@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(4):255-262
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(4):255-262
Effectiveness of an Educational Program Based on Health Belief Model Regarding Safe Childbirth on Selected Delivery Mode Among Pregnant Women
ARTICLE INFO
Article Type
Original ResearchAuthors
Bahri N. (1)Rahmani Bilandi R. (2)
Moshki M. (3)
Banafshe E. (4)
Amiridelui M. (*)
(*) Department of Community and Mental Health, Faculty of Nursing, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
(1) Department of Midwifery, Faculty of Medicine, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
(2) Department of Midwifery, Faculty of Medicine, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
(3) Department of Health Education and Promotion, School of Health; Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
(4) Department of Midwifery, Faculty of Medicine, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
Correspondence
Address: Gonabad University of Medical Sciences, Gonabad, IranPhone: +985157223028
Fax: +985157223814
m_amiridelui@yahoo.com
Article History
Received: March 27, 2018Accepted: September 22, 2018
ePublished: October 10, 2018
ABSTRACT
Aims
This study aimed to assess the effect of educational program based on health belief model regarding safe childbirth on selected delivery mode among pregnant women.
Materials & Methods In this field trial 100 pregnant women had participated who were selected by cluster sampling method from several community health centers in Gonabad city. The subjects randomly allocated to one of intervention or control group. Intervention group received an educational program regarding safe childbirth based on health belief model. Control group received routine educations provided in community health centers. All subjects fulfilled the health belief, self-efficacy questionnaires and detected the mode of delivery before and one month after intervention. Data were analyzed using SPSS version 16 considering p<0.5 as statistically significant.
Findings Results showed that the mean and SD of age and gestational age of subjects were 27.38 ± 3.32 and 24.26± 4.35, respectively. One month after intervention two group were statically difference in term of Knowledge about modes of delivery (p<0.0001), perceived self-efficacy (p=0.047), perceived sensivity (p=0.001), perceived severity (p<0.0001), and perceived benefits (p=0.010). There was no difference between two groups in perceived barriers (p=0.404). Vaginal delivery were chosen more in intervention group (p=0.003).
Conclusion The educational programs based on health belief model improve the selection of vaginal delivery mode among pregnant women. We recommended using of health belief model for educational program in pregnant women.
Materials & Methods In this field trial 100 pregnant women had participated who were selected by cluster sampling method from several community health centers in Gonabad city. The subjects randomly allocated to one of intervention or control group. Intervention group received an educational program regarding safe childbirth based on health belief model. Control group received routine educations provided in community health centers. All subjects fulfilled the health belief, self-efficacy questionnaires and detected the mode of delivery before and one month after intervention. Data were analyzed using SPSS version 16 considering p<0.5 as statistically significant.
Findings Results showed that the mean and SD of age and gestational age of subjects were 27.38 ± 3.32 and 24.26± 4.35, respectively. One month after intervention two group were statically difference in term of Knowledge about modes of delivery (p<0.0001), perceived self-efficacy (p=0.047), perceived sensivity (p=0.001), perceived severity (p<0.0001), and perceived benefits (p=0.010). There was no difference between two groups in perceived barriers (p=0.404). Vaginal delivery were chosen more in intervention group (p=0.003).
Conclusion The educational programs based on health belief model improve the selection of vaginal delivery mode among pregnant women. We recommended using of health belief model for educational program in pregnant women.
CITATION LINKS
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[10]Tola HH, Shojaeizadeh D, Tol A, Garmaroudi G, Yekaninejad MS, Kebede A, et al. Psychological and educational intervention to improve tuberculosis treatment adherence in Ethiopia based on health belief model: A cluster randomized control trial. PLoS One. 2016;11(5):e0155147.
[11]Nahidi F, Dolatian M, Roozbeh N, Asadi Z, Shakeri N. Effect of health-belief-model-based training on performance of women in breast self-examination. Electron Physician. 2017;9(6):4577-83.
[12]VanDyke SD, Shell MD. Health beliefs and breast cancer screening in rural Appalachia: An evaluation of the health belief model. J Rural Health. 2017;33(4):350-60.
[13]Hosseini H, Moradi R, Kazemi A, Shahshahani MS. Determinants of physical activity in middle-aged woman in Isfahan using the health belief model. J Educ Health Promot. 2017;6:26.
[14]Karimy M, Azarpira H, Araban M. Using health belief model constructs to examine differences in adherence to Pap test recommendations among iranian women. Asian Pac J Cancer Prev. 2017;18(5):1389-94.
