Volume 7, Issue 4 (Oct-Dec 2018)
JCHR 2018, 7(4): 207-213 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Sharifi N, Sharifi F. Design and Implementation of Educational Interventions to Empower Female Students to Prevent Osteoporosis. JCHR 2018; 7 (4) :207-213
URL: http://jhr.ssu.ac.ir/article-1-455-en.html
URL: http://jhr.ssu.ac.ir/article-1-455-en.html
1- Department of Public Health, Research Center of Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran , nadersharifi81@yahoo.com
2- Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2- Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract: (5540 Views)
Introduction: Osteoporosis is a chronic disease which influences the life of people considerably, especially the women. Most women are not aware that osteoporosis is preventable. Although there is a higher risk of osteoporosis in postmenopausal women, but bone loss can begin at the age of 35. This research was conducted to design and implement educational interventions to empower female students to prevent osteoporosis.
Methods: This interventional study was a controlled trial. This study was conducted on female students of Shahrekord Islamic Azad University. A two-stage stratified random sampling was used for recruiting samples. The sample size was set at 150 (75 interventions and 75 controls). A demographic questionnaire and a self-made questionnaire of self-empowerment for the prevention of osteoporosis were used to collect information. Data were collected before the intervention and three months after the intervention. The educational intervention was conducted in two months with eight education sessions. For statistical analyses, the SPSS software version 23 was used.
Results: The mean age of the intervention group was 20.69 ± 2.24, and the control group was 20.29 ± 2.04, besides, there was no significant difference between the two groups (P= 0.26). The test indicates a significant difference in mean variance of the intervention group compared to mean variance of the control group in knowledge (P< 0.001), attitude (P< 0.001) and self-efficacy (P= 0.006). The difference in mean variance of the intervention group compared to the mean variance of the control group was not significant in life skills (P= 0.23).
Conclusion: The results generally reflect the effect of educational interventions in improving the abilities of female students to prevent osteoporosis. It is suggested to design and implement educational programs to empower women to prevent osteoporosis.
Methods: This interventional study was a controlled trial. This study was conducted on female students of Shahrekord Islamic Azad University. A two-stage stratified random sampling was used for recruiting samples. The sample size was set at 150 (75 interventions and 75 controls). A demographic questionnaire and a self-made questionnaire of self-empowerment for the prevention of osteoporosis were used to collect information. Data were collected before the intervention and three months after the intervention. The educational intervention was conducted in two months with eight education sessions. For statistical analyses, the SPSS software version 23 was used.
Results: The mean age of the intervention group was 20.69 ± 2.24, and the control group was 20.29 ± 2.04, besides, there was no significant difference between the two groups (P= 0.26). The test indicates a significant difference in mean variance of the intervention group compared to mean variance of the control group in knowledge (P< 0.001), attitude (P< 0.001) and self-efficacy (P= 0.006). The difference in mean variance of the intervention group compared to the mean variance of the control group was not significant in life skills (P= 0.23).
Conclusion: The results generally reflect the effect of educational interventions in improving the abilities of female students to prevent osteoporosis. It is suggested to design and implement educational programs to empower women to prevent osteoporosis.
