Measurement of the Constructs of Health Belief Model related to Self-care during Pregnancy in Women Referred to South Tehran Health Network
Background and Objective: Self-care activities during pregnancy can be effective in reducing adverse pregnancy outcomes. Health Belief Model (HBM) is one of the most applicable models in educational need assessment for planning and implementation of educational interventions. The purpose of this study was to measurement of the constructs of HBM related to self-care during pregnancy in women referred to South Tehran health network.
Materials and Methods: In this cross-sectional study 270 pregnant women who referred to health centers of South Tehran Health Networks participated. Demographic, knowledge and attitude questionnaires based on constructs of HBM was used to measure the status of knowledge and attitude of women. Data were analyzed using statistical software SPSS18.
Results: Results showed that 92.2% of women had the knowledge scores in good level. The scores of perceived severity, perceived self-efficacy and cues to action were in good level in almost of women but almost of women obtained weak point in perceived susceptibility, perceived benefits and barriers
Conclusion: HBM can be used as an appropriate tool for assessment the status of pregnant women in the field of self-care behaviors during pregnancy and planning and implementation of educational interventions.
Haas JS, Jackson RA, Fuentes-Afflick E, Stewart AL, Dean ML, Brawarsky P, Escobar GJ. Changes in the health status of women during and after pregnancy. J Gen Intern Med. 2005 Jan;20(1):45-51.
Heaman MI, Newburn-Cook CV, Green CG, Elliott LJ, Helewa ME. Inadequate prenatal care and its association with adverse pregnancy outcomes: a comparison of indices. BMC Pregnancy Childbirth. 2008 May 1;8:15.
Wallace DA, Dodd MM, McNeil DA, Churchill AJ, Oelke ND, Arnold SL, Oberle K. A pregnancy wellness guide to enhance care through self-assessment, personal reflection, and self-referral. J Obstet Gynecol Neonatal Nurs. 2009 Mar-Apr;38(2):134-47.
World Health Organization, Department of Reproductive Health and Research, Making Pregnancy Safer. 2004; Geneva A joint statement by WHO, ICM and FIGO.
Stearns SC, Bernard SL, Fasick SB, Schwartz R, Konrad TR, Ory MG, DeFriese GH. The economic implications of self-care: the effect of lifestyle, functional adaptations, and medical self-care among a national sample of Medicare beneficiaries. Am J Public Health. 2000 Oct;90(10):1608-12. Erratum in: Am J Public Health 2001 Jan;91(1):158.
World Health Organization, "Pregnant adolescents: delivering on global promises of hope. World Health Organization"; Written and produced for WHO by Peter McIntyre, Oxford, UK. 2006.
Kloeblen AS, Batish SS. Understanding the intention to permanently follow a high folate diet among a sample of low-income pregnant women according to the Health Belief Model. Health Educ Res. 1999 Jun;14(3):327-38.
Beydoun HA, Beydoun MA. Predictors of colorectal cancer screening behaviors among average-risk older adults in the United States. Cancer Causes Control. 2008 May;19(4):339-59.
McClenahan C, Shevlin M, Adamson G, Bennett C, O'Neill B. Testicular self-examination: a test of the health belief model and the theory of planned behaviour. Health Educ Res. 2007 Apr;22(2):272-84.
Wai CT, Wong ML, Ng S, Cheok A, Tan MH, Chua W, Mak B, Aung MO, Lim SG. Utility of the Health Belief Model in predicting compliance of screening in patients with chronic hepatitis B. Aliment Pharmacol Ther. 2005 May 15;21(10):1255-62.
James AS, Campbell MK, Hudson MA. Perceived barriers and benefits to colon cancer screening among African Americans in North Carolina: how does perception relate to screening behavior? Cancer Epidemiol Biomarkers Prev. 2002 Jun;11(6):529-34.
Brevidelli MM, Cianciarullo TI. [Application of the health belief model to the prevention of occupational needle accidents]. Rev Saude Publica. 2001 Apr;35(2):193-201.
