@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(3):169-175
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(3):169-175
Effect of Education Based on Health Belief Model on Preventive Behaviors of Hepatitis B Disease in Health Volunteers
ARTICLE INFO
Article Type
Original ResearchAuthors
Barzegar Mahmoudi T. (1)Khorsandi M. (*1)
Shamsi M. (1)
Ranjbaran M. (2)
(1) Health Education Departmant, Health Faculty, Arak University of Medical Sciences, Arak, Iran
(2) Epidemiology Department, Health Faculty, Tehran University of Medical Sciences, Tehran, Iran
Correspondence
Article History
Received: August 9, 2020Accepted: April 7, 2020
ePublished: September 20, 2020
ABSTRACT
Aims
Hepatitis B virus infection is a major health problem worldwide. The purpose of this study was to evaluate the effect of education based on health belief model on preventive behaviors of hepatitis B disease in health volunteers.
Materials & Methods In this semi-experimental study which was conducted in Malayer city in 2015, 128 health volunteers from eight Urban Health Centers in this city were selected by simple random sampling method and randomly divided into two groups of experimental and control (64 people in each group). Intervention was performed in four 40-minute sessions and data were collected by a researcher-made questionnaire after 3 months. The questionnaire included demographic characteristics and constructs of health belief model and performance. Data were analyzed by Chi-square test, paired t-test, independent t-test, and oneway analysis of covariance (ANCOVA).
Findings Before the intervention, there was no significant difference between the experimental and control groups in terms of health belief model constructs (p>0.05). But three months after the intervention, the mean scores of constructs of knowledge, perceived sensitivity, perceived intensity, perceived benefits, perceived barriers, internal and external action guide, self-efficacy, and performance showed significant difference between the two groups (p<0.001).
Conclusion Education based on health belief model can increase the adoption of preventive behaviors of hepatitis B in the health volunteers.
Materials & Methods In this semi-experimental study which was conducted in Malayer city in 2015, 128 health volunteers from eight Urban Health Centers in this city were selected by simple random sampling method and randomly divided into two groups of experimental and control (64 people in each group). Intervention was performed in four 40-minute sessions and data were collected by a researcher-made questionnaire after 3 months. The questionnaire included demographic characteristics and constructs of health belief model and performance. Data were analyzed by Chi-square test, paired t-test, independent t-test, and oneway analysis of covariance (ANCOVA).
Findings Before the intervention, there was no significant difference between the experimental and control groups in terms of health belief model constructs (p>0.05). But three months after the intervention, the mean scores of constructs of knowledge, perceived sensitivity, perceived intensity, perceived benefits, perceived barriers, internal and external action guide, self-efficacy, and performance showed significant difference between the two groups (p<0.001).
Conclusion Education based on health belief model can increase the adoption of preventive behaviors of hepatitis B in the health volunteers.
CITATION LINKS
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[10]Khalilipoor Darestani M, Komeili A, Jalili Z. The effect of educational intervention based on the health belief model on improvement of preventive behaviors towards premenstrual syndrome (PMS) among girls of Pre-University in Tehran. Iran J Health Educ Health Promot. 2017;5(3):251-9. [Persian]
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[14]Barzegar Mahmoudi T, Khorsandi M, Shamsi M, Ranjbaran M. Knowledge, beliefs and performance of health volunteers in Malayer city about hepatitis B: an application of health belief model. Pajouhan Sci J. 2016;14(2):24-33. [Persian]
[15]Jadgal KM, Alizadeh Siuki H, Shamaian Razavi N. The using of health belief model on AIDS preventive behaviors among health volunteers. J Res Health. 2015;5(1):58-64. [Persian]
[16]Taghdisi MH, Abolkherian S, Hosseini F. Determining the educational effectiveness on the women health volunteers’ empowerment and its influential factors of the West of Tehran Health Center-1388. Iran Occup Health J. 2011;8(2):24-30. [Persian]
[17]Shojaeizadeh D, Sadeghi R, Tarrahi MJ, Asadi M, Lashgarara B. Application of health belief model in prevention of osteoporosis in volunteers of Khorramabad City Health Centers , Iran. J Health Syst Res. 2012;8(2):183-92. [Persian]
[18]Gerayloo S, Karimian Kakolaki Z, Safdari F, Motaghi B, Morowati Sharifabad MA, Sharifi E, et al. Effects of health education on the knowledge and attitude of health coordinators towards gestational diabetes in Minoodasht, 2013. J Diabetes Nurs. 2015;3(1):19-28. [Persian]
[19]Khodaveisi M, Salehikhah M, Bashirian S, Karami M, Khodaveisi M. The effect of health belief model-based training on preventive behaviors of hepatitis B in addicts. Int J High Risk Behav Addict. 2018;7(2):e58579.
