Investigating the effect of educational intervention based on the health belief model on the serum level of vitamin D in middle-aged women visiting Ahvaz Comprehensive Health Center - Payesh (Health Monitor)
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Investigating the effect of educational intervention based on the health belief model on the serum level of vitamin D in middle-aged women visiting Ahvaz Comprehensive Health Center
Zahra Baji1 , Ghodratollah ‎ Shakerinejad *1 , Masoumeh Tehrani1
1- Health Education Research Group, Academic Center for Education, Culture and Research (ACECR) - Khuzestan, Ahvaz, Iran
Abstract:   (34 Views)

Objectives(s): Considering the significant increase in vitamin D deficiency and its role in women's health, as well as the diseases and complications caused by it, vitamin D deficiency is undoubtedly one of the most important health priorities. Therefore, the present study was conducted with the aim of investigating the effect of education based on the health belief model on the consumption of vitamin D supplements and its serum level on middle-aged women visiting Ahvaz Comprehensive Health Center.
Methods: This study was conducted on 70 middle-aged women visiting health centers in Ahvaz who were facing vitamin D deficiency. The serum concentration of 25 hydroxy vitamin D of all women was measured on two occasions, upon arrival and 3 months after the end of the intervention. People were divided into two groups of 35 people (experimental and control group). Education based on the health belief model was conducted for the test group. The collected data were analyzed by SPSS 26 statistical software and significance chi-square, independent and paired t tests at the level of 0.05 significance.
Results: The two groups were homogeneous in demographic variables before the intervention. The average age of the participants was 40.2 with a standard deviation of 7.7 years. Before the intervention, there was no significant difference in the mean scores of the health belief model constructs, supplement consumption behavior, and serum vitamin D levels between the experimental and control groups. After the educational intervention, the difference between the two groups was significant in terms of the average scores of the health belief model constructs, supplement consumption behavior and vitamin D serum level. After training, serum vitamin D concentration of the intervention group increased significantly compared to the control group.
Conclusion: The results of this study showed that the design and implementation of educational programs based on the health belief model can improve vitamin D supplement consumption behavior and vitamin D serum levels in middle-aged women in the study.
 

Keywords: education, women, vitamin D, middle age
Full-Text [PDF 1173 kb]   (15 Downloads)    
type of study: Case-control | Subject: Health Metrics
Received: 2024/09/15 | Accepted: 2025/06/16 | ePublished ahead of print: 2026/01/28
References
1. Ramaji T, Pakseresht S, Joukar F, Reza Soltani P, Atrkar Roshan Z, Mansour-Ghanaei F. Determination of vitamin D serum levels in women receiving vitamin supplementation: The PERSIAN Guilan Cohort Study. Caspian Journal of Health Research 2024; 9:1-8 [DOI:10.32598/CJHR.9.1.543.1]
2. Tashrifi F, Haghani Nasimi O, Abdollahi M, Jaghuri R, Moradi B. Study of prevalence of vitamin D deficiency in middle aged peoples in Esfaryen city. Beyhagh 2018; 23: 1-6 [Persian]
3. Wang X, Zhao S, Zhou M, Jiang L. Factors influencing vitamin D levels in women attending the fertility clinic and the effect on assisted fertility outcomes. Annals of Palliative Medicine 2021;10:7813-7822 [DOI:10.21037/apm-21-1511]
