Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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The Effect of an Educational Intervention on Health Literacy and the Adoption of Nutritional Preventive Behaviors Related to Osteoporosis Among Iranian Health Volunteers

  • Dehghankar, Leila (Department of Nursing, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, School of Nursing and Midwifery, Qazvin University of Medical Sciences) ;
  • Panahi, Rahman (Department of Health Education and Promotion, School of Medical Sciences, Tarbiat Modares University) ;
  • Hasannia, Elham (Student Research Committee, School of Nursing and Midwifery, Qazvin University of Medical Sciences) ;
  • Hemmati, Fatemeh (Student Research Committee, School of Nursing and Midwifery, Qazvin University of Medical Sciences) ;
  • Siboni, Fatemeh Samiei (Department of Nursing, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, School of Nursing and Midwifery, Qazvin University of Medical Sciences)
  • Received : 2021.04.06
  • Accepted : 2021.09.15
  • Published : 2021.11.30
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Abstract

Objectives: Given the increase in osteoporosis among health volunteers and the effect of health literacy on the adoption of nutritional preventive behaviors, this study aimed to determine the effects of an educational intervention on health literacy and the adoption of nutritional preventive behaviors related to osteoporosis among health volunteers. Methods: This was a quasi-experimental, interventional study of health volunteers conducted in 2020. In this study, 140 subjects (70 in both intervention and control groups) were selected using the random multi-stage sampling method. An educational intervention was conducted using the Telegram application, and educational messages were sent to the health volunteers in the intervention group across 6 sessions. Data were collected via a demographic questionnaire, the Health Literacy for Iranian Adults survey, and a nutritional performance questionnaire, which were completed before and 3 months after the intervention. The data were collected and analyzed using SPSS version 23. Results: Before the intervention, there were no significant differences in the mean scores for health literacy variables and the adoption of nutritional preventive behaviors between the intervention and control groups (p>0.05). After the intervention, there was a significant change in the mean scores for health literacy and the adoption of preventive behaviors in the intervention group (p<0.05) as opposed to the control group. Conclusions: Interventions aimed at increasing health literacy are effective for promoting the adoption of preventive and healthy nutritional behaviors related to osteoporosis.

Keywords

Acknowledgement

The officials at Qazvin Health Centers and all of the health volunteers, especially Mis Sedighe Jamali, who helped us in this study, are sincerely thanked and appreciated.

