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:: Volume 14, Issue 1 (spring 2023) ::
j.health 2023, 14(1): 41-52 Back to browse issues page
The Effect of an Educational Program Based on the Health Belief Model to Prevent Non-alcoholic Fatty Liver Disease among Iranian Women
K Dehghani , A* Fallahi * , A Bahmani , Kh Einolahzadeh
Kurdistan University of ‎Medical Sciences, Sanandaj, Iran
Abstract:   (1048 Views)
Background & objectives: Non-alcoholic fatty liver is a prevalent liver disorder that can lead to severe consequences and complications, including death. This study aimed to investigate the effect of an educational intervention based on a health belief model to prevent non-alcoholic fatty liver among women. 
Methods: This study was conducted among 110 women who sought health services in Malayer City, located in western Iran, in 2021. The participants were divided into two groups: experimental and control. The data collection tool was a questionnaire based on the health belief model and demographic characteristics. The experimental group received three one-hour training sessions through pamphlets, lectures, and group discussions. The collected data were analyzed using SPSS software version 21, which included correlation tests, paired t-tests, and independent t-tests.
Results: A total of 110 women participated in this study, with the average age of 38.07±6.28 years. The majority of participants were middle-aged, married, housewives with academic education, middle-income, and overweight. Following an educational intervention, the experimental group showed significant improvement in perceived sensitivity, severity, benefits, guidance for internal and external action, and self-efficacy compared to the control group (p=0.01 for all constructs). Additionally, the perceived barriers score decreased after training. The experimental group also demonstrated a decrease in perceived obstacles score after training (15.2±3.9 vs. 11.2±3.3, p<0.01).
Conclusion: The study revealed that developing educational programs based on the constructs of the health belief model could prevent women from developing higher levels of non-alcoholic fatty liver.
 
Keywords: Non-alcoholic Fatty Liver, Health Belief Model, Education, Women
Full-Text [PDF 245 kb]   (436 Downloads)    
Type of Study: Research | Subject: General
Received: 2023/06/19 | Accepted: 2023/05/31 | Published: 2023/05/31
References
1. Barikani A, Pashaeypoor S. Lifestyle in non-alcoholic fatty liver: A review. Iranian Journal of Nursing Research. 2019;13 (6):39-47.
2. Neuschwander-Tetri BA. Non-alcoholic fatty liver disease. BMC medicine. 2017;15 (1):1-6. [DOI:10.1186/s12916-017-0806-8] [PMID] [PMCID]
3. Kaya E, Yilmaz Y. Non-alcoholic Fatty Liver Disease: A Global Public Health Issue. Obesity and Diabetes: Springer; 2020: 321-33. [DOI:10.1007/978-3-030-53370-0_24]
4. Cai X AX, Ahmat A, Cao Y, Zhu Q, Wu T, et al. A Nomogram Model Based on Noninvasive Bioindicators to Predict 3-Year Risk of Nonalcoholic Fatty Liver in Nonobese Mainland Chinese: A Prospective Cohort Study. BioMed Research International. 2020:8852198. [DOI:10.1155/2020/8852198] [PMID] [PMCID]
5. Ullah R, Rauf N, Nabi G, Ullah H, Shen Y, Zhou Y-D, et al. Role of nutrition in the pathogenesis and prevention of non-alcoholic fatty liver disease: recent updates. International journal of biological sciences. 2019;15 (2):265. [DOI:10.7150/ijbs.30121] [PMID] [PMCID]
6. Hollsworth KTC, Moore S, Ploetz T, Anstee QM, Taylor R, Day CP, Trenell MI. Non-alcoholic fatty liver disease is associated with higher levels of objectively measured sedentary behaviour and lower levels of physical activity than matched healthy controls. Frontline Gastroenterol. 2015;6 (1):44-51. [DOI:10.1136/flgastro-2014-100432] [PMID] [PMCID]
7. Zelber-Sagi S RV, Oren R. Nutrition and physical activity in NAFLD: an overview of the epidemiological evidence. World J Gastroenterol. 2011;17 (29): 3377-89. [DOI:10.3748/wjg.v17.i29.3377] [PMID] [PMCID]
8. Koohpayehzadeh JEK, Abbasi N, Meysamie A, Sheikhbahaei S, Asgari F, Noshad S, Hafezi-Nejad N, Rafei A, Mousavizadeh M, Khajeh E, Ebadi M, Nakhjavani M, Esteghamati A. Gender-specific changes in physical activity pattern in Iran national surreillance of risk factors of non-communicabe diseases (2007-2011). Int J public Health. 2014;59 (2): 231-41. [DOI:10.1007/s00038-013-0529-3] [PMID]
9. Moghimi-Dehkordi R SA, vahedi M, Pourhoseingholi MA, Pourhoseingholi A, Zali MR. the prevalece of obesity and its Associated Demograhic Factors in Tehran, Iran Journal of Health and Development. 2012;1 (1): 22-30.
