Health Belief Model Questionnaire Research Articles

IJCM_78A: Risk perception regarding Covid 19 and Hesitancy towards COVID 19 vaccine uptake among Health Science students in Mangalore

Background: Public perception regarding the disease and concerns regarding safety and reliability of the new COVID 19 vaccine is the determining factor for acceptance of the vaccine. Objectives: To assess the risk perception of the health science students towards COVID 19 and COVID 19 vaccination. Methodology: A total of 701 health science students from Kasturba Medical College, Mangalore and Manipal College of Dental Sciences, Mangalore were included in this cross-sectional study. Institutional Ethics Committee permission was obtained prior to the commencement of the study. Risk perception towards COVID 19 and COVID 19 vaccination was assessed using Health belief model questionnaire. Data was analysed using IBM SPSS for windows version 25.0, Armonk, New York, 25.0. Results: Among the total participants, a higher proportion (57.6%) of the participants had a strong belief that COVID 19 can cause serious infection and 75.1% had strong belief that COVID 19 vaccine could provide protection against infection. Majority, 62% of the participants had received the 1st dose of vaccine, however, 37.6% had hesitancy. Conclusion: A lower percentage of the study participants had hesitancy towards COVID 19 vaccine. Major reasons for hesitancy were fear of side effects, history of allergic reactions, concern about safety and efficacy of the vaccine.

Explaining the Performance of Nurses in Order to Prevent Nosocomial Infections in Urmia City Hospitals: Application of the Health Belief Model

Background Nosocomial infections (NIs) are one of the medical, social, and economic problems in developing countries and can be prevented. Studying the etiology of NI is one of the most essential activities for designing prevention programs. The purpose of this study was to explain the constructs of the health belief model (HBM) regarding nurses' compliance with standard precautions for the prevention of NI in Urmia hospitals. Methods This cross-sectional study was conducted on 224 nurses of Urmia hospitals who were selected by employing the multi-stage method. The data collection tool was a questionnaire containing demographic characteristics, an HBM questionnaire associated with the prevention of NI, and questions related to the observance of nurses in the field of standard precautions to prevent NI. Data were analyzed using descriptive and inferential statistical methods in SPSS software version 22. Results The results of this study showed the average performance score of nurses in relation to adopting preventive behaviors against NI (71.97 ± 11.08) as acceptable. Also, the results of the study showed that among the constructs of the HBM, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cue to action, and self-efficacy are the most important predictors of adopting preventive behaviors against NI with a variance of 52% among the nurses. Conclusion According to the results of this study, the constructs of self-efficacy, perceived barriers, cue to action, perceived benefits, and perceived intensity are, respectively, the strongest predictors of compliance with standard precautions to prevent hospital infections. Therefore, the results of this study can be useful for health service providers in planning and designing interventions, and determining appropriate strategies for the prevention and control of NI.

Relationship between Health Belief Model constructs and smoking behavior among school-age adolescents in Indonesia: A cross-sectional study

Background: Programs aimed at altering health risk behavior in adolescents have frequently been a priority for the health department in Indonesia. However, these efforts have not yielded optimal results thus far. The Health Belief Model (HBM) is considered a dependable indicator for predicting health-risk behavior. Objective: This study sought to establish the relationship between the constructs of the Health Belief Model (HBM) – namely, perceived susceptibility to health-related issues due to smoking, perceived barriers to non-smoking, perceived benefits of non-smoking, perceived self-efficacy to non-smoking, and cues to action for non-smoking – and smoking behavior among adolescents of school age. Methods: The study employed a cross-sectional design, examining smoking behavior in 171 school-age adolescents in Indonesia. This was done using an online Indonesian Smoking Behavior Questionnaire and a validated Indonesia Health Belief Model Questionnaire that measures the five domains of HBM. The Chi-square test was utilized to explore associations among different variables. Results: Adolescents with an average age of 16.04 years (ranging from 12 to 17 years) reported a 5.8% incidence of smoking in the past 30 days. Significantly, there was a relationship between perceived susceptibility (p = 0.002), barriers to quitting smoking (p <0.001), cues to action (p = 0.019), and smoking behavior in adolescents. Conclusion: The study provides valuable insights into how the Health Belief Model is linked to the involvement of adolescents in health risk behavior, particularly smoking. This information is crucial for the development of health education tailored to adolescents of school age.

