@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(2):97-103
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(2):97-103
Effect of Educational Intervention Based on the Health Belief Model on Preventive Behaviors Against Influenza A (H1N1) among Students
ARTICLE INFO
Article Type
Original ResearchAuthors
Khani-Jeihooni A. (1)Manouchehri M. (1)
Bahmandoost M. (1)
Khiyali Z. (*1)
(1) Public Health Department, School of Health, Fasa University of Medical Sciences, Fasa, Iran
Correspondence
Address: Fasa University of Medical Sciences, Ibn-e Sina Square, Fasa, Fars, Iran. Postal code: 7461686688Phone: +98 (71) 53350994
Fax: +98 (71) 53357091
khiyaliz@yahoo.com
Article History
Received: February 25, 2020Accepted: April 3, 2020
ePublished: June 20, 2020
ABSTRACT
Aims
Due to there is no immunity to influenza, non-pharmacological measures and prevention are very effective in controlling, reducing complications and mortality. Thus, the aim of the present study was to determine the effect of educational intervention based on Health Belief Model (HBM) on preventive behaviors against influenza A among students.
Materials & Methods This experimental study was carried out on 140 high school freshman girl students in Fasa-Iran in 2016 who were selected by cluster random sampling method and divided into experimental and control groups (70 people in each group). Data gathering tool was a questionnaire consisting demographics variables, knowledge, HBM constructs, and preventive behaviors. The educational intervention was implemented in four 1-hour sessions for experimental group. The questionnaires were collected before and one month after the intervention. The collected data were analyzed in SPSS 22 software using chi-square test, independent t-test, and paired t-test.
Findings Before educational intervention there was no significant difference in the mean scores of knowledge, HBM structures, and preventive behaviors between the experimental and control groups (p>0.05). However, after the educational intervention, a significant difference was observed between the experimental and control groups in terms of the mean scores of knowledge, HBM structures, and preventive behaviors (p<0.001).
Conclusion Implementation of educational interventions based on HBM is an effective educational strategy to promote preventive behaviors against influenza A among students.
Materials & Methods This experimental study was carried out on 140 high school freshman girl students in Fasa-Iran in 2016 who were selected by cluster random sampling method and divided into experimental and control groups (70 people in each group). Data gathering tool was a questionnaire consisting demographics variables, knowledge, HBM constructs, and preventive behaviors. The educational intervention was implemented in four 1-hour sessions for experimental group. The questionnaires were collected before and one month after the intervention. The collected data were analyzed in SPSS 22 software using chi-square test, independent t-test, and paired t-test.
Findings Before educational intervention there was no significant difference in the mean scores of knowledge, HBM structures, and preventive behaviors between the experimental and control groups (p>0.05). However, after the educational intervention, a significant difference was observed between the experimental and control groups in terms of the mean scores of knowledge, HBM structures, and preventive behaviors (p<0.001).
Conclusion Implementation of educational interventions based on HBM is an effective educational strategy to promote preventive behaviors against influenza A among students.
CITATION LINKS
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[7]Moghim S, Rask J, Nasr Esfahani B, Hedayatpour B, Pishva E, Akbari M. Evaluation of the knowledge of young couples about the ways of transmission and prevention of influenza type A in a private consulting center in Isfahan, Iran. J Isfahan Med Sch. 2013;30(211):1486-93. [Persian]
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[16]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]
[17]Rejali M,Hadipour M,Molavi Vardanjani H. The effect of educational workshop method on H1N1 influenza-related knowledge of students of Isfahan University of Medical Sciences, Iran. J Health Sys Res. 2011;7(2):184-90. [Persian]
[18]Kim P, Sorcar P, Um S, Chung H, Lee YS. Effects of episodic variations in web-based avian influenza education: influence of fear and humor on perception, comprehension, retention and behavior. Health Educ Res. 2009;24(3):369-80.
[19]Zeigheimat F, Ebadi A, Rahmati-Najarkolaei F, Ghadamgahi F. An investigation into the effect of health belief model-based education on healthcare behaviors of nursing staff in controlling nosocomial infections. J Educ Health Promot. 2016;5:23.
[20]Khatoni A , Dehghan Nayery N, Ahmady F , Haghani H. Comparison the effect of Web-based education and traditional education on nurses knowledge about bird flu in continuing education. Iran J Med Educ. 2011;11(2):140-8. [Persian]
[21]Khan SA, Hashmi I, Ranjha AN, Yosufzai MK, Hashmi SK, Anjum Q. Awareness of bird flu amongst young college students. J Pak Med Assoc. 2008;58(8):466-9.
