شاپا: 2322-5130
Vol.1, No.2, Summer 2013
The effect of the health belief model-based education & improvement of consumption of fruits and vegetables: An interventional study
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چکیده
Background and Aims: Cardiovascular diseases are noncontiguous diseases which are caused by various factors. Considering the importance of nutrition education especially consumption of fruits and vegetables; This study was performed to determine the effect of health education based on health belief model on the improvement of consumption of fruits and vegetables aiming at preventing cardiovascular disease among high school girls in Shahr-e-kord city.Materials and Methods: This is a quasi-experimental intervention study. The research population was 120 students that were randomly divided into different groups, experimental (60 person) and controls (60 person). The tools for data collecting were questionnaire health belief model based and FFQ questionnaire. The HBM questionnaire was completed 3 times, (before, Immediately and 2 months after education) and FFQ questionnaire was completed 2 times, (before and 2 months after education) by students. After pre-test, 6 educational session classes in experimental group were performed. Finally data collected and analyzed by SPSS16 computer software (T- test, repeated measure ANOVA).
Results: The two groups had no significant difference in terms of demographic variables. There was no significant differences observed in two groups before the intervention between the scores of different structures of this model (P>0/05). There was significant differences observed after the intervention between experimental and control groups in the levels of knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived efficacy and performance (p<0.001).
Conclusion: According to the results, intervention has positive impact on the improvement of consumption of fruits and vegetables among students.
Key words: Education, Health belief model, Heart Diseases, Consumption of fruits, Vegetables
مراجع
Sarraf-Zadegan N, Sayed-Tabatabaei FA, Bashardoost N, Maleki A, Totonchi M, Habibi HR and et al. The prevalence of coronary artery disease in an urban population in Isfahan, Iran. Acta Cardiol 1999; 54 (5): 257-63.
Mohammadi Zeydi E, Heidar Nia AR, Haji Zadeh E. The study of cardiovascular patient's lifestyle. Daneshvar 2006; 61(13): 49-56.
Ramezani Y, Mobasheri M, Moosavi Sayed Gh, Bahrami A, Rayegan F, Parastui K and et al. Exposure rate of cardiovascular risk factors among clients of health-care clinics in Kashan, Autumn 2010. Shahrekord University of Medical Sciences Journal 2011; 13(2): 76-82.
Chateau-Degat ML, Dewailly E, Louchini R, Counil E, Noël M, Ferland A and et al. Cardiovascular burden and related risk factors among Nunivak (Quebec) Inuit: insights from baseline findings in the circumpolar Inuit health in transition cohort study. The Canadian Journal of Cardiology 2010; 26(6): 190-96.
Azizi F, Emami H, Salehi P, Ghanbarian A, Mirmiran P, Mirblouki MR. Risk Factors for cardiovascular disease in elderly. Iranian Journal of Endocrinology and Metabolism 2008; 5(1); 3-13.
Kelder SH, Perry C L, Klepp K I. Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health 2005; 84: 1121-26.
Tavassoli E, Hasanzadeh A, Ghiasvand R, Tol A, Shojaezadeh D. Effect of health education based on the Health Belief Model on improving nutritional behavior aiming at preventing cardiovascular disease among housewives in Isfahan. Journal of School of Public Health and Institute of Public Health Research 2010; 8(3):11-23.
Thompson OM, Ballew C, Resnicow K. Food purchased away from home as a predictor of change in BMI Z-score among girls. International Journal of Obesity Relat Metab Disord 2004; 28: 282-89.
Bazzano LA. The high cost of not consuming fruits and vegetables. J Am Diet Assoc 2006; 106(9): 1364-68.
Knai C, Pomerleau J, Lock K, McKee M. Getting children to eat more fruit and vegetables: a systematic review. Prev Med 2006; 42(2): 85-95.
Hall JN, Moore S, Harper SB, Lynch JW. Global variability in fruit and vegetable consumption. Am J Prev Med 2009; 36(5): 402-409.
Abbasian F, Omidvar N, Bondarianzadeh D, Rashidkhani B, Shakibazadeh E, Hashemi B. The effect of a School-based Intervention Based on Social Cognitive Theory on Fruit and Vegetable Consumption in Middle School Students in Tehran. Hayat 2011; 17(4): 73-84.
Setayeshgar Z. [Psychosocial correlates of fruit and vegetable consumption among adolescent girls in 3 socio-economic districts in Tehran]. MSc. Thesis, Shahid Beheshti University of Medical Sciences and Health Services Faculty of Nutrition Sciences and Food Technology 2008:100.
Neumark-Sztainer D, Story M, Perry C, Casey MA. Factors influencing food choices of adolescents: findings from focus-group discussions with adolescents. J Am Diet Assoc 1999; 99(8): 929-937.
Pearson N, Atkin AJ, Biddle SJ, Gorely T, Edwardson C. Patterns of adolescent physical activity and dietary behaviours. Int J Behav Nutr Phys Act 2009; 6: 45.
Rahmati Najarkolaei F, Niknami S, Amin Shokravi F, Ahmadi F, Jafari M R, Rahnama P. The implication of health belief model in planning educational programmers for preventing HIV/AIDS among university students. Payesh, Journal of The Iranian Institute For Health Sciences Research 2009; 4(8): 349-359.
Ghaffari M, Niknami SH, Kasemnejad A. Design and validity HIV/AIDS Questionnaire in Teen Kermanshah. Kermanshah Journal of university medical sciences services 2005; 11(1): 33-42.
Afifi M. Anemia in pregnancy at South Sharqiya health centers, Oman. J Egypt Public Health Assoc 2003; 78 (1-2): 39-54.
Choobineh MA, Hesari SN, Hossain D, Haghighizadeh MH. Study of nutritional knowledge of Ahwaz high school girls and the education effect. Birjand Univ Med Sci J 2009; 16 (1): 23-30.
Amodeo R, De Ponti A, Sorbara L, Avanzini F, Di Giulio P, De Martini M. How to increase patient knowledge of their coronary heart disease: impact of an educational meeting led by nurses. G Ital Cardiol 2009; 10(4): 256.258.
Abood D, Black DR, Feral D. Nutrition education worksite intervention for university staff: application of the health belief model. Nutr Educ Behav 2003; 35(5):260-67.
Kipping Ruth R, Russell Jago b, Debbie A. Lawlor. Diet outcomes of a pilot school-based randomised controlled obesity prevention study with 9–10 year olds in England. Preventive Medicine 2010; 51: 56–62.
Wilson D B, Jones R M, McClish D, Westerberg A L, Danish S. Fruit and vegetable intake among rural youth following a school-based randomized controlled trial. Preventive Medicine 2012; 54: 150–156.
Foster Gary D, Sherman S, Borradaile K E, Grundy K M, Stephanie S, Veur Vander and et al. A Policy- Based School Intervention to Prevent Overweight and Obesity .Pediatrics 2008; 121 (4): e794 -e802.
Wang M C , Suzanne Rauzon, Natalie Studer, Anna C. Martin, Launa Craig, Caitlin Merlo and et al. Exposure to a Comprehensive School Intervention Increases Vegetable Consumption. Journal of Adolescent Health 2010; 47: 74–82.
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