Health Literacy: An Effective Component to Overcome Perceived Barriers to Adoption of Preventive Behaviors in the Health Belief Model

Panahi, Rahman; Ebrahimi, Ghanbar; Kazemi, Seyede Somayeh; Tavousi, Mahmoud

doi:10.21859/jech.5.3.1

Cited by 10 publications

(5 citation statements)

References 3 publications

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“…Another reason for decreasing the score of perceived barriers in the test group in this study could be to increase self-efficacy because self-efficacy affects perceived barriers and higher self-efficacy reduces perceived barriers in performing the behavior [ 41 ]. The HL could also be effective in reducing perceived barriers by creating sufficient awareness and increasing perceived sensitivity, perceived intensity, perceived benefits, and self-efficacy [ 42 ]. This result was consistent with the results of studies by Jeihooni Khani et al [ 28 ] and Karimi Aval et al [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

“…Increasing self-efficacy of the intervention group in this study could be due to increasing the level of HL because increasing HL has a positive effect on improving self-efficacy [ 10 , 43 ]. Other possible reasons for self-efficacy increment could be perceived barrier reduction [ 42 ] and awareness increment. This result was in line with the results of studies by Karimi Aval et al [ 38 ], Jeihooni et al [ 28 ], and Torbaghan et al [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

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Promoting the adoption of behaviors to prevent osteoporosis using the health belief model integrated with health literacy: quasi-experimental intervention study

et al. 2021

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Background The health belief model (HBM) is effective in preventing osteoporosis and promoting health literacy (HL). In this regard, there are some critical points such as the role of HL in preventing osteoporosis, adoption of preventive behaviors, adoption of behaviors, including physical activity, and the role of health volunteers in transmitting health messages to the community. Considering the aforesaid points this study was performed among the health volunteers aimed to determine the effect of educational intervention based on integrated HBM with HL on walking and nutrition behaviors to prevent osteoporosis. Materials and methods In this quasi-experimental intervention study, 140 health volunteers (70 people in each of the two intervention and control groups) were enrolled in the study using multi-stage random sampling, in 2020. The members of the intervention group received e-learning through social media software, 4 times during 4 weeks (once a week) and were provided with educational booklets and pamphlets. Data collection tools included demographic and background questionnaires; standard questionnaire based on the HBM, awareness, and walking and nutrition behaviors to prevent osteoporosis; and HELIA questionnaire to measure HL. These questionnaires were completed in two stages, before and 3 months after the intervention. The educational intervention in this study was sent to the intervention group in 4 stages. The collected data were analyzed using proportional tests (paired t-test, Wilcoxon test, independent t-test, Mann-Whitney test) and SPSS software version 23. Results The mean and standard deviation related to the score of adoption of nutrition behaviors at the beginning of the study in the intervention group was 5.398 ± 1.447, which changed to 8.446 ± 1.244 after 3 months, indicating a significant increase in the adoption of such behaviors (P = 0.009). In the control group, the mean and standard deviation of the scores of adoption of nutrition behaviors changed from 5.451 ± 1.222 to 6.003 ± 1.005, which was not statistically significant (P = 0.351). Also, the mean and standard deviation related to the scores of adoption of walking behavior at the beginning of the study in the intervention group was 8.956 ± 0.261, which changed to 13.457 ± 0.587 after 3 months, indicating a significant increase in the adoption of such behaviors (P < 0.001). In the control group, the mean and standard deviation related to the scores of the adoption of walking behavior changed from 8.848 ± 0.353 to 9.025 ± 0.545, which was not statistically significant (P = 0.211). Prior to the intervention, there was no significant difference between two groups regarding the variables of demographic and background, knowledge, all constructs of the model, HL, and adoption of walking and nutrition behaviors (P > 0.05). After the intervention, the comparison of the two groups showed that there was a significant change in the mean scores of awareness, all constructs of the model, HL, and adoption of preventive behaviors in the intervention group than the control group (P < 0.05). Conclusion The educational intervention based on an HBM integrated with HL was effective and acceptable in correcting and promoting walking and nutrition behaviors to prevent osteoporosis among health volunteers. Therefore, it can be said that the intervention implemented was in line with the developed model used.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Promoting the adoption of behaviors to prevent osteoporosis using the health belief model integrated with health literacy: quasi-experimental intervention study

