:: Volume 9, Issue 1 (Spring 2021) ::
Iran J Health Educ Health Promot 2021, 9(1): 5-19 Back to browse issues page
Educational Program Based on The Theory of Planned Behavior and Its Effect on Self-Care Behaviors in Patients with Pre-Hypertension
Vahid Nohtani , Iraj Zareban * , Hossien Ansari
Abstract:   (4454 Views)
Background and Objective: Hypertension is one of the most common non-communicable diseases and one of the most important health problems in the world, which can be prevented and controlled at the same time. The theory of planned behavior is one of the important theories that explain the main process of accepting health behaviors. The present study was conducted to investigate the effect of educational intervention based on the theory of planned behavior on self-care behaviors of pre-hypertension patients referred to hospitals affiliated to Zahedan University of Medical Sciences.

Materials and Methods: The present study was a quasi-experimental study that was performed on 120 pre-hypertension patients in Zahedan in 1399. Sampling by method as available sample selection and divided into intervention (n = 60) and control (n = 60) groups. 6 training sessions were held for the intervention group and no intervention was performed in the control group. Data were collected before the educational intervention, immediately after the educational intervention, and three months after it, using a questionnaire appropriate to the constructs of the theory of planned behavior.

Results: The mean age of participants was 47/03±6/18, of which 60 were male and 60 were female. In the pre- intervention and post-intervention stages, the mean score of knowledge from 21/15±1/97 to 23/05±1/54 and attitude from 39/90±5/98 to 45/35±1/43, perceived behavioral control from 44/28±4/58 to 49/48±1/42, subjective norms from 40/90±4/08 to 44/40±1/76 and behavioral intention from 41/90±5/93 and the behavior from 42/96±3/39 to 46/61±1/83 increased and this difference was statistically significant (P<0/001); However, no significant difference was observed in the control group.

Conclusion: Educational intervention based on the theory of planned behavior can be effective in improving self-care behaviors in patients with pre-hypertension.

 
Keywords: Theory of Planned Behavior, Self-Care, Pre-Hypertension
Full-Text [PDF 876 kb]   (1829 Downloads)    
Type of Study: Research | Subject: Health Education & Health Promotion
Received: 2020/09/22 | Accepted: 2021/01/3
References
1. Rezaianzadeh, A., Jafari, F., Sadeghi, S.E. et al. The prevalence and predictors of pre-hypertension and hypertension in Kherameh cohort study: a population based study on 10,663 persons in south of Iran. J Hum Hypertens 2020;1476-5527.Published 17 March 2020. doi: [DOI:10.1038/s41371-020-0330-8] [PMID]
2. Asa kohneforoudi Z, Gholian-Aval M, Tehrani H, Esmaily H. Evaluation of Self-Care Status and Its Relationship with Self-Efficacy of Patients with Hypertension. Iranian Journal of Health Education and Health Promotion. 2021;8(4):336-47. [DOI:10.29252/ijhehp.8.4.336]
3. Aldiab A, Shubair MM, Al-Zahrani JM, Aldossari KK, Al-Ghamdi S, Househ M, Razzak HA, El-Metwally A, Jradi H. Prevalence of hypertension and prehypertension and its associated cardioembolic risk factors; a population based cross-sectional study in Alkharj, Saudi Arabia. BMC Public Health. 2018 Nov 29;18(1):1327. [DOI:10.1186/s12889-018-6216-9] [PMID] [PMCID]
4. Carey RM, Whelton PK. Prevention, detection, evaluation, and management of high blood pressure in adults: synopsis of the 2017 American College of Cardiology/American Heart Association Hypertension Guideline. Annals of internal medicine. 2018;168(5):351-8. [DOI:10.7326/M17-3203] [PMID]
5. Huang Y, Cai X, Liu C, Zhu D, Hua J, Hu Y, et al. Prehypertension and the risk of coronary heart disease in Asian and Western populations: a meta‐analysis. Journal of the American Heart Association. 2015;4(2):e001519. [DOI:10.1161/JAHA.114.001519]
6. Barbero U, D'Ascenzo F, Nijhoff F, Moretti C, Biondi-Zoccai G, Mennuni M, Capodanno D, et al. Assessing Risk in Patients with Stable Coronary Disease: When Should We Intensify Care and Follow-Up? Results from a Meta-Analysis of Observational Studies of the COURAGE and FAME Era. Scientifica (Cairo) 2016;2016:3769152. [DOI:10.1155/2016/3769152] [PMID] [PMCID]
7. Lyu Q-s, Huang Y-q. The relationship between serum total bilirubin and carotid intima-media thickness in patients with prehypertension. Annals of Clinical & Laboratory Science. 2018;48(6):757-63.
