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TB 2022, 21(1): 14-27 |
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Jalili Z, Hosseini Z S, Shojaei Zade D. The Application of the Theory of Planned Behavior in Preventing Osteoporosis in Women Referring to Comprehensive Health Service Center in Tehran City, 2019-2020. TB 2022; 21 (1) :14-27
URL: http://tbj.ssu.ac.ir/article-1-3194-en.html
URL: http://tbj.ssu.ac.ir/article-1-3194-en.html
Factually of Medical sciences and Technologies, Islamic Azad university, science and research Branche of Tehran, Tehran, Iran. , Zahra.jalili@gmail.com
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The Application of the Theory of Planned Behavior in Preventing Osteoporosis in Women Referring to Comprehensive Health Service Center in Tehran City, 2019-2020
Zahra Jalili(P.hD.)1, Zeinab Sadat Hosseini(M.Sc.)2, Davod Shojaei Zade(P.hD.)3
1.Corresponding Author:Associated Professor, Factually of Medical sciences and Technologies, Islamic Azad university, science and research Branche of Tehran, Tehran, Iran.
Email: Zahra.jalili@gmail.com Tel:09128114882
2.M.Sc., Student of health education and promotion, Factually of Medical sciences and Technologies, Islamic Azad university, science and research Branche of Tehran, Tehran, Iran.
3.Professor, Factually of Medical sciences and Technologies, Islamic Azad university, science and research Branche of Tehran, Tehran, Iran.
Abstract
Introduction: Osteoporosis is one of the most common metabolic bone diseases. Given most health problems are closely related to human behavior, theories and patterns of behavior are used to prevent health problems. All constructs of the theory of planned behavior (TPB) are belief-based, examining different factors. Therefore, the present study aims to investigate the application of the TPB in the prevention of osteoporosis in women referring to comprehensive health service centers in Tehran in 2019-2020.
Methods: This quasi-experimental interventional study was conducted in 2019on 80 women aged 18-29 years referring to Tehran comprehensive health service centers. The participants were divided into two groups of control (40 people) and intervention (40 people). The data were collected before and one month after the intervention using demographic questionnaires and the TPB constructs. The data were analyzed by SPSS software version 22 using descriptive and analytical statistics.
Results: The results showed that there was a significant difference in the mean scores of attitude, abstract norm, behavioral intention, and behavior of the intervention group after the educational intervention compared to the control group (p <0.05). However, the mean score of perceived behavior control was not significantly different before and after the intervention (P = 0.15).
Conclusion: Based on the results of this study, the educational intervention of this theory can be used as a suitable theoretical framework for designing and implementing interventions for the prevention of osteoporosis.
Keywords: Women, Osteoporosis, Planned behavior
Reference
1-Hasan Zade J, Nasimi B, Ranjbar Omrani Gh H, et al. Comparing women with osteoporosis to healthy ones. Iranian Journal of endocrine glands and metabolism. Shahid Beheshti University of Medical Sciences and Health Services. 2012; 14(3): 234-40.
2-Askari M, Lotfi MH, Olya MB, Fallah Zade H, Mohammadi M. Studying risk factors of osteoporosis: a case study. Medical Journal of Sabzevar University of Medical Sciences. 2019; 25(6): 853-63.
3-Razavi SN, Rahnavard Z, Farahaninia M, Malehi Saki A. Investigation of the Effect of Health Education Based on Health Belief Model on Nutritional Self-Efficacy in Prevention of Osteoporosis in Adolescent Females. IJNR.2017;11(6):54-60
4-Rastgou F, Vasli P, Rouhani K, Amini AR. Awareness, belief, and prevention of osteoporosis among adolescent girls in Ghouchan, Iran. Quarterly journal of nursing, midwifery, and paramedical. 2017; 3(1).
5-Mehrabian F, Valipour R, Kasmaei P, Atrkar Rohan Z, Mahdavi Roshan M. The effect of education based on BASNEF model on promoting of nutritional behavior to prevent iron deficiency anemia . J Holist Nurs Midwifery.2016;26(1) :89-98.
6-Hollister MC, Marion G Anema MG. Health behavior models and oral health: A Review. J DentHyg.2004;78(3):100-120.
7-Ajzen I. The theory of planned behaviour. Organ Behav Hum Decis Process.1991;50(1):179- 211.
8-Saffari M, Shojaeizadeh D, Ghofranipour F, et al. Theories, models and methods of health education and health promotion. 2019.
9-Shojaei Zade D, Sadeghi R, Tarahi M J, et al. Using the health belief model on prevention of osteoporosis among health staff working at Khorram Abad medical centers". Journal of research on the health system. June and July.2012; 8(2).