10. Salehisahlabadi AJH. The Prevalence of Non-Alcoholic Fatty Liver Disease in Iranian Children and Adolescents: A Systematic Review and Meta-Analysis. Journal of Sabzevar University of Medical Sciences. 2018;25 (4):487-94.
11. Perdomo CMFG, Escalada J. Impact of nutritional changes on nonalcoholic fatty liver disease. Nutrients. 2019;11 (3):677. [DOI:10.3390/nu11030677] [PMID] [PMCID]
12. Tacke FWR. Non-alcoholic fatty liver disease (NAFLD)/non-alcoholic steatohepatitis (NASH)-related liver fibrosis: mechanisms, treatment and prevention. Annals of Translational Medicine. 2021;9 (8):729. [DOI:10.21037/atm-20-4354] [PMID] [PMCID]
13. Chongmelaxme B, Phisalprapa P, Sawangjit R, Dilokthornsakul P, Chaiyakunapruk N. Weight reduction and pioglitazone are cost-effective for the treatment of non-alcoholic fatty liver disease in Thailand. Pharmacoeconomics. 2019;37 (2):267-78. [DOI:10.1007/s40273-018-0736-0] [PMID]
14. Oraki MZH, Ghasemabad AH. . Effectiveness of Acceptance and Commitment Therapy on Treatment Adherence in People with Non-Alcoholic Fatty Liver Disease. Journal of Shahid Sadoughi University of Medical Sciences. 2021;29 (2):3479-3490. [DOI:10.18502/ssu.v29i2.6086]
15. Akbari MZ-AS. Comparison of the Nutrition of Patients with and without Non-alcoholic Fatty Liver in Tehran. Internal Medicine and Medical Investigation Journal. 2018;3 (4):18-22. [DOI:10.24200/imminv.v3i4.170]
16. Hallsworth K, Fattakhova G, Hollingsworth KG, Thoma C, Moore S, Taylor R, et al. Resistance exercise reduces liver fat and its mediators in non-alcoholic fatty liver disease independent of weight loss. Gut. 2011;60 (9):1278-83. [DOI:10.1136/gut.2011.242073] [PMID] [PMCID]
17. Zhang Q, Guo J, Zhou L, Dong H. Research progress of non-alcoholic fatty liver disease in postmenopausal women. Zhonghua gan Zang Bing za zhi= Zhonghua Ganzangbing Zazhi= Chinese Journal of Hepatology. 2020;28 (7):629-32.
18. Nabizadeh HASR. Comparing effects of medication therapy and exercise training with diet on liver enzymes levels and liver sonography in patients with non-alcoholic fatty liver disease (NAFLD). 2016;5 (4):488-500.
19. Elham Zarini AB, Azam Rahmani‎‎. Designing and measuring psychometrics of a scale on the fatty liver disease-related health beliefs in middle-aged Iranian people‎. health education and health promotion. 2021;9 (4):419-425.
20. Salehisahlabadi A, Jadid H. The Prevalence of Non-Alcoholic Fatty Liver Disease in Iranian Children and Adolescents: A Systematic Review and Meta-Analysis. Journal of Sabzevar University of Medical Sciences. 2018; 25 (4): 487-494.
