Effect of Applying Health Belief Model on Osteoarthritis Preventive Behaviors in Middle-Aged Women

Abdu Elryes, Fatma Elzhraa Hassan; Abu Elmaaty, Gehad Mohammed; Abdel Salam, Nahed Abdel Azeem; Hassan, Mai Elghareap

doi:10.21608/pssjn.2023.199650.1253

Effect of Applying Health Belief Model on Osteoarthritis Preventive Behaviors in Middle-Aged Women

Document Type : Original Article

Authors

¹ New Damitta

² Professor of family & community health nursing, faculty of nursing, port said university

³ Assistant professor family & community health nursing, faculty of nursing, Port Said university

⁴ Assistant professor of family & community health nursing, faculty of nursing, Port Said university

10.21608/pssjn.2023.199650.1253

Abstract

Background: Osteoarthritis (OA) is among the most prevalent musculoskeletal disorders and devastating diseases and is the fourth contributing cause of disability in the world. Also, it carries excess mortality as well as financial encumbrance both on societal level and to women inflected with it. Aim: assess the effect of applying health belief model on osteoarthritis preventive behaviors among women in their middle age. Subjects and Method: Design: quasi-experimental research design with one group pre/post-test approach. Setting: at five primary health care centers within the city of Port Said. Subjects: purposive sample of 147 women attending the five mentioned setting. Tools: the tools used were counted as three: Tool I: Women's Assessment Questionnaire about Osteoarthritis Prevention. Tool II: The Osteoarthritis Health Belief Model (HBM) Scale. Tool III: Osteoarthritis Preventive Behaviors. Results: pre-program intervention (89.1%) had an unsatisfactory level of knowledge while only (11.6%) post program intervention. (94.6%) of study women had a low level of preventive behaviors pre-program intervention compared to (24.5%) post program intervention. Conclusion: The study concluded that a statistically significant enhancement was evident between the health belief model scale category before and after program intervention (p =0.001). In addition to that, a highly statistically significant difference present between total knowledge, osteoarthritis health belief model & level of preventive behaviors regarding osteoarthritis before and after program intervention (p=0.001). Recommendations: The continuing education program is needed about osteoarthritis that is directed to women to raise awareness. Long-term follow-up (3 months after the intervention) to investigate the intervention’s impact on the continuation of behavior.

Keywords

References

Afifi, A. E., Shaat, R. M., Gharbia, O. M., Boghdadi, Y. E., Eshmawy, M. M. E., & El-Emam, O. A. (2018). Osteoarthritis of knee joint in metabolic syndrome. Clinical rheumatology, 37(10), 2855-2861.‏

Ali, R. A. E. S., Mekhamier, H. A., & El Sayed, H. A. E. (2020). The Effect of Application of Health Belief Model on Osteoporosis' Knowledge and Preventive Behaviors among Child Bearing Women. American Journal of Nursing, 8(4), 442-451.‏

Alyami, A. H., Alswat, M. M., Omer, I. A., Ahmed, M. E., Alshammari, S. H., Alsaggaf, K. W., ... & Aljafari, D. A. (2020). General population knowledge about osteoarthritis and its related risk factors in Jeddah Saudi Arabia. Saudi Medical Journal, 41(5), 516.‏

Caneiro, J. P., O'Sullivan, P. B., Roos, E. M., Smith, A. J., Choong, P., Dowsey, M., ... & Barton, C. J. (2020). Three steps to changing the narrative about knee osteoarthritis care: a call to action. British journal of sports medicine, 54(5), 256-258.‏

Costa, M. F. (2020). Health belief model for coronavirus infection risk determinants. Revista de saude publica, 54.‏

Dar, S. A., Qadir, H., & Srinagar, J. K. (2022). A Study To Assess The Effectiveness Of Planned Teaching Programme (Ptp) On Prevention Of Osteoarthritis Among Women In Selected Area, Kashmir.‏ Retrieved from https://www.ijeast.com/papers/128-130,Tesma610,IJEAST.pdf Accessed on 1^st November 2022

Dashtyan, M., Tavafian, S. S., Karimzadeh, K., & Yazdanpanah, P. (2022). Knee Osteoarthritis Pain Management in Post menopause Women. International Journal of Musculoskeletal Pain Prevention, 7(1), 649-657.‏

Dobson, A. (1984). Calculating sample size. Trans. Menzies Foundation; 7(1):75–9.

El Hage, C., Hallit, S., Akel, M., & Dagher, E. (2019). Osteoporosis awareness and health beliefs among Lebanese women aged 40 years and above. Osteoporosis International, 30(4), 771-786.‏

El Miedany, Y., Abu-Zaid, M. H., El Gaafary, M., El Naby, M. M. H., Fathi, N., Saber, H. G., ... & Gadallah, N. (2021). Egyptian consensus on treat-to-target approach for osteoporosis: a clinical practice guideline from the Egyptian Academy of bone health and metabolic bone diseases. Egyptian Rheumatology and Rehabilitation, 48(1), 1-16.‏

Eldardery, N., El-Sayed, E. M., Safwat, S. M., & Eldien, S. B. (2022). Impact of an endometrial cancer prevention program based on health belief model on elderly women's awareness and quality of life.‏ International Journal of Health Sciences, 6(S4), 2855–2875.

