Improvement of osteoporosis-related behaviors in female students based on trans theoretical model

The effect of educational intervention based on protection motivation theory in improving reproductive health protective behaviors: a quasi-experimental study

BACKGROUND

Reproductive health has broad implications for individuals, families, and society. This study aims to explore how an educational intervention, centered around PMT, can enhance reproductive health protective behaviors among female students.

METHODS

This quasi-experimental study was conducted on female students of Khomein University of Medical Sciences in Markazi Province, Iran, from December 2023 to August 2024. A random cluster sampling method was used for sampling, resulting in 51 female students being selected for the intervention group and 54 female students for the control group. The data collection tool was a researcher-developed questionnaire, which included demographic information and PMT constructs with confirmed validity and reliability. The educational intervention for the intervention group consisted of three one-hour sessions spaced one week apart, incorporating methods such as lectures, group discussions, Q&A sessions, brainstorming, role-playing exercises, as well as distribution of educational booklets. The collected data was then analyzed using various statistical methods including independent t-tests, t-tests, chi-square tests, simple linear regression, and multiple linear regression models.

RESULTS

After the intervention, the mean score for all constructs in the intervention group was higher than that of the control group, except for perceived cost. A statistically significant difference was noted in the mean scores of most constructs, such as perceived susceptibility, perceived severity, perceived self-efficacy, protection motivation, fear, and behavior, between the two groups being studied (p < 0.05).

CONCLUSION

The PMT-based educational intervention has proven to be effective in promoting reproductive health protective behaviors among female students. Given the significance of infertility issues and the value of preserving fertility in young women, it is recommended to implement PMT-based educational programs to safeguard women's reproductive health.

Educational intervention based on the Extended Parallel Process Model in promoting preventive behaviors of arteriosclerosis in female high-school students

BACKGROUND

Atherosclerosis can develop gradually from early life and remain asymptomatic for a long time; this research was conducted with the aim of determining the effect of educational intervention based on the Extended Parallel Process Model (EPPM) on the promotion of preventive behaviors of atherosclerosis in female students of a high school in Sabzevar city.

MATERIAL AND METHODS

This quasi-experimental study was conducted on female high-school students in Sabzevar city, northeastern Iran, from September 2021 to June 2022. In this study, 170 participants (85 people for the intervention group and 85 people for the control group) were selected using a multi-stage cluster random sampling approach. The tool used was a researcher-made questionnaire with three sections, whose validity and reliability were confirmed. The educational intervention was conducted offline and virtual in "Shad system" in three sessions for the intervention group by sending educational content designed with the methods of lectures, questions and answers, group discussions, sharing vicarious experiences, use of cues to action, and showing educational videos. Before the intervention and 2 months after the intervention, the questionnaire was completed by both intervention and control groups. The obtained data were analyzed by Stata software version 14.

RESULTS

After the educational intervention, there was a significant difference between the intervention and control groups in all the EPPM constructs. Self-efficacy, perceived response efficacy, and knowledge were the most potent predictors of behavior (P < 0.05).

CONCLUSION

This study showed that the educational intervention based on the EPPM is effective in promoting the preventive behaviors of arteriosclerosis in female students through improving knowledge, perceived susceptibility, perceived severity, perceived response efficacy, and self-efficacy constructs. It is suggested to pay serious attention to the self-efficacy construct in planning educational interventions based on fear and threat for adolescent girls.

Promoting dairy consumption behavior in the school setting: an experiment based on the transtheoretical model

BACKGROUND

Nutrition education is a key component of health promotion programs which leads to the improvement of students' nutritional behaviors. The transtheoretical model (TTM) is one of the models extensively used in changing people's behaviors. This study aimed to change the dairy consumption behavior based on the TTM in female students.

METHODS

A controlled trial was conducted with 159 female students (intervention group: 56; control group: 103) in the 10-11th grades from two public schools in Soumesara city located in the west of Gilan Province, Iran. Demographic characteristics, knowledge, TTM constructs and stage of change of dairy consumption were collected using a valid and reliable researcher-made questionnaire. Data were gathered before and one month after the educational intervention. Chi-square test, t-test and ANCOVA were used to analyze the data and a p-value < 0.05 was considered statistically significant.

RESULTS

Fifty-two students from the intervention and 93 from the control group completed the study. Only 15% of the students were in the action or maintenance stages of dairy consumption. After the intervention, mean scores of behavioral processes of change, cognitive processes of change, decisional balance, and self-efficacy improved in the intervention group (P < 0.05 for all). Also, 37% and 16% of the participants in the intervention and control groups, respectively, were in the action or maintenance phase (P < 0.001).

CONCLUSIONS

This study showed that implementing an intervention based on the TTM would positively affect students' dairy consumption behaviors. Also, it is suggested that the TTM be assessed in terms of other daily nutritional needs in students to promote their nutritional behaviors.

TRIAL REGISTRATION

The study was registered in the Iranian Registry of Clinical Trials (IRCT) (available online at https://en.irct.ir/trial/50003 ) on April 11, 2020 with the number IRCT20200718048132N1 and was approved by research ethics committee of Guilan University of Medical Sciences, Iran.

The effect of empowerment program to reduce Sugar Consumption based on the Multi-Theory Model on Body Mass Index and abdominal obesity in Iranian women

BACKGROUND

Considering the prevalence of overweight and abdominal obesity in middle-aged women, this study was conducted to determine the effect of empowerment program to reduce sugar consumption based on the Multi-Theory Model (MTM) on Body Mass Index (BMI) and abdominal obesity in women aged 30-60 in Joven.