8. Mehrabian F, Farmanbar R, Mahdavi Roshan M, Omidi S, Aghebati R. Investigation the effect of improving physical activity based on the theory of preplanned behavior among patients with hypertension referred to rural healthcare centers of Rasht in 2014. Iranian Journal of Health Education and Health Promotion. 2018;6(1):53-62. [DOI:10.30699/acadpub.ijhehp.6.1.53]
9. Egan BM, Stevens-Fabry S. Prehypertension-prevalence, health risks, and management strategies. Nature Reviews Cardiology. 2015;12(5):289‐300 [DOI:10.1038/nrcardio.2015.17] [PMID]
10. Djalalinia Sh, Kasaeian A, Peykari N, Modirian M, Ghajarieh Sepanlou S, Ghasemian A, et al. The Challenges and Lessons Learned Experiences of Six Round STEPs Surveys in Iran. J Health Syst Res (Hakim). 2017; 20(3): 186-94.
11. Rezaianzadeh A, Jafari F, Sadeghi SE, Rahimikazerooni S. The prevalence and predictors of pre-hypertension and hypertension in Kherameh cohort study: a population based study on 10,663 persons in south of Iran. Journal of human hypertension. 2020:1-8. [DOI:10.1038/s41371-020-0330-8] [PMID]
12. Mahmood S, Shah KU, Khan TM, Nawaz S, Rashid H, Baqar SWA, et al. Non-pharmacological management of hypertension: in the light of current research. Irish Journal of Medical Science (1971-). 2019;188(2):437-52. [DOI:10.1007/s11845-018-1889-8] [PMID]
13. Ghoreishi M-S, Vahedian-Shahroodi M, Jafari A, Tehranid H. Self-care behaviors in patients with type 2 diabetes: Education intervention base on social cognitive theory. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2019;13(3):2049-56. [DOI:10.1016/j.dsx.2019.04.045] [PMID]
14. Pirzadeh A, Peyman TS, Hassanzadeh A, Mostafavi F. Adherence to Self-Care Behaviors among Hypertensive Patients. Journal of Health Literacy. 2019;4(3):17-24. [DOI:10.22038/jhl.2019.41986.1069]
15. Peters RM, Templin TN. Theory of planned behavior, self-care motivation, and blood pressure self-care. Research and theory for nursing practice. 2010;24(3):172-86. [DOI:10.1891/1541-6577.24.3.172] [PMID]
16. Hosseini Sorand A, Miri MR, Sharifzadeh Gh R. Educational program based on theory of planned behavior and its effect on theoretical constructs in patients with hypertension. Journal of Birjand University of Medical Sciences. 2015; 22 (3): 199-208.
17. Rajkumar E, Romate J. Behavioural Risk Factors, Hypertension Knowledge, and Hypertension in Rural India. International journal of hypertension. 2020;2020. [DOI:10.1155/2020/8108202] [PMID] [PMCID]
18. Izadirad H, Masoudi G, Zareban I, Shahraki Poor M, Jadgal K. The Effect of Educational Program Based on BASNEF Model on Women's Blood Pressure with Hypertension. Journal of Torbat Heydariyeh University of Medical Sciences. 2013;1(2):22-31.
