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Submitted: 12 Oct 2015
Accepted: 16 Dec 2015
ePublished: 30 Dec 2015
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J Educ Community Health. 2015;2(3): 51-57.
doi: 10.20286/jech-02037
  Abstract View: 679
  PDF Download: 240

Self-care of Chronic Diseases

Research Article

Effect of Counseling on Preventive Behaviors of Osteoporosis in Women Referred to Health Centers in Hamedan, Iran in 2015

Fatemeh Shobeiri 1, Elham Hesami 2*, Batul Khodakarami 2, Alireza Soltanian 3

1 Mother & Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
2 Department of Midwifery, Faculty of Nursing & Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
3 Modeling of Non-communicable Disease Research Center and Department of Biostatistics, Hamadan University of Medical Sciences, Hamadan, Iran.
*Corresponding Author: Email: ehesami89@yahoo.com

Abstract

Background and Objectives: Osteoporosis is a most common metabolic bone disease that increase the risk of bone fracture by creating a structural abnormality in the bone. The aim of this study was to determine the impact of counseling based on Health Belief Model (HBM) on preventive behaviors regarding osteoporosis in women referring to health centers in Hamadan city, Iran in 2015.

Materials and Methods:This quasi-experimental before and after study was conducted among 80women, which were stratified randomly into two -40member groups of case and control. Then, through three stages (before, immediately after, and two month after intervention), these groups were evaluated. Analyzing the data was performed by SPSS-18, using t-test, χ2, Fisher’s exact and repeated measurement tests.

Results: There were significant differences between the two groups in terms of age, menarche age, education, job, and body mass index (BMI). No significant differences between the mean scores of the various structures of this model were observed among the two groups before the intervention. The mean scores of the awareness and various structures of the model (perceived susceptibility, perceived severity, perceived benefits, perceived barriers and performance) increased significantly in the case group over time (before, immediately after and two months after intervention) (P < 0.05).

Conclusions: Although HBM is effective for planning programs to prevent disease or accidents, it seems that it is not suitable for the promotion of behaviors, particularly long-term behavioral change and behaviors that depend on economic and social factors.

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