----------------------------- -----------------------------
Volume 9, Issue 2 (Summer 2022)                   J Prevent Med 2022, 9(2): 194-205 | Back to browse issues page

Ethics code: IR.HUMS.REC.1399.378

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mazaheri Dehosta A, Aghamolaei T, Mohseni S, Mooseli A, Dadipoor S. Effect of an Educational Program Based on the Health Belief Model on Physical Activity of Obese Women. J Prevent Med 2022; 9 (2) :194-205
URL: http://jpm.hums.ac.ir/article-1-637-en.html
1- Department of Health Education and Promotion, Health school, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
2- Department of Health Education and Promotion, Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
3- Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
4- Department of Health Education and Promotion, Maternal and Child Health Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Full-Text [PDF 4569 kb]   (139 Downloads)     |   Abstract (HTML)  (202 Views)
Full-Text:   (140 Views)
Obesity is one of the most important nutritional diseases in developed countries with high prevalence in the last two decades. It can be seen in any age, gender, race, and socio-economic groups. women have mentioned family responsibilities as a barrier to participation in sports activities more than men. Despite conducting numerous studies in the field of physical activities, there is little information about the factors affecting the participation of obese women in health promotion programs related to physical activities in Iran. Fewer studies have considered the physical activities of obese women based on health models. The effectiveness of health interventions depends on the use of educational theories and models. A model puts the educational program on the right track and provides a framework for measuring and evaluating the educational programs. The health belief model (HBM) is based on the assumption that the behavior is based on the personal attitude of the people and also the behavior depends on belief of the individual. Due to the high prevalence of overweight and obesity and related diseases in women living in Minab county, the present study aims to determine the effect of HBM-based educational program on increasing physical activity in obese women in Minab county, Iran.
This is a quasi-experimental study that was conducted on 220 obese women referred to comprehensive health centers in Minab county (110 in the intervention group and 110 in the control group). Minab county has two comprehensive health centers; one of them was randomly assigned to the intervention group and the other center to the control group. From each center, 110 obese women (BMI>25) were selected based on their health records. The data collection tool was a three-part questionnaire. The first part surveys demographic information; the second part was a researcher-made questionnaire based on the HBM, and the third part was the Global Physical Activity Questionnaire. The educational program was presented at 4 sessions of 45 min through lectures, collaborative discussions, brainstorming, photos and videos. All subjects were present until the end of the study and there was no dropout. The questionnaire was completed at baseline and 3 months after the end of intervention. The data was analyzed in SPSS v. 26 software using paired t-test, independent t-test, chi-square test, and McNemar’s test.
At baseline, there was no statistically significant difference between the two groups in terms of the mean score of knowledge, metabolic equivalent of task (MET), and the HBM domains. However, three months after the intervention, a statistically significant difference was observed between the two groups in these variables. Before the intervention, 2.7% had appropriate physical activity in the intervention group; after the intervention, 20% had appropriate physical activity, and this difference was statistically significant (P<0.001). In the control group, 3.6% had appropriate physical activity before the intervention, and 1.8% had appropriate physical activity after the intervention (P>0.5). The chi-square test results showed that before the intervention, there was no statistically significant difference between the two groups in duration of physical activity (P>0.7), but after the intervention, the difference was statistically significant (P<0.001). The results of the McNemar’s test showed a statistically significant difference in the duration of physical activity before and after the intervention in the intervention group (P<0.001), while there was no significant difference in the control group (P>0.5).
The results of the present study showed an increase in the knowledge of obese women in the intervention group after the intervention, which shows the positive effect of the educational intervention. The findings of the present study also indicated the effect of the educational intervention on the cues to action. The discrepancies between the results of this study and other studies may be due to the difference in the study population, study methods, and educational materials. The findings also showed the effect of the educational intervention on the physical activity of obese women. Perhaps, it can be said that increasing knowledge through influencing the domains of the HBM was able to have a positive effect on women’s physical activity. Therefore, the necessary education for overweight and obese women is necessary to accept the benefits of physical activity and to overcome existing obstacles to have proper physical activity.

