showed that; There was a highly significant difference existed between the two groups regarding their knowledge, beliefs and their self-efficacy post intervention which in turn lead to better clinical outcomes among study group versus control group with P<0.001.
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AbdElgaffar, S.I, Atia, G .E. (2018): The impact of implementing educational program regarding breast self-examination on knowledge and practices of female students of Nursing Technical Institute of Menoufia University.JNurs Sci 1,PP:(44–50).
Abushaikha, L, Omran, S& Barrouq, L. (2016): Osteoporosis knowledge among female school students in Jordan. Eastern Mediterranean Health Journal, 15(4), PP: (906–911).
Agency IsIRN. (2017): Alert for a dramatic increase in osteoporosis Tehran, IRNA, Health; Available at: https://www.ncbi.nlm.nih.gov/pubmed/28386849.Accessed on, 12 May 2020.
Ahmed, S.A & Shrief, S.E. (2018): The effect of health promotion program on female breast self-examination knowledge and practice. Available at: http://www.enj.eg.net. Accessed on Thursday, 17 June, 2020,
Ali, K. J, Seyyed, M. K, Zahra, K, Hassan, J, Seyyed, H. K. (2019):-The effect of education based on based health belief model on osteoporosis and bone mineral density among women (Journal of Research & Health Social Development & Health Promotion Research Center 9(1), PP: (11- 20).
Al-Otaibi, H. H. (2015): Osteoporosis health beliefs, knowledge and life habits among women in Saudi Arabia. Open journal of preventive medicine, 5, PP: (236–243).
Aree,U .S& Petlamul, M.(2018):- Osteoporosis knowledge, health beliefs, and preventive behavior: a comparison between younger and older women living in a rural area. Health Care Women; 34(12), PP: (66-1051). Available at: [http://dx.doi.org/10.1080/07399332.2012.736565] [PMID: 23477608] , .Accessed on 2 February, 2019.
Bahabadi, F, Estebsari, F, Rohani, C. et al., (2020): Predictors of Health-Promoting Lifestyle in Pregnant Women Based on Pender’s Health Promotion Model, Int J Women Health., 12, PP: (71-77).
Briançon, D, de Gaudemar, J.B,& Forestier, R.(2017): Management of osteoporosis in women with peripheral osteoporotic fractures after 50 years of age: a study of practices. Joint Bone Spine2004; 71(2), PP: (30-128).
Chan, M. F, Kwong, W. S, Zang, Y. L & Wan, P. Y. (2015): Evaluation of an osteoporosis prevention education program for young adults. Journal of Advanced Nursing, 57(3), PP: (270–285).
Clark, R.C& Mayer, R.E. (2016): E-learning and the science of instruction: Proven guidelines for consumers and designers of multimedia learning. 3rd ed. San Francisco, CA: John Wiley & Sons, PP: (24-401).
Delmas, P.D, van de Langerijt, L, Watts, N.B, et al. (2017): Underdiagnosis of vertebral fractures is a worldwide problem: the IMPACT study. J Bone Miner Res2005; 20(4), PP: (63-557).
Dempster, D. W. (2018): Osteoporosis and the burden of osteoporosis-related fractures. American journal of managed care, 17(6), PP: (164–169).
Drieling, R. L, Ma, J, Thiyagarajan, S & Stafford, R. S. (2017): An internet based osteoporotic fracture risk program: Effect on knowledge, attitudes, and behaviors. Journal of Women’s Health, 20(12), PP: (1895–1907).
Edmonds, E, Turner, L. W, & Usdan, S. L. (2012): Osteoporosis knowledge, beliefs, and calcium intake of college students: Utilization of the health belief model. Open Journal of Preventive Medicine, 2(1), PP: (27–34).
El Miedany,Y, Abu-Zaid,M.H , El Gaafary,M, Hasab El Naby,M.M, et al.(2020) :Egyptian consensus on treat-to-target approach for osteoporosis: A clinical practice guideline from the Egyptian Academy of bone health and metabolic bone diseases. Egyptian Rheumatology and Rehabilitation , 48(5). Available at: https://erar.springeropen.com/articles/10.1186/s43166-020-000569.Accessed on 22 December, 2020.
El-Hay, S.A &Mohamed, N.S. (2015): Effect of educational program about breast cancer knowledge and breast self-examination training on building accurate information and behavior among women. J Nat Sci Res 5, PP :( 58–70).