10-Alemi A, Moshki M, Alimadani A. Designing and studying reliability and validity of a questionnaire concerning the theory of a planned behavior for exclusive breastfeeding. Journal of Neishabour University of Medical Sciences. Autumn.2014; 2(4).
11-Ebadi Fard Azar F, Solhi M, Zohour AR, Ali Husseini M. The effect of health belief model on preventive behaviors of osteoporosis among rural women in Malayer, Iran. Scientific journal of Qazvin University of Medical Sciences. Summer.2012; 16(2).
12-Oon F. "A comparative study on the effect of health belief based-educational intervention in the presence and absence of mothers on the promotion of preventive nutrition behaviors of osteoporosis among first-grade high school girl students in Boroujerd, Iran 2016. Atefe, Peik Chi (Master's thesis).2003.
13-Aziz Zade Forouzi M, Haq Doust AA, Saeid Zade Z, Mohammad Alizade S. Studying knowledge and attitude of female teachers in Rafsanjan on prevention of osteoporosis (2006). Scientific journal of Birjand University of Medical Sciences. 2009; 16(1).
14-Pakyar N, Pashaeypoor S, Poortaghi S, KazemNezhad A. Measuring knowledge and prevention behaviors of osteoporosis among middle-aged patients referring to Kermanshah health centers: Application of planned pattern of behavior. IJNR.2019;13(6):23-30.
15-Ahmadi Tabatabaei S, Thaghdisi M, Nakhaeei N, Balali F.Effect of educational Intervention based on the Theory of planned Behavior on the physical activities of kerman Heahth centers staff920080. Jornal of Babol university of medical sciences.2010.
16-Gheysvandi E, Eftekhar ardebili H, Azam K, Vafa MR, et al . Effect of an educational intervention based on the theory of planned behavior on milk and dairy products consumption by girl-pupils . 2015; 13(2):45-54.
17-Hoseini Soorand A, Miri MR, Sharifzadeh G. Effect of curriculum based on theory of planned behavior, on components of theory in patients with hypertension. J Birjand Univ Med Sci. 2015; 22 (3) :199-208 URL: http://journal.bums.ac.ir/article-1-1778-en.html .
18-Ferreira G, Pereira MG, physical activity: The importance of the extended Theory of planned behavior, in Type 2 diabetes patients. J Health Psychol 2017.
19-Godin G, Kok G. The theory of planned behavior: a review of its applications to health-related behaviors. Am J Health Promot.1996;11(2):87-98.
20-Barati M, Niknami S, Hidarnia A, Allahverdipour H. Predictors of Tobacco Smoking in Male Adolescents in Hamadan Based on the Theory of Planned Behavior. J Educ Commun Health. 2014;1(3):28-37.
21-Jalili Z,Talaei A, Shojaeizadeh D. The effect of educational program based on the theory of planned behavior in smoking prevention in students. Nursing Research.2019;14(2):24-30. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=546775.
22-Shakerinejad Gh, Hidarnia A, Motlagh MT, et al. Improving oral contraceptive pill continuation: application of the Theory of Planned Behavior. Payesh.2013;12(4):375-83.
23-Hazavehei Smm, Asadi Z, Hassanzadeh A, Shekarchizadeh P. Comparing the effect of Two methods of presenting physical education course on the atitudes practices of femal students towards regular physical activity in Isfahan university of medical sciences. Iranian Journal of medical Education.2008.
24-Bashirian S, Barati M, Mohammadi Y, Mostafaei H. Factors associated with hookah use among male high school students: the role of demographic characteristics and hookah user and non-user prototypes. Journal of research in health sciences.2016;16(4):217-23.
25-Yazdanpanah M, Hayati D, Hochrainer-Stigler S, Zamani GH. Understanding farmers' intention and behavior regarding water conservation in the Middle-East and North Africa: a case study in Iran. J Environ Manage. 2014;135:63-72.
26-Karimy M, Niknami S, Heidarnia A, Hajizadeh I. Assessment of knowledge, health belief and patterns of cigarette smoking among adolescents. J Fasa Univ Med Sci. 2011;1(3):142-8.
27-Van De Ven MO, Engels RC, Otten R, Van Den Eijnden RJ. A longitudinal test of the theory of planned behavior predicting smoking onset among asthmatic and nonasthmatic adolescents. J Behav Med. 2007;30(5):435-45.
