Volume 2, Issue 2 (Summer 2015)                   J Educ Community Health 2015, 2(2): 47-55 | Back to browse issues page

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Mohammadi S, Ghofranipour F, Gholami-Fesharaki M. The Effect of Osteoporosis Prevention Education on Knowledge, Attitude and Behavior of Adolescent Female Students in Kermanshah, Iran. J Educ Community Health. 2015; 2 (2) :47-55
URL: http://jech.umsha.ac.ir/article-1-74-en.html
1- Department of Health Education, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2- Department of Health Education, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran , ghofranf@modares.ac.ir
3- Department of Biostatistics, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Abstract:   (8259 Views)

Background and Objectives: Osteoporosis is a common metabolic bone disorder among females. Primary prevention is the easiest and cheapest way to deal with this condition. Therefore, it is important to educate about osteoporosis risk factors and preventive behaviors during adolescence. This study aimed to evaluate the effect of osteoporosis prevention education on knowledge, attitude and practice of adolescent female students in Kermanshah, Iran.

Materials and Methods: We performed this quasi-experimental research in 118 adolescent female students in Kermanshah in 2014. The participants were selected with multistage cluster sampling form guidance schools of the city. They were allocated randomly to intervention (n=53) and control (n=65) groups. We collected data by a four-part questionnaire including demographic information, knowledge, attitude and behavior about osteoporosis prevention. Data were analyzed in SPSS 19 using independent t-test, paired t-test, chi-squared and Pearson’s correlation.

Results: The mean scores of knowledge, attitude and practice displayed no significant difference between case and control groups at pre-intervention (P>0.05). However, the averages of knowledge (P=0.024) and attitude (P=0.003) increased significantly in the training group after performing the educational program. Although, the behavior mean had no significant difference between the two groups at post-intervention (P= 0.086).

Conclusions: Educating about osteoporosis prevention led to promote the knowledge and attitude of adolescent female students in Kermanshah. However, this training had no influence on behavior. It is necessary to consider this problem in designing educational interventions in this target group. 

Persian Full-Text [PDF 216 kb]   (1963 Downloads)    
Type of Study: Research Article | Subject: Self-care of Chronic Diseases
Received: 2015/02/18 | Accepted: 2015/09/11