[15]Baghiani Moghadam MH, Baghiani moghadam M, jozi F, Hatamzadeh N, Mehrab beik A, Hashemi Fard F, et al. The relationship between HBM constructs and intended delivery method. J Toloo-e-behdasht. 2014;12(4):105-16 [Persian]
[16]Kanani S, Allahverdipour H. Self-efficacy of choosing delivery method and labor among pregnant women in Pars-Abad city. J Educ Commun Health. 2014;1(2):39-47.
[17]Akbari N, Majlesi M, Rakhshani F, Montazeri A. Knowledge and attitude of pregnant women towards mode of delivery in Tehran, Iran. Payesh. 2017;16(2):211-8.
[18]Loke AY, Davies L, Li SF. Factors influencing the decision that women make on their mode of delivery: The health belief model. BMC Health Serv Res. 2015;15:274.
[19]The Consort Group. Consort 2010 checklist of information to include when reporting a randomised trial [Internet]. Ermenonville: Consort Transparent reporting of trials; 2010 [Cited 2018 Mar 8]. Available From: http://www.consort-statement.org/media/default/downloads/consort%202010%20checklist.pdf
[20]Saffari M, Sanaei Nasab H, Rshidi Jahan H, Pourtaghi GhH, Pakpour Haji Agha A. Happiness, self-efficacy and academic achievement among students of Baqiyatallah University of Medical Sciences. J Med Educ Dev. 2014;7(13):45-56. [Persian]
[21]Zareipour M, Abdolkarimi M, Asadpour M, Dashti S, Askari F. The relationship between Spiritual health and Self-efficacy in pregnant women referred to rural health centers of Uremia in 2015. J Commun Health 2016;10(2):52-61.
[22]Wichachai S, Songserm N, Akakul T, Kuasiri C. Effects of application of social marketing theory and the health belief model in promoting cervical cancer screening among targeted women in Sisaket Province, Thailand. Asian Pac J Cancer Prev. 2016;17(7):3505-10.
[23]Khoramabadi M, Dolatian M, Hajian S, Zamanian M, Taheri Panah R, Sheikhan Z, et al. Effects of education based on health belief model on dietary behaviors of iranian pregnant women. Glob J Health Sci. 2015;8(2):230-9.
[24]Solhi M, Shojaeizadeh D, Seraj B, Faghihzadeh S. The application of the health belief model in oral health education. Iran J Public Health. 2010;39(4):114–9.
[25]Baghiani Moghadam MH, Shogafard G, Sanati HR, Baghiani Moghadam B, Mazloomy SS, Askarshahi M. Application of the health belief model in promotion of self-care in heart failure patients. Acta Med Iran. 2013;51(1):52-8.
[26]Khiyali Z, Asadi R, Ghasemi A, Khani Jeihooni A. The Effect of Educational intervention based on health belief model on Pap Smears test in women of Fasa city. Iran J Health Educ Health Promot. 2017;5(4):304-310.
[27]Masoudi Yekta L, Rezaei Bayatiyani H, Dashtbozorgi B, Gheibizadeh M, Saki Malehi A, Moradi M. Effect of education based on health belief model on the behavior of breast cancer screening in women. Asia Pac J Oncol Nurs. 2018;5(1):114-20.
[2]Wolf JH. Risk and reputation: Obstetricians, cesareans, and consent. J Hist Med Allied Sci. 2018;73(1):7-28.
[3]He Z, Cheng Z, Wu T, Zhou Y, Chen J, Fu Q, et al. The costs and their determinant of cesarean section and vaginal delivery: An exploratory study in chongqing municipality, China. Biomed Res Int. 2016;2016:5685261.
[4]Bahri N, Mohebi S, Bahri N, Davoudi Farimani S, Khodadoost L. Factors related to the decision making process of primigravid women about mode of delivery: A theory-based study. Iran J Obstet Gynecol Infertil. 2017;20(8):42-50. [Persian]
[5]Aghajani M. News number of behdasht.gov.ir: 157345 [Internet]. Tehran: Ministry of Health and Medical Education (MOHME), international affaire departement (IAD); 2017 [Cited 2018 Mar 22]. Available from: http://www.behdasht.gov.ir/index.jsp?fkeyid=&siteid=1&pageid=127&newsview=157345. [Persian]
[6]Marx H, Wiener J, Davies N. A survey of the influence of patients' choice on the increase in the caesarean section rate. J Obstet Gynaecol. 2001;21(2):124-7.
[7]Rahimi kian F, Mirmohamadaliei M, Mehran A, Aboozari Ghezaforoodi K, Salmaani Barough N. Effect of education designed based on health belief model on choosing delivery mode. J HAYAT. 2009;14(3-4):25-32. [Persian]
[8]Ghotbi F, Akbari Sene A, Azargashb E, Shiva F, Mohtadi M, Zadehmodares S, et al. Women's knowledge and attitude towards mode of delivery and frequency of cesarean section on mother's request in six public and private hospitals in Tehran, Iran, 2012. J Obstet Gynaecol Res. 2014;40(5):1257-66.