28-Habibi EA, Sharifirad GhR, Fardzarei K, Hasanzadeh A. Analysis of unsafe behavior pre-post educational intervention. Quarterly of Iranian Occupational Health.2009; 5(3,4): 52-59.
29-Taghdisi MH, Madadzadeh N, Shadzi Sh, Hassanzadeh A. Effects of Education Interventions on the Coke workers'Immune Performances on Baznef Model Basis at Isfahan Melting Factory, 2005. Journal of Ilam University of Medical Science.2008; 16(3): 1-10.
30-Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Evaluation of Educational Programs Based on the Theory of Planned Behavior on Employees’ Safety Behaviors. J Mazandaran Univ Med Sci. 2013; 22 (97) :166-177.URL: http://jmums.mazums.ac.ir/article-1-1775-fa.html.
31-Anderson KD,Chad KE, Spink KS.osteoporosis Knowledge beliefs, and practices among adolescent females, J Adolesc Health.2005.
32-Shafieinia M, Hidarnia AR, Kazemnejad A, Rajabi R. Effect of a theory basedon intervention on physical activity among Femal Employees:A Quaci Exprimental study, Asian Journal of sports Medicine.2016.
33-Soleymanha M, Salari A, Dashti K. Osteoporosis Knowledge, Attitude and Performance in over 45 Years Old Women. IJN. 2014; 27(90, 91) :120-130.
34-Jeihooni AK, Hidarnia A, Kaveh MH, Hajizadeh E, Askari A. Application of the health belief model and social cognitive theory for osteoporosis prevention nutritional behaviors in a sample of Iranian women.Iran J Nurs midwifery Res.2016.
35-Majlesi F, Hanifeh A, Tol A.Assessing the effect of educational intervention based on Baznef model on physical activity of femal university stsdents. Rafsanjan J univ med sci. 2014.
36-Jafari M, Shahidi S, Abedin A. Comparing the effectiveness of Cognitive Behavioral Therapy and Stages of Change Model on improving abstinence self-efficacy in Iranian substance dependent adolescents. Iran J Psychiatry Behav Sci.2012;6(2):7.
37-Fathi Y, Moeini B, Bazvand A, Barati M, Roshanaei G. The Effectiveness of Educational Program Based on Theory of Planned Behavior on Preventing and Decreasing Tobacco Smoking Among Post-secondary Students. J Educ Commun Health.2017;3(2):54-61.
38-Witte K, Nezhad A, Heidarnia A, Allahverdipour H, Shafiee F, Fallah P. Applying fear appeals theory for preventing drug abuse among male high school students in Tehran. Sci J Hamadan Univ Med Sci. 2006;13(3):43-50.
Zahra Jalili(P.hD.)1, Zeinab Sadat Hosseini(M.Sc.)2, Davod Shojaei Zade(P.hD.)3
1.Corresponding Author:Associated Professor, Factually of Medical sciences and Technologies, Islamic Azad university, science and research Branche of Tehran, Tehran, Iran.
Email: Zahra.jalili@gmail.com Tel:09128114882
2.M.Sc., Student of health education and promotion, Factually of Medical sciences and Technologies, Islamic Azad university, science and research Branche of Tehran, Tehran, Iran.
3.Professor, Factually of Medical sciences and Technologies, Islamic Azad university, science and research Branche of Tehran, Tehran, Iran.
Abstract
Introduction: Osteoporosis is one of the most common metabolic bone diseases. Given most health problems are closely related to human behavior, theories and patterns of behavior are used to prevent health problems. All constructs of the theory of planned behavior (TPB) are belief-based, examining different factors. Therefore, the present study aims to investigate the application of the TPB in the prevention of osteoporosis in women referring to comprehensive health service centers in Tehran in 2019-2020.
Methods: This quasi-experimental interventional study was conducted in 2019on 80 women aged 18-29 years referring to Tehran comprehensive health service centers. The participants were divided into two groups of control (40 people) and intervention (40 people). The data were collected before and one month after the intervention using demographic questionnaires and the TPB constructs. The data were analyzed by SPSS software version 22 using descriptive and analytical statistics.
Results: The results showed that there was a significant difference in the mean scores of attitude, abstract norm, behavioral intention, and behavior of the intervention group after the educational intervention compared to the control group (p <0.05). However, the mean score of perceived behavior control was not significantly different before and after the intervention (P = 0.15).
Conclusion: Based on the results of this study, the educational intervention of this theory can be used as a suitable theoretical framework for designing and implementing interventions for the prevention of osteoporosis.
