Nasirzadeh Mostafa, Kaveh Fatemeh, Sayadi Ahmad Reza, Asadpour Mohammad
Department of Health Education and Health Promotion, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Department of Health Education and Health Promotion, School of Health, Student Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
J Educ Health Promot. 2021 Oct 29;10:369. doi: 10.4103/jehp.jehp_1256_20. eCollection 2021.
Human brucellosis can be a source of problems that affect public health, social, and economic well-being of the world's population. This study was conducted with the aim of determining the effect of Educational Intervention (EI) based on Health Belief Model (HBM) on preventive behaviors against brucellosis in Health Volunteers (HVs) in Rafsanjan.
Randomly, 104 HVs, in the intervention and control group, participated in a quasi-randomized, controlled experimental study. Variables were evaluated before and 1 month after intervention. In the intervention group, the educational program was conducted with lecture, group discussion, showing movies and related photos, booklets, and pamphlets. The program included five 45-min sessions that developed regarding the beliefs and constructs of HBM about brucellosis and its prevention methods. Data regarding HBM constructs and preventive behavior were collected using the questionnaire with 100 items by the self-report method. Finally, the data were entered into the SPSS software version 16.0, and statistical tests such as Chi-square, independent and paired -test, Mann-Whitney, and Wilcoxon test were used for the data analysis at the significant level of 0.05.
Prior to the intervention, the mean score of the HBM constructs and preventive behaviors between the two groups did not differ significantly, but 1 month later, in the intervention group increased significantly compared to the control group ( < 0.05).
We recommend to health authorities and health-care providers to use HBM in EIs to create susceptibility, increase perceived severity and benefits, promote self-efficacy, uses cue to action, as well as reduce behavioral barriers, and ultimately adopt health-promoting behaviors.
人类布鲁氏菌病可能引发一系列问题,影响全球人口的公共卫生、社会和经济福祉。本研究旨在确定基于健康信念模型(HBM)的教育干预(EI)对拉夫桑詹健康志愿者(HV)预防布鲁氏菌病行为的影响。
随机选取104名健康志愿者,分为干预组和对照组,参与一项半随机对照实验研究。在干预前和干预后1个月对变量进行评估。干预组通过讲座、小组讨论、播放电影及相关照片、发放手册和传单等方式开展教育项目。该项目包括五个45分钟的课程,围绕健康信念模型中关于布鲁氏菌病及其预防方法的信念和构成要素展开。采用包含100个条目的问卷,通过自我报告法收集有关健康信念模型构成要素和预防行为的数据。最后,将数据录入SPSS 16.0软件,使用卡方检验、独立样本和配对t检验、曼-惠特尼检验和威尔科克森检验等统计方法进行数据分析,显著性水平设定为0.05。
干预前,两组在健康信念模型构成要素和预防行为方面得分的均值无显著差异,但1个月后,干预组得分相比对照组显著提高(P<0.05)。
我们建议卫生当局和医疗服务提供者在教育干预中运用健康信念模型,以增强易感性、提高感知严重性和益处、提升自我效能、利用行动线索,并减少行为障碍,最终促使人们采取促进健康的行为。