El-lassy, R.B & Abd Elaziz A. (2019): Impact of a health education intervention program regarding breast self-examination on female employees in Damanhour University. Zagazig Nursing Journal 11, PP: (21–24).
Elliott, J.O, Seals, B.F& Jacobson, M.P.(2017): Osteoprotective knowledge in a multiethnic epilepsy population. J Neurosci Nurs; 40(1), PP: (14-24).
Elsabagh, E. M, Aldeib, A. F, Atlam, S. A, & Saied, S. M. (2015): Osteoporosis knowledge and health beliefs among employees of Tanta University. American Journal of Research Communication, 3(12), PP: (62–77).
Elsabagh, E. M, Aldeib, A. F, Atlam, S. A, & Saied, S. M. (2015): Osteoporosis knowledge and health beliefs among employees of Tanta University. American Journal of Research Communication, 3(12), PP: (62–77).
El-Sayed, M. M & Abdel, M. F. (2013): Osteoporosis related life habits, knowledge and attitude among group of female employees in King Saud University. World Applied Sciences Journal, 22(7), PP: (919–925).
Evenson, A. L, & Sanders, G. F. (2016): Educational intervention impact on osteoporosis knowledge, health beliefs, self-efficacy, dietary calcium, and vitamin D intakes in young adults. Orthopedic Nursing, 35(1), PP: (30–36).
Ford, M. A, Bass, M, Zhao, Y, &Bai, J. B, (2011): Osteoporosis knowledge, self-efficacy, and beliefs among college students in the USA and China. Journal of osteoporosis, 7, PP: (2–6).
Ghaffari, M, Tavassoli, E, Esmailzadeh, A, & Hassanzadeh, A. (2012): Effect of health belief model-based intervention on promoting preventive behaviors about osteoporosis among students of female middle schools in Isfahan, Iran. Journal of education and health promotion, 1, Article 14.
Gul Pinar1& Tevfik Pinar2. (2020):- The Impact of Health Belief Model Based Educational Intervention on Women’s Knowledge, Beliefs, Preventive Behaviors and Clinical outcomes. Available at: journals sagepub.com/home/sgo. Accessed on 22 June, 2020.
Helmy &Ibrahim. (2020):-Effect of health promotion model and self-determination theory based intervention on preeclampsia prevention among pregnant women at Beni-Suef Governorate ,Egyptian Journal of Health Care, EJHC ,11 (3).
Hernlund, E, Svedbom, A, Ivergard, M, Compston, J, et al. (2017): Osteoporosis in the European Union: Medical management, epidemiology and economic burden: A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Archives of Osteoporosis, 8, Article 136.
Hsieh E, Fraenkel L, Bradley E, et al. (2014):-Osteoporosis knowledge, self-efficacy, and health beliefs among Chinese men and women with HIV. Ann Rheum Dis.; 73(1),PP : ( 62–63).
Hsieh, E .L, Fraenkel, L, Bradley, E.H & Xia,W, et al .(2018): Osteoporosis knowledge, self-efficacy, and health beliefs among Chinese individuals with HIV Available at: http://ard. bmj.com/content/73/Suppl_1.toc; http://ard.bmj.com/content/73/Suppl_ 1/A62.2.abstract?sid=dd1f3954-9a23-47d6-b826-5b9e4d39dd88 accessed on: 10 February 2020.
Hussein, R.D. (2017): Effect of immune enhancement intervention on clinical outcomes of patients with breast cancer undergoing chemotherapy, M.Sc Thesis for Doctoral Degree in Nursing Science, Medical Surgical Nursing, Faculty of Nursing, Benha University, P: (68).
International Osteoporosis Foundation. (2020):- Cookie Policy – Privacy policyhttps://www.osteoporosis.foundation/patients/about-osteoporosis?utm_source=Enigma&utm_medium=cpc&gclid=EAIaIQobC .Accessed on 5 May, 2020.
Jeihooni, A. K, Hidarnia, A, Kaveh, M. H, Hajizadeh, E & Askari, A. (2015): The effect of an educational program based on health belief model on preventing osteoporosis in women. International Journal of Preventive Medicine, 6, Article 115.
Jessup, J.V, Horne, C, Vishen, R.K& Wheeler, D. (2017):- Effects of exercise on bone density, balance, and self-efficacy in older women. Biol Res Nurs; 4(3), PP: (80-171).
