Volume 12, Issue 4 (2024)
Health Educ Health Promot 2024, 12(4): 1001-1035 |
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Malekzadeh F, Tahmasebi R, Noroozi A. The role of cardio-vascular risk assessment in educational intervention based on Health Belief Model for medical adherence in patients with hypertension. Health Educ Health Promot 2024; 12 (4) :1001-1035
URL: http://hehp.modares.ac.ir/article-5-78149-en.html
URL: http://hehp.modares.ac.ir/article-5-78149-en.html
1- Department of Health, Bushehr University of Medical Sciences, Bushehr, Iran
2- Department of Epidemiology and Biostatistics, School of Health, Bushehr University of Medical Sciences, Bushehr, Iran
3- Department of Health, Bushehr University of Medical Sciences, Bushehr, Iran ,azitanoroozi@yahoo.com
2- Department of Epidemiology and Biostatistics, School of Health, Bushehr University of Medical Sciences, Bushehr, Iran
3- Department of Health, Bushehr University of Medical Sciences, Bushehr, Iran ,
Abstract: (78 Views)
Aims:High blood pressure is a serious medical condition. Medical adherence is crucial to prevent complications. This study aimed to investigate the impact of a cardiovascular risk assessment and an educational intervention based on the Health Belief Model on medical adherence among hypertensive patients.
Methods:This semi-experimental study was conducted in three groups included risk assessment &education group, risk assessment group, and control group. Forty patients entered in each group. Patients’ risk assessment in two interventional groups were individually evaluated with using the Framingham model and the type of risk (low, moderate, or high risk) were interpreted for increasing perceived susceptibility and intervention personalizing. Also, the patients in risk assessment & education group received an educational booklet based on HBM constructs. All groups completed questionnaires included knowledge, HBM constructs, Moriski's medication adherence questionnaire, and treatment compliance (ratio of consumed to prescribed drugs) at the beginning and three months later. Data were analyzed using SPSS software version26.
Findings: The three groups were similar in terms of demographic variables. Comparing the groups over time indicated that the patients in risk assessment&education group had significant improvements in all constructs of the Health Belief Model. In contrast, the risk assessment group demonstrated improvements only in perceived barriers, perceived benefits, perceived self-efficacy, and awareness. Both interventional groups exhibited increased treatment compliance and medical adherence.
Conclusion: The study findings demonstrated that the integrated educational and risk assessment intervention was more effective in improving awareness and enhancing the constructs of the Health Belief Model compared to risk assessment alone.
Methods:This semi-experimental study was conducted in three groups included risk assessment &education group, risk assessment group, and control group. Forty patients entered in each group. Patients’ risk assessment in two interventional groups were individually evaluated with using the Framingham model and the type of risk (low, moderate, or high risk) were interpreted for increasing perceived susceptibility and intervention personalizing. Also, the patients in risk assessment & education group received an educational booklet based on HBM constructs. All groups completed questionnaires included knowledge, HBM constructs, Moriski's medication adherence questionnaire, and treatment compliance (ratio of consumed to prescribed drugs) at the beginning and three months later. Data were analyzed using SPSS software version26.
Findings: The three groups were similar in terms of demographic variables. Comparing the groups over time indicated that the patients in risk assessment&education group had significant improvements in all constructs of the Health Belief Model. In contrast, the risk assessment group demonstrated improvements only in perceived barriers, perceived benefits, perceived self-efficacy, and awareness. Both interventional groups exhibited increased treatment compliance and medical adherence.
Conclusion: The study findings demonstrated that the integrated educational and risk assessment intervention was more effective in improving awareness and enhancing the constructs of the Health Belief Model compared to risk assessment alone.
Article Type: Original Research |
Subject:
Health Education and Health Behavior
Received: 2024/11/24 | Accepted: 2024/12/16 | Published: 2024/10/19
Received: 2024/11/24 | Accepted: 2024/12/16 | Published: 2024/10/19
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