Evaluating Determinants of Food Hygiene Behavior Based on Health Belief Model in Health Workers of Urmia Health Center

Background: Observance of food hygiene is considered an important principle to prevent humans from contracting diseases and also to protect the environment from contamination. Health workers are on the front line forces of the health system. Therefore, promoting the health of health workers has an important role in promoting community health. The aim of this study is to investigate the determinants of food hygiene based on the Health Belief Model (HBM) in health workers in Urmia. Methods: In this descriptive-analytical study, 300 health workers in rural health centers of Urmia city were selected and entered into the study by census method based on inclusion criteria. Data collection tools included 3 parts: demographic characteristics, knowledge questionnaire, attitude and behavior, and health belief model questionnaire. Data were collected and analyzed using interviews. Results: The mean age of the workers was 36.76±7.61 year. The attitude and behavior of observing food hygiene had a statistically significant relationship with work experience, knowledge, attitude, gender, marital status, and level of education (P<0.05). Based on linear regression test, in all studied constructs, 30% of the variance of food hygiene behavior was explained. The predictive power of perceived efficiency was higher than other constructs (β=0.45). Conclusion: In designing educational interventions, the variables of self-efficacy, perceived benefits, perceived susceptibility, and perceived sensitivity should be emphasized as the most important predictors of food hygiene behaviors in health workers.

Effect of Health Education on COVID-19 Preventive Behaviors in Oil Industry Workers: An Application of Health Belief Model

Background: Recently, the pandemic of coronavirus disease 2019 (COVID-19) is a new emerging universal challenge in infectious epidemic disease management. Even today, with access to vaccines, the most effective intervention is behavioral intervention, and as new types emerge, it continues to be significant. The goal of the present study was to promote preventive behaviors during the coronavirus pandemic among oil factory workers using the health belief model (HBM). Methods: A total of 138 onshore shift workers (69 control and 69 case group) were randomly chosen from the two sites of oil fields in southern Iran. Data collection tools were demographic characteristics questionnaire, COVID-19 knowledge questionnaire, HBM questionnaire, and prevention behaviors questionnaire. The Whatsapp application was used to educate the intervention group. Workers completed questionnaires at baseline, after the intervention, and three months after the educational program. Data analyses were done using SPSS software, version 24. Results: Except for knowledge and cues to action, there were significant interactions between time and group for HBM constructs and behavior (P≤0.05). Furthermore, there were significant changes in all variables between follow-up and baseline in the intervention group (P≤0.05). The linear regression indicated that the perceived benefit (ß=0.48, P=0.001) and self-efficacy (ß=0.40, P=0.001) were the most effective factors in preventive behavior, respectively. Conclusion: The results showed that efficient education based on the HBM and emphasizing enhancing knowledge and preventive behavior adoption can prevent individuals from developing COVID-19 and its complications. Considering that the perceived benefits and self-efficacy were the strongest predictor of behavior, attention to these constructs in educational interventions, especially among oil factory shift workers studied, who are at risk of COVID-19 and without enough knowledge, can provide better outcomes related to COVID-19 preventive behaviors.

PUBLIC PERCEPTION IN IMPLEMENTING HEALTH PROTOCOLS AS PRECAUTION AGAINST COVID-19 ON HEALTH BELIEF MODEL THEORY

Various efforts have been made to prevent Covid-19, but they have not made us utterly free from Covid-19 and can live normally again as before the pandemic. An integrated model is needed to improve public health behavior in preventing Covid-19 through increasing public awareness, health services, and appropriate legal regulations. Concurrent embedded mixed methods analysis was used, where quantitative and qualitative data were taken simultaneously and then analyzed to conclude. The Quantitative data measuring public health behavior is based on a health belief model questionnaire with a sample of 235 people. Qualitative data measuring health services and legal regulations were conducted using structured interview techniques with nine respondents as heads of Health service and sub-district leaders in Batubara Regency, selected by purposive sampling based on urban and rural areas. Correlation analysis between variables obtained correlation results with a weak relationship (r = 0.21-0.40), namely perceptions of vulnerability, severity, self-ability, instructions for action, and knowledge. Meanwhile, the perception of benefits and barriers has a moderate correlation (r=0.41-0.60). The results of multivariate correlation showed only four variables that have a correlation, namely perceptions of obstacles, benefits, instructions for action, and knowledge. Health services through preventive, promotive, and curative measures are classified as good, but the application of legal regulations still needs to be improved, so the results are not optimal. Efforts to improve legal regulations must consistently increase public awareness in preventing Covid-19 in Batubara Regency.

