[논문]Effects of a health-belief-model-based osteoporosis- and fall-prevention program on women at early old age

Ahn, Sukhee; Oh, Jiwon

doi:10.1016/j.apnr.2021.151430

[해외논문] Effects of a health-belief-model-based osteoporosis- and fall-prevention program on women at early old age

Applied nursing research : ANR, v.59, 2021년, pp.151430 -

Ahn, Sukhee (Corresponding author.) , Oh, Jiwon

Abstract ▼ AI-Helper

Abstract Background Elderly women are at high risk of osteoporosis and falls. Lifestyle modifications and regular check-ups are strongly recommended to promote their bone health. However, elderly women tend to perform low preventive behaviors due to physiological changes associated with aging. Education facilitating healthy behaviors is essential for older women. Therefore, the purpose of this study was to determine whether a Health Belief Model (HBM)-based osteoporosis- and fall-prevention program could improve osteoporosis- and fall-prevention knowledge, self-efficacy, and health behaviors among women aged 65 to 74 years. Methods This study included an untreated control group with a pretest-posttest design. Women (n = 47) in the intervention group received four sessions of an HBM-based program within a 2-month period. Participants (n = 47) in the control group attended usual education sessions. Results Women in the intervention group exhibited greater knowledge in exercise and diet for osteoporosis-prevention (t = 5.473, p < 0.001; t = 6.895, p < 0.001, respectively), fall-prevention knowledge (t = 2.354, p = 0.021), self-efficacy in exercise for osteoporosis-prevention (t = 2.736, p = 0.008), osteoporosis-prevention behavior of exercise, diet, and routine follow-ups (t = 3.019, p = 0.003; t = 2.705, p = 0.008; t = 2.368, p = 0.020, respectively), and fall-prevention behavior (t = 3.879, p < 0.001). Conclusion HBM-based osteoporosis- and fall-prevention program exhibited outstanding effectiveness in promoting osteoporosis and fall prevention among women at early old age. Further studies with more rigorous designs are needed to provide further evidence that supports this finding. Highlights Health belief model (HBM) based program promoted preventive behaviors of bone health among women aged 65 to 74 years. HBM based program improved osteoporosis and fall preventive knowledge and self-efficacy of elderly women. HBM based program used small group and individualized education approach.

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DOI : 10.1016/j.apnr.2021.151430
Elsevier : 저널 > 논문

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