@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2014;1(3):1-11
ISSN: 2383-2150 Journal of Education and Community Health 2014;1(3):1-11
The Effect of an Educational Program on School Injury Prevention in Junior High School Students of Famenin Based on the Health Belief Model
ARTICLE INFO
Article Type
Original ResearchAuthors
Farhadi Z. (1)Roshanaei Gh. (2)
Bashirian S. (3)
Rezapur-Shahkolai F. (3*)
(1) Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
(2) Modeling of Non-communicable Disease Research Center and Department of Biostatistics & Epidemiology, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
(3) Social Determinants of Health Research Center and Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
Correspondence
Article History
Received: January 2, 2015Accepted: March 12, 2015
ePublished: March 19, 2015
ABSTRACT
Aims
Injuries constitute a major health problem throughout the world. School injuries are among the main injuries in young and school-aged children. The present study aimed to determine the effectiveness of an educational program based on the Health Belief Model for the prevention of school injuries among junior high school students in Famenin.
Materials & Methods The present experimental study was conducted on male and female students in junior high schools of Famenin in Hamadan, Iran, from March to May 2014. A total of 144 students were randomly selected for participation in the study and then divided into an intervention group and a control group. Data were collected using a self-administered questionnaire with items on the students' demographic information and their knowledge, practices and the Health Belief Model constructs. The present study included a pre-test and a post-test in two groups and a five-session educational intervention with an educational booklet for the intervention group. Data were analyzed using the independent and the paired t-tests and the chi-square test.
Findings After the educational intervention and based on the Health Belief Model, the mean scores obtained by the students for knowledge, practice, perceived susceptibility, cues to action and self-efficacy were significantly higher in the intervention group compared to the control group (P<0.001), while the mean score obtained for perceived barriers had decreased significantly in the intervention group compared to the control group (P<0.001).
Conclusion The results of the present study showed that an educational intervention based on the Health Belief Model can improve the students' practices in the prevention of school injuries.
Materials & Methods The present experimental study was conducted on male and female students in junior high schools of Famenin in Hamadan, Iran, from March to May 2014. A total of 144 students were randomly selected for participation in the study and then divided into an intervention group and a control group. Data were collected using a self-administered questionnaire with items on the students' demographic information and their knowledge, practices and the Health Belief Model constructs. The present study included a pre-test and a post-test in two groups and a five-session educational intervention with an educational booklet for the intervention group. Data were analyzed using the independent and the paired t-tests and the chi-square test.
Findings After the educational intervention and based on the Health Belief Model, the mean scores obtained by the students for knowledge, practice, perceived susceptibility, cues to action and self-efficacy were significantly higher in the intervention group compared to the control group (P<0.001), while the mean score obtained for perceived barriers had decreased significantly in the intervention group compared to the control group (P<0.001).
Conclusion The results of the present study showed that an educational intervention based on the Health Belief Model can improve the students' practices in the prevention of school injuries.
CITATION LINKS
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[17]Rezapur Shahkolai F, Farhadi Z, Bashirian S, Roshanaei GH. Factors associated with school injury prevention among students in junior high schools of Famenin County, based on Health Belief Model [Final Research Project]. Hamadan: Hamadan University of Medical Sciences, Vice Chancellor for Research and Technology, December; 2014. (Persian)
[18]Ebrahimikhah M, Rezapur Shahkolai F, Hazavehei M, Moghimbeigi A. The effect of education on road traffic injury Prevention, among fourth and fifth-grade students in Hamadan city, using Health Belief Model [MSc, Thesis in Health Education]. Hamadan: Hamadan University of Medical Sciences, September; 2013. (Persian)
[19]Zendehtalab HR. [The effect of a program designed based on PRECEDE-PROCEED model on adolescents’ mental health and their parents’ participation]. Evidence Based Care.2012; 2(1): 45-54. (Persian)
[20]Sharifirad GH, Hezaveh SMM, Hassanzadeh A, Danesh-amouz A. [The effect of health education based on health belief model on preventive actions of smoking in grade one, middle school students]. Journal of Arak University Medical Sciences.2007; 10(1):79-86. (Persian)
[21]Hazavehei SMM, Shadzi S, Asgari T, Porabdian S, Hassanzadeh A. [The effect of safety education based on Health Belief Model (HBM) on the workers practice of Borujen industrial town in using the personal protection res-piratory equipments]. Iran Occupational Health.2008; 5(1&2):21-30. (Persian)
[22]Beranth C. The health belief model applied to glycemic control. The Diabetes Educator.1999; 21(1):321-9.