Taghdisi MH and Nejad Sadeghi E. Evaluation of pregnant women in the field of Urinary Tract Infection according to the components of Health Belief Model. Journal of Jahrom University of Medical Sciences 2011;8(4):36-42. (Full Text in Persian)
Baghiani moghadam MH, Hadavand Khani M, Mohammadi SM, Fallahzade H, khabiri F. Status of walking behavior in patients with type 2 diabetes in Yazd based on health belief model. Journal of Health System Research 2010;6(3):425-35. (Full Text in Persian)
Najimi A, Alidousti M, Moazemi Goudarzi A. A survey on preventive behaviors of high school students about Influenza A based on health belief model in Shahrekord, Iran. Journal of Health System Research 2010;6(1):14-22. (Full Text in Persian)
Mazloomi Mahmoodabad SS, Roohani Tanekaboni N. Survey of some related factors to oral health in high school female students in Yazd, on the basis of health behavior model (HBM). Journal of Birjand University of Medical Sciences 2008;15(3):40-7. (Full Text in Persian)
Modeste N.M., Tamayose T.S., Dictionary of public health promotion and education, terms and concepts, 2th Ed, John Wiley & Sons, Inc. 2004.
Karimi M, Ghofranipour F, Heidarnia AR. The Effect of Health Education Based on Health Belief Model on Preventive Actions of AIDS on Addict in Zarandieh. Journal of Guilan University of Medial Sciences. 2009;18(70):64-73. (Full Text in Persian)
Karimi M, Hasani M, Khorram R, Gafari M, Niknami SH. The Effect of Education, Based on Health Belief Model on Breast Self- Examination in Health Liaisons of Zarandieh City. Tabibe-Shargh 2009;10(4): 283-91. (Full Text in Persian)
Shamsi M, Tajik R, Mohammad Beigi A. Effect of education based on Health Belief Model on self-medication in mothers referring to health centers of Arak. Arak Medical University Journal 2009; 12(3): 57-66. (Full Text in Persian)
Shamsi M, Sharifirad GhR, Kachoyee A, Hassanzadeh A. The Effect of Educational Program Walking Based on Health Belief Model on Control Sugar in Woman by Type 2 Diabetics. Iranian Journal of Endocrinology & Metabolism 2010;11(5):490-9. (Full Text in Persian)
Zigheimat F, Ebadi A, Mottahedian Tabrizi E., Allaf Javadi M, Hamedanizade F. Effect of training according to health belief model (HBM) on health believing, knowledge and behavior of patients under CABG. Kowsar Medical Journal (2009);13(4):309-13. (Full Text in Persian)
Sharifi-rad GhR, Entezari MH, Kamran A, Azadbakht L. Effectiveness of Nutrition Education in Diabetes Type2 Patients: Application of Health Belief Model. Bimonthly Journal of Diabetes and Metabolic Disorders. 2008;7(4):379-86. (Full Text in Persian)
Ribeiro CP, Milanez H. Knowledge, attitude and practice of women in Campinas, São Paulo, Brazil with respect to physical exercise in pregnancy: a descriptive study. Reprod Health. 2011 Nov 3;8:31.
Ghasemzadeh S, Dadmanesh M, Safari A, Ebrahimi S. The Study on the knowledge, attitude and function of gestated mother's about gestational diabetes that referred to army khanvadeh hospital from 2005 to 2006. Annals of Millitary and Health Sciences Research 2007;5(3):1325-30. (Full Text in Persian)
Abedzadeh M, Taebi M, Sadat Z, Saberi F. Knowledge and performance of pregnant women referring to Shabihkhani hospital towards exercises during pregnancy and postpartum periods. Journal of Jahrom University of Medical Sciences 2011;8(4):43-8. (Full Text in Persian)
Shamsi M and Bayati A. The Effect of Education on Knowledge, Attitude and Practice of Pregnant Woman Referring to Health Centers about Self-Medication in Arak City. Ofogh-e-Danesh. GMUHS Journal 2009;15(4):27-35. (Full Text in Persian)
Derakhshan E, Shadzi SH, Derakhshan F, Behjatian Z. Effects of targeted education on knowledge and attitude of pregnant women regarding eclampsia. Journal of Health System Research 2010;6(3):443-49. (Full Text in Persian
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