21. Nourian M, Askari G, Golshiri P, Miraghajani M, Shokri S, Arab A. Effect of lifestyle modification education based on health belief model in overweight/obese patients with non-alcoholic fatty liver disease: A parallel randomized controlled clinical trial. Clinical Nutrition ESPEN. 2020;38:236-41. [DOI:10.1016/j.clnesp.2020.04.004] [PMID]
22. Zelber-Sagi SBS, Dror-Lavi G, Smith ML, Towne Jr SD, Buch A, et al. . Role of illness perception and self-efficacy in lifestyle modification among non-alcoholic fatty liver disease patients. World journal of gastroenterology. 2017;23 (10):1881. [DOI:10.3748/wjg.v23.i10.1881] [PMID] [PMCID]
23. Bandura AJH. behavior. Health promotion by social cognitive means. 2004;31 (2):143-64. [DOI:10.1177/1090198104263660] [PMID]
24. Rajabi RSA, Shamsi M, Almasi A, Dejam S. Investigating the effect of package theory based training in the prevention of gastrointestinal cancers. 2014;17 (86):41-51.
25. Kleier JA. Using the Health Belief Model to Reveal Perceptions of Jamaian and Haition men Regarding Prostate cancer. Journal of Multicaltural Nursing and Health. 2004;10 (3):41-8.
26. Park SCS, Chung C. Effects of a cognition emotion focused program to in crease public participation in papanicalaon smear screening. public health nursing. 2005;22 (4):289-98. [DOI:10.1111/j.0737-1209.2005.220404.x] [PMID]
27. Eckard CCR, Lockwood J, Torres DM, Williams CD, Shaw JC, et al. prospective histopathologic evaluation of lifestyle modification in non alcoholic fatty liver disease a randomized trial. therapeut Adv Gastroenterol. 2013;6:249-59. [DOI:10.1177/1756283X13484078] [PMID] [PMCID]
28. Katz DAGM, Birrer E, Lounsbury P, Baldwin A, Hillis SL, Ghristensen AJ. . Health belifs toward to chest pain observation units. Acad Emerg Med. 2009;16 (5):379-87. [DOI:10.1111/j.1553-2712.2009.00383.x] [PMID]
29. Nahid Mohammadi NS, Amini R, Leili T. The Effect of Edcation Based on Health Belief Model on Preventive Behaviors Towards Cardiovascular Disese. 2018;26 (4):227-236. [DOI:10.30699/sjhnmf.26.4.237]
30. Thoma CDC, Trenell MI. Lifestyle inter ventions for the treatment of non alcoholic fatty liver dsease in adults systematic review J. Hepatol. 2012;56:255-66. [DOI:10.1016/j.jhep.2011.06.010] [PMID]
31. Tan CKGG, Youn J, Yu JC, Singh S. Public awareness and knowledge of liver health and diseases in Singapore. J Gastroenterol Hepatol. 2021;36 (8):2292-302. [DOI:10.1111/jgh.15496] [PMID] [PMCID]
32. Glanz KRB, Viswanath K. Health behavior and health education: theory, research, and practice: John Wiley & Sons. 2008:45-62.
33. Yoshimura EKH, Tobina T, Matsuda T, Ayabe M, Kiyonaga A, et al. lifestyle intervention involving calorie restriction with visceral. adiposity Jobes. 2014:197216. [DOI:10.1155/2014/197216] [PMID] [PMCID]
34. Wee CME, Phillips RS. factors associated with colon cancer screening the role of patient factors and physician counseling preventive medicine. 2005;41 (1):23-9. [DOI:10.1016/j.ypmed.2004.11.004] [PMID]
35. Ziaee RJZ, Tavakoli Ghouchani H. the effect of education based on health Belief Model in improving nutritional behaviors of pregnant women. 2016;8 (3):427-437. [DOI:10.18869/acadpub.jnkums.8.3.427]
36. Maryam Maghsoudloo MG. Investigating the effect of educational intervention based on belief modelHealth on Cancer Preventive Nutritional BehaviorsColorectal in the staff of the faculties of the University of Medical SciencesShahid Beheshti. 2015:158802.
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Dehghani K, Fallahi A, Bahmani A, Einolahzadeh K. The Effect of an Educational Program Based on the Health Belief Model to Prevent Non-alcoholic Fatty Liver Disease among Iranian Women. j.health 2023; 14 (1) :41-52
URL: http://healthjournal.arums.ac.ir/article-1-2725-en.html


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Volume 14, Issue 1 (spring 2023) Back to browse issues page
مجله سلامت و بهداشت Journal of Health
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