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教育干预对年轻人骨质疏松症知识、健康信念、自我效能、膳食钙和维生素D摄入量的影响

Educational Intervention Impact on Osteoporosis Knowledge, Health Beliefs, Self-Efficacy, Dietary Calcium, and Vitamin D Intakes in Young Adults.

作者信息

Evenson Alexa L, Sanders Gregory F

机构信息

Alexa L. Evenson, PhD, RD, The College of Saint Benedict/Saint John's University, St. Joseph, MN. Gregory F. Sanders, PhD, North Dakota State University, Fargo, ND.

出版信息

Orthop Nurs. 2016 Jan-Feb;35(1):30-6; quiz 37-8. doi: 10.1097/NOR.0000000000000211.

Abstract

BACKGROUND

Successful prevention of osteoporosis begins early in life. Adequate intake of calcium and vitamin D plays a role in this prevention along with knowledge, health beliefs, and self-efficacy related to preventive dietary behaviors.

PURPOSE

The purpose of this theory-based study was to examine young adults' knowledge of osteoporosis, health beliefs, self-efficacy, dietary calcium, and vitamin D intakes as measures of preventive behaviors.

METHODS

A pre-/posttest design was used to determine knowledge, health beliefs, and self-efficacy. A convenience sample of young adults (n = 153) was obtained at a Midwestern college. Participants completed pre- and postquestionnaires that included an osteoporosis knowledge test, health belief scale, self-efficacy scale, and 3-day food records.

RESULTS

Health beliefs were a significant predictor of dietary calcium intake and vitamin D intake. Both interventions increased osteoporosis knowledge and health beliefs but not self-efficacy. No differences were found between genders. Both interventions did not significantly alter dietary behavior; however, average dietary calcium intake met current recommendations.

CONCLUSION

Either educational method could be implemented in courses or community education to increase knowledge and health beliefs.

摘要

背景

成功预防骨质疏松症始于生命早期。充足的钙和维生素D摄入以及与预防性饮食行为相关的知识、健康信念和自我效能在这种预防中发挥作用。

目的

这项基于理论的研究旨在考察年轻人对骨质疏松症的知识、健康信念、自我效能、膳食钙和维生素D摄入量,以此作为预防行为的衡量指标。

方法

采用前测/后测设计来确定知识、健康信念和自我效能。在一所中西部大学获取了一个年轻成年人的便利样本(n = 153)。参与者完成了前后问卷,其中包括骨质疏松症知识测试、健康信念量表、自我效能量表和3天食物记录。

结果

健康信念是膳食钙摄入量和维生素D摄入量的重要预测因素。两种干预措施都增加了骨质疏松症知识和健康信念,但没有提高自我效能。未发现性别差异。两种干预措施均未显著改变饮食行为;然而,平均膳食钙摄入量符合当前建议。

结论

可以在课程或社区教育中实施这两种教育方法,以增加知识和健康信念。

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