Review: Research |
Subject:
Health education
Received: 2018/07/11 | Accepted: 2018/12/31 | Published: 2018/12/31
Received: 2018/07/11 | Accepted: 2018/12/31 | Published: 2018/12/31
References
1. Keshavarz-Mohamadi N, Hoseyni G. Health education and educational technology. 1st ed. Tehran: Dibagaran Publications; 2003. [Persian]
2. Ghaffari M, Tavassoli E, Esmaillzadeh A, et al. The effect of education based on health belief model on the improvement of osteoporosis preventive nutritional behaviors of second grade middle school girls in Isfahan. Health System Research. 2011; 6(4): 714-723. [Google Scholar]
3. El-Tawab SS, Saba EK, Elweshahi HM, et al. Knowledge of osteoporosis among women in Alexandria (Egypt): A community based survey. The Egyptian Rheumatologist. 2016; 38(3): 225-231. [DOI:10.1016/j.ejr.2015.08.001]
4. Sun T, Chen M, Lin X, et al. The influence of osteoprotegerin genetic polymorphisms on bone mineral density and osteoporosis in Chinese postmenopausal women. International Immunopharmacology. 2014; 22(1): 200-203. [DOI:10.1016/j.intimp.2014.06.023] [PMID]
5. Atan D, Atan T, Özcan KM, et al. Relation of otosclerosis and osteoporosis: A bone mineral density study. Auris Nasus Larynx. 2016; 43(4): 400-403. [DOI:10.1016/j.anl.2015.11.001] [PMID]
6. Bachrach LK. Osteoporosis and measurement of bone mass in children and adolescents. Endocrinology and Metabolism Clinics. 2005; 34(3): 521-535. [DOI:10.1016/j.ecl.2005.04.001] [PMID]
7. Lane NE. Epidemiology, etiology, and diagnosis of osteoporosis. American Journal of Obstetrics and Gynecology. 2006; 194(2):S3-S11. [DOI:10.1016/j.ajog.2005.08.047] [PMID]
8. Reginster JY, Burlet N. Osteoporosis: a still increasing prevalence. Bone. 2006; 38(2): 4-9. [DOI:10.1016/j.bone.2005.11.024] [PMID]
9. El-Tawab SS, Saba EK, Elweshahi HM, et al. Knowledge of osteoporosis among women in Alexandria (Egypt): A community based survey. The Egyptian Rheumatologist. 2016; 38(3): 225-231. [DOI:10.1016/j.ejr.2015.08.001]
10. Costa AL, Silva MA, Brito LM, et al. Osteoporosis in primary care: an opportunity to approach risk factors. Revista Brasileira De Reumatologia. 2016; 56(2): 111-116. [DOI:10.1016/j.rbr.2015.03.004] [PMID]
11. Suwan A, Panyakhamlerd K, Chaikittisilpa S, et al. Validation of the thai osteoporosis foundation and royal college of orthopaedic surgeons of Thailand clinical practice guideline for bone mineral density measurement in postmenopausal women. Osteoporosis and Sarcopenia. 2015; 1(2): 103-108. [DOI:10.1016/j.afos.2015.09.003]
12. Iwamoto Y, Uchida K, Sugino N, et al. Osteoporosis, osteoporotic fractures, and carotid artery calcification detected on panoramic radiographs in Japanese men and women. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2016; 121(6): 673-680. [DOI:10.1016/j.oooo.2016.02.006] [PMID]
13. Khoshnoudi Z. Effect of training based on health belief model to mothers with osteoporosis and healthy mothers on preventive behaviors of their daughters. [Master thesis]. Iran, Tehran. Tarbiat Modares University; 2011. [Persian]
14. Tussing L, Champan-Novakofski K. Osteoporosis prevention education; behavior theories and calcium intake. Journal of the American Dietetic Association. 2005; 105(1): 92-97. [DOI:10.1016/j.jada.2004.10.025] [PMID]
15. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bulletin of World Health Organization. 2003; 81(9): 646-656. [PMID] [PMCID]
16. Pazhuhi M, Kalimian Z, Sedaghat M, et al . Effect of booklet training on the knowledge and performance of osteoporotic patients. Payesh, 2003; 3(1): 71-78. [Persian]
17. Abdoli S. Application of preventive factors of osteoporosis in postmenopausal women. [Master thesis]. Iran, Tehran. Tehran University of Medical Scieicnes; 2004. [Persian]
18. Berarducci A. Senior nursing students' knowledge of osteoporosis. Orthopaedic Nursing. 2004; 23(2): 121-127. [DOI:10.1097/00006416-200403000-00009] [PMID]
19. Black JM, Hokanson HJ, Knee AM. Medical surgical nursing. 6th ed. Philadelphia: W.B, Sanders Company; 2001; p: 566-572.
