DOI QR코드

DOI QR Code

Health Blief Model-based intervention to improve nutritional behavior among elderly women

  • Received : 2015.06.22
  • Accepted : 2016.02.16
  • Published : 2016.06.01

Abstract

BACKGROUND/OBJECTIVES: Nutrition is a determinant factor of health in elderly people. Independent living in elderly people can be maintained or enhanced by improvement of nutritional behavior. Hence, the present study was conducted to determine the impact of Health Belief Model (HBM)-based intervention on the nutritional behavior of elderly women. SUBJECTS/METHODS: Cluster-random sampling was used to assess the sample of this clinical trial study. The participants of this study attended a 12-week nutrition education program consisting of two (2) sessions per week. There was also a follow-up for another three (3) months. Smart PLS 3.5 and SPSS 19 were used for structural equation modeling, determination of model fitness, and hypotheses testing. RESULTS: The findings indicate that intervention had a significant effect on knowledge improvement as well as the behavior of elderly women. The model explained 5 to 70% of the variance in nutritional behavior. In addition, nutritional behavior was positively affected by the HBM constructs comprised of perceived susceptibility, self-efficacy, perceived benefits, and barriers after the intervention program. CONCLUSION: The results of this study show that HBM-based educational intervention has a significant effect in improving nutritional knowledge and behavior among elderly women.