Ethical Considerations
Compliance with ethical guidelines

This study has ethical approval number IR.HUMS.REC.1399.378 from Hormozgan University of Medical Sciences.

This study was funded by Hormozgan University of Medical Sciences.

Authors' contributions
Collecting samples and drafting the article: Atefeh Mazaheri; Guidance and writing: Timur Aghamelai; Statistical and data analysis consultant: Shokraleh Mohseni; Reviewing the article: Ali Mosoli; Writing discussion and conclusion: Sara Dadipour.

Conflicts of interest
The authors declared no conflict of interest.

The authors would like to thank Hormozgan University of Medical Sciences for financial support.

  1. Djalalinia S, Saeedi Moghaddam S, Sheidaei A, Rezaei N, Naghibi Iravani SS, Modirian M, et al. Patterns of obesity and overweight in the Iranian population: Findings of STEPs 2016. Front Endocrinol . 2020; 11:42.[DOI:10.3389/fendo.2020.00042‌] ‌[PMID‌] [PMCID‌]
  2. Lindström M, Isacsson SO, Merlo J. Increasing prevalence of overweight, obesity and physical inactivity: Two population-based studies 1986 and 1994. Eur J Public Health. 2003; 13(4):306-12. ‌[DOI:10.1093/eurpub/13.4.306] ‌[PMID‌]
  3. Mohamad Nor NS, Ambak R, Mohd Zaki N, Abdul Aziz NS, Cheong SM, Abd Razak MA, et al. An update on obesity research pattern among adults in Malaysia: A scoping review. BMC women’s Health. 2018; 18(Suppl 1):114. ‌[DOI:10.1186/s12905-018-0590-4‌] ‌[PMID‌] ‌[PMCID‌]
  4. Mohammadi N, Rafeifar Sh, Aghamolaei T, Akbari M, Amin Shokravi F, Ayar S, et al. [Comprehensive health education program (familiarity with applied concepts) (Persian)]. Tehran: Mehr Ravesh; 2006. [Link]
  5. Maddah G, Shabahang H, Barband M R, Abdollahi A, Tavassoli A. [Long-term results of open gastric bypass with Roux-en-Y method for morbid obesity: Brief report (Persian)]. Tehran Univ Med J. 2014; 72(9):643-7. [Link]
  6. Shao C, Wang J, Liu J, Tian F, Li H. Effect of a health belief model-based education program on patients' belief, physical activity, and serum uric acid: A randomized controlled trial. Patient Prefer Adherence. 2018;  12:1239-45. ‌[DOI:10.2147/PPA.S166523‌] ‌[PMID‌] ‌[PMCID‌]
  7. Saeidpour J, Jafari M, Ghaziasgar M, Dayani Dardashti H, Teymoorzadeh E. [The impact of self-care education on life quality of diabetic patients (Persian)]. J Health Adm. 2013; 16(52):26-36. [Link]
  8. Amirzadeh Iranagh J, Motallebi SA. [The effect of health belief model based on education intervention on physical activity of elderly women (Persian)]. Nurs Midwifery J. 2016; 13(12):1050-8‌. [Link]
  9. Zare Abdollahi S, Tavakoli R, Morrowatiharifabad MA. [The effect of education based on hbm on performance of health workers in sampling from patients to health centers eltor (Persian‌)]. J Toloo-e-Behdasht. 2018; 17(1):82-95. [Link]
  10. Jadgal Khir M, Zareban I, Alizadeh Siuki H, Izadirad H. [The impact of educational intervention based on health belief model on promoting self-care behaviors in patients with smear-positive pulmonary TB (self-care behaviors) (Persian)]. Iran J Health Educ Health Promot. 2014; 2(2):143-52. [Link]
  11. Tavassoli E, Reisi M, Javadzade H, Mazaheri M, Ghasemi S, Shakoori S. [The effect of the health belief model-based education & improvement of consumption of fruits and vegetables: An interventional study (Persian)]. J Health Field. 2017; 1(2):29-35. [Link]