Effect of educational intervention based on health belief model on nurses’ compliance with standard precautions in preventing needle stick injuries

BackgroundThe increasing prevalence of needle stick injuries among nurses and the arising risks double the need to pay attention to improve their knowledge and change their behavior using effective educational models. The present study aimed to investigate the effect of educational intervention based on the health belief model on nurses’ compliance with standard precautions in preventing needle stick injuries.MethodsThis quasi-experimental study was conducted on 110 nurses working in medical training centers in Shiraz and Fasa in 2019. Subjects were selected using a simple sampling method and were randomly divided into two interventions (n = 55) and control (n = 55). The intervention included 7 sessions of 50–55 min. Before and 3 months after the intervention, the health belief model questionnaire was completed by both groups. The data were analyzed using SPSS software version 22 through chi-square, independent, and paired t-tests (P < 0.05).ResultsBased on independent and paired t-tests, there was no significant difference between the control and intervention groups regarding the mean score of health belief model constructs before the intervention. However, there was a significant difference regarding the mentioned scores 3 months after the educational intervention. Based on the paired t-test, the mean score of awareness, perceived sensitivity, perceived severity, perceived benefits, self-efficacy, cues to action, and behavioral performance in the intervention group significantly increased after the educational intervention (P < 0.05). Also, there was a significant decrease in perceived barriers (P < 0.05).ConclusionIt is recommended to apply the proposed model as an effective and cost-effective method along with other methods in training programs for nurses and other health workers exposed to invasive procedures, contaminated blood, and secretions.

Application of Health Belief Model: demographic factors affecting body mass index (BMI) and perceptions of weight management among Malaysians

Abstract Objectives The previous studies underlined the need for specified educational intervention programs to prevent overweight and obesity problems among Malaysians. Therefore, in this context, this study aimed to explore the demographic factors that are associated with BMI and perceptions of body weight management among Malaysians by utilizing the Health Belief Model (HBM). The findings of the study will help in developing effective interventions and provide more specific recommendations on weight management in health education programs to ensure the well-being of the people. Methods A questionnaire-based cross-sectional study was conducted to study the demographical factors and perception of body weight management by the self-administered Health Belief Model Questionnaire (HBMQ). The data were collected using the HBMQ via Google Form link which was promoted on social media platforms to reach out to the public from all over the 13 states in Malaysia. Key findings Out of 440 respondents, 44 (10.0%) were obese, 92 (20.90%) were overweight, 60 (13.60%) were underweight and 244 (55.50%) had normal weight. Significant associations were observed between body mass index (BMI) and demographic characteristics such as age range, gender, education level, marital status, employment status, intention to reduce weight, and health issues (P &amp;lt; 0.05). A statistically significant difference was observed between HBM subscales and different demographic characteristics. The regression model explained ~8.3% of the variance in BMI (P &amp;lt; 0.001) and revealed that perceived severity and behavioural intention were the significant variables to predict a person’s BMI. Conclusion The findings in this study conclude that Malaysians with different demographic characteristics have different perceptions on obesity and weight reduction behaviours.

The Effect of Health Belief Model-based Education on Empowering Cardiovascular Patients for Medication Adherence

Background: Medication adherence is one of the most significant factors in optimally controlling cardiovascular disease. Objectives: The aim of this study was to determine the effect of Health Belief Model (HBM)-based education on medication adherence of cardiovascular patients. Methods: In this quasi-experimental study, participants were 45 patients discharged from CCU ward of Ali Ibn Abitalib Hospital in 2020, Rafsanjan, Iran. Participants allocated into intervention or control group by simple randomization. For five weeks, the intervention group received weekly medication adherence educational package using a mobile phone application, through the WhatsApp messenger. The control group received routine care. Data collected using demographic questionnaire and Morisky Drug Adherence scale as well as the researcher-made HBM questionnaire, before and three months after the intervention. The data were analyzed by descriptive and inferential statistics and independent samples t-test, chi-square test and repeated measures ANOVA. Results: The drug adherence scores of the patients in the intervention group (6.63 ± 1.71) significantly increased than control group (5.29 ± 1.85) three months later (P = 0.006). Moreover, the mean score of the components of the HBM included perceived benefits, perceived self-efficacy and perceived barriers were significantly increased in the intervention group (P &lt; 0.001) Conclusions: Health Belief Model-based education through WhatsApp Messenger promote the drug adherence of cardiovascular patients, through improving self-efficacy, improving the understanding of the benefits as well as reducing perceived barriers. Therefore, utilizing this method may be a practical solution toward enhancing the drug adherence of cardiovascular patients.

