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The effect of education based on health belief model on high-risk health behaviors in youth: an interventional quasi-experimental study

  • Nasrin Zahmatkesh Rokhi , Samira Ebrahimzadeh Zagami ORCID logo EMAIL logo , Maryam Moradi and Seyed Reza Mazloum
Published/Copyright: June 29, 2023

Abstract

Objectives

The present study was designed to determine the effect of education based on health belief model (HBM) on high-risk health behaviors in youth.

Methods

This interventional quasi-experimental study was conducted in 2020–2021 with the participation of 62 students living in the dormitories of University of Mashhad Medical Sciences with available sampling and random allocation in two experimental and control groups. The experimental group received six training sessions. The research instruments included: demographic information, researcher-made questionnaire including HBM constructs, youth high-risk behaviors questionnaire (2019) that were used before, immediately and one month after the educations. The collected data were analyzed using t-test, Mann-Whitney, and ANOVA with SPSS 21.

Results

The mean scores in the field of high-risk behaviors as well as all constructs of HBM were not statistically significant in the two groups before the intervention (p>0.05), but the mean scores immediately and one month after the educational intervention in all constructs of the HBM and the range of high-risk behaviors (other than smoking behavior) in the experimental group compared to the control group was statistically significant (p<0.001).

Conclusions

Education based on HBM was effective in reducing high-risk health behaviors, so this educational model can be used to reduce high-risk health behaviors in female students.


Corresponding author: Samira Ebrahimzadeh Zagami, Assistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; and Faculty of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran, E-mail:

Funding source: Mashhad University of Medical Sciences

Award Identifier / Grant number: Unassigned

Acknowledgments

This study was derived from results of MSc dissertation. We are grateful to Mashhad University of Medical Sciences for financial support. This study was approved in the Local Research Ethics Committee under code: IR.MUMS.REC. 1398.100.

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

References

1. Panahi, R, Rezaie, Z, Teymoori, P, Nouri, B, Nouri, E, Ahmadi, O, et al.. The factors associated to high risk behaviors in sanandaj city students based on health belief model. Iran. J Health Educ Health Promot 2018;6:402–393.10.30699/acadpub.ijhehp.6.4.393Search in Google Scholar

2. Tajabadi, Z, Dehghani, F, Saehzadeh, M. The role of time perspective and peer rejection in predicting high-risk behaviors of adolescents of yazd city. Iran J Health Educ Health Promot 2020;8:129–41. https://doi.org/10.29252/ijhehp.8.2.129.Search in Google Scholar

3. Peltzer, K, Pengpid, S, Yung, TK, Aounallah-Skhiri, H, Rehman, R. Comparison of health risk behavior, awareness, and health benefit beliefs of health science and non-health science students: an international study. Nurs Health Sci 2016;18:180–7. https://doi.org/10.1111/nhs.12242.Search in Google Scholar PubMed

4. Salmani, B, Hasani, J, Arianna, KE. Evaluating the role of personality traits (Consciousness, agreeableness and sensation seeking) in risky behaviors. J Adv Cogn Sci 2014;16:10–1.Search in Google Scholar

5. Esmaielzadeh, H, Asadi, M, Miri, N, Keramatkar, M. Prevalence of high risk behaviors among high school students of Qazvin in 2012. Iran J Epidemiol 2014;10:82–75.Search in Google Scholar

6. Abolfotouh, M, Bassiouni, F, Mounir, G, Fayyad, RC. Health-related lifestyles and risk behaviours among students living in Alexandria University hostels. Health J 2007;13:376–91.Search in Google Scholar

7. Hajian, K, Khirkhah, F, Habibi, M. Frequency of risky behaviours among students in Babol Universities (2009). J Gorgan Univ Med Sci. 2011;13:60–52.Search in Google Scholar

8. Panahi, R, Ramezankhani, A, Tavousi, M, Koosehloo, A, Niknami, S. Relationship of health literacy with knowledge and attitude toward the harms of cigarette smoking among university students. J Educ Community Health 2017;3:44–38. https://doi.org/10.21859/jech.3.4.38.Search in Google Scholar

9. Serajzadeh, SH, Habibpour Gatabi, K. Quality of dormitory life among girl students in state universities of Iran. J Iran Cult Res 2018;11:31–1.Search in Google Scholar

10. Mohammadi Farrokhran, E, Mokhayeri, Y, Tavakkol, Z, Mansouri, A. Relationship between quality of sleep and mental health among students living in dormitories. J Knowl Health 2012;7:117–2.Search in Google Scholar