John, A& Kibusi, S. (2020): knowledge on Prevention and Management of Preeclampsia and Eclampsia among Nurses in Primary Health Settings, East African health research, 4(1),PP:( 33).
Kanis JA, on behalf of the World Health Organization Scientific Group, (2007): Assessment of osteoporosis at the primary health care level, Technical report. UK.WHO Collaborating Centre, University of Shffield,. Available at: www.shef.acukFRAXpdfsWHO_ techniqual _report0.pdf.
Kanis, J. (2019): Assessment of osteoporosis at the primary healthcare level. World Health Organization Collaborating Centre, University of Sheffield.
Kaveh ,M.H, Golij, M, Nazari, M, Mazloom Z, et al. (2018): Effects of an osteoporosis prevention training program on physical activity-related stages of change and self-efficacy among university students, Shiraz, Iran: a Randomized Clinical Trial, PP: (64-158).
Kazemi A, Ehsanpour S, Zahraei N.S, Hasanzadeh A, et al. (2011): Impact of health belief modification on the intention to make smoke free home among pregnant women. J Res Med Sci, 16(6) ,PP: (724-732).
Kelley, G.A& Kelley, K.S. (2019): Exercise and bone mineral density at the femoral neck in postmenopausal women: a meta-analysis of controlled clinical trials with individual patient data. Am J obstet gynecol,194(3),PP: (760-7).
Keskin, Y, Cekin, M. D, Gündüz, H, Lüleci, N. E, et al. (2014): The prevalence of osteoporosis in the Thrace region of Turkey: A community-based study. Turkiye Fiziksel Tip ve rehabilitasyon dergisi, 60, PP: (335–340).
Khoshnood, Z, Anoosheh, M, Mohammadi, E & Zadeh, E. H. (2019): A comparative survey the effect of education based program on health belief model for the use osteoporosis preventive behaviors of the girl’s osteoporotic and non-osteoporotic mothers. Scholars Journal of Applied Medical Sciences, 3(6), PP: (2200–2206).
Kim K.K, Horan M.L, Gendler, P& Patel, M.K. (1991):- Development and evaluation of the Osteoporosis Health Belief Scale. Research Nurs Health. 1991; 14(2), PP: (155–163).
Kutsal, Y.G, Atalay ,A, Arslan, S, et al.(2020): Awareness of osteoporotic patients. Osteoporosis Int2005; 16(2), PP: (128–33).
Masso, C, Meneses, J. F,Correa,J.E, Tovar, A, et al .(2016): Effects of an educational intervention on breast self-examination, breast cancer prevention-related knowledge, and healthy lifestyles in scholars from a low-income area in Bogota, Colombia. J Cancer educ, 33, PP: (1–7).
McLeod, K.M & Johnson, C.S. (2020): Osteoporosis health beliefs among younger and older men and women. Health Educ Behav 35(5),PP: (721–733).
Mohamed, N, Omar, H, Abd-Allah, I& Nour, S. (2020): -Mohamed, N, Omar, H, Abd-Allah, I& Nour, S. (2020): Effect of health beliefs model based education on the control of urinary tract infection among pregnant women, Journal of Nursing and Health Science, 9(5), PP: (42).
National Osteoporosis Foundation. (2018): What is Osteoporosis and What Causes It? Retrieved from https://www.nof.org/patients/what-is-osteoporosis/ .Accessed on 10 May,2020.
Nobakht, M. F, Khani ,J .A, Haidar, N. A, et al. (2019): Prevalence of osteoporosis and its related factors in women referred to Fasas densitometry center. Scientific Journal of Ilam University of Medical Sciences; 21(4),PP: (8-150).
Pender, N. J.,Muredaugh, C&Parsons,M.A .(2010): Heath Promotion in nursing practice, 6th edition. Upper Saddle River,NJ: Pearson/Prentice-Hol
Porhashem, Z, Biani ,M, Noreddini ,H, Bijani A& Hosseini, S.R. (2018): Prevalence of osteoporosis and its association with serum vitamin D level in older people in Amirkola, North of Iran. Caspian J Intern Med; 3, PP: (53-347).
Puttapitakpong, P, Chaikittisilpa, S, Panyakhamlerd, K, Nimnuan, C, et al. (2019): Inter-correlation of knowledge, attitude, and osteoporosis preventive behaviors in women around the age of peak bone mass. BMC women’s health, 14, PP: (35–43).