The relationship between physical activity and diabetes in middle-aged and elderly people.

To investigate the association between diabetes symptoms and physical activity (PA) levels among middle-aged and older Chinese adults. Data for this study were obtained from 2018 Charles data. Z test, logistic regression analysis, and linear hierarchical regression analysis were performed in 5352 individuals aged ≥50 years with complete information. In terms of diabetes, 6.8% of the middle-aged and elderly people with diabetes were detected, and 93.2% of the middle-aged and elderly people without diabetes symptoms. The proportion of middle-aged and elderly people with high PA levels was 50.5%, and the proportion of middle-aged and elderly people with low PA was 49.5%. There was a significant positive correlation between low PA and diabetes (P < .05). After adjusting demographic characteristics (gender, registered permanent residence type, education level, age, widowhood) and health status characteristics (poor mood, asthma, hyperlipidemia, disability, memory disease, self-assessment of health status, hypertension, smoking, stroke, depression), there was still a statistical significance between PA level and diabetes (P < .05). The risk of diabetes of middle-aged and elderly people in China increases with age, while the risk of diabetes of middle-aged and elderly people with low level of PA is higher. The risk of diabetes is high among middle-aged and elderly people who are old, have poor self-evaluation health, suffer from hyperlipidemia, memory disease, and asthma. The middle-aged and old people should increase their PA levels to prevent and improve diabetes.

Determination of Factors Influencing the Health Belief Model (HBM) and Adherence to Intravitreal Anti-vascular Endothelial Growth Factor (VEGF) Among Patients With Diabetic Macular Edema (DME).

Background Diabetic macular edema (DME) isbecoming one of the leading causes of blindness worldwide with a significant impact on quality of life.The effectiveness of intravitreal (IVT) anti-vascular endothelial growth factor (VEGF) therapy has been established byclinical trials and has become the treatment of choice in the majority of DME patients in reducing macular edema and improving visual acuity. Frequent drop-out and discontinuation of treatment are major issues. Lack of compliance can lead to worsening outcomes and be a burden to patients and the healthcare system. Purpose The purpose of this study is to assess multiple factors that affect adherence to IVT anti-VEGF treatment among patients with DME, including socioeconomic causes and the Health Belief Model(HBM) domains, in addition to exploring the relationship between them. Methods This cross-sectional study was conducted among DME patients in Hospital Canselor Tuanku Muhriz, Kuala Lumpur, Malaysia, from December 2020 to June 2021.We identified eligible patients using a retrospective chart review of clinical findings and optical coherence tomography (OCT)findings. Included subjects were of Malaysian nationality, aged 18 years and above, who were initiated or re-initiated IVT anti-VEGF treatment regime and on follow-up for at least six months from initial injection from January 2019 onwards. A translated and validated self-administered questionnaire was given to the respondents. Data were analyzed using IBM SPSS Statistics for Windows, Version 26.0 (Released 2019; IBM Corp., Armonk, New York, United States).Demographics of the patient were summarized using descriptive statistics, independent sample t-test was used to compare the difference in components of the HBM questionnaire. Linear regression was further used to explore the relationship between patients' demographics and the HBM component. Results A total of 141 patients participated in this study, of whom56.2% patients were adherent to treatment. The majority were aged 60 years and above (56.7%), male (52.5%), Malay (38.9%), and married (71.6%). There was a significant statistical difference in patients who were adherent to treatment, in terms of life entourage (p=0.004, Fisher Exact test). HBM domains that influenced adherence to treatment included perceived severity, perceived barriers, perceived benefits, cues to action, and self-efficacy (p<0.05, independent sample t-test).Further, multiple logistic regression tests on sociodemographic factors and HBM domains after eliminating confounding factors narrowed down the significant variables to perceived susceptibility (p= 0.023), perceived benefits (p< 0.001), and self-efficacy (p< 0.001). Conclusion Patients' adherence to IVT anti-VEGF is influenced by perceived susceptibility to complications from DME, perceived benefits to the treatment, and self-efficacy.