11. Khojandi, GA, Banashi, MR, Sharifi, H, Mohseni, Sh. High-risk behaviors prevalence among Islamic Azad and Payame Noor University students in Roudan. J Prev Med 2016;5:52–44.Search in Google Scholar

12. Mehrabi, HA, kajbaf, MB, Mojahed, AA. Prediction of high risk behaviors on the basis of sensation seeking and demographic factors in Isfahan University students. J Psychol Sci 2010;6:166–41. https://doi.org/10.22051/PSY.2010.1573.Search in Google Scholar

13. Shahbaziyan Khonig, A, Hasani, O, Soleymani, S. The survey of the role of moral and social intelligence in high-risk behaviors of students of Kurdistan university of medical sciences in the 2016–2017 academic year. J Rafsanjan Univ Med Sci 2018;17:52–39.Search in Google Scholar

14. Moradi, R, Mohammadi, M, Ziari, NB, Teymourian, N. The relation between self-confidence and risk-taking among female students living in dormitories of Isfahan University medical sciences. Iran J Med Educ 2014;14:632–26.Search in Google Scholar

15. Ellis, BJ, Del Giudice, M, Dishion, TJ, Figueredo, AJ, Gray, P, Griskevicius, V, et al.. The evolutionary basis of risky adolescent behavior: implications for science, policy, and practice. Dev Psychol 2012;48:623–598. https://doi.org/10.1037/a0026220.Search in Google Scholar PubMed

16. Pourhaji, F, Tehrani, H, Talebi, M, Peyman, N. Perceived threat and stress responses in the face of Covid-19 based on health belief model. J Health Lit 2022;7:25–17.Search in Google Scholar

17. Glanz, K, Rimer, BK, Viswanath, K. Health behavior and health education: theory, research, and practice, 4th ed. San Francisco: Jossey-Bass; 2008:533–3 pp.Search in Google Scholar

18. Movahed, E, Shojaei Zadeh, D, Zarei Pour, MA, Arefi, Z, Ahmadi, FS, Ameri, M. Health belief model, the effect of health belief model-based training on self-medication among the male high school students. Iran J Health Educ Health Promot 2014;2:72–65.Search in Google Scholar

19. Zareipour, MA, Baghaei, R, Mahdi-Akhgar, M. The effect of education based on health belief model in self-control blood pressure in patients with hypertension health centers in Urmia. Int J Adv Biotechnol Res 2017;8:2108–15.Search in Google Scholar

20. Kavari, SH, Pour-Mohammadi, B, Homami, S. Internal evaluation of public health department of Semnan University of medical sciences. Koomesh 2011;12:104–11.Search in Google Scholar

21. Sadeghimahalli, F, Amuei, F, Dabbaghi, S. An assessment of internal evaluations in departments of basic sciences in Mazandaran University of medical sciences 2015. Dev Strat Med Educ 2016;3:74–63.Search in Google Scholar

22. Olyani, S. The effect of educational intervention based on Health Belief Model (HBM) on health literacy and nutritional behaviors of high school female students in Mashhad in academic [M.Sc. thesis]. Iran: School of Nursing and Midwifery, Mashhad University of Medical Sciences; 2015.Search in Google Scholar

23. Control CfD, Prevention. Youth risk behavior survey (YRBS); 2019. Available from: http://hdl.handle.net/20.500.11990/1420.Search in Google Scholar

24. Zahmatkesh-Rokhi, N, Ebrahimzadeh-Zagami, S, Jamali, J, Taghipour, A. Investigation of psychometric properties of Persian version youth risk behavior assessment questionnaire (YRBS 2019). Isfahan Med 2021;39:390–9.Search in Google Scholar

25. Salem, GM, Said, RM. Effect of health belief model based nutrition education on dietary habits of secondary school adolescent girls in Sharkia governorate. Egypt J Community Med 2018;36:47–35.10.21608/ejcm.2018.16330Search in Google Scholar

26. Masoudi, BD, Baghianimoghadam, MH, Sharifirad, G, Falahzadeh, H. Evaluation of preventive behaviors of addiction based on health belief model (hbm) among male high school students in boroujen, Iran. J Health Syst Res 2012;8:246–37.Search in Google Scholar

27. Mokhtari, N, Ghodsi, H, Asiri, S, Kazemnejad Leyli, E. Relationship between health belief model and smoking in male students of Guilan University of medical sciences. J Guilan Univ Med Sci 2013;22:41–33.Search in Google Scholar

28. Zareiyan, A, Roshandel, M, Emlai Khozani, S. The effect of training sessions based on the health belief model on soldiers in prevention of smoking persons’ attitude. Mil Caring Sci J 2015;2:63–8. https://doi.org/10.18869/acadpub.mcs.2.2.63.Search in Google Scholar