Elshamy, K. F., Abdelhamed, H. M., & Sadawy, S. S. (2018). Impact of Implementing Prevention and Management Osteoarthritis Training Program on Improving Nurses’ Knowledge and Practice. Journal of American Science, 14(10).‏

Hidarnia, A., Kashfi, S. M., Ghasemi, A., & Askari, A. (2016). A Health Promotion Program based on the Health Belief Model regarding Women’s Osteoporosis. International Journal of Musculoskeletal Pain Prevention, 1(1), 7-16.‏

Ikuta, F., Takahashi, K., Hashimoto, S., Mochizuki, Y., Yuzawa, Y., Inanami, H., & Takai, S. (2020). Effect of physical therapy on early knee osteoarthritis with medial meniscal posterior tear assessed by MRI T2 mapping and 3D-to-2D registration technique: a prospective intervention study. Modern Rheumatology, 30(4), 738-747.‏

Jeihooni, A. K., Fereidouni, Z., Bahmandoost, M., & Harsini, P. A. (2021). The Effect of Educational Intervention on Promotion of Preventive Behavior of Knee Osteoarthritis in Women Over 40 Based on the Theory of Planned Behavior in Sample of Iranian Women.‏ Retrieved from https://assets.researchsquare.com/files/rs-656824/v1/36d975cc-2369-4223-954a-7f70db6b2f01.pdf?c=1631885769 Accessed on 5^th November 2022

Jeihooni, A. K., Hidarnia, A., Kaveh, M. H., Hajizadeh, E., & Askari, A. (2016). The Effect of an Educational Program Based on Health Belief Model on Preventing Osteoporosis in Women. International Journal of Preventive Medicine, 6, 115.

Khani, J. A., Hidarnia, A., Kaveh, M. H., & Hajizadeh, E. (2015). The effect of a prevention program based on health belief model on osteoporosis.

Kok, G. (2018). A practical guide to effective behavior change: How to apply theory-and evidence-based behavior change methods in an intervention.‏

Lakeh, N., Dakheliparast, Z., Leili, E., & Mahdavi-Roshan, M. (2019). Investigating preventive behaviors of osteoporosis using the Health Belief Model in female health volunteers in the health care centers in Rasht. Journal of Research Development in Nursing and Midwifery, 16(1), 1-12.‏

Magni, A., Agostoni, P., Bonezzi, C., Massazza, G., Menè, P., Savarino, V., & Fornasari, D. (2021). Management of osteoarthritis: expert opinion on NSAIDs. Pain and therapy, 10(2), 783-808.

Mousaviasl, S., Renani, H. A., Gheibizadeh, M., & Malehi, A. S. (2016). The effect of education based on the health belief model on osteoporosis prevention behaviors in female high school students. Jundishapur Journal of Chronic Disease Care, 5(4).‏

Norozi, E., Nazari, F., & Moodi, M. (2020). The effect of educational intervention based on the health belief model on osteoarthritis-preventive behaviors in middle-aged women. Journal of Education and Health Promotion, 9

‏Norozi, E., Nazari, F., Moodi, M., & Malaki Moghadam, H. (2017). Perception of middle-aged women in Birjand about osteoarthritis and its preventive behaviors: Application of Health Belief Model (HBM). Journal of Health Sciences and Technology, 1(4), 170-176.

Palazzo, C., Nguyen, C., Lefevre-Colau, M. M., Rannou, F., & Poiraudeau, S. (2016). Risk factors and burden of osteoarthritis. Annals of physical and rehabilitation medicine, 59(3), 134-138.‏

Roth, G. A. (2018). Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2017 (GBD 2017) Results. Seattle, United States: Institute for Health Metrics and Evaluation (IHME), 2018. The Lancet, 392, 1736-1788.

Safiri, S., Kolahi, A. A., Smith, E., Hill, C., Bettampadi, D., Mansournia, M. A., ... & Cross, M. (2020). Global, regional and national burden of osteoarthritis 1990-2017: a systematic analysis of the Global Burden of Disease Study 2017. Annals of the rheumatic diseases, 79(6), 819-828.‏

Salahodinkolah, M. K., Ganji, J., Moghadam, S. H., Shafipour, V., Jafari, H., & Salari, S. (2020). Educational intervention for improving self-care behaviors in patients with heart failure: A narrative review. Journal of Nursing and Midwifery Sciences, 7(1), 60.‏

Sharifikia, I., Rohani, C., Estebsari, F., Matbouei, M., Salmani, F., & Hossein-Nejad, A. (2019). Health belief model-based intervention on women's knowledge and perceived beliefs about warning signs of cancer. Asia-Pacific journal of oncology nursing, 6(4), 431-439.‏

Sun, X., Zhen, X., Hu, X., Li, Y., Gu, S., Gu, Y., & Dong, H. (2019). Osteoarthritis in the middle-aged and elderly in China: prevalence and influencing factors. International Journal of Environmental Research and Public Health, 16(23), 4701.

Tavafian, S. S. (2023). Designed Educational Interventional Program and Knee Pain Prevention behaviors in women with knee osteoarthritis in Yasouj, Iran. International Journal of Musculoskeletal Pain Prevention, 8(1), 815-820.‏

Thomas, A. J., Mitchell, E. S., & Woods, N. F. (2018). The challenges of midlife women: themes from the Seattle midlife women’s health study. Women's Midlife Health, 4(1), 1-10.‏

Vos, T., Lim, S. S., Abbafati, C., Abbas, K. M., Abbasi, M., Abbasifard, M., ... & Bhutta, Z. A. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1204-1222.

World Health Organization. (2017). Enhancing the role of community health nursing for universal health coverage.‏

Zhou, M., Chen, J., Wang, D., Zhu, C., Wang, Y., & Chen, W. (2018). Combined effects of reproductive and hormone factors and obesity on the prevalence of knee osteoarthritis and knee pain among middle-aged or older Chinese women: a cross-sectional study. BMC Public Health, 18, 1-9.