[9]Ilika F, Jamshidimanesh M, Hoseini M, Saffari M, Peyravi H. An evaluation of high-risk behaviors among female drug users based on health belief model. J Med Life. 2015;8(Spec Iss 3):36-43.
[10]Tola HH, Shojaeizadeh D, Tol A, Garmaroudi G, Yekaninejad MS, Kebede A, et al. Psychological and educational intervention to improve tuberculosis treatment adherence in Ethiopia based on health belief model: A cluster randomized control trial. PLoS One. 2016;11(5):e0155147.
[11]Nahidi F, Dolatian M, Roozbeh N, Asadi Z, Shakeri N. Effect of health-belief-model-based training on performance of women in breast self-examination. Electron Physician. 2017;9(6):4577-83.
[12]VanDyke SD, Shell MD. Health beliefs and breast cancer screening in rural Appalachia: An evaluation of the health belief model. J Rural Health. 2017;33(4):350-60.
[13]Hosseini H, Moradi R, Kazemi A, Shahshahani MS. Determinants of physical activity in middle-aged woman in Isfahan using the health belief model. J Educ Health Promot. 2017;6:26.
[14]Karimy M, Azarpira H, Araban M. Using health belief model constructs to examine differences in adherence to Pap test recommendations among iranian women. Asian Pac J Cancer Prev. 2017;18(5):1389-94.
[15]Baghiani Moghadam MH, Baghiani moghadam M, jozi F, Hatamzadeh N, Mehrab beik A, Hashemi Fard F, et al. The relationship between HBM constructs and intended delivery method. J Toloo-e-behdasht. 2014;12(4):105-16 [Persian]
[16]Kanani S, Allahverdipour H. Self-efficacy of choosing delivery method and labor among pregnant women in Pars-Abad city. J Educ Commun Health. 2014;1(2):39-47.
[17]Akbari N, Majlesi M, Rakhshani F, Montazeri A. Knowledge and attitude of pregnant women towards mode of delivery in Tehran, Iran. Payesh. 2017;16(2):211-8.
[18]Loke AY, Davies L, Li SF. Factors influencing the decision that women make on their mode of delivery: The health belief model. BMC Health Serv Res. 2015;15:274.
[19]The Consort Group. Consort 2010 checklist of information to include when reporting a randomised trial [Internet]. Ermenonville: Consort Transparent reporting of trials; 2010 [Cited 2018 Mar 8]. Available From: http://www.consort-statement.org/media/default/downloads/consort%202010%20checklist.pdf
[20]Saffari M, Sanaei Nasab H, Rshidi Jahan H, Pourtaghi GhH, Pakpour Haji Agha A. Happiness, self-efficacy and academic achievement among students of Baqiyatallah University of Medical Sciences. J Med Educ Dev. 2014;7(13):45-56. [Persian]
[21]Zareipour M, Abdolkarimi M, Asadpour M, Dashti S, Askari F. The relationship between Spiritual health and Self-efficacy in pregnant women referred to rural health centers of Uremia in 2015. J Commun Health 2016;10(2):52-61.
[22]Wichachai S, Songserm N, Akakul T, Kuasiri C. Effects of application of social marketing theory and the health belief model in promoting cervical cancer screening among targeted women in Sisaket Province, Thailand. Asian Pac J Cancer Prev. 2016;17(7):3505-10.
[23]Khoramabadi M, Dolatian M, Hajian S, Zamanian M, Taheri Panah R, Sheikhan Z, et al. Effects of education based on health belief model on dietary behaviors of iranian pregnant women. Glob J Health Sci. 2015;8(2):230-9.
[24]Solhi M, Shojaeizadeh D, Seraj B, Faghihzadeh S. The application of the health belief model in oral health education. Iran J Public Health. 2010;39(4):114–9.
[25]Baghiani Moghadam MH, Shogafard G, Sanati HR, Baghiani Moghadam B, Mazloomy SS, Askarshahi M. Application of the health belief model in promotion of self-care in heart failure patients. Acta Med Iran. 2013;51(1):52-8.
[26]Khiyali Z, Asadi R, Ghasemi A, Khani Jeihooni A. The Effect of Educational intervention based on health belief model on Pap Smears test in women of Fasa city. Iran J Health Educ Health Promot. 2017;5(4):304-310.
[27]Masoudi Yekta L, Rezaei Bayatiyani H, Dashtbozorgi B, Gheibizadeh M, Saki Malehi A, Moradi M. Effect of education based on health belief model on the behavior of breast cancer screening in women. Asia Pac J Oncol Nurs. 2018;5(1):114-20.