Efficacy of the Health Belief Model-Based Intervention of change in Dietary Fat Reduction Among Female High school students

  • Eman Hammad Hafedh Community Health Nursing Department, Baghdad, Iraq
  • Mohammed Baqer Habeeb Abd Ali Community Health Nursing Department, Baghdad, Iraq
Keywords: Adolescents, Dietary Fat, Health Behavior, Transtheoretical Model of Change

Abstract

This study aims to examine the efficacy of Stage-matched intervention based on the Transtheoretical Model of Behavior Change in dietary fat reduction. The study included high school female students who age 16-18-years. An experimental design using randomized controlled trial was used to guide this study. The study included a simple random sample of 144 female high school students (72 students for the study groups and 72 for the control group). The study instrument includes participants’ sociodemographic characteristics age, family’s socioeconomic status , the Revised 1 Item Stage of Change Algorithm, the Processes of Change Questionnaire, the Decisional Balance Questionnaire, and the 32 Item Situational Temptation Questionnaire. Data were collected using a self-reported instrument.  for the period from November 1st, 2021 to April 10th, 2022 Data were analyzed using the statistical package for social science for windows, version 26. The statistical measures of frequency, percent, mean, standard deviation, Repeated Measures Analysis of Variance,and One-way analysis of variance were used.The study results revealed that the administered Transtheoretical Model of Change-Stage-matched intervention moved subjects from lower Stages of Change to higher ones The age mean for participants in the study group is 17.32 ± 1.56 compared to 17.27 ± 1.09 for those in the control group. In the pretest and posttest I, more than a third of participants in the study group were in the Action Stage of Change for eating high-fat food. In the posttest II, less than a half were in the Preparation Stage of Change.  There was a significant difference in the Self-Efficacy over time for participants in the study group with an omnibus effect of .789. The stages-matched intervention based on the Transtheoretical Model of Change significantly bettered the Self-Efficacy of reducing dietary fat for participants in the study group.

References

1. 1.Petersen KEN, Johnsen NF, Olsen A, Albieri V, Olsen LKH, Dragsted LO, et al. The combined impact of adherence to five lifestyle factors on all-cause, cancer and cardiovascular mortality: a prospective cohort study among Danish men and women. British Journal of Nutrition [Internet]. 2015 Mar 14 [cited 2024 Jun 13];113(5):849–58. Available from: https://search-ebscohost-com.ezproxy.okcu.edu/login.aspx?direct=true&db=cul&AN=103781598&site=ehost-live

2. Al-Mayahi AM, Al-Jubouri MB, Jaafar SA. Healthy lifestyle behaviors and risk of cardiovascular diseases among nursing faculty during COVID-19 Pandemic. Revista Brasileira de Enfermagem. 2023 Oct 9;76:e20220372.

3. Baktash MQ, Naji AB. Efficacy of health belief model in enhancing exercise behavior to preventing stroke among geriatrics homes residents in Baghdad city. Indian Journal of Public Health Research & Development. 2019 Feb;10(02):928-33.

4. Mousa AM, Mansour K. Effectiveness of an Instructional Program Concerning Healthy Lifestyle on Patients’ Attitudes after Percutaneous Coronary Intervention at Cardiac Centers in Baghdad City. Iraqi National Journal of Nursing Specialties. 2020 Jun 30;33(1):1-1.

5. Verschuren WMM. Diet and cardiovascular disease. Current Cardiology Reports. 2012 Oct 12;14(6):701–8.Beck A. Weight loss, mortality and associated potentially modifiable nutritional risk factors among nursing home residents - A Danish follow-up study. Journal of Nutrition, Health & Aging [Internet]. 2015 Jan [cited 2024 Jun 10];19(1):96–101. Available from: https://search-ebscohost com. ezproxy. okcu.edu/login.aspx? direct=true&db=ccm&AN=103872479&site=ehost-live

6. Kader MM, Faraj RK. Health Belief Model Efficacy on improving hypertension control among old age at Kirkuk City, Iraq: A Randomized Controlled Trial. Rawal Medical Journal. 2023 Sep 10;48(3):770-.