METHODS

This quasi-experimental study (include descriptive and interventional sections) was conducted on the Joven city, Khorasan Razavi province, Iran country from October 2020 to August 2021. Sampling was performed as a multi-stage cluster. First, a descriptive study was performed among 400 women, and then 128 people who were eligible to enter the interventional phase of the study were selected. In the control group, 63 people and in the intervention group, 65 people were eligible to enter the study. The educational intervention was performed in five 60-minute sessions for groups of 12 people. The instruments included the demographic questionnaire, sugar consumption checklist and researcher-made questionnaire based on MTM constructs. Before the intervention, one, three and six months after the intervention, the questionnaire was completed by both intervention and control groups also measurement of waist circumference and BMI were performed using standard instruments. The obtained data were analyzed by SPSS 17.

RESULTS

After the educational intervention, there was a significant difference between the intervention and control groups in all the MTM constructs. Also, six months after the educational intervention, BMI, waist circumference and amount of consumption of sugary substances decreased significantly in the intervention group (p < 0.05).

CONCLUSION

Educational intervention based on the MTM can be effective in reducing the consumption of sugary substances and shaping behaviors related to healthy lifestyle in women.

The effect of educational intervention based on the self-efficacy theory of high school students in adopting preventive behaviors of COVID-19

BACKGROUND

The COVID-19 pandemic has become a major problem for education systems. This study was conducted to investigate the effect of educational intervention based on the self-efficacy theory of high-school students in adopting preventive behaviors of COVID-19.

MATERIAL AND METHODS

This quasi-experimental study was performed on Hazrat Zahra and Shahed high-school students in Jahrom (southern Iran) in 2021. In total, 160 students (80 each in the intervention group and the control group) were selected by multistage random sampling. Data collection tools included a demographic information questionnaire and self-efficacy in adopting preventive behaviors from COVID-19 researcher-made questionnaire. Questionnaires were completed by all participants before and 3 months after the educational intervention. The educational intervention was performed for 6 weeks by using an educational program based on Bandura self-efficacy theory. The intervention was performed during 12 sessions of face-to-face training in the classroom (two 1-h sessions per week), distributing educational packages and sending educational videos through cyberspace. Data were analyzed using Chi-square test, independent t test, paired t test, and linear regression.

RESULTS

After the educational intervention, a significant difference was observed in the intervention group before and after the educational intervention (P = 0.018) and between the intervention and the control groups (P = 0.001) in the self-efficacy in adopting preventive behaviors from COVID-19 score. Also, the average self-efficacy score of students increased with an increase in parental education level and a history of COVID-19 in family members.

CONCLUSION

Educational intervention based on self-efficacy theory was shown as an effective method to improve students' self-efficacy in adopting preventive behaviors from COVID-19.

Observation of the Effect of TTM-Based Health Information Behavior Combined with Continuous Nursing on Cognitive and Motor Function, Living Ability, and the Quality of Life of Cerebral Stroke Patients

Purpose

To discuss the effect of the transtheoretical model (TTM) of behavior-based health information behavior combined with continuous nursing on cognitive function, motor function, living ability, and quality of life of cerebral stroke (CS) patients.

Methods

540 cases of CS patients hospitalized in our hospital from June 2020 to June 2021 were selected. All the subjects were divided into the control group (270 cases) and study group (270 cases) according to the random number table. The control group was given routine nursing intervention and the study group was given TTM-based health information behavior combined with continuous nursing. The patients were paid a return visit 6 months after discharge, and their cognitive function, motor function, living ability, and quality of life were observed before and after intervention.

Results

After intervention, the Montreal cognitive assessment scale score, Fugl-Meyer assessment of motor function score, Barthel index score, and short health scale score of both groups were higher than before intervention, and the study group was higher than the control group (P < 0.05).

Conclusion

TTM-based health information behavior combined with continuous nursing has a significant positive impact on cognitive function, motor function, living ability, and quality of life of CS patients.

Prevalence of primary osteoporosis and low bone mass in postmenopausal women and related risk factors

BACKGROUND

Globally, 30% of female over 50 years old have osteoporosis. This disease is one of the major causes of disability and death in the elderly. This research was aimed to determine the prevalence of primary osteoporosis and low bone density based on bone mineral density in postmenopausal women and its sociodemographic, obstetric, and life style risk factors.

MATERIALS AND METHODS

This cross-sectional descriptive-analytical study was performed by simple random sampling on 850 postmenopausal women aged 50-65 years covered by all health centers, from August 2018 to April 2019, in Tabriz-Iran. Four hundred and forty-five eligible women underwent densitometry using dual-energy X-ray absorptiometry in the lumbar spine and femoral neck. Socio-individual, obstetric-medical, international physical activity questionnaires-short form, and anthropometric questionnaires were completed. Data analyzed using descriptive and analytical statistics including multivariate logistic regression in SPSS 21 software.

RESULTS

The prevalence of primary osteoporosis based on lumbar vertebra T-score, femoral neck T-score, and total was 23.4%, 3.4%, and 24.5%, respectively, and the prevalence of primary osteopenia based on lumbar vertebra T-score, femur neck T-score, and total was 42%, 35.5%, and 43.6%, respectively. The present study showed that the odds of osteoporosis increased by increment of age (odds ratio [OR]: 1.18; 95% confidence interval [CI]: 1.07-1.30), but it decreased by increasing menopausal age (OR: 0.92; 95% CI: 0.85-1.01), body mass index (OR: 0.87; 95% CI: 0.78-0.97), arm circumference (OR: 0.84; 95% CI: 0.74-0.95), and education level (P = 0.028). It was higher in unmarried women (OR: 2.65; 95% CI: 0.99-7.08) and those with nonpersonal housing (OR: 4.02; 95% CI: 1.24-13.07).

CONCLUSIONS

Given the high prevalence of primary osteoporosis and low bone mass in postmenopausal women, health education is necessary for preventing modifiable risk factors and reducing the complications of this disease.