Validity and Reliability of the Health Belief Questionnaire Model for Mental Health Behavior COVID-19 Survivor

Background: Research using the Health Belief Model (HBM) is expected to be able to determine a determinant model of mental health behavior for Covid-19 survivors. The focus of HBM is Health Promotion at the individual level by looking at the protective and risk factors that are responsible for a person’s behavioral resistance. Until now there is no instrument that measures individual attitudes and beliefs based on the HBM for the mental health behavior of Covid-19 Survivors. Method: To assess the validity and reliability of the Health Belief Model Questionnaire for Mental Health Behavior for COVID-19 Survivors. This study is an observational study with a cross sectional approach that presents the results of the validity and reliability of the Health Belief Model Questionnaire instrument for Mental Health Behavior for COVID-19 Survivors. The questionnaire was compiled as many as 16 statement items based on a literature review. The questionnaire consists of Perceptions of Seriousness, Perceptions of Vulnerability, Perceptions of Benefits, Perceptions of Barriers with 4 question items each. The sample size is 64 people. The validity test uses the Pearson Product Moment Correlation formula with a coefficient value of 0.3, while the reliability test uses internal consistency with Cronbach’s Alpha with a coefficient value of 0.7. Results: The results of the descriptive analysis showed that the average age of Covid survivors was 18-40 years (78.1%), female (79.7%), undergraduate education level (75%), affected in wave II (54.7%) ). The results of the validity test of the 16 items contained 1 invalid item (perception of barriers), while the reliability test showed that of the 15 valid items the results were all reliable. Conclusion: Overall, the HBM questionnaire is valid and reliable to measure mental health behavior in COVID-19 survivors.

Translation, cross-cultural adaptation and validation of the Health Belief Model Questionnaire (HBMQ) for weight management behaviour for use in a Southeast Asian country

Abstract Objectives In the past 50 years, obesity and being overweight have become significant health concerns that cause a rise in the risk of illness, impairing quality of life and increasing financial burdens worldwide. The purpose of the study is to conduct translation and cross-cultural adaptation of a Health Belief Model Questionnaire (HBMQ) for weight management behaviour into the Malay language and to validate the questionnaire. Methods The HBMQ was adapted and translated into the Malay language based on published international guidelines. The content validity and the face validity were analysed by a panel of 10 experts. A pilot test was conducted with 35 students from Universiti Sains Malaysia to evaluate internal consistency. A cross-sectional study was carried out by distributing the self-administered HBMQ to the general public in Malaysia and 505 subjects were successfully recruited. The construct validity was evaluated by exploratory factor analysis. The first 112 participants completed the survey again one week later for the evaluation of test-retest reliability. Key findings In total, 79 questions had an item-level content validity index (I-CVI) score of &amp;gt;0.80 and have been evaluated as excellent inferring acceptable content validity. The remaining seven items in the instrument had an I-CVI score &amp;lt; 0.80 and were removed based on the experts’ consensus. The item-level face validity index value for each item range was between 0.8 and 1.0, indicating a satisfactory level of face validity. For construct validity, eight factors were requested and 74 items had a significant to strong factor loading of &amp;gt;0.4. The rotation of items showed five items had factor loadings &amp;lt;0.4 (item numbers 14, 57, 77, 78 and 79) and have been removed. Conclusions The findings in this study conclude that the translated Health Belief Model-Malay version has adequate content validity, face validity, construct validity and reliability.

Animated educational video using health belief model on the knowledge of anemia prevention among female adolescents: An intervention study.