19. Aghamolaei T, Farshidi H, Safari Moradabadi A, Dadipoor S. Effect of interventions based on the theory of planned behavior on promoting physical activity: a systematic review. Journal of Preventive Medicine. 2017;3(4):15-1.
20. Wang L, Wang L. Using theory of planned behavior to predict the physical activity of children: probing gender differences. BioMed research international. 2015; 40(4): 1-9. [DOI:10.1155/2015/536904] [PMID] [PMCID]
21. Izadi rad H, Masoudi Gh, Zareban I. The effectiveness of BASNEF-based education program in sef-care behaviors in women with high blood pressure. Zabol University of Medical Sciences. 2014; 6 (1); 42-51
22. Saber F, Shahnazi H, Sharifi Rad Gh. Investigating The Structural Theory of Planned Behavior on Physical Activity of Payame Noor University Students in 2012. Journal of Health System Research. 2013; 9 (9): 1021-1014.
23. Glanz K, Rimer BKVK. Health behaviour: theory, research and practice. 5th ed. San Francisco: Jossey-Bass; 2015.
24. Ajzen I. The theory of planned behaviour: reactions and reflections. Psychology & Health. 2011;26(9):1113-27. [DOI:10.1080/08870446.2011.613995] [PMID]
25. Rezabygi Davarani E, Mahmoodi MR, Khanjani N, Fadakar Davarani MM. Application of the theory of planned behavior in predicting factors affecting nutritional behavior associated with cardiovascular diseases in Kerman health volunteers. health and hyginie. 1396; 8 (5): 518-529. [Persian]
26. Gholamnia-shirvani Z, Ghofranipour F, Gharakhanlo R, Kazemnezhad A. Improving and Maintaining Physical Activity and Anthropometric Indices in females from Tehran: Application of the Theory of Planned Behavior. J Educ Community Health. 2016; 2 (4) :13-24 [DOI:10.21859/jech-02043]
27. Chung-Ying Lin, John A. Updegraff, Amir H. Pakpour. The relationship between the theory of planned behavior and medication adherence in patients with epilepsy. Epilepsy & Behavior. 2016; 61(1) :231-236. [DOI:10.1016/j.yebeh.2016.05.030] [PMID]
28. Comparison of the effect of aerobic training exercise and different intensities on duration of post-exercise hypotension in middle-aged women. RJMS. 2015; 22 (134) :18-27
29. Song S, Kim J, Kim J.Gender Differences in the Association between Dietary Pattern and the Incidence of Hypertension in Middle-Aged and Older Adults.Nutrients. 2018 Feb 23;10(2). pii: E252. doi: 10.3390/nu10020252. [DOI:10.3390/nu10020252] [PMID] [PMCID]
30. Riegel B, Moser DK, Anker SD, Appel LJ,Dunbar SB, Grady KL, et al. State of the science.Promoting self-care in persons with heart failure.A scientific statement from the American HeartAssociation. Circulation. 2009. [DOI:10.1161/CIRCULATIONAHA.109.192628] [PMID]
31. Barati M, Allahvardipur H, Moini B, Farhadinasab A, Mahjub H. Evaluation of Theory of Planned Behavior-Based Education in Prevention of MDMA (ecstasy) use among University Students. Medical Journal of Tabriz University of Medical Science & Health Service. 2010; 33(3): 20-29. [Persian]
32. Waltz, C. F., & Bausell, B. R. (1981). Nursing research: design statistics and computer analysis. New York: Davis FA.
33. Bashirian S, Haidarnia A, Allahverdipour H, Hajizadeh E. Application of Theory of Planned Behavior in Predicting Factors of Substance Abuse in Adolescents. J Fasa Univ Med Sci. 2012; 2(3): 156-62. [Persian].
34. Izadirad H, Niknami SH, Zareban I, Hidarnia A, Ansari Moghadam A. Designing and Developing the Prenatal Care Scale based on Health Belief Model. Health Education and Health Promotion (HEHP), 2015; 3 (3):29-42.