Keywords: Women, Osteoporosis, Planned behavior
Reference
1-Hasan Zade J, Nasimi B, Ranjbar Omrani Gh H, et al. Comparing women with osteoporosis to healthy ones. Iranian Journal of endocrine glands and metabolism. Shahid Beheshti University of Medical Sciences and Health Services. 2012; 14(3): 234-40.
2-Askari M, Lotfi MH, Olya MB, Fallah Zade H, Mohammadi M. Studying risk factors of osteoporosis: a case study. Medical Journal of Sabzevar University of Medical Sciences. 2019; 25(6): 853-63.
3-Razavi SN, Rahnavard Z, Farahaninia M, Malehi Saki A. Investigation of the Effect of Health Education Based on Health Belief Model on Nutritional Self-Efficacy in Prevention of Osteoporosis in Adolescent Females. IJNR.2017;11(6):54-60
4-Rastgou F, Vasli P, Rouhani K, Amini AR. Awareness, belief, and prevention of osteoporosis among adolescent girls in Ghouchan, Iran. Quarterly journal of nursing, midwifery, and paramedical. 2017; 3(1).
5-Mehrabian F, Valipour R, Kasmaei P, Atrkar Rohan Z, Mahdavi Roshan M. The effect of education based on BASNEF model on promoting of nutritional behavior to prevent iron deficiency anemia . J Holist Nurs Midwifery.2016;26(1) :89-98.
6-Hollister MC, Marion G Anema MG. Health behavior models and oral health: A Review. J DentHyg.2004;78(3):100-120.
7-Ajzen I. The theory of planned behaviour. Organ Behav Hum Decis Process.1991;50(1):179- 211.
8-Saffari M, Shojaeizadeh D, Ghofranipour F, et al. Theories, models and methods of health education and health promotion. 2019.
9-Shojaei Zade D, Sadeghi R, Tarahi M J, et al. Using the health belief model on prevention of osteoporosis among health staff working at Khorram Abad medical centers". Journal of research on the health system. June and July.2012; 8(2).
10-Alemi A, Moshki M, Alimadani A. Designing and studying reliability and validity of a questionnaire concerning the theory of a planned behavior for exclusive breastfeeding. Journal of Neishabour University of Medical Sciences. Autumn.2014; 2(4).
11-Ebadi Fard Azar F, Solhi M, Zohour AR, Ali Husseini M. The effect of health belief model on preventive behaviors of osteoporosis among rural women in Malayer, Iran. Scientific journal of Qazvin University of Medical Sciences. Summer.2012; 16(2).
12-Oon F. "A comparative study on the effect of health belief based-educational intervention in the presence and absence of mothers on the promotion of preventive nutrition behaviors of osteoporosis among first-grade high school girl students in Boroujerd, Iran 2016. Atefe, Peik Chi (Master's thesis).2003.
13-Aziz Zade Forouzi M, Haq Doust AA, Saeid Zade Z, Mohammad Alizade S. Studying knowledge and attitude of female teachers in Rafsanjan on prevention of osteoporosis (2006). Scientific journal of Birjand University of Medical Sciences. 2009; 16(1).
14-Pakyar N, Pashaeypoor S, Poortaghi S, KazemNezhad A. Measuring knowledge and prevention behaviors of osteoporosis among middle-aged patients referring to Kermanshah health centers: Application of planned pattern of behavior. IJNR.2019;13(6):23-30.
15-Ahmadi Tabatabaei S, Thaghdisi M, Nakhaeei N, Balali F.Effect of educational Intervention based on the Theory of planned Behavior on the physical activities of kerman Heahth centers staff920080. Jornal of Babol university of medical sciences.2010.
16-Gheysvandi E, Eftekhar ardebili H, Azam K, Vafa MR, et al . Effect of an educational intervention based on the theory of planned behavior on milk and dairy products consumption by girl-pupils . 2015; 13(2):45-54.
17-Hoseini Soorand A, Miri MR, Sharifzadeh G. Effect of curriculum based on theory of planned behavior, on components of theory in patients with hypertension. J Birjand Univ Med Sci. 2015; 22 (3) :199-208 URL: http://journal.bums.ac.ir/article-1-1778-en.html .
18-Ferreira G, Pereira MG, physical activity: The importance of the extended Theory of planned behavior, in Type 2 diabetes patients. J Health Psychol 2017.
19-Godin G, Kok G. The theory of planned behavior: a review of its applications to health-related behaviors. Am J Health Promot.1996;11(2):87-98.
20-Barati M, Niknami S, Hidarnia A, Allahverdipour H. Predictors of Tobacco Smoking in Male Adolescents in Hamadan Based on the Theory of Planned Behavior. J Educ Commun Health. 2014;1(3):28-37.