[20]Didarloo A, Shojaeizadeh D, Alizadeh M. Impact of educational intervention based on interactive approaches on beliefs, behavior, hemoglobin A1c, and quality of life in diabetic women. Int J Prev Med. 2016;7:38.
[21]Zolghadr R, Baghiani Moghadam MH, Morowatisharifabad MA. Knowledge, Risk perceptions and behavioral intentions for Hepatitis B among Health Managers in Yazd Province (IRAN). The First International & 4th National Congress on health Education & Promotion; 2011 May 16-19; Tabtiz University of Medical Sciences, Tabriz, Iran. [Persian]
[22]Amiri Siavashani M, Shojaeizadeh D, Azam K. A study on the effect of educational intervention based on health belief model on infection control among dental students of Shahid Beheshti University of Medical Sciences. J Sch Public Health Instit Public Health Res. 2018;16(1):75-86. [Persian]
[23]Hashemi M, Sadeghi R, Shamsi M. An investigation of educational intervention impact on pregnant women for promote preventive behaviors of influenza H1N1: using health belief model. Koomesh. 2017;19(3):603-10. [Persian]
[24]Karimi M, Zareban I, Montazeri A, Shokravi FA. The effect of training based on health belief model on preventive behaviors of unwanted pregnancy. Iran J Obstet Gynecol Infertil. 2012;15(23):18-27. [Persian]
[25]Hazavehei SM, Taghdisi MH, Saidi M. Application of the health belief model for osteoporosis prevention among middle school girl students, Garmsar, Iran. Educ Health. 2007;20(1):23.
[26]Jahani Eftekhari M, Peyman N, Doosti H. The Effect of Educational Intervention based on the Self Efficacy and Health Literacy Theory on Health Promoting Lifestyles among Female Health Volunteers of Neyshabur, Iran. Health Dev J. 2017;6(4):302-13. [Persian]
[2]Almasi-Hashiani A, Ayubi E, Mansori K, Salehi-Vaziri M, Moradi Y, Gholamaliei B, et al. Prevalence of hepatitis B virus infection among Iranian high risk groups: a systematic review and meta-analysis. Gastroenterol Hepatol Bed Bench. 2018;11(2):91-100.
[3]Shepard CW, Simard EP, Finelli L, Fiore AE, Bell BP. Hepatitis B virus infection: epidemiology and vaccination. Epidemiol Rev. 2006;28(1):112-25.
[4]Rezaei N, Asadi-Lari M, Sheidaei A, Gohari K, Parsaeian M, Khademioureh S, et al. Epidemiology of hepatitis B in Iran from 2000 to 2016: a systematic review and meta-regression analysis. Arch Iran Med. 2020;23(3):189-96.
[5]Soltanian H, Hedayati Moghaddam M, Sadeghzadeh A, Rahimian Z, Moradi F, Hosseinpoor A. A survey of knowledge regarding viral hepatitis among general population of Mashhad, Iran in 2017. Navid. 2019;21(68):1-9. [Persian]
[6]World Health Organization. Guidelines for the prevention, care and treatment of persons with chronic hepatitis B infection [Internet]. Genava: World Health Organization; 2015 [cited 2015 Jan 31]. Available from: https://www.who.int/hiv/pub/hepatitis/hepatitis-b-guidelines/en/.
[7]Yazdanpanah B, Safari M, Yazdanpanah S. Persistence of HBV vaccine’s protection and response to hepatitis B booster immunization in 5-to 7-year-old children in the Kohgiloyeh and Boyerahmad Province, Iran. Hepat Mon. 2010;10(1):17-21.
[8]Rezakhani Moghaddam H. Explaining the barriers and challenges of health volunteers and evaluating the effectiveness of the proposed program: a mixed method study [Dissertation]. Tabriz University of Medical Sciences; 2018. [Persian]
[9]Khani Jeihooni A, Arameshfard S, Hatami M, Mansourian M, Kashfi SH, Babak Rastegarimehr B, et al. The effect of educational program based on health belief model about HIV/AIDS among high school students. Int J Pediatr. 2018;6(3):7285-96.
