Development and validation of a health belief model based instrument for measuring factors influencing exercise behaviors to prevent osteoporosis in pre-menopausal women (HOPE) (original) (raw)
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Prediction of Osteoporosis Preventive Behaviors through the Use of the Health Belief Model (HBM)
2016
Aim: Nowadays, life is endangering women’s health, so tha t without organizational support, women are engaged in unhealthy life styles. Osteoporosis is the most common metabolic bone disease that increases the risk of bone fracture by creating a structural abnormality in the bone. Osteoporosis is a common disease among middle-age and older persons, especially women. Therefore, the necessity of implementing strategic plans to prevent osteoporosis is significantly important. This study was designed to determine the prediction of osteoporosis preventive behaviors using the Health Belief Model (HBM). Methods: This cross-sectional study was done among 200 women referred to the health centers in Taft in 2016. A stage simple random sampling was used. In order to gather the data a questionnaire consistent with the structures of HBM was used. Data were analyzed using the SPSS v16 and descriptive statistics (frequency, percentage, and mean±SD) and analysis (Linear regression). The significanc...
The predictors of osteoporosis preventive behaviors in women based on health belief model
Journal of Research & Health, 2017
Osteoporosis, as a disease, is characterized by low bone mass and micro architectural deterioration of bone tissue. The aim of this study was to survey the predictors of osteoporosis preventive behaviors based on health belief model. This cross-sectional study was carried out on 401 randomly selected women referring to health centers. Data collection was based on health belief model. The employed instrument was confirmed by a panel of experts. Content validity ratio, content validity index, face validity, and exploratory factor analysis were used to determine the validity of the tool. Test-retest internal consistency was employed to determine the reliability. The mean age of women was 40.9±6.2 years. The variables of perceived susceptibility, motivation for walking behavior and variable of perceived sensitivity for nutrition behavior were predicted. The walking performance had a significant association with perceived susceptibility and motivation, the nutritional performance had a s...
Annals of Agricultural and Environmental Medicine, 2015
Introduction and objective. Osteoporosis constitutes one of the relevant health, social and economic problems of the contemporary world which concerns 200 million women, of whom about 20-25% will experience a bone fracture. The aim of the study was to learn about the health beliefs and sense of self-efficacy in peri-and post-menopausal women regarding the prevention of osteoporosis. Materials and method. A group of 300 randomly chosen women aged 45-65 who were patients of healthcare centres in Chełm, Lublin, and the surroundings of Zamość (eastern Poland), was examined. Own Health Beliefs Scale (OHBS) associated with Osteoporosis and Own Efficacy Evaluation Scale (OSES) were used for the study. The obtained material was subjected to descriptive and statistical analysis. Tukey test, t-student test and variance analysis (ANOVA) were all applied. A P value less than 0.05 was considered statistically significant. Results were analysed using the SPSS version 19 software package. Results and conclusions. It was stated that respondents had thought that osteoporosis is an averagely serious health problem, and they did not feel peculiarly exposed to falling ill with the disease. They attached great significance to the benefits of physical activity and correct nutrition. The perception of barriers to calcium intake and everyday exercise was moderate. Health motivation remained at the average level. Socio-demographic conditions influenced the respondents' health beliefs in a statistically significant way. Sense of self-efficacy from the aspect of taking possible action preventing osteoporosis remained on the average level; in addition, respondents more often declared the desire for a change in eating habits than resorting to physical activity.
Evaluation of the Osteoporosis Health Belief Scale in Korean Women
Journal of Bone Metabolism, 2013
Background: The Osteoporosis Health Belief Scale (OHBS) is a 42-item questionnaire designed to assess susceptibility, seriousness, calcium benefits, calcium barriers, exercise benefits, exercise barriers, and health motivation related to osteoporosis. We aimed to evaluate its psychometric properties to enable the provision of educational tips regarding osteoporosis. Methods: All women who had visited the department of obstetrics and gynecology (OBGYN) and whose bone mineral density was measured from January 2010 to December 2011 were enrolled by interview using the OHBS. We also evaluated the women's general clinical characteristics. Results: One hundred seventy-seven women were enrolled in the present study. In the present study, the barriers to calcium intake subscale had the lowest mean score (15.03±3.02), and the Benefit of Exercise subscale had the highest (23.02±3.03). The scores for participants in their 20s were significantly higher than scores for those in their 70s on the Benefits of Exercise subscale and Barriers to Exercise subscale (P=0.014 and P=0.022, respectively). Conclusions: Education for health motivation to prevent osteoporosis is important for young women. Additional systematic education programs are needed for the general population.