29. Rahnavard, Z, Mohammadi, M, Rajabi, F, Zolfaghari, M. An educational intervention using health belief model on smoking preventive behavior among female teenagers. HAYAT J Fac Nurs Midwifery 2011;17:26–15.Search in Google Scholar

30. Ahmadpoor, H, Maheri, A, Shojaizadeh, D. Effectiveness of nutrition education based on health belief model during pregnancy on knowledge and attitude of women referred to health centers of Gonbad Kavoos city. J Neyshabur Univ Med Sci 2015;3:60–52.Search in Google Scholar

31. Karimy, M, Gallali, M, Niknami, S, Aminshokravi, F, Tavafian, S. The effect of health education program based on health belief model on the performance of pap smear test among women referring to health care centers in Zarandieh. J Jahrom Univ Med Sci 2012;10:53–9. https://doi.org/10.29252/jmj.10.1.53.Search in Google Scholar

32. Mohammadi, N, Hooshian, M, Omidi, A, Soltanian, A. The effect of health belief model education on nutrition behavior of boys in secondary schools in Hamadan. Avicenna J Nurs Midwifery Care 2019;26:406–397.10.30699/sjhnmf.26.6.397Search in Google Scholar

33. Ivari, TK, Heshmati, H, Faryabi, R, Goudarzian, Z, Ghodrati, A, Najafi, F, et al.. Effect of health belief model based education on nutritional behaviors of pregnant women referred to health centers in Torbat-e-heydariyeh city. J Health Field 2016;3:31–23.Search in Google Scholar

34. Jorvand, R, Tavousi, M, Ghofranipour, F. Determinants of the regular physical activity among employees of healthcare network: application of health belief model. J Educ Community Health 2018;5:12–4.10.21859/jech.5.3.4Search in Google Scholar

35. Alizadehsiuki, H, Jadgal, KhM, ShamaeianRazavi, N, Zareban, I, Heshmati, H, Saghi, N. Effects of health education based on health belief model on nutrition behaviors of primary school students in Torbat e Heydariyeh city in 2012. J Health 2014;5:299–89.Search in Google Scholar

36. Tavafian, SS, Soltani, K, Rahmati-Najarkolaei, F. Efficacy of health education program based on health belief model (HBM) on HIV/AIDS beliefs among high school female students in tehran. J Mil Health Promot 2021;1:182–9.Search in Google Scholar

37. Tol, A, Majlessi, F, Shojaeizadeh, D, Esmaelee, SS, Mahmoudi, MM, Moradian, M. Effect of the educational intervention based on the health belief model on the continuation of breastfeeding behavior. J Nurs Educ 2013;2:74–39.Search in Google Scholar

38. Garmaroudi, G, Sarlak, B, Sadeghi, R, Rahimi, FA. The effect of an intervention based on the health belief model on preventive behaviors of domestic violence in female high school students. Iran Reg Clin Trials 2016;1:74–69.Search in Google Scholar

39. Mohebi, S, Sharifirad, G, Rasekhi, H, Matlabi, M, Shahsiah, M, Tabaraie, Y. Effect of nutrition education program on the recommended weight gain in during pregnancy application of Health Belief Model: a randomaized cilinical trial. Qom Univ Med Sci J 2012;6:30–23.Search in Google Scholar

40. DiClemente, RJ, Davis, TL, Swartzendruber, A, Fasula, AM, Boyce, L, Gelaude, D, et al.. Efficacy of an HIV/STI sexual risk-reduction intervention for African American adolescent girls in juvenile detention centers: a randomized controlled trial. Women Health 2014;54:749–26. https://doi.org/10.1080/03630242.2014.932893.Search in Google Scholar PubMed PubMed Central

41. Jadgal, KM, Alizadeh Siuki, H, Shamaian Razavi, N. The using of health belief model on AIDS preventive behaviors among health volunteers. J Res Health 2015;5:64–58.Search in Google Scholar

42. Bastami, F, Sharafkhani, N, Bakhteyar, K, Heydari, M, Hassanzadeh, A, Mostafavi, F. Effect of educational intervention based on health belief model on psychological factors of AIDS preventive behaviors in addicts. J Res Health 2017;7:1120–9. https://doi.org/10.18869/acadpub.jrh.7.6.1120.Search in Google Scholar

Received: 2023-01-29
Accepted: 2023-06-17
Published Online: 2023-06-29

© 2023 Walter de Gruyter GmbH, Berlin/Boston

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