4. Keyfi, F, Hashemnia, V, Hosseinzade, F, Tajik, H, Varasteh, A, & Sharifi, N. (). Effects of Vitamin D on Human Body and the Measurement Methods: A Systematic Review. Govaresh Journal 2020; 25: 208-215 [Persian]
5. Khodadadiyan A, Rahmanian M, Shekouh D et al. Evaluating the effect of vitamin D supplementation on serum levels of 25-hydroxy vitamin D, 1,25-dihydroxy vitamin D, parathyroid hormone and renin-angiotensin-aldosterone system: a systematic review and meta-analysis of clinical trials. BMC Nutrition 2023; 9: 1-12 [DOI:10.1186/s40795-023-00786-x]
6. Ghoreishi MS, Peyman N , Abusalehi A. The Effect of Educational Intervention Based on The Health Belief Model on using vitamin D Supplements Among Female High School Students in Mashhad. Health and Development Journal 2019; 8:59-71[Persian]
7. Akbari R, Jafari Chashmy A, Habibian M. The Effect of Sports Activity and Vitamin D Intake on Serum Eutoxin-1 and Superoxide Dismutase Levels in Overweight Women with Vitamin D Deficiency: A Clinical Trial Study. Journal of North Khorasan University of Medical Sciences 2023;15:34-42[Persian] [DOI:10.32592/nkums.15.1.34]
8. Lee CJ, Kim SS, Suh WY, Kim JS, Jung JG, Yoon SJ, Seo YR, Yang HJ. The Effect of Education and Vitamin D Supplementation on the Achievement of Optimal Vitamin D Level in Korean Postmenopausal Women. Journal of bone metabolism 2019; 26:193-199 [DOI:10.11005/jbm.2019.26.3.193]
9. Chakhtoura M, Rahme M, Chamoun N, El-Hajj Fuleihan G. Vitamin D in the Middle East and North Africa. Bone Reports 2018; 8:135-46 [DOI:10.1016/j.bonr.2018.03.004]
10. Mohammadi A, Mousavi Dehmurd R, Afsharmanesh M R, Ayashi S, Abdveys N, Kheirollah AR. The Prevalence of Vitamin D Deficiency in Patients Referred to the Clinical Diagnostic Laboratories in Khuzestan Province in 2014. Jundishapur Scientific Medical Journal 2016; 15: 63-71[Persian]
11. Modarres M, Faraji R, RahimiKian F. The effect of vitamin D3 supplementation accompanied by self-care on its serum level in lactating mothers: A randomizes clinical trial. The Iranian Journal of Obstetrics, Gynecology and Infertility 2021; 24: 15-26 [Persian]
12. Sandoughi M, Kaykhaei M A. Evaluation and Treatment of Vitamin D Deficiency in Iranian Adults: A Narrative Review. Iranian Journal of Endocrinology and Metabolism 2021; 23:60-71 [Persian] Available from: https://sid.ir/paper/1030449/en
13. Javaheri Tehrani F, Nikpour S, Haji Kazemi EA, Sanaie N, Shariat Panahi SA. . International journal of community based nursing and midwifery 2014; 2:2-11 PMID: 25349840; PMCID: PMC4201186
14. Masoudi R, Gholamian Dehkordi B, Asgari N, Fazel Z, Rabiei L. The effect of a health belief-based educational intervention on the COVID-19 preventive behaviors among young people. Payesh 2023; 22:313-322[Persian] [DOI:10.61186/payesh.22.3.313]
15. Conner M, Norman P. Predictig Health Behaviour. 2st Edition, McGraw-Hill Education: UK, 2005
16. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA 2001;285:2486-2497 [DOI:10.1001/jama.285.19.2486]
17. Priyo P, Priyanto S. Efektifitas penerapan health belief model terhadap perilaku hidup bersih and sehat. Journal of Holistic Nursing Science 2018; 5:88-105 [DOI:10.31603/nursing.v5i2.2447]
18. Aflaki T, Olfati F, Mirzadeh M, Jourabchi Z. Effect of Education Based on Health Belief Model on Self-care Behaviors of Women With Hypertension in Pregnancy. Journal of Holistic Nursing and Midwifery2024; 34:281-291 [DOI:10.32598/jhnm.34.3.281]