21-Jalili Z,Talaei A, Shojaeizadeh D. The effect of educational program based on the theory of planned behavior in smoking prevention in students. Nursing Research.2019;14(2):24-30. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=546775.
22-Shakerinejad Gh, Hidarnia A, Motlagh MT, et al. Improving oral contraceptive pill continuation: application of the Theory of Planned Behavior. Payesh.2013;12(4):375-83.
23-Hazavehei Smm, Asadi Z, Hassanzadeh A, Shekarchizadeh P. Comparing the effect of Two methods of presenting physical education course on the atitudes practices of femal students towards regular physical activity in Isfahan university of medical sciences. Iranian Journal of medical Education.2008.
24-Bashirian S, Barati M, Mohammadi Y, Mostafaei H. Factors associated with hookah use among male high school students: the role of demographic characteristics and hookah user and non-user prototypes. Journal of research in health sciences.2016;16(4):217-23.
25-Yazdanpanah M, Hayati D, Hochrainer-Stigler S, Zamani GH. Understanding farmers' intention and behavior regarding water conservation in the Middle-East and North Africa: a case study in Iran. J Environ Manage. 2014;135:63-72.
26-Karimy M, Niknami S, Heidarnia A, Hajizadeh I. Assessment of knowledge, health belief and patterns of cigarette smoking among adolescents. J Fasa Univ Med Sci. 2011;1(3):142-8.
27-Van De Ven MO, Engels RC, Otten R, Van Den Eijnden RJ. A longitudinal test of the theory of planned behavior predicting smoking onset among asthmatic and nonasthmatic adolescents. J Behav Med. 2007;30(5):435-45.
28-Habibi EA, Sharifirad GhR, Fardzarei K, Hasanzadeh A. Analysis of unsafe behavior pre-post educational intervention. Quarterly of Iranian Occupational Health.2009; 5(3,4): 52-59.
29-Taghdisi MH, Madadzadeh N, Shadzi Sh, Hassanzadeh A. Effects of Education Interventions on the Coke workers'Immune Performances on Baznef Model Basis at Isfahan Melting Factory, 2005. Journal of Ilam University of Medical Science.2008; 16(3): 1-10.
30-Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Evaluation of Educational Programs Based on the Theory of Planned Behavior on Employees’ Safety Behaviors. J Mazandaran Univ Med Sci. 2013; 22 (97) :166-177.URL: http://jmums.mazums.ac.ir/article-1-1775-fa.html.
31-Anderson KD,Chad KE, Spink KS.osteoporosis Knowledge beliefs, and practices among adolescent females, J Adolesc Health.2005.
32-Shafieinia M, Hidarnia AR, Kazemnejad A, Rajabi R. Effect of a theory basedon intervention on physical activity among Femal Employees:A Quaci Exprimental study, Asian Journal of sports Medicine.2016.
33-Soleymanha M, Salari A, Dashti K. Osteoporosis Knowledge, Attitude and Performance in over 45 Years Old Women. IJN. 2014; 27(90, 91) :120-130.
34-Jeihooni AK, Hidarnia A, Kaveh MH, Hajizadeh E, Askari A. Application of the health belief model and social cognitive theory for osteoporosis prevention nutritional behaviors in a sample of Iranian women.Iran J Nurs midwifery Res.2016.
35-Majlesi F, Hanifeh A, Tol A.Assessing the effect of educational intervention based on Baznef model on physical activity of femal university stsdents. Rafsanjan J univ med sci. 2014.
36-Jafari M, Shahidi S, Abedin A. Comparing the effectiveness of Cognitive Behavioral Therapy and Stages of Change Model on improving abstinence self-efficacy in Iranian substance dependent adolescents. Iran J Psychiatry Behav Sci.2012;6(2):7.
37-Fathi Y, Moeini B, Bazvand A, Barati M, Roshanaei G. The Effectiveness of Educational Program Based on Theory of Planned Behavior on Preventing and Decreasing Tobacco Smoking Among Post-secondary Students. J Educ Commun Health.2017;3(2):54-61.
38-Witte K, Nezhad A, Heidarnia A, Allahverdipour H, Shafiee F, Fallah P. Applying fear appeals theory for preventing drug abuse among male high school students in Tehran. Sci J Hamadan Univ Med Sci. 2006;13(3):43-50.
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Received: 2021/03/18 | Accepted: 2021/07/4 | Published: 2022/05/31
Received: 2021/03/18 | Accepted: 2021/07/4 | Published: 2022/05/31
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