[22]Leslie T, Billaud J, Mofleh J, Mustafa L, Yingst S. Knowledge, attitudes, and practices regarding avian influenza (H5N1), Afghanistan. Emerg Infect Dis. 2008;14(9):1459-61.
[23]Darvishpoor K, Alizadeh Siuki H, Ramzani H. The impact of educational intervention based on Health Belief Model in relation to thalassemia on high school male students in Torbat Heydarieh in 2015. J Jiroft Univ Med Sci. 2018;5(1):286-96. [Persian]
[24]Mohammadi N, Hooshian M, Omidi A, Soltanian A. The effect of health belief model education on nutrition behavior of boys in secondary schools in Hamadan. Avicenna J Nurs Midwifery care. 2019;26(6):397-406. [Persian]
[25]Panahi R, Ghajari H, Teymouri P, Moradi M, Ghaderi N, Zarei Vero O. The effect of education based on health belief model on preventive behaviors of head lice infection in sixth female students in Marivan. Rahvard Salamat J. 2019;4(1):48-57. [Persian]
[26]Teitler-Regev S, Shahrabani S, Benzion U. Factors affecting intention among students to be vaccinated against A/H1N1 Influenza: a health belief model approach. Adv Prev Med. 2011;2011:1-8.
[27]Khani Jeihooni A, Ghaedi R, Kashfi SM, Khiyali Z. Effect of education based on the health belief model in the prevention of sexually transmitted diseases in couples participating in premarriage training classes. J Educ Community Health. 2018;4(4):4-12. [Persian]
[28]Barati M, Amirzargar MA, Bashirian S, Kafami V, Mousali AA, Moeini B. Psychological predictors of prostate cancer screening behaviors among men over 50 years of age in Hamadan: perceived threat and efficacy. Iran J Cancer Prev. 2016;9(4):e4144.
[29]Ivari TK, Heshmati H, Faryabi R, Goudarzian Z, Ghodrati A, Najafi F, et al. Effect of health belief model based education on nutritional behaviors of pregnant women referred to health centers in Torbat-e Heydariyeh city. J Health Field. 2016;3(4):23-31. [Persian]
[30]Alizadeh Siuki H, Jadgal K, Shamaeian Razavi N, Zareban I, Heshmati H, Saghi N. Effects of health education based on health belief model on nutrition behaviors of primary school students in Torbat-e Heydariyeh City in 2012. J Health. 2015;5(4):289-99. [Persian]
[31]Chen MF, Wang RH, Schneider JK, Tsai CT, Jiang DD, Hung MN, Lin LJ. Using the Health Belief Model to understand caregiver factors influencing childhood influenza vaccinations. J Community Health Nurs. 2011;28(1):29-40.
[32]Ahmadi Jouybari T, Hatamzadeh N, Fattahi M, Gharibnavaz H, Khashij Sh, Mahboubi M. Cognitive determinants of influenza preventive behaviors among students: An application of the health belief model (HBM). Int J Pediatr. 2018;6(6):7833-41.
[33]Javaheri Tehrani F, Nikpour S, Haji Kazemi EA, Sanaie N, Shariat Panahi SA. The effect of education based on health belief model on health beliefs of women with urinary tract infection. Int J Community Based Nurs Midwifery. 2014;2(1):2-11.
[34]Kaewchana S, Simmerman M, Somrongthong R, Suntarattiwong P, Lertmaharit S, Chotipitayasunondh T. Effect of intensive hand washing education on hand washing behaviors in thai households with an influenza-positive child in urban Thailand. Asia Pac J Public Health. 2012;24(4):577-85.
[35]Farzan M, Zerin I, Kabir M, Pavel M, Hossain M. Health education intervention on hand washing in a selected primary school children. Bangladesh J Dental Res Edu. 2012;2:7-11.
[36]Khosravi V, Barati M, Moeini B, Mohammadi Y. The effect of an educational intervention based on protection motivation theory on prostate cancer prevention behaviors in men 50 to 75 years old. J Hayat. 2019;24(4):342-54. [Persian]
[37]Malmir S, Barati M, Khani-Jeihooni A, Bashirian S, Hazavehei SMM. Effect of an educational intervention based on protection motivation theory on preventing cervical cancer among marginalized women in west Iran. Asian Pac J Cancer Prev. 2018;19(3):755-61.