1. Hazavehei SM, Taghdisi MH, Saidi M. Application of the Health Belief Model for osteoporosis prevention among middle school girl students, Garmsar, Iran. Educ Health.2007; 20(1):23.
2. Alexandraki KI, Syriou V, Ziakas PD, Apostolopoulos NV, Alexandrakis AI, Piperi C, and et al. The knowledge of osteoporosis risk factors in a Greek female population. Maturitas.2008; 59(1):38-45.
3. Chan MF, Kwong WS, Zang YL, Wan PY. Evaluation of an osteoporosis prevention education programme for young adults. J AdvNurs.2007; 57(3):270-85.
4. Ström O, Borgström F, Kanis JA, Compston J, Cooper C, McCloskey EV, et al. Osteoporosis: burden, health care provision and opportunities in the EU. Archives of Osteoporosis.2011;6(1):59-155
5. Werner P, Olchovsky D, Shemi G, Vered I. Osteoporosis health-related behaviors in secular and orthodox Israeli Jewish women. Maturitas.2003; 46(4):283-94.
6. Larijani B. [Osteoporosis: diagnosis and treatment]. 1thed. Tehran: Tehran University Metabolic Center publication; 2004. pp:11. (Persian)
7. DehghanMoshaee F, Naimee S, Malekan M. Assessment level of knowledge, attitude and performance of womens of osteoporosis. J Med Sci.2003; 1(1): 23-30.
8. Ghaffari M, Niazi S, Ramezankhani A, Soori H. [Knowledge of female students of kalaleh city about osteoporosis, calcium intake and physical activity: an unacceptable status]. Iran J Nutr Sci Food Technol.2013; 7(5):319-27. (Persian)
9. Rahnavard Z, Zolfaghari M, Kazemnejad A, Zarei L.[Lifestyle of girls adolescents in relation to the prevention of osteoporosis]. HAYAT. 2006: 12(2):53-61. (Persian)
10. Javaid MK. Prenatal and childhood influences on osteoporosis. Clin Endocrinol Metab. 2002;16(2):349-67.
11. Lesan S, Mirheydari Z, Sotoudeh G, Khajeh Nasiri F, Koohdani F. Osteoporosis Related Food Habits and Behaviors: a Cross-Sectional Study among Female Teachers. Hayat. 2011;16(3):86-94.
12. Paget SA. Hospital for special surgery manual of rheumatology and outpatient orthopedic disorders: diagnosis and therapy: 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2006.
13. Rahimikian F, Moshrefi M, Yavari P, Mehran A, Mirzaei Rozbahani M, Amelvalizadeh M. Effect of Simultaneous Educational Program for Mothers and Daughters on Osteoporosis Preventive Behaviors among girls. Hayat. 2009;14(2):15-22. (Persian)
14. Tavasoli A, Hasanzade A. Study of knowledge, attitude and practice of Isfahan the second grade middle school girl students toward prevention of osteoporosis based on of Health Belief Model (2010). Zahedan J Res Med Sci.2012; 13(9): 60. (Persian)
15. 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 Scie. 2013; 12(1);35- 46. (Persian)
16. Cheng S, Lyytikäinen A, Kröger H, Lamberg-Allardt C, Alén M, Koistinen A, et al. Effects of calcium, dairy product, and vitamin D supplementation on bone mass accrual and body composition in 10-12-y-old girls: a 2-y randomized trial. Am J ClinNutr.2005;82(5):1115-26.
17. Kargar M, Moattari M. The Effect of Osteoporosis Prevention Education by Peers and Health personnel on Self-efficacy of Adolescents with Nephrotic Syndrome. IJN. 2013;26(81):44-53. (Persian)
18. Whitehead D, Russell G. How effective are health education programmes—resistance, reactance, rationality and risk? Recommendations for effective practice. Int J Nurs Stud. 2004;41(2):163-72.
19. Dehghan-Menshadi F, Azari A, Kohpayezade J, Ghasemi M. Assess the knowledge, attitude and performance female students participating in a summer camp of osteoporosis.Tavanbakhshi Novin.2008:2(3,4):47-54. (Persian)
20. Randi SE, Ng P, Henderson K, Wu S-Y. Using the internet to educate adolescents about osteoporosis: application of a tailored web-education system. Health Promot Prac.2010;11(1):104-11.
21. Bohaty K, Rocole H, Wehling K, Waltman N. Testing the effectiveness of an educational intervention to increase dietary intake of calcium and vitamin D in young adult women. J Am Acad Nurse Pract. 2008;20(2):93-9.
22. Kamjoo A, Shahi A, Dabiri F, Abedini S, Hosseini Teshnizi S, Pormehr Yabandeh A. The effectiveness of education about osteoporosis prevention on awareness of female students. Bimonthly Journal of Hormozgan University of Medical Sciences. 2012;16(1):60-5. (Persian)
23. Nejati S, Rasoulzadeh N, Sedighiyani A. The effectiveness of education on prevention of osteoporosis among high school female students. Hayat. 2009;15(3):59-65. (Persian)
24. Uddin R, Huda NH, Jhanker YM, Jesmeen T, Imam MZ, Akter S. Awareness regarding the importance of calcium and vitamin D among the undergraduate pharmacy students in Bangladesh. BMC Res Notes. 2013;6(1):134.
25. AminiA, Tavousi M, Niknami SH. The impact of an educational intervention on nutritional preventive behaviors in osteoporosis among adolescent girls. Payesh. 2014; 13: 609-19. (Persian)
26. Mohammed EK, Ellife HA, Lawend J. Female Adolescent Nursing Students' Guidelines about Prevention of Osteoporosis. Journal of Natural Sciences Research. 2014;4(4):1-11.
27. Azar FEF, Solhi M, Zohoor A, Hosseini MA. The effect of Health Belief Model on promoting preventive behaviors of osteoporosis among rural women of Malayer. JQUMS.2012; 16(2):59-64 . (Persian)
28. Mahamed F, Karimzadeh Sk, Pourmahmoudi A, Mousavi A. The Effects Of Education On Preventive Behaviors Toward Osteoporosis Based On Behavior Intention Model (Bim) On Female Students. Armaghan Danesh. 2009; 14(2):117-25. (Persian)
29. Francis K, Matthews B, Van Mechelen W, Bennell K, Osborne R. Effectiveness of a community-based osteoporosis education and self-management course: a wait list controlled trial. Osteoporosis Int. 2009;20(9):1563-70.
30. Nanbakhsh F, Mohaddesi H, Amirai A, Broomand F, Bahadori F, GolMohamadlo S. The effect of health education on elderly weomen life quality. Payavard Salamat.2011; 5(1):47-57. (persian)
31. Damore D, Robbins L, Karl T. The Effects of an Educational Program on the Calcium Intake of Junior High School Students. Internet J Pediatr Neonatol.2003; 53(4):9A.
32. Alshammari KF. Women Knowledge, Attitude and Practices About Osteoporosis Prevention “Riyadh Saudi Arabia”. World J Med Sci.2014;11(3):422-31.
33. Anderson KD, Chad KE, Spink KS. Osteoporosis knowledge, beliefs, and practices among adolescent females. Journal of Adolescent Health.2005; 36(4):305-12.

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