20. Huang CM, Su CY, Chien LY, et al. The effectiveness of an osteoporosis prevention program among women in Taiwan. Applied Nursing Research. 2011; 24(4): e29-37. [DOI:10.1016/j.apnr.2010.02.006] [PMID]
21. Rafieifar SH. Self-improvement system for self-health care. Health Department of the Ministry of Health and Medical Education, Tehran, Iran, 2005: 76-82.
22. Griffin RW, Moorhead G. Organizational behavior.10th ed.Canada: Nelson Education; 2011.
23. Solhi M, Abasi H, Hazavehei MM, et al. Effect of educational intervention on empowerment of high school student in prevention of smoking. Razi Journal of Medical Sciences. 2014; 21(118): 52-63. [Persian] [Google Scholar]
24. Heidari M, Alhani F, Kazemnejad A, et al. The effect of empowerment model on quality of life of Diabetic adolescents. Iranian Journal of Pediatrics. 2007; 17(Suppl 1): 87-94. [Persian] [Google Scholar]
25. Qorban Sabbagh M, Khanjani N, Fadakar MM, et al. Empowerment of women visiting the health centers of Kerman by teaching Self Breast Examination in the presence of Behvarz. Iranian Quarterly Journal of Breast Disease. 2014; 7 (1): 41-51. [Persian] [Google Scholar]
26. Sabin NJ, Sarter B. Osteoporosis prevention: narrowing the gap between knowledge and application. The Journal for Nurse Practitioners. 2014; 10(9): 749-753. [DOI:10.1016/j.nurpra.2014.07.019]
27. Kamjoo A, Shahi A, Dabiri F, et al. The effectiveness of education about osteoporosis prevention on awareness of female students. Bimonthly Journal of Hormozgan University of Medical Sciences. 2012; 16(1): 60-65. [Persian] [Google Scholar]
28. Sanaei Nasab H, Tavakoli R, Farrokhian A, et al. The effect of educational intervention with the health belief model on knowledge, perceptions and self-efficacy among adolescent of high school girls about osteoporosis in 2010. Urmia Medical Journal. 2013; 24(3): 163-169. [Persian] [Google Scholar]
29. Noordeen U, Simmonds J, Beeton K. Knowledge and health beliefs about osteoporosis amongst 16-18 year old students in male in the Maldives. Journal of Osteoporosis and Physical Activity. 2014; 2(2): 1-5. [DOI:10.4172/2329-9509.1000123]
30. Khorsandi M, Hasanzadeh L, Ghobadzadeh M. Assessment of knowledge and self-efficacy in achieving osteoporosis prevention behaviors among high school female students. Procedia-Social and Behavioral Sciences. 2012; 46(2): 4385-4388. [DOI:10.1016/j.sbspro.2012.06.259]
31. Kaveh MH, Golij M, Nazari M, et al. Effects of an osteoporosis prevention training program on physical activity-related stages of change and self-efficacy among university students, Shiraz, Iran: a Randomized Clinical Trial. Journal of Advances in Medical Education & Professionalism. 2014; 2(4): 158-164. [PMID] [PMCID]
32. Kargar M, Jamali Moghadam N, Moattari M. The effect of osteoporosis prevention education by peers and health personnel on self-efficacy of adolescents with nephrotic syndrome. Iran Journal of Nursing. 2013; 26(81): 44-53. [Persian]
33. Enjezab B, Farajzadegan Z, Taleghani F, et al. Health promoting behaviors in a population-based sample of middle-aged women and its relevant factors in Yazd, Iran. International Journal of Preventive Medicine. 2012; 3(Suppl 1): S191- S198.
34. Shojaezadeh D, Sadeghi R, Tarrahi M, et al. Application of health belief model in prevention of osteoporosis in volunteers of Khorramabad city health centers, Iran. Health System Reserch. 2012; 8(2): 183-192. [Google Scholar]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution 4.0 International License. |