As the younger female generation, female adolescents should understand anaemia prevention. This study examined the effects of animated educational videos on the knowledge of anaemia prevention among female adolescents using the Health Belief Model (HBM). A quasi-experimental method with a randomised pre-test and post-test control group design was applied. Animated educational videos about anaemia prevention were used as the intervention. One hundred sixty-one female adolescents were recruited through multistage random sampling and divided into intervention (n=78) and control (n=83) groups. The intervention group received education via animated educational videos. The HBM questionnaire was used to measure the nine HBM indicators (r=0.8); the item categories were valid and reliable. Descriptive analyses, independent t-tests and repeated-measures ANOVA were used to analyse the data. The animated educational videos played thrice significantly increased the knowledge of the intervention group (mean score: pre-test, 94; post-test one, 99; post-test two, 102). The scores for anaemia examination barriers (P=0.001), anaemia susceptibility (P=0.001), anaemia severity (P=0.001), anaemia prevention benefits (P=0.001), anaemia examination benefits (P=0.001), self-efficacy for obtaining iron tablets (P=0.001), self-recognition of anaemia signs and symptoms (P=0.001), signs of anaemia prevention (P=0.001) and health motivation (P=0.001) significantly changed. Meanwhile, the knowledge of the control group did not significantly increase (pre-test, 93; post-test one, 94; post-test two, 97). The intervention group had significantly higher mean scores in both the first and second measurements than the control group (P=0.05). Animated educational videos significantly increased the knowledge of anaemia prevention, including the nine HBM indicators.

Perception of Health Workers on Preventing COVID-19 Transmission Behavior based on Work Area and Exposure

Coronavirus disease 2019 (COVID-19) emerged at the end of 2019 and spread worldwide, becoming a pandemic on March 11, 2020. Agents, hosts, and the environment influence disease transmission. Perception influences healthy behavior in preventing disease transmission. This study aims to determine differences in the perception of health care workers (HCWs) on COVID-19 prevention behavior based on the area of work and exposure. This study is a cross-sectional study with a survey method using the health belief model questionnaire with research subjects who were HCWs on duty during the COVID-19 pandemic from May to July 2021 in Dr. Hasan Sadikin General Hospital. Statistical tests used were chi-square and Kruskal-Walis tests. From 346 subjects, it was found that the perception of susceptibility and self-efficacy of HCW in the yellow and red zones was higher than in the green zone (p=0.002). In comparison, the perception of barriers in the yellow zone was higher than in the red area (p=0.014). Health care workers had relatively similar mean scores in terms of knowledge (median 7 of 9), perceived benefits (median 27 of 30), cues to action (median 20 of 20), and perceived severity (median 19 of 30). Based on the history of exposure, the parameter of cues to the action of HCWs exposed to COVID-19 was better than those never exposed (p=0.009). HCW of Dr. Hasan Sadikin General Hospital has good knowledge and perception of the prevention of COVID-19. Differences in the perception of HCW between the work area and exposure history require more targeted and specific educational interventions and actions.

Factors related to parents\u2019 adherence to childhood immunization

BackgroundImmunizations protect children from deadly infectious diseases. Yet, there is still insufficient understanding of the factors associated with parents’ non-adherence to immunizations in contexts outside of Western countries. The aim of this study is twofold: (a) to investigate non-adherence to immunizations for children aged 6 months to 6 years in Saudi Arabia based on the number of immunizations missing or delayed by more than one month; and (b) to examine the underlying factors that predict the extent of non-adherence based on the Health Belief Model framework.MethodsA cross-sectional study was carried out in 22 randomly selected primary health care centers. Structured interviews were also conducted to collect data using the modified Health Belief Model questionnaire. Multiple regression analysis was used to assess the predictors of the extent of non-adherence.ResultsBased on data from 220 participants, 51.8% of parents did not adhere with childhood immunizations. There was no significant relationship between parents’ sociodemographic characteristics and the extent of their hesitancy about children’s immunizations. The linear combination of perception of infectious disease severity, perception of their children’s susceptibility, perception of immunization benefits, perception of fewer barriers to obtaining immunizations, cues to action related to immunizations, and self-efficacy predicted the extent of non-adherence to immunizations (F (11.220) = 2.595, p < 0.001) and explained 12% of its variance. Yet, only perceived children’s susceptibility, perceived barriers, and self-efficacy independently predicted parents’ non-adherence.ConclusionSaudi Arabia’s high proportion of non-adherence to childhood immunizations should be addressed. For instance, a health education program could be developed to increase parents’ awareness that their children are susceptible to health risks. Paying a special attention to existing barriers in accessing and receiving the immunizations is crucial. In addition, building parents’ self-efficacy, which is confident in making healthy decisions, such as keeping their children’s immunizations up to date, is important.