[10]Khalilipoor Darestani M, Komeili A, Jalili Z. The effect of educational intervention based on the health belief model on improvement of preventive behaviors towards premenstrual syndrome (PMS) among girls of Pre-University in Tehran. Iran J Health Educ Health Promot. 2017;5(3):251-9. [Persian]
[11]Mirheydari M, Tavafian SS, Montazeri A, Fallahi H. Effect of educational interventions on sexual high risk behavior between drug addicts ex-users based on the Health Belief Model. J Sch Public Health Instit Public Health Res. 2014;12(2):93-104. [Persian]
[12]Baghiani Moghadam MH, Forghani H, Zolghadr R, Rahaii Z, Khani P. Health Belief Model and HIV/AIDS among high school female students in Yazd, Iran. J Res Med Sci. 2010;15(3):189-90.
[13]World Health Organization. Global health sector strategy on viral hepatitis 2016-2021 [Internet]. Genava: World Health Organization; 2016 [cited 2018 May 18]. Available from: https://www.who.int/hepatitis/strategy2016-2021/ghss-hep/en/.
[14]Barzegar Mahmoudi T, Khorsandi M, Shamsi M, Ranjbaran M. Knowledge, beliefs and performance of health volunteers in Malayer city about hepatitis B: an application of health belief model. Pajouhan Sci J. 2016;14(2):24-33. [Persian]
[15]Jadgal KM, Alizadeh Siuki H, Shamaian Razavi N. The using of health belief model on AIDS preventive behaviors among health volunteers. J Res Health. 2015;5(1):58-64. [Persian]
[16]Taghdisi MH, Abolkherian S, Hosseini F. Determining the educational effectiveness on the women health volunteers’ empowerment and its influential factors of the West of Tehran Health Center-1388. Iran Occup Health J. 2011;8(2):24-30. [Persian]
[17]Shojaeizadeh D, Sadeghi R, Tarrahi MJ, Asadi M, Lashgarara B. Application of health belief model in prevention of osteoporosis in volunteers of Khorramabad City Health Centers , Iran. J Health Syst Res. 2012;8(2):183-92. [Persian]
[18]Gerayloo S, Karimian Kakolaki Z, Safdari F, Motaghi B, Morowati Sharifabad MA, Sharifi E, et al. Effects of health education on the knowledge and attitude of health coordinators towards gestational diabetes in Minoodasht, 2013. J Diabetes Nurs. 2015;3(1):19-28. [Persian]
[19]Khodaveisi M, Salehikhah M, Bashirian S, Karami M, Khodaveisi M. The effect of health belief model-based training on preventive behaviors of hepatitis B in addicts. Int J High Risk Behav Addict. 2018;7(2):e58579.
[20]Didarloo A, Shojaeizadeh D, Alizadeh M. Impact of educational intervention based on interactive approaches on beliefs, behavior, hemoglobin A1c, and quality of life in diabetic women. Int J Prev Med. 2016;7:38.
[21]Zolghadr R, Baghiani Moghadam MH, Morowatisharifabad MA. Knowledge, Risk perceptions and behavioral intentions for Hepatitis B among Health Managers in Yazd Province (IRAN). The First International & 4th National Congress on health Education & Promotion; 2011 May 16-19; Tabtiz University of Medical Sciences, Tabriz, Iran. [Persian]
[22]Amiri Siavashani M, Shojaeizadeh D, Azam K. A study on the effect of educational intervention based on health belief model on infection control among dental students of Shahid Beheshti University of Medical Sciences. J Sch Public Health Instit Public Health Res. 2018;16(1):75-86. [Persian]
[23]Hashemi M, Sadeghi R, Shamsi M. An investigation of educational intervention impact on pregnant women for promote preventive behaviors of influenza H1N1: using health belief model. Koomesh. 2017;19(3):603-10. [Persian]
[24]Karimi M, Zareban I, Montazeri A, Shokravi FA. The effect of training based on health belief model on preventive behaviors of unwanted pregnancy. Iran J Obstet Gynecol Infertil. 2012;15(23):18-27. [Persian]
[25]Hazavehei SM, Taghdisi MH, Saidi M. Application of the health belief model for osteoporosis prevention among middle school girl students, Garmsar, Iran. Educ Health. 2007;20(1):23.
[26]Jahani Eftekhari M, Peyman N, Doosti H. The Effect of Educational Intervention based on the Self Efficacy and Health Literacy Theory on Health Promoting Lifestyles among Female Health Volunteers of Neyshabur, Iran. Health Dev J. 2017;6(4):302-13. [Persian]