19. Karimzadeh Shirazi K, Davoodi S, Akbartabar Toori M. Effect of Educational Intervention Based on the Health Belief Model to Promote Metabolic Syndrome Preventive Behaviors in Premenopausal Women Over 40. Journal of Clinical Care and Skills 2020; 1:181-187 [DOI:10.52547/jccs.1.4.181]
20. Pekkarinen T, Loyttyniemi E, Valimaki M. Hip fracture prevention with a multifactorial educational program in elderly community dwelling Finnish women. Osteoporosis international 2013; 24:2983-2992 [DOI:10.1007/s00198-013-2381-y]
21. Fahimi Hesari F, Zendetalab H, Zare M, Behnam Vashani H. The Effect of Education Based on Health Belief Model on Health-Promotion Behaviors in Middle-Aged Women. Journal of Health Based Research 2020; 6: 83-98[Persian]
22. Mohamed Kishk, D., Elemam Hafeze, F., Shokry Alemam, D., Nabeh Taref, N., Samy Bauomy, E. Adopting Health Belief Model to Improve Female Employees' Knowledge, Beliefs and Preventive Behaviors regarding Vitamin D Deficiency. Egyptian Journal of Health Care 2023; 14: 72-89 [DOI:10.21608/ejhc.2023.324832]
23. Khani Jeihooni A, Hidarnia A, Kaveh MH, Hajizadeh E, Askari A. The effect of an educational program based on health belief model on preventing osteoporosis in women. International Journal of Preventive Medicine 2015; 6:115 [DOI:10.4103/2008-7802.170429]
24. Khani Jeihooni A, Kashfi S M, Khiyali Z, Jamshidi H, Kashfi S H. The effect of education based on based health belief model on osteoporosis and bone mineral density among women. Journal of Research and Health 2019; 9:11-20 [DOI:10.29252/jrh.9.1.11]
25. Elnagar SA, Salam AA, Abdel Sadik BR. Effect of Health Belief Model-Based Education on Mothers' Knowledge, Practice and Attitude Regarding Vitamin D Deficiency of their Children. International Journal of Novel Research in Healthcare and Nursing 2020; 7:533-551
26. Chen YH, Chao SL, Chu YW. Effects of Perceived Benefit on Vitamin D Supplementation Intention: A Theory of Planned Behaviour Perspective. International Journal of Environmental Research and Public Health 2022; 19:1952 [DOI:10.3390/ijerph19041952]
27. Elsobkey FA, Amer SAM.Mothers' Health Education Based on Health Belief Model to Prevent Vitamin D Deficiency in Children with Cerebral Palsy. American Journal of Nursing Research 2019; 5: 879-888
28. KarimianKakolaki Z, Eslami A.A, Gerayllo S, Heidari F, Safari Hajataghaie S, Behzadi Goughari S. Effect of Education Using the Virtual Social Networks on Promoting Women's Self-Efficacy in Preventing Osteoporosis. Journal of Education and Community Health 2018; 5:57-62[Persian] [DOI:10.21859/jech.5.3.57]
29. Norozi E, Nazari F, Moodi M. The effect of educational intervention based on the health belief model on osteoarthritispreventive behaviors in middle-aged women. Journal of Education and Health Promotion 2020;9:327 [DOI:10.4103/jehp.jehp_436_20]
30. Goli Rostami Z, Tavafian S, Dolatshahi E. Comparison of Effects of Different Educational Programs on Vitamin D Levels of Middle-aged Women. International Journal of Musculoskeletal Pain Prevention 2018; 3:57-61 http://ijmpp.modares.ac.ir/article-32-19419-en.html
31. Alami A, Ghelichi-Ghojogh M, Hosseini Z, Jafari A. Effectiveness of Iron and vitamin D supplementary intervention program in high school girl students. Iranian Journal of Health Education & Health Promotion 2023; 11: 20- 30[Persian] [DOI:10.52547/ijhehp.11.1.20]
32. Hosseini MS, Sepandi M, Hashemi SR, Abbaszadeh S, Taghdir M, Babashamsi T. The effect of vitamin D supplementation on bone parameters in pregnant women with vitamin D deficiency: A Clinical Trial. Journal of Military Health Promotion 2020; 1: 68-77[Persian]
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