  12. Baji Z, Baesi A, Shakerinejad G, Tehrani M, Hajinajaf S, Jarvandi F. [The effect of education based on health belief model on eating/ behaviors and weight control on female high school students in Ahwaz (Persian)]. Iran J Health Educ Health Promot. 2018; 6(3):231-40. [DOI:10.30699/acadpub.ijhehp.6.3.231‌]
  13. Anbari K, Ghanadi K, Kaviani M, Montazeri R. [The self care and its related factors in diabetic patients of Khorramabad city (Persian)]. Yafteh. 2012; 14(4):49-57. [Link]
  14. Mousavi A, Shakibazadeh E, Sadeghi R, Tol A, Rahimi Foroushani A, Mohebbi B. [The effect of educational intervention on physical activity self-efficacy and knowledge about benefits and safety among pregnant women (Persian‌)]. Razi J Med Sci. 2020; 26(11):98-11. [Link]
  15. 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 (Persian)]. J Neyshabur Univ Med Sci. 2015; 3(2):52-60. [Link]
  16. Mirkarimi K, Charkazi A, Honarvar M, Kabir M, Berdi Ozouni-Davaji R, Aryaie M, et al. [Effect of motivational interviewing on physical activity intention among obese and overweight women using protection motivation theory: A randomized clinical trial (Persian‌)]. Intern Med Today. 2016; 22(4):321-7.‌ ‌[DOI:10.18869/acadpub.hms.22.4.321‌]
  17. 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 (Persian‌)]. Iran J Nurs. 2009; 22(59):71-82. [Link]
  18. Ebadi Fardazar F, Hashemi SS, Solhi M, Mansori K. [The effect of educational intervention based on protection motivation theory on mothers’ behaviors about prevention of home accidents in children under 5 year old (Persian‌)]. J Health Res community. 2016; 1(4):37-44. [Link]
  19. Shojaezadeh D, Sadeghi R, Tarrahi MJ, Asadi M, Lashgarara B. [Application of health belief model in prevention of osteoporosis in volunteers of Khorramabad city health centers, Iran (Persian)]. J Health Syst Res. 2012; 8(2):183-192. [Link]
  20. Anbari K, Ghanadi K, Kaviani M, Montazeri R. [The self care and its related factors in diabetic patients of khorramabad city (Persian)]. yafte 2012; 14 (4) :49-57. [Link]
  21. Maseudi GR, Hosseini E-O, Mirzaei R, Shahrakipour M, Hosseini SA. [The effect of education based on protection motivation theory on the harmful effects of solar rays on male students (Persian)]. Iran J Health Educ Health Promot. 2014; 2(4):322-30. [Link]
  22. Vakili MM, Hidarnia A, Niknami S, Mousavinasab SN. [Effect of communication skills training on health belief model constructs about AIDS in Zanjan health volunteers (2010-11) (Persian)]. J Adv Med Biomed Res. 2011; 19(77):78-93. [Link]
  23. Shakeri M, Fekri S, Shahnavaz A, Shakibazadeh E. [Effectiveness of a group-based educational program on physical activity among pregnant women (Persian)]. J Hayat. 2012; 18(3):1-9. [Link]
  24. Tehrani H, Gholianavval M, Hasani Kabootarkhani M, Peyman N, Vahedian-Shahroodi M. [The impact of new communications technology on promoting women’s physical activity (Persian)]. Payesh (Health Monit).  2016; 15(3):293-300. [Link]
  25. Estebsari F, Shojaeizadeh D, Mostafaei D, Farahbakhsh M. [Planning and evaluation of an educational program based on precede model to improve physical activity in female students (Persian)]. Hayat. 2010; 16(1):48-54. [Link]
  26. Bauer PW, Pivarnik JM, Feltz DL, Paneth N, Womack CJ. Relationship of past-pregnancy physical activity and self-efficacy with current physical activity and postpartum weight retention. Am J Lifestyle Med; 2014; 8(1):68-73. ‌[DOI:10.1177/1559827613498061‌]
Type of Study: Orginal | Subject: Health Education
Received: 2022/06/7 | Accepted: 2022/06/7 | Published: 2022/09/1

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.