35. Zhang J, Shi L, Chen D, Wang J, Wang Y. using the theory of planned behavior to examine effectiveness of an educational intervention on infant feeding in China. Prev Med. 2009; 49(6): 529-34. [DOI:10.1016/j.ypmed.2009.10.002] [PMID]
36. Jadgal KM, Zareban I, Rakhshani F, Shahrakipour M, Sepehrvand B, Alizadeh Sivaki H. The effect of health education according to the theory of planned behavior on malaria preventive behavior in rural men of Chabahar. Journal of Research & Health. 2012; 2(2): 236-245. [Persian
37. Pakpour Hajiagha A, Mohammadi Zeidi I, Mohammadi Zeidi B. The impact of health education based on Theory of Planned Behavior on the prevention of AIDS among adolescents. Iran J Nurs. 2012; 25(78): 1-13. [Persian]
38. Baghianimoghadam M.H, Rahaee Z, Morovatisharifabad M.A, Sharifirad GH, AndishmandA,Azadbakht L. Effects of education on self- monitoring of blood pressure based on BASNAF model in hepertensive patients . Journal of research in medical sciences2010; 15(2):70-77.
39. Sharifirad GR, Baghiani Moghadam MH, Fathiyan F, Rezaeian M. The effect of health education using behavior intention model on of cesarean in Khominy-shahr, Iran. Iran J Nurs Midwifery Res. 2009;14(3): 105-10.
40. Caron F, Godin G, Otis J, Lambert LD. Evaluation of a theoretically based AIDS/STD peer education program on postponing sexual intercourse and on condom use among adolescents attending high schools. Health Educ Res. 2004; 19(2): 185-197. [DOI:10.1093/her/cyg017] [PMID]
41. Daniels PR, Kardia SL, Hanis CL. familial aggregation of hypertension treatment and control in the genetic epidemiology network of arteriopathy (GENOA) study. The American Journal of medicine 2004; 116(10): 676-81. [DOI:10.1016/j.amjmed.2003.12.032] [PMID]
42. chobanian AV, Bakris GL, Black HR ,Cushman Wc, Green LA, Izzo JL, et al .seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension 2003;42(6):1206-52. [DOI:10.1161/01.HYP.0000107251.49515.c2] [PMID]
43. Ahmadi Tabatabaei SV, Taghdisi MH, Nakheei N, Balali F. Effect of educational intervention based on the theory of planned behaviour on the physical activities of Kerman health centers staff (2008). J Babol Univ Med Sci. 2010; 12(2): 62-9. [Persian]
44. Parrott MW, Tennant L, Olejnik S, Poudevigne M. Theory of planned behavior implication for an email-based physical activity intervention. Psychol Sport Exerc; 2008; 9(4): 511-26. [DOI:10.1016/j.psychsport.2007.07.002]
45. Regar B, Cooper L, Booth-Butterfield S, Smith H, Bauman A, Wootan M, et al. Wheeling walks: a community campaign using paid media to encourage walking among sedentary older adults. Prev Med. 2002; 35(3): 285-92. [DOI:10.1006/pmed.2002.1074] [PMID]
46. Aghamolaei T, Tavafian SS, Madani A. Prediction of helmet use among Iranian motorcycle drivers: an application of the health belief model and the theory of planned behavior. Traffic Inj Prev. 2011; 12(3): 239-43. [DOI:10.1080/15389588.2011.557757] [PMID]
47. Plotnikoff RC, Lubans DR, Costigan SA, McCargar L. A test of the theory of planned behavior to predict physical activity in an overweight/obese population sample of adolescents from Alberta, Canada. Health Educ Behav. 2013;40(4):415-25. PMID:22984208 https://doi.org/ 10.1177/1090198112455642 [DOI:10.1177/1090198112455642] [PMID]
48. Mohammadi Zeidi I, Pakpour Haji Agha A. Study of Educational Effects Based on Planned Behavioral Theory on Reducing Intent of Smoking in High School Students. Journal of Research and Health. 2013; 3(4): 504-13.

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