An educational intervention using the health belief model for improvement of oral health behavior in grade-schoolers: a randomized controlled trial

BackgroundOral health problems especially dental caries are common in school children, and education programs may help to prevent these conditions. The aim of current study was to examine the effects of an educational program based on a Health Belief Model (HBM) to improve oral health behaviors of elementary school children.MethodsA total of 112 children ages 6–12 years old accompanied by one of their parents were randomly assigned to intervention/test and control groups. In the intervention group, five consecutive weekly educational sessions based on the HBM were provided, while the control group received only routine education delivered by the dental clinic. The Decayed, Missing, and Filled Teeth (DMFT) score, papillary bleeding index, and responses to the HBM questionnaire were assessed in the intervention and control groups at baseline and three-month follow-up after the intervention was completed. Within-group and between-group differences were examined using the Student’s t-test and analysis of covariance.ResultsAll HBM domains were improved at follow-up in the intervention group compared to the control group (p < 0.001). The largest change was in perceived susceptibility, whereas the smallest changes were in perceived severity and perceived benefits. The papillary bleeding index demonstrated a significant change from baseline to follow-up in the intervention group (reduction of 0.7, 95% CI = − 0.9 to − 0.5). All components of the DMFT score except missing teeth also improved in the intervention group compared to controls. However, no significant difference was found in total DMFT score between intervention and control groups.ConclusionAn education program based on HBM may be more effective than current methods used to educate children and their parents on optimal oral health behaviors. Administration of interventions of this type along with other school-based programs to prevent dental caries may be helpful in grade-school children.

The Effect of Education Based on the Health Belief Model on the Promotion of Sanitary Wastewater Disposal Behavior

The Effect of Education Based on the Health Belief Model on the Promotion of Sanitary Wastewater Disposal Behavior

The Effect of Educational Intervention Based on Health Belief Model on Blood Pressure Control in Patients With Hypertension Referring to the Clinic of Shariati Hospital in Isfahan 2017-2018

Background and Objectives Hypertension is the most important risk factor for death and Cardiovascular diseases (CVDs). Blood was referred to the clinic of Shariati Hospital in Isfahan in 2017-2018. Methods Hypertension is the most important risk factor for death and CVDs. Blood was referred to the clinic of Shariati Hospital in Isfahan in 2017-2018 The present study was a clinical trial with a pre-test and post-test design with a control group. 90 patients with hypertension referred to the internal clinic of Shariati Hospital were randomly divided into two groups of 45 people (control and intervention). The intervention group, training based on health belief model and the control group performed routine training. Data collection tools included a health belief model questionnaire, a pamphlet and an educational booklet that was presented to each member of the individual education intervention group in two sessions two months apart. In the second visit, blood pressure of all patients was taken by the student and questionnaires were completed by the patients after the intervention. Results The results showed that there was a statistically significant difference between the mean of the main indicators of sensitivity, severity, benefits and barriers in the intervention and control groups before and after the intervention (P&lt;0.05). Conclusion It seems that the health model is effective in controlling blood pressure in patients with hypertension.

Predicting preventive behaviors of cardiovascular disease among oil industry workers based on health belief model.

Working conditions play a significant role in the process that causes cardiovascular disease. In this regard, it is required to monitor the health conditions of workers to design proper interventions to encourage healthy behaviors. This investigation was performed to determine preventive behaviors against cardiovascular disease based on the health belief model (HBM). This research was a cross-sectional and descriptive study with 228 subjects of oil industry workers under shift work schedules in the oil regions of Khuzestan, Iran. The HBM questionnaire provided the theoretical framework for this study. Participants completed the questionnaires in person at work. Data were analyzed using SPSS 24.0. Descriptive statistics including frequencies, percentages, and means, and linear regression analysis were calculated for variables. Findings of the study showed that most workers were of a weak level of knowledge (55.3%), self-efficacy (82.5%), perceived severity (83.8%), perceived susceptibility (75.4%), perceived benefit (57.5%), and behavior (82.5%). Furthermore, results showed that most of the workers considered smoking (3.51 out of 5) and proper diet for good heart function (2.54 out of 5). In this study, the item of exercise was the lowest among all the preventive behaviors (1.39 out of 5). Self-efficacy was the strongest predictor of health belief about cardiovascular disease. To decrease the increasing burden of cardiovascular disease in our population, and fight against this rank-one killer, multiple useful prevention strategies must be adopted. Educational theory-based interventions and applying designed programs to improve the adoption of preventive behaviors are a necessity.