7. Jasim AH, Majeed HM, Mohammed TR. Knowledge and protective health behaviors concerning risk factors for coronary heart disease among Baghdad University students. Medico Legal Update. 2020 Apr 1;20(2):234-9.

8. Ali Basha AA, Naji AB. Processes of Change for Weight Control Behavior among Collegians. Indian Journal of Public Health Research & Development. 2019 Sep 1;10(9).

9. Raymond K, Morrow K. Krause and Mahan’s Food & The Nutrition Care Process. 15th ed. S.L.: Saunders; 2021.

10. Baji DM, Mohammed QQ. Eating Disorders and its Related Factors among Adolescents at Secondary Schools in Al-Basra City. Indian Journal of Forensic Medicine & Toxicology. 2019 Jul 1;13(3):313.

11. 11. . Afaghi A, O’Connor H, Chow CM. Acute effects of the very low carbohydrate diet on sleep indices. Nutritional Neuroscience. 2008 Aug;11(4):146–54.Wu Q. Cancer care: What are the priorities? The Lancet Oncology. 2001 Oct 1;2(10):639.

12. . Greene GW, Redding CA, Prochaska JO, Paiva AL, Rossi JS, Velicer WF, et al. Baseline transtheoretical and dietary behavioral predictors of dietary fat moderation over 12 and 24 months. Eating behaviors [Internet]. 2013 Jan 1 [cited 2024 Mar 21];14(3):255–62. Available from: https://search-ebscohost-com.ezproxy.okcu.edu/login

13. .aspx?direct=true&db=cgh&AN=CN-01122216&site=ehost-live

14. Mcardle WD, Katch FI, Katch VL. Exercise physiology: Nutrition, energy, and human performance. 8th ed. Philadelphia Etc.: Wolters Kluwer Health, Cop; 2015

15. U.S. Department of Health & Human Services. (2020, June 6). NCHS: A Blog of the National Center for Health Statistics. Retrieved May 11, 2024, from Centers for Disease Control and Prevention [CDC]: https://blogs.cdc.gov/nchs/2020/06/05/6971

16. Kossoff EH, Turner, Z, Cervenka MC, Barron BJ. Ketogenic diet therapies for epilepsy and other conditions, Seventh Edition. Springer Publishing Company; 2021

17. Roehl K, Sewak SL. Practice paper of the Academy of Nutrition and Dietetics: Classic and modified ketogenic diets for treatment of epilepsy. Journal of the Academy of Nutrition and Dietetics. 2017 Aug;117(8):1279–92.

18. National Center for Chronic Disease Prevention and Health Promotion: About the Center. Retrieved May 11, 2024, from Centers for Disease Control and Prevention [CDC]: https://www.cdc.gov/chronicdisease/center/

19. Hameed RS, Faraj RK. Efficacy of A Theory-Based Health Education in Enhancing High School Female Student's Preconception Health Behaviors in Baghdad City. Indian Journal of Public Health Research & Development. 2018 Dec;9(12):895-900..

20. Brannon L, Feist J, Updegraff JA. Health psychology: An introduction to behavior and health. Vancouver, B.C.: Langara College; 2017.

21. Jimmy B, Jose J. Patient Medication Adherence: Measures in Daily Practice. Oman Medical Journal [Internet]. 2011;26(3):155–9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3191684/

22. Riekert KA, Ockene JK, Pbert L. The handbook of health behavior change, 4th Edition. Springer Publishing Company; 2013.

23. Baqer H. Obesity and Overweight among Employees of Medical Technical Institute/Baghdad. Iraqi National Journal of Nursing Specialties. 2008;21(1):66-73.

24. Kader MM, Faraj RK. Health Belief Model Efficacy on improving hypertension control among old age at Kirkuk City, Iraq: A Randomized Controlled Trial. Rawal Medical Journal. 2023 Sep 10;48(3):770-.
Published
2024-07-19
How to Cite
Hafedh, E. H., & Abd Ali, M. B. H. (2024). Efficacy of the Health Belief Model-Based Intervention of change in Dietary Fat Reduction Among Female High school students. Central Asian Journal of Medical and Natural Science, 5(3), 840-853. Retrieved from https://www.cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/2524
Section
Articles