Volume 6, Issue 3 (2018)                   Health Educ Health Promot 2018, 6(3): 103-108 | Back to browse issues page


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1- Health Education & Promotion Department, Health Faculty, Kerman University of Medical Sciences, kerman, Iran
2- Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran
3- Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran , v.tabatabaei@gmail.com
Abstract:   (8435 Views)
Aims: Osteoporosis is a major public health problem in the world, which can be prevented or its onset can be delayed through some lifestyle changes. The aim of this study was to assess the application of the precede-proceed model in promoting physical activity for prevention of osteoporosis among women.
Materials and Methods: The present quasi-experimental study examined the application of precede-proceed model on the physical activity of 120 women with the age range of 15 to 49 years old, who were selected by multistage random sampling in Kerman in 2014. The participants were divided to the control (n=60) and intervention (n=60) groups. Among the preventive behaviors of osteoporosis, physical activity was selected for the educational intervention. The educational intervention lasted for 2 months. An international standard questionnaire was used to measure physical activity, and a researcher-made questionnaire, according to the constructs of precede model was used to collect data before and after the intervention. The data were analyzed by SPSS 20, using Mann-Whitney, Wilcoxon, and Chi-square tests as well as descriptive statistics.
Findings: After educational interventions, the mean scores of predisposing, reinforcing and empowering factors, as well as osteoporosis preventive behaviors (physical activity) significantly increased only in the intervention group (p<0.001).
Conclusion: Health education and health promotion interventions based on precede-proceed model can lead to increased physical activity and eventually prevent osteoporosis in women.
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Article Type: Original Article | Subject: Health Communication
Received: 2017/08/22 | Accepted: 2018/06/2 | Published: 2018/09/9
* Corresponding Author Address: Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

