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Effects of health belief model in promoting self-care behaviors among hypertensive older adults
BACKGROUND: Aging has the fastest growth rate in age groups. With age, the prevalence of a variety of chronic diseases also increases. Among chronic diseases, hypertension is one of the most important diseases among older adults and self-care is one of the effective approaches to control it. The aim...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10402793/ https://www.ncbi.nlm.nih.gov/pubmed/37546000 http://dx.doi.org/10.4103/jehp.jehp_689_22 |
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author | Nematzad, Pouya Pourghane, Parand Besharati, Fereshteh Gholami-Chaboki, Bahare |
author_facet | Nematzad, Pouya Pourghane, Parand Besharati, Fereshteh Gholami-Chaboki, Bahare |
author_sort | Nematzad, Pouya |
collection | PubMed |
description | BACKGROUND: Aging has the fastest growth rate in age groups. With age, the prevalence of a variety of chronic diseases also increases. Among chronic diseases, hypertension is one of the most important diseases among older adults and self-care is one of the effective approaches to control it. The aim of the present study was to apply the health belief model (HBM) in promoting self-care in hypertensive older adults to help improve self-care behaviors in this age group. SETTINGS AND DESIGN: This was a quasi-experimental study. This study was conducted at comprehensive health centers in the east of Guilan province, Iran. METHODS AND MATERIAL: This intervention study was conducted on 106 elderly people with hypertension who were selected with a multi-stage random sampling method from those referred to east health centers of Gilan, Iran, in 2019. The data gathering tool was a questionnaire including demographic characteristics, HBM structure, hypertension knowledge, and hypertension self-care questionnaires. The intervention group received an educational program based on the HBM model. The questionnaire was completed by the elderly before and 2 months after the intervention. The data were analyzed by descriptive statistics, Mann–Whitney, Chi-square, Wilcoxon, Fisher, and ANCOVA tests usingSPSS ver.16. RESULTS: There was a significant difference in knowledge and all HBM constructs before and after the intervention in the intervention group (P < 0.001). In the control group, knowledge (P-value = 0.023), self-efficacy (P-value = 0.001), perceived severity (P-value = 0.005), and cues to action (P-value = 0.008) were significantly different (P < 0.05) after the intervention. CONCLUSION: The present study showed that HBM-based education can be considered an effective educational framework for improving self-care of the hypertensive older adults. |
format | Online Article Text |
id | pubmed-10402793 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-104027932023-08-05 Effects of health belief model in promoting self-care behaviors among hypertensive older adults Nematzad, Pouya Pourghane, Parand Besharati, Fereshteh Gholami-Chaboki, Bahare J Educ Health Promot Original Article BACKGROUND: Aging has the fastest growth rate in age groups. With age, the prevalence of a variety of chronic diseases also increases. Among chronic diseases, hypertension is one of the most important diseases among older adults and self-care is one of the effective approaches to control it. The aim of the present study was to apply the health belief model (HBM) in promoting self-care in hypertensive older adults to help improve self-care behaviors in this age group. SETTINGS AND DESIGN: This was a quasi-experimental study. This study was conducted at comprehensive health centers in the east of Guilan province, Iran. METHODS AND MATERIAL: This intervention study was conducted on 106 elderly people with hypertension who were selected with a multi-stage random sampling method from those referred to east health centers of Gilan, Iran, in 2019. The data gathering tool was a questionnaire including demographic characteristics, HBM structure, hypertension knowledge, and hypertension self-care questionnaires. The intervention group received an educational program based on the HBM model. The questionnaire was completed by the elderly before and 2 months after the intervention. The data were analyzed by descriptive statistics, Mann–Whitney, Chi-square, Wilcoxon, Fisher, and ANCOVA tests usingSPSS ver.16. RESULTS: There was a significant difference in knowledge and all HBM constructs before and after the intervention in the intervention group (P < 0.001). In the control group, knowledge (P-value = 0.023), self-efficacy (P-value = 0.001), perceived severity (P-value = 0.005), and cues to action (P-value = 0.008) were significantly different (P < 0.05) after the intervention. CONCLUSION: The present study showed that HBM-based education can be considered an effective educational framework for improving self-care of the hypertensive older adults. Wolters Kluwer - Medknow 2023-06-30 /pmc/articles/PMC10402793/ /pubmed/37546000 http://dx.doi.org/10.4103/jehp.jehp_689_22 Text en Copyright: © 2023 Journal of Education and Health Promotion https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Nematzad, Pouya Pourghane, Parand Besharati, Fereshteh Gholami-Chaboki, Bahare Effects of health belief model in promoting self-care behaviors among hypertensive older adults |
title | Effects of health belief model in promoting self-care behaviors among hypertensive older adults |
title_full | Effects of health belief model in promoting self-care behaviors among hypertensive older adults |
title_fullStr | Effects of health belief model in promoting self-care behaviors among hypertensive older adults |
title_full_unstemmed | Effects of health belief model in promoting self-care behaviors among hypertensive older adults |
title_short | Effects of health belief model in promoting self-care behaviors among hypertensive older adults |
title_sort | effects of health belief model in promoting self-care behaviors among hypertensive older adults |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10402793/ https://www.ncbi.nlm.nih.gov/pubmed/37546000 http://dx.doi.org/10.4103/jehp.jehp_689_22 |
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