Abdeyazdan Zahra, Moshgdar Hodayse, Golshiri Parastoo
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Student Research Committee of Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2017 May-Jun;22(3):248-252. doi: 10.4103/1735-9066.208163.
Nowadays, childhood obesity is a matter of significant concern because of its negative effects on personal health and harmful socioeconomic consequences. The purpose of the present study was to evaluate the effectiveness of lifestyle education based on the health belief model for mothers of obese and overweight school-age children on obesity-related behaviors.
In this quasi-experimental study, 64 obese and overweight elementary students and their mothers who met the inclusion criteria participated. The participants were randomly categorized into two groups (experimental and control). The experimental group received the considered interference, which consisted of four educational sessions based on the health belief model. Data collection tool was a standard questionnaire. The questionnaire filled by the participants during interviews conducted before, immediately after, and two months after the intervention. Data were analyzed using Mann-Whitney, Chi-square, student's -test, repeated-measures analysis of variance, and least significant difference tests.
Mean scores of obesity-related behavior before the intervention were not significantly different between the experimental and control group (53.41 (6.78). vs 54.72 (4.63); = 0.37), however, were different immediately after (58.41 (6.88) vs 54.81 (4.66); = 0.02) and two months after the intervention (62.34 (8.62) vs 55.84 (7.59); = 0.002).
This study indicated the effectiveness of lifestyle education based on the health belief model for improving obesity-related behaviors. Therefore, the use of this educational program is recommended for mothers.
如今，儿童肥胖因其对个人健康的负面影响和有害的社会经济后果而备受关注。本研究的目的是评估基于健康信念模型的生活方式教育对肥胖和超重学龄儿童母亲肥胖相关行为的有效性。
在这项准实验研究中，64名符合纳入标准的肥胖和超重小学生及其母亲参与其中。参与者被随机分为两组（实验组和对照组）。实验组接受了基于健康信念模型的四次教育课程组成的干预措施。数据收集工具是一份标准问卷。参与者在干预前、干预后立即以及干预后两个月的访谈中填写问卷。数据采用曼-惠特尼检验、卡方检验、学生t检验、重复测量方差分析和最小显著差异检验进行分析。
干预前，实验组和对照组肥胖相关行为的平均得分无显著差异（53.41（6.78）对54.72（4.63）；P = 0.37），然而，干预后立即有差异（58.41（6.88）对54.81（4.66）；P = 0.02），干预后两个月也有差异（62.34（8.62）对55.84（7.59）；P = 0.002）。
本研究表明基于健康信念模型的生活方式教育对改善肥胖相关行为有效。因此，建议为母亲们使用该教育项目。