[2]Yadav SK, Nath B. Effect of Educational Intervention on Knowledge about Swine Flu among Indian Medical Undergraduate Students of North India. IOSR J Dent Med Sci (IOSR-JDMS). 2018;17(6):1-5.
[3]Sharifirad GR, Yarmohammadi P, Morowati Sharifabad MA, Rahayi Z. The status of preventive behaviors regarding influenza (A) H1N1 pandemic based on protection motivation theory among female high school students in Isfahan, Iran. Health Syst Res. 2011;7(1):108-116. [Persian]
[4]World Health Organization. WHO guidelines for pharmacological management of pandemic influenza A (H1N1) 2009 and other influenza viruses [Internet]. Geneva: World Health Organization; 2010 [cited 2020 May 17]. Available from: https://www.who.int/csr/resources/publications/swineflu/h1n1_guidelines_pharmaceutical_mngt.pdf.
[5]Moghadami M. A narrative review of influenza: a seasonal and pandemic disease. Iran J Med Sci. 2017;42(1):2-13.
[6]Fiore AE, Uyeki TM, Broder K, FinelliL, Euler GL, Singleton JA, et al. Prevention and control of influenza with vaccines:recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010. MMWR Recomm Rep. 2010;59(RR-8):1-62.
[7]Moghim S, Rask J, Nasr Esfahani B, Hedayatpour B, Pishva E, Akbari M. Evaluation of the knowledge of young couples about the ways of transmission and prevention of influenza type A in a private consulting center in Isfahan, Iran. J Isfahan Med Sch. 2013;30(211):1486-93. [Persian]
[8]Najimi A, Alidousti M, Moazemi Goudarzi A. A survey on preventive behaviors of high school students about influenza a based on health belief model in Shahrekord, Iran. J Health Syst Res. 2010;6(1):1-14. [Persian]
[9]Ansari MA , Gharlipour Z, Mohebi S , Sharifirad GR, Rahbar A. Effect of education based on the protection motivation theory on preventive behaviors of influenza A among high school students in Qom City, (Iran). Qom Univ Med Sci J. 2019;13(4):22-33. [Persian]
[10]Haghshenas MR, Asgari A, Babamahmoudi F, Rezaei MS, Tabrizi A, Nandoost S. Frequency of influenza A/H1N1 virus in samples of influenza patients in northern Iran. J Mazandaran Univ Med Sci. 2012;22(96):50-7. [Persian]
[11]Dumais N, Hasni A. High school intervention for influenza biology and epidemics/pandemics: impact on conceptual understanding among adolescents. CBE Life Sci Educ. 2009;8(1): 62-71.
[12]Glanz KA, Rimer BA, Viswanath K, editors. Health behavior and health education; theory, research and practice. 4th Edition. San Farancisco: Josey – Bass; 2008. p. 8-30.
[13]Butler JT. Principles of health education and health promotion. 3rd Edition. Belmont, CA: Wadsworth; 2001.
[14]Saffari M, Shojaeizadeh D, Ghofranipour F, Heydarnia A, Pakpour Hajiaga A. Health education & promotion: theories, models & methods. 3rd Edition. Tehran: Asar-e Sobhan; 2014. [Persian]
[15]Saffari M, Shojaeizadeh D. Principles and foundations of health promotion and education. 1st Edition. Tehran: Semat; 2009. [Persian]
[16]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]
[17]Rejali M,Hadipour M,Molavi Vardanjani H. The effect of educational workshop method on H1N1 influenza-related knowledge of students of Isfahan University of Medical Sciences, Iran. J Health Sys Res. 2011;7(2):184-90. [Persian]
[18]Kim P, Sorcar P, Um S, Chung H, Lee YS. Effects of episodic variations in web-based avian influenza education: influence of fear and humor on perception, comprehension, retention and behavior. Health Educ Res. 2009;24(3):369-80.
[19]Zeigheimat F, Ebadi A, Rahmati-Najarkolaei F, Ghadamgahi F. An investigation into the effect of health belief model-based education on healthcare behaviors of nursing staff in controlling nosocomial infections. J Educ Health Promot. 2016;5:23.
[20]Khatoni A , Dehghan Nayery N, Ahmady F , Haghani H. Comparison the effect of Web-based education and traditional education on nurses knowledge about bird flu in continuing education. Iran J Med Educ. 2011;11(2):140-8. [Persian]
[21]Khan SA, Hashmi I, Ranjha AN, Yosufzai MK, Hashmi SK, Anjum Q. Awareness of bird flu amongst young college students. J Pak Med Assoc. 2008;58(8):466-9.
