{"title":"基于健康信念模式的教育干预对老年人预防和恐惧跌倒的影响。","authors":"Fatemeh Mohammadkhah, Fatemeh Razmjouie, Navid Alinejad, Pooyan Afzali Harsini, Ali Khani Jeihooni","doi":"10.1177/17579759241293452","DOIUrl":null,"url":null,"abstract":"<p><p>Fall-related injuries are the leading cause of injury, death and disability among older adults, and their health care costs are high. Therefore, the present study aimed to determine the effect of an educational intervention, based on the health belief model, on the prevention and fear of falling among older people. We conducted this experimental study on 140 older people in Fasa city, Fars Province, Iran, in 2023. We selected the subjects using a simple sampling method. The educational intervention for the experimental group included three 30-min sessions. We analyzed the data using SPSS 22 software, employing chi-square, independent <i>t</i>-tests and paired <i>t</i>-tests. The results showed that before the educational intervention, there was no significant difference between the experimental and control groups in terms of knowledge, perceived sensitivity, perceived intensity, perceived benefits, perceived barriers, self-efficacy, cues to action, and performance; however, three months after the educational intervention, the experimental group showed a significant increase in each of the mentioned variables except the perceived barriers. Additionally, after the educational intervention, the mean score of fear of falling in the experimental group showed a statistically significant decrease. This study demonstrated the effectiveness of an educational intervention based on the health belief model in preventing falls and reducing the fear of falls in older people. Therefore, we suggest using training based on this model to prevent and reduce falls among older people.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241293452"},"PeriodicalIF":1.7000,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of an educational intervention based on the Health Belief Model on prevention and fear of falling among older people.\",\"authors\":\"Fatemeh Mohammadkhah, Fatemeh Razmjouie, Navid Alinejad, Pooyan Afzali Harsini, Ali Khani Jeihooni\",\"doi\":\"10.1177/17579759241293452\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Fall-related injuries are the leading cause of injury, death and disability among older adults, and their health care costs are high. 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The results showed that before the educational intervention, there was no significant difference between the experimental and control groups in terms of knowledge, perceived sensitivity, perceived intensity, perceived benefits, perceived barriers, self-efficacy, cues to action, and performance; however, three months after the educational intervention, the experimental group showed a significant increase in each of the mentioned variables except the perceived barriers. Additionally, after the educational intervention, the mean score of fear of falling in the experimental group showed a statistically significant decrease. This study demonstrated the effectiveness of an educational intervention based on the health belief model in preventing falls and reducing the fear of falls in older people. 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引用次数: 0
摘要
与跌倒有关的伤害是老年人受伤、死亡和残疾的主要原因,其医疗费用也很高。因此,本研究旨在确定基于健康信念模式的教育干预对老年人预防和恐惧跌倒的影响。我们于 2023 年在伊朗法尔斯省法萨市对 140 名老年人进行了这项实验研究。我们采用简单抽样法选取了研究对象。实验组的教育干预包括三节 30 分钟的课程。我们使用 SPSS 22 软件对数据进行了分析,采用了卡方检验、独立 t 检验和配对 t 检验。结果显示,在教育干预前,实验组和对照组在知识、感知敏感度、感知强度、感知益处、感知障碍、自我效能、行动提示和表现方面没有显著差异;但在教育干预三个月后,实验组除感知障碍外,上述各变量均有显著提高。此外,在教育干预后,实验组对跌倒的恐惧感的平均得分在统计上有了明显的下降。这项研究表明,基于健康信念模式的教育干预在预防老年人跌倒和减少跌倒恐惧方面非常有效。因此,我们建议使用基于该模式的培训来预防和减少老年人跌倒。
Effect of an educational intervention based on the Health Belief Model on prevention and fear of falling among older people.
Fall-related injuries are the leading cause of injury, death and disability among older adults, and their health care costs are high. Therefore, the present study aimed to determine the effect of an educational intervention, based on the health belief model, on the prevention and fear of falling among older people. We conducted this experimental study on 140 older people in Fasa city, Fars Province, Iran, in 2023. We selected the subjects using a simple sampling method. The educational intervention for the experimental group included three 30-min sessions. We analyzed the data using SPSS 22 software, employing chi-square, independent t-tests and paired t-tests. The results showed that before the educational intervention, there was no significant difference between the experimental and control groups in terms of knowledge, perceived sensitivity, perceived intensity, perceived benefits, perceived barriers, self-efficacy, cues to action, and performance; however, three months after the educational intervention, the experimental group showed a significant increase in each of the mentioned variables except the perceived barriers. Additionally, after the educational intervention, the mean score of fear of falling in the experimental group showed a statistically significant decrease. This study demonstrated the effectiveness of an educational intervention based on the health belief model in preventing falls and reducing the fear of falls in older people. Therefore, we suggest using training based on this model to prevent and reduce falls among older people.
期刊介绍:
The journal aims to: ·publish academic content and commentaries of practical importance; ·provide an international and interdisciplinary forum for the dissemination and exchange of health promotion, health education and public health theory, research findings, practice and reviews; ·publish articles which ensure wide geographical coverage and are of general interest to an international readership; ·provide fair, supportive, efficient and high quality peer review and editorial handling of all submissions.