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      The Effect of an Educational Intervention Program on the Adoption of Low Back Pain Preventive Behaviors in Nurses: An Application of the Health Belief Model

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          Abstract

          Study Design Randomized controlled trial.

          Objective The purpose of this study was to identify the effect of a theory-based educational intervention program on the level of knowledge and Health Belief Model (HBM) constructs among nurses in terms of the adoption of preventive behaviors.

          Methods This pretest/posttest quasi -experimental study was conducted on 100 nurses who were recruited through the multistage sampling method. The nurses were randomly assigned to intervention and control groups. The participants were evaluated before and 3 months after the educational intervention. A multidimensional questionnaire was prepared based on the theoretical structures of the HBM to collect the data. Data analysis was performed using descriptive and inferential statistics.

          Results There was no significant difference in the mean values of HBM constructs prior to the intervention between the intervention and control groups. However, after the administration of the educational program, the mean scores of knowledge and HBM constructs significantly increased in the intervention group when compared with the control group ( p < 0.0001).

          Conclusion The results of the current study revealed that the educational intervention based on the HBM was effective in improving the nurses' scores of knowledge and HBM constructs; therefore, theory-based health educational strategies are suggested as an effective alternative to traditional educational interventions.

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          Most cited references18

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          Is Open Access

          The effectiveness of nutritional education on the knowledge of diabetic patients using the health belief model

          BACKGROUND: Patients have a major role in the control and treatment of type 2 diabetes. So, knowledge of different aspects of this disease especially diet therapy is very important for these patients. This study was conducted to determine the effectiveness of the Health Belief Model (HBM) on nutrition education in type 2 diabetic patients. METHOD: Eighty eight type 2 diabetic patients attending Iranian Diabetes Association seminars were randomly selected to participate in the study (44 in intervention group and 44 in control group). The intervention was consisted of two educational sessions each one for 80 minutes. Data were collected by a validated and reliable questionnaire (58 questions) before intervention and one month after intervention. RESULTS: After intervention, knowledge scores increased in the intervention group compared to the control group (Mean differences in the intervention and test group: 22.68 ± 15.90 vs - 2.27 ± 17.30, P < 0.001). Perceived susceptibility increased significantly in the intervention group compared to the control group (27.5 ± 18.5 vs 3.9 ± 17.2, P < 0.001). The result was the same for perceived severity, perceived threatened and perceived benefits (P < 0.001). In contrast perceived barriers reduced in the intervention group compared to the control diet (-14.7 ± 13.3 vs 0.9 ± 13.9, P < 0.001). In the intervention group, behavior grades increased more than control group (34.61 ± 14.93 vs -0.23 ± 8.52, P < 0.001). CONCLUSION: The efficacy of the health belief model in nutritional education to the diabetic patients was confirmed in the present study.
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            Prevalence and risk factors of low back pain among nurses in a typical Nigerian hospital.

            The objective of this study was to determine the prevalence and risk factors of LBP among nurses in a typical Nigerian Specialist Hospital. A cross-sectional study was designed to determine the prevalence and risk factors for LBP among nurses in a typical Nigerian Hospital. A department-to-department enquiry was conducted using a self structured valid and reliable questionnaire. Four hundred and eight respondents (148 [36.27%] males and 260 [63.73%] females) participated in the study. The 12 month prevalence of LBP was 300 (73.53%). LBP was more prevalent among female nurses (68%) than the male nurses (32%). It was also associated with occupational hazard and poor knowledge of back care ergonomics. The prevalence of LBP in MMSH is comparable to levels recorded abroad. However, in this study LBP did not feature as a major cause of sickness absence in the work place It was concluded that poor back care ergonomics is the major predisposing factor of LBP.
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              Course of low back pain among nurses: a longitudinal study across eight years.

              To describe the course of low back pain (LBP) among nurses across eight years. A longitudinal study was performed with a follow up at 1 and 8 years among nurses employed by a large university hospital in Switzerland. A modified version of the Nordic Questionnaire was distributed to obtain information about demographic data, occupational activities, and various aspects of LBP. A clinical examination and several functional tests were used to overcome the problems associated with subjective pain reporting. Nurses having answered the questionnaire on all three occasions (n = 269) were classified into subgroups according to their pain intensity. For each subgroup the course of LBP was recorded. LBP was highly prevalent with an annual prevalence varying from 73% to 76%. A large percentage (38%) indicated the same intensity of LBP on all three occasions. The proportion of nurses reporting repeated increase of LBP (19%) was approximately as large as the proportion who complained about repeated decrease of LBP (17%). It became evident that LBP poses a persistent problem among nurses. Over an eight year period almost half of the nurses indicated the same intensity of LBP, thus supporting a recurrent rather than a progressive nature of LBP.
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                Author and article information

                Journal
                Global Spine J
                Global Spine J
                10.1055/s-00000177
                Global Spine Journal
                Georg Thieme Verlag KG (Stuttgart · New York )
                2192-5682
                2192-5690
                26 June 2015
                February 2016
                : 6
                : 1
                : 29-34
                Affiliations
                [1 ]Department of Health Education and Promotion, Arak University of Medical Sciences, Arak, Iran
                [2 ]Department of Epidemiology, Arak University of Medical Sciences, Arak, Iran
                Author notes
                Address for correspondence Mahboobeh Khorsandi Associate Professor of Arak University of Medical Sciences Mostafa Khomeini St. Golestan alley, Arak, Markazi ProvinceIran dr.khorsandi@ 123456arakmu.ac.ir
                Article
                1500010
                10.1055/s-0035-1555658
                4733379
                26835199
                9bf33e63-7616-4c87-aea2-f804c72e7eba
                © Thieme Medical Publishers
                History
                : 09 January 2015
                : 20 April 2015
                Categories
                Article

                health belief model,educational intervention,musculoskeletal disorders,preventive behaviors

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