Ravn, J.P, Hermann, A. P, Søendergaard, J, Kock, W.U, et al. (2018): The gap between women’s needs when diagnosed with asymptomatic osteoporosis and what is provided by the healthcare system: A qualitative study. Chronic Illness.https://doi.org/10.1177/1742395318815958.
Samia, A, Hejar, A. R, Suriani, I, & Emilia, Z. A. (2018): Effectiveness of health belief model based educational intervention on Osteoporosis Health Belief Scale among female academician in Malaysia. International Journal of Life Sciences Research, 6(3), PP: (464–467).
Sanaeinasab, H, Tavakoli, R, Karimizarchi, A, Amini, Z. H, Farokhian, A & Najarkolaei, F. R. (2019): The effectiveness of education using the health belief model in preventing osteoporosis among female students. Eastern Mediterranean Health Journal, 19(3), PP :( 38–44).
Sayed, H & Bashour. (2013): Osteoporosis knowledge and attitudes: a cross-sectional study among female nursing school students in Damascus. Arch osteoporosis. BMC Research Notes, the reliability of the Arabic version of the osteoporosis knowledge assessment tool (OKAT) and the osteoporosis health believe scale (OHBS), PP: (6:138) Available at: http://www.biomedcentral.com/1756-0500/6/138) .Accessed on 9 June, 2020.
Sharifikia, I, Rohani, C, Estebsari, F, Matbouei, M, Salmani, F & Nejad, A. H. (2019): Health belief model-based intervention on women’s knowledge and perceived beliefs about warning signs of cancer. Asia-Pacific Journal of Oncology Nursing, 6(4), PP: (431–439).
Shawashi1, T.O. & Darawad1, M. (2020):-Osteoporosis Knowledge, Beliefs and Self-efficacy Among Female University Students: A Descriptive Study available at: https://opennursingjournal.com. Accessed on 20 June, 2020.
Shuler, F. D, Conjeski, J, Kendall, D, & Salava, J. (2018): Understanding the burden of osteoporosis and use of the World Health Organization FRAX. Orthopedics, 35(9), PP: (798–805).
Turner, L. W, Hunt, S. B, Dibrezzo, R & Jones, J. (2014): Design and implementation of an osteoporosis prevention program using the health belief model. American Journal of Health Studies, 19(2),PP: ( 115–121).
Tuzun, S, Eskiyurt, N, Akarırmak, U, Sarıdoğan, M, et al. (2016). Incidence of hip fracture and prevalence of osteoporosis in Turkey: The FRACTURK study. Osteoporosis International, 23(3), PP: (949–955).
Wei, Q, Wang, H, Wang .J & Fang, B, et al. (2015): Combination treatment with whole body vibration and a kidney-notifying herbal Fufang prevent osteoporosis in ovariectomized rats. Orthopedic Surgery, 7(1), PP: (57–65).
Winzenberg, T.M, Oldenburg ,B ,Frendin ,S , Jones ,G.(2018): The design of a valid and reliable questionnaire to measure osteoporosis knowledge in women: the osteoporosis knowledge assessment tool(OKAT).BMC Musculoskeletal Disord, PP : ( 4-17).
Winzenberg, T.M, Oldenburg, B, Frendin, S, De WL& Jones, G. (2019): Effects of bone density feedback and group education on osteoporosis knowledge and osteoporosis self-efficacy in premenopausal women: a randomized controlled trial. J Clin Densitom; 8(1), PP: (95-103).
World Health Organization. (2019): Prevention and management of osteoporosis: Report of a WHO scientific group. Available at: https:// apps.who.int/iris/handle/10665/42841?mode=full.
Zarshenas,L ,Keshavarz ,T, Momennasab, M & Zarifsanaiey,N .(2017): Interactive multimedia Training in Osteoporosis Prevention of Female High School Students: An Interventional Study, Acta Medica Iranica, 55, (8). Available at : https://pubmed.ncbi.nlm.nih.gov/29034648/ .Accessed on 8 June, 2019.
Zhang, Y.P, Li XM, Wang, D.L, Guo, X.Y, Guo, X. (2018): Evaluation of educational program on osteoporosis awareness and prevention among nurse students in China. Nurs Health Sci 14, PP: (74–80).
Ziccardi, S. L, Sedlak, C. A & Doheny, M. O. (2020): Knowledge and health beliefs of osteoporosis in college nursing students. Orthopedic Nursing, 23, PP: (128–133).
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