A Health Promotion Program based on the Health Belief Model regarding Women's Osteoporosis
2016
Background: Osteoporosis is one of the most common metabolic bone diseases. The purpose of this study is to investigate the effect of a walking education program based on the health belief model (HBM) on osteoporosis among women. Material and Methods In this quasi-experimental research design, 120 patients (60 experimental and 60 control),who were registered with the health centers in Fasa City of Fars Province, Iran, participated in the study in 2014. A questionnaire consisting of demographic information and HBM constructs was used at pre-intervention, immediately after their intervention, and then six months later. Bone mineral density (BMD) was recorded at the lumbar spine and femur prior to and six months post-intervention. Data were analyzed using SPSS19' through 'chi-square test, independent t-test, repeated measure ANOVA at a significance level of 0.05. Results Immediately and six months after the intervention, the experimental group showed increased in knowledge, per...
The effect of a prevention program based on health belief model on osteoporosis
Journal of research in health sciences, 2015
BACKGROUND Osteoporosis is one of the most common metabolic bone diseases. The purpose of this study was to investigate the effect of a prevention program based on health belief model on osteoporosis among women. METHODS In this quasi-case study, 120 patients (60 cases and 60 control), registered under the health centers in Fasa City, Fars Province, Iran were selected in 2014. A questionnaire consisting of demographic information, Health Belief Model (HBM) constructs was used to measure nutrition and walking performance for prevention of osteoporosis before, immediately after the intervention and six months later. Bone mineral density (BMD) was recorded at the lumbar spine and femur before and six months after intervention. Data were analyzed using SPSS19 via chi-square test, independent t-test, and Repeated Measures ANOVA at significance level of 0.05. RESULTS Immediately and six months after the intervention, the case group showed a significant increase in the knowledge, perceived...
Journal of Research Development in Nursing and Midwifery, 2019
Background and objectives: Osteoporosis is a worldwide public health problem with an increasing prevalence especially in women. This study was conducted to predict the preventive behavior of osteoporosis through applying Health Belief Model in Health Volunteers of community health centers of Rasht city in 2016. Methods: This descriptive-analytical study was done on all 217 female active Health Volunteers in community health centers in Rasht city in 2016 by survey method. The data collection tools were demographic data sheet, standard questionnaire on osteoporosis based on health belief model, food frequency questionnaire to evaluate milk and dairy group intake and short form of international physical activity questionnaire. Data was analyzed using SPSS21. Descriptive (mean and standard deviation) and inferential statistics (Spearman's correlation coefficient, analysis of multiple logistics regression and linear regression) were used. Results: Average age of Health Volunteers was 42.13 ± 9.24 and their average physical activity was 1033.44 ± 1272 min/wk. – MET (Metabolic Equivalent of Task) and average milk and dairy group intake was 1.69 ± 0.96 unit per day. Multiple logistics regression showed that perceived susceptibility (p=0.012) and construct self-efficacy (p=0.031) were the predictors of physical activity performance (high and middle activity). Linear regression test also indicated that perceived barriers (P=0.006) and knowledge (p=0.027) served as predictors of milk and dairy group intake performance. Conclusion: According to the present study findings, health belief model is a good predictor of preventive behaviors for osteoporosis in female Health Volunteers. Therefore implementing educational intervention based on this model with emphasis on knowledge and effective constructs of efficiency, susceptibility and barriers can help maintain and promote women’s health.