References

  1. Sharifi N, Majlessi F. Self-empowerment of female students in prevention of osteoporosis. Glob J Health Sci 2016;9(2):7. https://doi.org/10.5539/gjhs.v9n2p7
  2. Ghaffari M, Tavassoli E, Esmaillzadeh A, Hassanzadeh A. Effect of Health Belief Model based intervention on promoting nutritional behaviors about osteoporosis prevention among students of female middle schools in Isfahan, Iran. J Educ Health Promot 2012;1:14. https://doi.org/10.4103/2277-9531.98572
  3. Amini A, Tavousi M, Niknami S. The impact of an educational intervention on nutritional preventive behaviors in osteoporosis among adolescent girls. Payesh 2014;13(5):609-619 (Persian).
  4. Etehadnezhad S, Moradi Z, Kashfi M, Khani-jeihooni A. Predictors of osteoporosis preventive behaviors among women: an application of the transtheoretical model. J Educ Community Health 2018;5(3):48-56 (Persian). https://doi.org/10.21859/jech.5.3.48
  5. Malekzadeh J, Fararooei M. Preventing of osteoporosis: applying the health belief model. Adv Nurs Midwifery 2015;24(87):15-22 (Persian).
  6. Yekeh Falah L, Vaezi A, Pazokian M, Yekefallah F, Samieefard F. Study of lifestyle and preventive behaviors of osteoporosis among adolescents in Qazvin. J Shahid Sadoughi Univ Med Sci Health Serv 2012;20(3):259-268 (Persian).
  7. Mousaviasl S, Alijani Renani H, Gheibizadeh M, Saki Malehi A. The effect of education based on the health belief model on osteoporosis prevention behaviors in female high school students. Jundishapur J Chronic Dis Care 2016;5(4):e34852.
  8. Shobeiri F, Hesami E, Khodakarami B, Soltanian A. Effect of counseling on preventive behaviors of osteoporosis in women referred to health centers in Hamedan, Iran in 2015. J Educ Community Health 2015;2(3):51-57 (Persian). https://doi.org/10.20286/jech-02037
  9. Forouzi MA, Haghdoost AA, Saidzadeh Z, Mohamadalizadeh S. Study of knowledge and attitude of Rafsanjanian female teachers toward prevention of osteoporosis. J Birjand Univ Med Sci 2009;16(1):71-78 (Persian).
  10. Moghimi J, Safaei Z, Behnam B, Ghorbani R. Knowledge towards prevention of osteoporosis in adolescent girls: effect of educational program. Middle East J Rehabil Health Stud 2017;4(1):e41622.
  11. Ebadi Fard Azar F, Solhi M, Zohoor AR, Ali Hosseini M. The effect of health belief model on promoting preventive behaviors of osteoporosis among rural women of Malayer. J Inflamm Dis 2012;16(2):58-64 (Persian).
  12. Yekefallah L, Dehghankar L, Aliakbari M, Mafi M. Lifestyle and preventive behaviors of osteoporosis among women of reproductive age in Qazvin-Iran: a cross sectional study. Soc Health Behav 2019;2(2):70-75. https://doi.org/10.4103/SHB.SHB_50_18
  13. Panahi R, Dehghankar L, Hosseini N, Hasania E. Factors related to adoption of osteoporosis preventive behaviors among females' high school students; a case study of Qazvin City. J Educ Community Health 2020;7(2):105-112 (Persian). https://doi.org/10.29252/jech.7.2.105
  14. Bayat B, Mohebbi B, Tol A, Sadeghi R, Yekaninejad MS. Quality of life predictors among health volunteers in south Tehran health centers. SJSPH 2018;15(4):377-388 (Persian).
  15. Jorvand R, Karami B, Panahi R. The effect of healthy nutrition education on the behavior of health volunteers in Ilam Province in terms of consuming fast food. J Health Field 2020;8(2):10-16 (Persian).
  16. Khorsandi M, Shamsi M, Jahani F. The survey of practice about prevention of osteoporosis based on health belief model in pregnant women in Arak city. J Rafsanjan Univ Med Sci 2013;12(1):35-46 (Persian).
  17. Panahi R, Kazemi SS. Health literacy: an effective component in prevention of osteoporosis in women. Int J Musculoskelet Pain Prev 2018;3(3):69-71.
  18. Panahi R, Ramezankhani A, Tavousi M, Osmani F, Ghazanfari E, Niknami S. Evaluation of health literacy and its influencing factors on dormitory students of Shahid Beheshti University of Medical Sciences in Tehran. J Educ Community Health 2016;3(3):30-36 (Persian). https://doi.org/10.21859/jech-03035
  19. Smith BJ, Tang KC, Nutbeam D. WHO health promotion glossary: new terms. Health Promot Int 2006;21(4):340-345. https://doi.org/10.1093/heapro/dal033
  20. Ghazavi-Khorasgani Z, Ashrafi-Rizi H, Mokarian F, Afshar M. Health information seeking behavior of female breast cancer patients. J Educ Health Promot 2018;7:138.
  21. Ghanbari S, Majlessi F, Ghaffari M, Mahmoodi Majdabadi M. Evaluation of health literacy of pregnant women in urban health centers of Shahid Beheshti Medical University. Daneshvar Med 2020;19(6):1-12 (Persian).
  22. Peyman N, Abdollahi M. The relationship between health literacy and self-efficacy physical activity in postpartum women. J Health Lit 2016;1(1):5-12 (Persian).
  23. Panahi R, Yekefallah L, Shafaei M, Dehghankar L, Anbari M, Hosseini N, et al. Effect of health literacy among students on the adoption of osteoporosis-preventive behaviors in Iran. J Educ Health Promot 2020;9:191. https://doi.org/10.4103/jehp.jehp_400_19
  24. Akbarinejad F, Soleymani MR, Shahrzadi L. The relationship between media literacy and health literacy among pregnant women in health centers of Isfahan. J Educ Health Promot 2017;6:17. https://doi.org/10.4103/2277-9531.204749
  25. Panahi R, Ramezankhani A, Tavousi M, Niknami S. Adding health literacy to the health belief model: effectiveness of an educational intervention on smoking preventive behaviors among university students. Iran Red Crescent Med J 2018;20(2):e13773.
  26. Montazeri A, Tavousi M, Rakhshani F, Azin S, Jahangiri K, Ebadi M, et al. Health literacy for Iranian adults (HELIA): development and psychometric properties. Payesh 2014;13(5):589-600 (Persian).
  27. Jeihooni AK, Hidarnia A, Kaveh MH, Hajizadeh E, Askari A. The effect of an educational program based on health belief model on preventing osteoporosis in women. Int J Prev Med 2015;6:115. https://doi.org/10.4103/2008-7802.170429
  28. Khani Jeihooni A, Hidarnia AR, Kaveh MH, Hajizadeh E, Gholami T. Survey of osteoporosis preventive behaviors among women in Fasa: the application of the health belief model and social cognitive theory. Iran South Med J 2016;19(1):48-62 (Persian).
  29. Panahi R, Ramezankhani A, Tavousi M, Osmani F, Karami A, Niknami S. Effect of educational intervention on health literacy and adoption of smoking preventive behaviors among university students. J Educ Community Health 2018;5(2):26-35 (Persian). https://doi.org/10.21859/jech.5.2.26
  30. Ebrahimpour F, Azimian J, Hasandoost F, Rafiei H, Pelarak F. Effect of an educational program on level of health literacy among health care workers. Int J Novel Res Healthc Nurs 2016;3(2):220-224.
  31. Zhuang R, Xiang Y, Han T, Yang GA, Zhang Y. Cell phone-based health education messaging improves health literacy. Afr Health Sci 2016;16(1):311-318. https://doi.org/10.4314/ahs.v16i1.41
  32. Hosking SM, Brennan-Olsen SL, Beauchamp A, Buchbinder R, Williams LJ, Pasco JA. Health literacy and uptake of anti-fracture medications in a population-based sample of Australian women. Res Social Adm Pharm 2018;14(9):846-850. https://doi.org/10.1016/j.sapharm.2018.05.002