aged under the coverage of Tehran Cultural House of Aged People 2009. Iranian Journal of Ageing. 2011; 5(18): 37-45.
– Saffari M, Shojaeizadeh D, Ghofranipour F, Heidarnia A, Pakpour A. Theories, models and health Education and Promotion approaches. 2st ed.Tehran: Asaresobhan publication;.1391. (Persian) 10 – Saffari M, Shojaeizadeh D. Principles and foundations of health promotion and education. 1st ed.Tehran: Samat publication; 2008. (Persian)
– Davari S, Dolatian M, Maracy M R, Sharifirad Gh, Safavi S M. The Effect of A Health Belief
Model (HBM)- based Educational Program on the Nutritional Behavior of Menopausal Women in Isfahan. Iranian Journal of Medical Education. 2011; 10(5): 1263-1272.
– Taheri M, Amani A, Zahiri R, Mohammadi M. The effect of older education on knowledge about healthy lifestyles: a randomised controlled trial. Journal of Epidemiology and Community Health.2011;65:A412 doi:10.1136/jech.2011.142976o.14.
– Mohaddesi H, Nanbakhsh F, Amirabi A, Hajshafiha M, Broomand F, Bahadori F, Mohamadlo S. The effect of health education on elderly weomen life quality. Payavard Salamat. 2011; 1(5): 47-57.
– Sharifirad GH, Ghaffari M, Zanjani S, Hassanzadeh A.The Effect of Educational Intervention
Based on PRECEDE Model on Level of Stress among the Elderly Referred To Elderly Club of Tehran, Iran, Health system research. 2012; 7(5): 553-561.
– Golyan Tehrani SH, Ghobadzadeh M, Arastou M. Promoting health status of menopausal women by educating self care strategies. Hayat. 2007; 13(3): 67-75.
– Sahyoun N, Charlotte A, Pratt C, Anderson A. Evaluation of nutrition education interventions for older adults: a proposed framework. Journal of the American Dietetic Association. 2004; 104: 58-69. 17 – Garcia R, suarez R, Diabetes education in the elderly: a 5-year follow-up of an interactive approach. Patient Education and Counseling.1996; 29(1): 87-97.
– Najimi A, Sharifirad GH, Hasanzadeh A, Azadbakht L. E ffect of Nutrition Education on Nutritional Behaviors and Glycemic Control Indices Based on BASNEF Model among Elderly with Type 2 Diabetes. Journal of Isfahan Medical School. 2011; 29(155): 1389-1400.
– Figar S, Galarza C, Petrlik E, Hornstein L, Rodrıiguez Loria G, Waisman G, Gonzalez Bernaldo de Quiros F. Effect of education on blood pressure control in elderly persons: A randomized controlled trial. American journal of hypertension. 2006; 19(7): 737-743.
– Osivand S, Pakmehr A, Chraei A, Haghdost AA, Davoodi F, Rezapoor AM and etal. Principles of questionnaire designing in medical sciences studies. 2nd ed. Medical student s research committee of iran university of medical sciences: Noor-e-Danesh; 2006. P. 111,116,117,135,155,163. (Persian) 21 – Eshaghi SR, Farajzadegan Z, Babak A. Healty lifestyle assessment questionnaire in elderly: translation, reliability and validity.Payesh. 2010; 9(1): 91-99.
22 – Hekmatpoue D, Shamsi M, Zamani M. The effect of healthy lifestyle educational programs on the quality of life of the elderly in Arak. Arak Medical University Journal (AMUJ). 2013; 16(72): 1-11. 23 – Eshaghi S, Shahsanai A, Mellat M. Assessment of the Physical Activity of Elderly Population of Isfahan, Iran. Journal of Isfahan Medical School. 2011; 29(147): 939-946.
– Nejad Dadgar N, Shojaeizadeh D, Tol A, Hossaini S M, Amani F. Assessing the Effect of Blended Educational Program Based on Health Belief Model on Adopting Preventive Behaviors in Alzheimer among Elders under Covering Ardebil Health Care Setting. Health System Research. 2014; 10(2): 386394.
– Reisi M, Mostafavi F, Hasanzadeh A, Sharifirad Gh. The Relationship between Health Literacy, Health status and Healthy behaviors among Elderly in Isfahan. Health Research System. 2011; 7(4): 1-
– Ishaghi R, Mahmoudian S A, Asgarian R. Effect of Faith-based Education on Physical Activity on the Elderly. Iranian Journal of Medical Education. 2011; 10(5): 1281-1288.
– Khezeli M, Ramzankhani A, Bakhtiary M. Effect of Education on Nutritional Knowledge and Stages of Fruit and Vegetable Consumption in Elders Based on Stages of Change Model. Journal of
Mazandaran University of Medical Sciences. 2012; 22(91): 90-100.
Effect of educational intervention on the lifestyle of elderly people referred to clinical centers of Eslamshahr, Iran: application of health belief model
Khavoshi1 N (B.Sc) – Tol2 A (Ph.D) – Shojaeizade3 D (Ph.D) – Shamshiri4 A (Ph.D).
Introduction: Health-promoting lifestyle helps elderly population to enjoy longer life, without burden of diseases or disabilities. This study was designed and performed to determine the effect of educational intervention on lifestyle of elderly population based on health belief model.
Method: This quasi-experimental study was performed on 80 elderly individual who visited the clinical centers of Eslamshahr, Iran in 2013-2014. In the pre-test stage, randomized sampling was carried out among the elderly who visited the clinical centers of Eslamshahr. The participants were divided into two interventions (39 persons) and control (41 persons) groups using block randomization method. The intervention group participated in educational courses designed based on Health Belief Model. Three months after the end of the intervention stage, post-test was given to both intervention and control groups. Data were entered into SPSS version 19. Then it was analyzed using repeated measures and Chi-square test.
Results: Three months after the intervention, mean perceived susceptibility between both groups was statistically significant. (P<0.001). Mean perceived severity was also significantly different (P=0.002). Mean of perceived barriers and perceived benefits was significantly different in both groups (P<0.001). Similarly, three months after the intervention, self-efficacy components and cues to action were significantly different (P<0.001). Prevention (P=0.03), exercise, and nutrition (P=0.03) showed significant differences. However, no significant differences were noted in stress and interpersonal relations between the two groups (P<0.005). Three months after intervention, mean lifestyle scores increased significantly in intervention group (P=0.03).
Conclusion: Education based on health belief model may affect healthy lifestyle promotion in the elderly population.
Key words: Elderly, lifestyle, educational intervention, health belief model
Received: 23 July 2014 Accepted: 3 January 2015
– MSc. Student, Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
– Ph.D, MPH, Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
– Corresponding author: Professor, Department of Health Education and Promotion, School of Public
Health, Tehran University of Medical Sciences, Tehran, Iran e-mail: email@example.com
– Assistant Professor, Epidemiologist, Research Center for Caries Prevention, Institude of Dentistry,