Health belief model - male osteoporosis: a cross-sectional study
Central European Journal of Public Health
Objectives: The aim of this study is to examine the knowledge levels, beliefs, and self-efficacies of men regarding osteoporosis according to the health belief model. Methods: Men aged 55 years and older were included in the study. After the descriptive characteristics of the participants were recorded, the Male Osteoporosis Knowledge Quiz, Osteoporosis Health Belief Scale, Osteoporosis Self-Efficacy Scale, and Osteoporosis Knowledge Test were administered to the participants face-to-face. Results: A total of 435 men with an average age of 67.3 ± 0.4 years participated in the study. When the participants were categorized according to age subgroups, it was found that marital status (p = 0.002), economic status (p = 0.016), and education level (p < 0.001) differed with age. The results of the osteoporosis-specific measurement tools used in data collection also differed with age (p < 0.05). It was observed that men's levels of osteoporosis knowledge decreased with increasing age (p < 0.05). The lowest scores for the exercise benefits and health motivation subdimensions of the Osteoporosis Health Belief Scale and the Osteoporosis Self-Efficacy Scale were obtained from the subgroup that included the oldest participants (p < 0.05). The highest scores for the calcium barriers subdimension of the Osteoporosis Health Belief Scale were obtained from younger participants (p = 0.036). The level of osteoporosis knowledge showed a low-to-moderate correlation with each question of the Osteoporosis Health Belief Scale (p < 0.05). Age, education, associating the role of physiotherapy with primary-secondary treatment approaches, and health beliefs were the factors that affected the osteoporosis knowledge levels of the participating men (p < 0.05). Conclusions: The knowledge of osteoporosis and preventive beliefs and behaviours of men need to be increased. Knowledge and perceptions of susceptibility to osteoporosis should be developed in men with appropriate education from an early age. We recommend that exercise and physiotherapy approaches should be utilized to a greater extent, especially for individuals in the at-risk age range.
Related Factors and Osteoporosis Health Beliefs and Self-Efficacy of Women
Middle Black Sea Journal of Health Science
Objective: This study was conducted to determine osteoporosis health beliefs and self-efficacy of Turkish women and to investigate the relationship between women's characteristics with osteoporosis health beliefs and self-efficacy. Methods: The study was planned as descriptive and cross-sectional study design. A convenience sample of 296 volunteer women who applied to the outpatient clinic of one public hospital was recruited. Data were collected via a questionnaire form, the Osteoporosis Health Belief Scale (OHBS) and the Osteoporosis Self-Efficacy Scale (OSES). The questionnaire form and scales were completed by the participants. Since the scales used self-reports, the inclusion criteria of this study required participants to be primary school graduates and being 18 age. Results: The participants' OHBS subscales average scores were susceptibility,18.53±4.74; seriousness,14.68±4.46; benefits of exercise, 23.82±5.06; benefits of calcium intake, 22.12±4.63; barriers to exercise, 16.15±4.75; barriers to calcium intake,14.68±4.46; health motivation, 22.80±4.7. The total OHBS average score was 138.27±17.93. It was determined that the women's total OSES average score was 790.64±260.96. The subscales of OSES; OSE-Exercise Scale average score was 361.38±162.72, and the OSE-Calcium Scale average score was 429.25±147.57. Conclusion: The levels of health beliefs and self-efficacy regarding osteoporosis of women were low. Nevertheless, women's perceived benefits scores were found higher than perceived barriers. Nursing can take part in providing education to the public about lifelong bone health, and they can also provide information about how to prevent osteoporosis and fracture risk.
2015
Background and Purpose: Investigating factors affecting the adoption of preventive behaviors in women with osteoporosis using patterns that identify the effective factors which influence and reinforce on behavior is necessary. This study aims to evaluate the preventive treatment of osteoporosis in women in Fasa, Fars Province of Iran's southeastern city, using the health belief model and social cognitive theory in 2014. Materials and Methods: In this cross-sectional study, 401 women 30 to 50 years old, who were covered by Fasa health centers had been randomly selected. Scale factors for health belief model (perceived susceptibility, severity, threat, benefits, barriers and self-efficacy, practice guidelines) and the structure of self-regulation and social support of social cognitive theory, and function of feeding and walking were determined to prevent osteoporosis in women. The data were analyzed using SPSS version 16 software. Results: The average age of women was 40.9± 6.2 ye...