[23]Sharifirad Gh, Hazavehei SMM, Mohebi S, Rahimi MA, Hasanzadeh A. [The effect of educational program based on Health Belief Model (HBM) on the foot care by type II diabetic patients]. Iranian Journal of Endocrinology Metabolism.2006; 8(3):231-9. (Persian)
[24]Cheraghi P, Poorolajal J, Hazavehi SMM, Rezapur-Shahkolai F. Effect of educating mothers on injury prevention among children aged <5years using the Health Belief Model: a randomized controlled trial. Public Health.2014; 128(9):825-30.
[25]Aljasem LI, Peyrot M, Wissow L, Rubin RR. The impact of barriers and self-efficacy on self-care behaviors in type 2 diabetes. Diabetes Educ.2001; 27(3):393-404.
[26]Motalebi Ghaen M, Shojaiezadeh D, Adl J, Sanaei Nasab H, Tavakoli R. Health Belief Model based safety education on supervisions of a workshop constructing cement factory. European Journal of Scientific Research.2010; 47(4):662-7.
[27]Robinson-Whelen S, Bodenheimer C. Health practices of veterans with unilateral lower-limb loss: Identifying correlates. J Rehabil Res Dev.2004; 41(3):453-60.
[28]Polly RK. Diabetes health beliefs, self-care behaviors and glycemic control among older adults with noninsulin non-insulin-dependent diabetes mellitus. Diabetes Educ.1992; 18(4):321-7.
[29]Karimy M, Montazeri A, Araban M. [The effect of an educational program based on health belief model on th empowerment of rural women in prevention of brucellosis]. Journal of Arak University Medical Sciences.2012; 14(4):85-94. (Persian)
[30]Kinsler J, Sneed CD, Morisky DE, Ang A. Evaluation of a school-based intervention for HIV/AIDS prevention among Belizean adolescents. Health Educ Res.2004; 19(6):730-8.
[31]Rahimikian F, Mirmohamadali M, Mehran A, Aboozari Ghforoodi K, Salmaani Barough N. [Effect of education designed based on Health Belief Model on choosing delivery mode]. Hayat.2009; 14(3-4):25-32. (Persian)
[2]Peden M, McGee K, Sharma G. The Injury Chart Book: A Graphical Overview of the Global Burden of Injuries. Geneva: World Health Organization; 2002.
[3]World Health Organization. World report on child injury prevention, 2013 [Accessed on 10 December 2013]; available from: www.who.int/entity/violence injury prevention/child
[4]World Health Organization. World health organization injury, 2013 [Accessed on 10 December 2013]; available from: www.who.int/topics/injuries/en
[5]World Health Organization. Facts on Injuries and violence: the facts; 2013 [Accessed on 10 December 2013]; Available from: www.who.int /entity/violence_injury prevention key facts /en
[6]Naghavi M. Epidemiology damage caused by external causes (accidents) in the Islamic Republic of Iran: Deputy Minister of Health and Medical Education. Tehran: Fekrat Publications, 2004. (Persian)
[7]World Health Organization. Violence and injury prevention, 2005 [Accessed on 21 July 2008]; Available from: Http:// www.Who. Int/topics/ injuries_traffic/en
[8]Amirzade F, Tabatabaee SHR. [The incidence rate and causes of accidents among the students of Shiraz guidance schools]. Journal of Kerman University of Medical Sciences.2007; 14(1):55-60. (Persian)
[9]Jaber-Gaderi N, Babaie A, Nori K, Zadmir N, Nori R, Kazemi M, et al. [Frequency of life traumatic events and their psychological impacts in 7-15 years old urban students of Kermanshah city]. Journal of Kerman University of Medical Sciences.2008; 12(2):190-201. (Persian)
[10]Malekzadeh B, Alidosti K, Darvishi M, Sayadi M. [The review and study of elementary student injury]. Journal of Qualitative Research in Health Sciences.2011; 11(1):59-64. (Persian)
[11]Nazari M, Heidarnia A, Eftekhar Ardebili H, Mobasheri M, Amin Shokravi F, Niknami SH. [Interventions based on PRECEDE-PROCEED for promoting safety behaviors in primary school boys]. Armaghan Danesh.2008; 13(2):63-93. (Persian)
[12]Wong DL, Hess CS, Wong. Whaley’s Clinical Manual of Pediatric Nursing. 5sted. St Louis: Mosby Company; 2002.