References
1. Khorsandi J, 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 Sci. 2013;12(1):35-46. [Persian] [Link]
2. Tabasinejad N, Ahmadi Tabatabaei SV, Khanjani N, Mohseni M. Predicting factors influencing physical activity in women for theprevention of osteoporosis according to the Precede model. J Health Based Res. 2015;1(2):155-66. [Persian] [Link]
3. Shojaezadeh D, Sadeghi R, Tarrahi MJ, Asadi M, Lashgarara B. Application of health belief model in prevention of osteoporosis in volunteers of Khorramabad city health centers, Iran. J Health Syst Res. 2012;8(2):183-92. [Persian] [Link]
4. Torshizi L, Anoosheh M, Ghofranipour F, Ahmadi F, Houshyar Rad A. The effect of education based on health belief model on preventive factors of osteoporosis among postmenopausal women. Iran J Nurs. 2009;22(59):71-82. [Persian] [Link]
5. Niyazi S, Ghaffari M, Noori A, Khodadoost M. Impacts of a health belief model-based education program about osteoporosis prevention on junior high school students' physical activity, Kalaleh, Iran, 2012. Jorjani. 2014;1(1):1-9. [Persian] [Link]
6. Pajouhi M, Komeylian Z, Sedaghat M, Baradar Jalili R, Soltani A, Larijani B. Efficacy of educational pamphlets for improvement of knowledge and practice in patients with osteoporosis. Payesh. 2004;3(1):67-74. [Persian] [Link]
7. Bagheri P, Haghdoost A, Dortaj Rabari E, Halimi L, Vafaei Z, Farhangnia M, et al. Ultra nalysis of prevalence of osteoporosis in Iranian women, a systematic review and meta-analysis. Iran J Endocrinol Metab. 2011;13(3):315-25. [Persian] [Link]
8. Jackson C. Behavioral science theory and principles for practice in health education. Health Educ Res. 1997;12 (1):143-50. [Link] [DOI:10.1093/her/12.1.143]
9. Green L, Kreuter M. Health program planning: An educational and ecological approach. 4th Edition. New York City: McGraw-Hill Education; 2005. p. 1-22. [Link]
10. Cole RE, Horacek T. Applying Precede-Proceed to develop an intuitive eating nondieting approach to weight management pilot program. J Nutr Educ Behav. 2009;41(2):120-6. [Link] [DOI:10.1016/j.jneb.2008.03.006]
11. Hazavehei SM, Jalili Z, Heydarnia AR, Faghihzadeh S. Application of the Precede model for controlling iron-deficiency anemia among children aged 1-5, Kerman, Iran. Promot Educ. 2006;13(3):173-7. [Link] [DOI:10.1177/175797590601300301]
12. Saffari M, Amini N, Eftekhar Ardebili H, Mahmoudi M, Sanaeinasab H. Evaluation of an educational intervention based on Precede PROCEED model toward lifestyle improvement among adolescents. Daneshvar Med. 2012;19(98):59-68. [Persian] [Link]
13. Turner LW, Hunt SB, Di Brezzo R, Jones C. Design and implementation of an osteoporosis prevention program using the health belief model. Am J Health Stud. 2004;19(2):115-21. [Link]
14. Sedlak CA, Doheny MO, Estok PJ, Zeller RA. Tailored interventions to enhance osteoporosis prevention in women. Orthop Nurs. 2005;24(4):270-6. [Link] [DOI:10.1097/00006416-200507000-00007]
15. Mahamed F, Karimzadeh Shirazi K, Pourmahmoudi A, Mossavi AM. The effects of education on preventive behaviors toward osteoporosis based on Behavior Intention Model (BIM) on female students. Armaghane Danesh. 2009;14(2):118-25. [Persian] [Link]
16. Estebsari F, Shojaeizadeh D, Mostafaei D, Farahbakhsh M. Planning and evaluation of an educational program based on Precede model to improve physical activity in female students. Hayat. 2010;16(1):48-54. [Persian] [Link]
17. Jimba M, Murakami I. Eliminating iodine deficiency disorders in Nepal through Precede-Proceed. Nihon Koshu Eisei Zasshi. 2001;48(10):842-52. [Japanese] [Link]
18. Polcyn MM, Price JH, Jurs SG, Roberts SM. Utility of the Precede model in differentiating users and nonusers of smokeless tobacco. J Sch Health. 1991;61(4):166-71. [Link] [DOI:10.1111/j.1746-1561.1991.tb01200.x]
19. Shakil A, Gimpel NE, Rizvi H, Siddiqui Z, Ohagi E, Billmeier TM, et al. Awareness and prevention of osteoporosis among South Asian women. J Community Health. 2010;35(4):392-7. [Link] [DOI:10.1007/s10900-010-9263-4]
20. Salehi L, Haidari F. Efficacy of Precede model in promoting nutritional behaviors in a rural society. Iran J Epidemiol. 2011;6(4):21-7. [Persian] [Link]
21. Hazavehei SMM, Oruogi MA, Charkazi A, Hassanzadeh A. The effect of health education intervention based on Precede framework on modification of vegetable oils consumption habits in families under the cover of health centers in Mani Shahr of Khomein. J Arak Univ Med Sci. 2011;13(4):133-42. [Persian] [Link]
22. Sharify Rad GR, Heydarnia AR, Dalimi Asl A, Ghofranipoor F. The effect of health education on reduction of intestinal parasitic infection in Ilam city using Precede Model. J Shahid Sadoughi Univ Med Sci. 2002;9(4):75-80. [Persian] [Link]
23. Didehvar M, Jalili Z, Zareban I, Bakhshani NM, Shahrakipour M. The effect of stress management education based on Precede model on occupational stress of nurses in hospital of Iranshahr, Iran. Strides Dev Med Educ. 2015;12(3):472-84. [Persian] [Link]
24. Sun WY, Sangwein B, Chen J, Cheung S. Effects of a community-based nutrition education program on the dietary behavior of Chinese-American college students. Health Promot Int. 1999;14(3):241-50. [Link] [DOI:10.1093/heapro/14.3.241]
25. Oruoji MA, Hashemi SI, Hazavehei SMM, Charkazi A, Javaheri J, Moazeni M. The positive impact of educational intervention program based on Precede model on preventive behaviors to reduce brucellosis in the rural people of Khomein. J Res Dev Nurs Midwifery. 2012;9(1):51-60. [Persian] [Link]
26. Dehdari T, Heidarnia AR, Ramezankhani A, Sadeghian S, Ghofranipour F, Etemadi S. Planning and evaluation of an educational intervention programme to improve life quality in patients after coronary artery bypass graft-surgery according to Precede-Proceed model. J Birjand Univ Med Sci. 2008;15(4):27-37. [Persian] [Link]
27. Zigheymat F, Naderi Z, Ebadi A, Kachuei H, Mehdizade S, Ameli J, et al. Effect of education based on Precede-Proceed model on knowledge, attitude and behavior of epilepsy patients. J Behav Sci. 2009;3(3):223-9. [Persian] [Link]
28. Lesan Sh, Ghofranipour F, Birashk B, Faghihzadeh S. Application of Precede in reducing Tehranian firemen anxiety. Iran J Psychiatry Clin Psychol. 2003;9(2):77-83. [Persian] [Link]
29. Shakouri S, Sharifi Rad GR, Golshiri P, Hassanzadeh A, Shafe Shakouri M. Effect of health education program base on Precede model in controlling iron-deficiency anemia among high school girl students in Talesh. J Arak Univ Med Sci. 2009;12(3):47-56. [Persian] [Link]

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