[22]Leslie T, Billaud J, Mofleh J, Mustafa L, Yingst S. Knowledge, attitudes, and practices regarding avian influenza (H5N1), Afghanistan. Emerg Infect Dis. 2008;14(9):1459-61.
[23]Darvishpoor K, Alizadeh Siuki H, Ramzani H. The impact of educational intervention based on Health Belief Model in relation to thalassemia on high school male students in Torbat Heydarieh in 2015. J Jiroft Univ Med Sci. 2018;5(1):286-96. [Persian]
[24]Mohammadi N, Hooshian M, Omidi A, Soltanian A. The effect of health belief model education on nutrition behavior of boys in secondary schools in Hamadan. Avicenna J Nurs Midwifery care. 2019;26(6):397-406. [Persian]
[25]Panahi R, Ghajari H, Teymouri P, Moradi M, Ghaderi N, Zarei Vero O. The effect of education based on health belief model on preventive behaviors of head lice infection in sixth female students in Marivan. Rahvard Salamat J. 2019;4(1):48-57. [Persian]
[26]Teitler-Regev S, Shahrabani S, Benzion U. Factors affecting intention among students to be vaccinated against A/H1N1 Influenza: a health belief model approach. Adv Prev Med. 2011;2011:1-8.
[27]Khani Jeihooni A, Ghaedi R, Kashfi SM, Khiyali Z. Effect of education based on the health belief model in the prevention of sexually transmitted diseases in couples participating in premarriage training classes. J Educ Community Health. 2018;4(4):4-12. [Persian]
[28]Barati M, Amirzargar MA, Bashirian S, Kafami V, Mousali AA, Moeini B. Psychological predictors of prostate cancer screening behaviors among men over 50 years of age in Hamadan: perceived threat and efficacy. Iran J Cancer Prev. 2016;9(4):e4144.
[29]Ivari TK, Heshmati H, Faryabi R, Goudarzian Z, Ghodrati A, Najafi F, et al. Effect of health belief model based education on nutritional behaviors of pregnant women referred to health centers in Torbat-e Heydariyeh city. J Health Field. 2016;3(4):23-31. [Persian]
[30]Alizadeh Siuki H, Jadgal K, Shamaeian Razavi N, Zareban I, Heshmati H, Saghi N. Effects of health education based on health belief model on nutrition behaviors of primary school students in Torbat-e Heydariyeh City in 2012. J Health. 2015;5(4):289-99. [Persian]
[31]Chen MF, Wang RH, Schneider JK, Tsai CT, Jiang DD, Hung MN, Lin LJ. Using the Health Belief Model to understand caregiver factors influencing childhood influenza vaccinations. J Community Health Nurs. 2011;28(1):29-40.
[32]Ahmadi Jouybari T, Hatamzadeh N, Fattahi M, Gharibnavaz H, Khashij Sh, Mahboubi M. Cognitive determinants of influenza preventive behaviors among students: An application of the health belief model (HBM). Int J Pediatr. 2018;6(6):7833-41.
[33]Javaheri Tehrani F, Nikpour S, Haji Kazemi EA, Sanaie N, Shariat Panahi SA. The effect of education based on health belief model on health beliefs of women with urinary tract infection. Int J Community Based Nurs Midwifery. 2014;2(1):2-11.
[34]Kaewchana S, Simmerman M, Somrongthong R, Suntarattiwong P, Lertmaharit S, Chotipitayasunondh T. Effect of intensive hand washing education on hand washing behaviors in thai households with an influenza-positive child in urban Thailand. Asia Pac J Public Health. 2012;24(4):577-85.
[35]Farzan M, Zerin I, Kabir M, Pavel M, Hossain M. Health education intervention on hand washing in a selected primary school children. Bangladesh J Dental Res Edu. 2012;2:7-11.
[36]Khosravi V, Barati M, Moeini B, Mohammadi Y. The effect of an educational intervention based on protection motivation theory on prostate cancer prevention behaviors in men 50 to 75 years old. J Hayat. 2019;24(4):342-54. [Persian]
[37]Malmir S, Barati M, Khani-Jeihooni A, Bashirian S, Hazavehei SMM. Effect of an educational intervention based on protection motivation theory on preventing cervical cancer among marginalized women in west Iran. Asian Pac J Cancer Prev. 2018;19(3):755-61.