et al. 2021

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“…Health literacy is not just an individual responsibility. The health system and related sectors must provide the necessary facilities to promote health literacy on a larger scale and for a larger segment of the community [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of peer-to-peer education on health literacy, knowledge, and adherence to COVID-19 protocols in vulnerable adolescents

et al. 2023

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Background The study was done to examine the effectiveness of peer-to-peer education on increasing health literacy, knowledge s, and observance of coronavirus disease (COVID-19) health prevention protocols in vulnerable adolescents. Method The study was a one-group intervention (before and after the intervention) that was performed on 1200 vulnerable adolescents living in varamin. The educational intervention was presented to adolescents in a face-to-face session. In the next step, the adolescents were taught the information received by three members of their families. Data were evaluated using a self-designed questionnaire before, and three months after the intervention. The paired t-test was used to compare scores of health literacy, compliance, and knowledge before and after the intervention at a 0.05 confidence level. The Multiple linear regression model was used to determine the predictive factors of observance of COVID-19 preventive behaviors. Results The most of adolescents were in the age group of 14 to 18 years (60%) and most of them were girls (61.5%). The most important source of information about COVID-19 disease was radio and television (59.6%). The results showed that the effectiveness of the intervention in increasing the adolescents’ health literacy, knowledge, and adherence to preventive behaviors were 40%, 30%, and 23%, respectively. The effectiveness of the intervention in increasing their families’ health literacy and adherence to the protocols were 11% and 20%, respectively (p = 0.001). Discussion Involving volunteer adolescents as health ambassadors and transmitting messages and methods of promoting personal protection against COVID-19 epidemics to family members had a significant effect on increasing the knowledge and adherence to the health procedures.

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“…Among the components of the HBM, perceived barriers have been cited as the most significant predictor of behaviour change. 244,245 Common examples of these perceived barriers to regular physical activity and practicing healthy eating habits are the absence of exercise facilities, finding time to exercise, willpower, and the cost of healthy food. 246,247 Various studies have reported on the barriers to healthy lifestyles experienced by workers as reported in a systematic review by Mazzola.…”

Section: Introductionmentioning

confidence: 99%

Perceived Barriers Affecting Adherence to Healthy Eating and Exercise Guidelines among Obese Active-Duty Military Personnel of the South African National Defence Force

Alcock,

Wolvaar

2023

SCIM

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The World Health Organization defines overweight and obesity as an excessive or a disproportionate accumulation of body fat that impairs health. The South African military community is a subset of the general population, and is not exempt from the effects of overweight and obesity. Military recruitment and operational preparedness are directly affected by obesity as it affects members' physical fitness, overall health, and capacity to perform duties optimally. The South African Military Health Services uses a multidisciplinary approach for the treatment and prevention of obesity and related conditions. Assessing perceived barriers to physical activity and healthy eating within the military environment could contribute to the development of effective and relevant programmes to address weight management and mitigate the health consequences of obesity. The current cross-sectional study was conducted in Bloemfontein, and comprised 58 randomly selected active-duty military personnel diagnosed with obesity, who completed a self-administered questionnaire. Correlation analysis was used to investigate the association between continuous data by calculating the Pearson's correlation coefficient. Analytical statistics, namely the independent T-test or analysis of the variance, was used to compare mean values among groups. The five items identified as barriers to healthy eating habits were liking food too much, difficulty controlling cravings, staying motivated, perceiving healthy food to be expensive, and a lack of will power. The five items identified as barriers to physical activity were a lack of will power to get started, social activities that do not include physical activity, a lack of physical training centres and shower facilities at work, no motivation to stick to a plan for healthy eating, and being too busy. Factors related to the military environment did not affect perceived barriers. A multidisciplinary and coordinated approach might enable the target population to attain better health outcomes, as the identified barriers were related to social and environmental factors and perceptions

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Health Literacy: An Effective Component to Overcome Perceived Barriers to Adoption of Preventive Behaviors in the Health Belief Model

Cited by 10 publications

References 3 publications

Promoting the adoption of behaviors to prevent osteoporosis using the health belief model integrated with health literacy: quasi-experimental intervention study

Promoting the adoption of behaviors to prevent osteoporosis using the health belief model integrated with health literacy: quasi-experimental intervention study

The effect of peer-to-peer education on health literacy, knowledge, and adherence to COVID-19 protocols in vulnerable adolescents

Perceived Barriers Affecting Adherence to Healthy Eating and Exercise Guidelines among Obese Active-Duty Military Personnel of the South African National Defence Force

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