Keywords

References

  1. McCutcheon M, Pruchno R. Introducing the international spotlight. Gerontologist 2011;51:423-4. https://doi.org/10.1093/geront/gnr070
  2. Forsyth DR, Chia YC. How should Malaysia respond to its ageing society? Med J Malaysia 2009;64:46-50.
  3. Thanakwang K, Ingersoll-Dayton B, Soonthorndhada K. The relationships among family, friends, and psychological well-being for Thai elderly. Aging Ment Health 2012;16:993-1003. https://doi.org/10.1080/13607863.2012.692762
  4. Haron SA, Sharpe DL, Masud J, Abdel-Ghany M. Health divide: economic and demographic factors associated with self-reported health among older Malaysians. J Fam Econ Issues 2010;31:328-37. https://doi.org/10.1007/s10834-010-9207-2
  5. Duque S, Freitas P, Silvestre J, Fernandes L, Pinto M, Sousa A, Batalha V, Campos L. Prognostic factors of elderly patients admitted in a medical intermediate care unit. Eur Geriatr Med 2011;2:327-31. https://doi.org/10.1016/j.eurger.2011.07.013
  6. Goetzel RZ, Shechter D, Ozminkowski RJ, Stapleton DC, Lapin PJ, McGinnis JM, Gordon CR, Breslow L. Can health promotion programs save medicare money? Clin Interv Aging 2007;2:117-22. https://doi.org/10.2147/ciia.2007.2.1.117
  7. Oliveira MR, Fogaça KC, Leandro-Merhi VA. Nutritional status and functional capacity of hospitalized elderly. Nutr J 2009;8:54. https://doi.org/10.1186/1475-2891-8-54
  8. Knoops KT, de Groot LC, Kromhout D, Perrin AE, Moreiras-Varela O, Menotti A, van Staveren WA. Mediterranean diet, lifestyle factors, and 10-year mortality in elderly European men and women: the HALE project. JAMA 2004;292:1433-9. https://doi.org/10.1001/jama.292.12.1433
  9. Sahyoun NR, Pratt CA, Anderson A. Evaluation of nutrition education interventions for older adults: a proposed framework. J Am Diet Assoc 2004;104:58-69.
  10. Baranowski T, Cullen KW, Nicklas T, Thompson D, Baranowski J. Are current health behavioral change models helpful in guiding prevention of weight gain efforts? Obes Res 2003;11 Suppl:23S-43S. https://doi.org/10.1038/oby.2003.222
  11. Becker MH, Maiman LA, Kirscht JP, Haefner DP, Drachman RH. The Health Belief Model and prediction of dietary compliance: a field experiment. J Health Soc Behav 1977;18:348-66. https://doi.org/10.2307/2955344
  12. Ceber E, Turk M, Ciceklioglu M. The effects of an educational program on knowledge of breast cancer, early detection practices and health beliefs of nurses and midwives. J Clin Nurs 2010;19:2363-71. https://doi.org/10.1111/j.1365-2702.2009.03150.x
  13. Dobe M. Health promotion for prevention and control of non-communicable diseases: unfinished agenda. Indian J Public Health 2012;56:180-6. https://doi.org/10.4103/0019-557X.104199
  14. Moore Q, Johnson A. Best Practices for Using Health Education to Change Behavior. Houston (TX): The James A. Baker III Institute for Public Policy of Rice University; 2015.
  15. Baghianimoghadam MH, Shogafard G, Sanati HR, Baghianimoghadam B, Mazloomy SS, Askarshahi M. Application of the health belief model in promotion of self-care in heart failure patients. Acta Med Iran 2013;51:52-8.
  16. Orji R, Vassileva J, Mandryk R. Towards an effective health interventions design: an extension of the health belief model. Online J Public Health Inform 2012;4. pii: ojphi.v4i3.4321.
  17. Saeidlou SN, Merdol TK, Mikaili P, Bektas Y. Assessment of the nutritional status of elderly people living at nursing homes in Northwest Iran. Int J Acad Res 2011;3:463-72.
  18. Wojszel ZB. Determinants of nutritional status of older people in long-term care settings on the example of the nursing home in Bialystok. Adv Med Sci 2006;51:168-73.
  19. Saletti A, Lindgren EY, Johansson L, Cederholm T. Nutritional status according to mini nutritional assessment in an institutionalized elderly population in Sweden. Gerontology 2000;46:139-45. https://doi.org/10.1159/000022149
  20. Henseler J, Sarstedt M. Goodness-of-fit indices for partial least squares path modeling. Comput Stat 2013;28:565-80. https://doi.org/10.1007/s00180-012-0317-1
  21. Wong KK. Partial least squares structural equation modeling (PLS-SEM) techniques using SmartPLS. Mark Bull 2013;24:1-32.
  22. Hulland J. Use of partial least squares (PLS) in strategic management research: a review of four recent studies. Strateg Manage J 1999;20:195-204. https://doi.org/10.1002/(SICI)1097-0266(199902)20:2<195::AID-SMJ13>3.0.CO;2-7
  23. Champion VL, Skinner CS. The health belief model. In: Glanz K, Rimer BK, Viswanath K, editors. Health Behavior and Health Education: Theory, Research, and Practice. 4th ed. San Francisco (CA): Jossey-Bass; 2008. p.45-65.
  24. Rousset S, Droit-Volet S, Boirie Y. Change in protein intake in elderly French people living at home after a nutritional information program targeting protein consumption. J Am Diet Assoc 2006;106:253-61. https://doi.org/10.1016/j.jada.2005.10.037
  25. Young K, Bunn F, Trivedi D, Dickinson A. Nutritional education for community dwelling older people: a systematic review of randomised controlled trials. Int J Nurs Stud 2011;48:751-80. https://doi.org/10.1016/j.ijnurstu.2011.03.007
  26. Kim HS, June KJ, Song R. Effects of nutrition education and exercise programs on perceived dietary behaviors, food intake and serum lipid profiles in elderly Korean women living in residential homes. Asian Nurs Res (Korean Soc Nurs Sci) 2007;1:35-47.
  27. 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;22:71-82.
  28. Bayat F, Shojaeezadeh D, Baikpour M, Heshmat R, Baikpour M, Hosseini M. The effects of education based on extended health belief model in type 2 diabetic patients: a randomized controlled trial. J Diabetes Metab Disord 2013;12:45. https://doi.org/10.1186/2251-6581-12-45
  29. Sharifirad G, Entezari MH, Kamran A, Azadbakht L. The effectiveness of nutritional education on the knowledge of diabetic patients using the Health Belief Model. J Res Med Sci 2009;14:1-6.
  30. Khabazian A, Rezaei N. The effect of education on the nutritional knowledge, attitude and practice in diabetic patients. Tolue Behdasht 2003;2:57.
  31. Aghamolayee T, Eftekhar H, Mohammad K. The application of Health Belief Model in changing the behavior in diabetic patients. Payesh 2005;4:263-9.
  32. Swaim RA, Barner JC, Brown CM. The relationship of calcium intake and exercise to osteoporosis health beliefs in postmenopausal women. Res Social Adm Pharm 2008;4:153-63. https://doi.org/10.1016/j.sapharm.2007.03.004
  33. Rejeski WJ, Brubaker PH, Goff DC Jr, Bearon LB, McClelland JW, Perri MG, Ambrosius WT. Translating weight loss and physical activity programs into the community to preserve mobility in older, obese adults in poor cardiovascular health. Arch Intern Med 2011;171:880-6.

Cited by

  1. Food Safety and Nutrition Education Program for Elderly and Assessment of Program Effectiveness Based on Health Belief Model vol.45, pp.9, 2016, https://doi.org/10.3746/jkfn.2016.45.9.1366
  2. The Impact of Spiritual Care Education on Anxiety in Family Caregivers of Patients with Heart Failure pp.1573-6571, 2018, https://doi.org/10.1007/s10943-018-0689-9
  3. A Theoretically Based Behavioral Nutrition Intervention for Elderly Women: A Cluster Randomized Controlled Trial vol.12, pp.2, 2018, https://doi.org/10.1016/j.ijge.2017.08.007
  4. Effectiveness of modified health belief model-based intervention to reduce body mass index for age in overweight junior high school students in Thailand vol.33, pp.2, 2016, https://doi.org/10.1108/jhr-08-2018-0065
  5. Trends in the Number of Behavioural Theory-Based Healthy Eating Interventions Inclusive of Dietitians/Nutritionists in 2000-2020 vol.13, pp.11, 2016, https://doi.org/10.3390/nu13114161
  6. Health beliefs and adherence of the elderly to fall prevention measures: a quasi-experimental study vol.75, pp.suppl4, 2016, https://doi.org/10.1590/0034-7167-2020-1190