[13]Murray CJL, Lopez AD. The global burden of disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. 1ed. Boston: Harvard School of Public Health, 1996.
[14]Glanz K, Rimer Bk, Viswanath k. Health behavior and health education: theory, research, and practice. 4ed. San Francisco: Jossey-Bass; 2008.
[15]Khosravi Sh, Yaghmai F. [Designing a student accident report form]. Scientific Journal of Forensic Medi-cine.2010; 16(2):79-87. (Persian)
[16]Office of Injury Prevention, Injury Prevention Introduction: Definition, Classification, Epidemiology of Disas-ters, Ministry of Health and Medical Education, Center for Disease Control, 2003.
[17]Rezapur Shahkolai F, Farhadi Z, Bashirian S, Roshanaei GH. Factors associated with school injury prevention among students in junior high schools of Famenin County, based on Health Belief Model [Final Research Project]. Hamadan: Hamadan University of Medical Sciences, Vice Chancellor for Research and Technology, December; 2014. (Persian)
[18]Ebrahimikhah M, Rezapur Shahkolai F, Hazavehei M, Moghimbeigi A. The effect of education on road traffic injury Prevention, among fourth and fifth-grade students in Hamadan city, using Health Belief Model [MSc, Thesis in Health Education]. Hamadan: Hamadan University of Medical Sciences, September; 2013. (Persian)
[19]Zendehtalab HR. [The effect of a program designed based on PRECEDE-PROCEED model on adolescents’ mental health and their parents’ participation]. Evidence Based Care.2012; 2(1): 45-54. (Persian)
[20]Sharifirad GH, Hezaveh SMM, Hassanzadeh A, Danesh-amouz A. [The effect of health education based on health belief model on preventive actions of smoking in grade one, middle school students]. Journal of Arak University Medical Sciences.2007; 10(1):79-86. (Persian)
[21]Hazavehei SMM, Shadzi S, Asgari T, Porabdian S, Hassanzadeh A. [The effect of safety education based on Health Belief Model (HBM) on the workers practice of Borujen industrial town in using the personal protection res-piratory equipments]. Iran Occupational Health.2008; 5(1&2):21-30. (Persian)
[22]Beranth C. The health belief model applied to glycemic control. The Diabetes Educator.1999; 21(1):321-9.
[23]Sharifirad Gh, Hazavehei SMM, Mohebi S, Rahimi MA, Hasanzadeh A. [The effect of educational program based on Health Belief Model (HBM) on the foot care by type II diabetic patients]. Iranian Journal of Endocrinology Metabolism.2006; 8(3):231-9. (Persian)
[24]Cheraghi P, Poorolajal J, Hazavehi SMM, Rezapur-Shahkolai F. Effect of educating mothers on injury prevention among children aged <5years using the Health Belief Model: a randomized controlled trial. Public Health.2014; 128(9):825-30.
[25]Aljasem LI, Peyrot M, Wissow L, Rubin RR. The impact of barriers and self-efficacy on self-care behaviors in type 2 diabetes. Diabetes Educ.2001; 27(3):393-404.
[26]Motalebi Ghaen M, Shojaiezadeh D, Adl J, Sanaei Nasab H, Tavakoli R. Health Belief Model based safety education on supervisions of a workshop constructing cement factory. European Journal of Scientific Research.2010; 47(4):662-7.
[27]Robinson-Whelen S, Bodenheimer C. Health practices of veterans with unilateral lower-limb loss: Identifying correlates. J Rehabil Res Dev.2004; 41(3):453-60.
[28]Polly RK. Diabetes health beliefs, self-care behaviors and glycemic control among older adults with noninsulin non-insulin-dependent diabetes mellitus. Diabetes Educ.1992; 18(4):321-7.
[29]Karimy M, Montazeri A, Araban M. [The effect of an educational program based on health belief model on th empowerment of rural women in prevention of brucellosis]. Journal of Arak University Medical Sciences.2012; 14(4):85-94. (Persian)
[30]Kinsler J, Sneed CD, Morisky DE, Ang A. Evaluation of a school-based intervention for HIV/AIDS prevention among Belizean adolescents. Health Educ Res.2004; 19(6):730-8.
[31]Rahimikian F, Mirmohamadali M, Mehran A, Aboozari Ghforoodi K, Salmaani Barough N. [Effect of education designed based on Health Belief Model on choosing delivery mode]. Hayat.2009; 14(3-4):25-32. (Persian)