Original Article

Application of the Health Belief Model in Promotion of Self-Care in Heart Failure Patients

Abstract

Heart failure (HF) is a condition due to a problem with the structure or function of the heart impairs its ability to supply sufficient blood flow to meet the body's needs. In developing countries, around 2% of adults suffer from heart failure, but in people over the age of 65, this rate increases to 6-10%. In Iran, around 3.3% of adults suffer from heart failure. The Health Belief Model (HBM) is one of the most widely used models in public health theoretical framework. This was a cohort experimental study, in which education as intervention factor was presented to case group. 180 Heart failure patients were randomly selected from patients who were referred to the Shahid Rajaee center of Heart Research in Tehran and allocated to two groups (90 patients in the case group and 90 in the control group). HBM was used to compare health behaviors. The questionnaire included 69 questions. All data were collected before and 2 months after intervention. About 38% of participants don't know what, the heart failure is and 43% don't know that using the salt is not suitable for them. More than 40% of participants didn't weigh any time their selves. There was significant differences between the mean grades score of variables (perceived susceptibility, perceived threat, knowledge, Perceived benefits, Perceived severity, self-efficacy Perceived barriers, cues to action, self- behavior) in the case and control groups after intervention that was not significant before it. Based on our study and also many other studies, HBM has the potential to be used as a tool to establish educational programs for individuals and communities. Therefore, this model can be used effectively to prevent different diseases and their complications including heart failure.

Heart failure at Mc Dorland's Medical Dictionary.

McMurray JJ, Pfeffer MA (2005). "Heart failure". Lancet 365 (9474): 1877–89.

Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA, Strömberg A, van Veldhuisen DJ, Atar D, Hoes AW, Keren A, Mebazaa A, Nieminen M, Priori SG, Swedberg K; ESC Committee for Practice Guidelines (CPG). "ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM)". Eur. Heart J 2008;29 (19):2388–442.

Stewart S, Jenkins A, Buchan S, McGuire A, Capewell S, McMurray JJ. The current cost of heart failure to the National Health Service in the UK. Eur J Heart Fail 2002;4(3):361-71.

Rosamond W, Flegal K, Furie K, Go A, Greenlund K, Haase N, Hailpern SM, Ho M, Howard V, Kissela B, Kittner S, Lloyd-Jones D, McDermott M, Meigs J, Moy C, et al. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics: 2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2008;117(4):e25-146

Juenger J, Schellberg D, Kraemer S, Haunstetter A, Zugck C, Herzog W, Haass M. Health related quality of life inpatients with congestive heart failure: comparison with other chronic diseases and relation to functional variables. Heart 2002;87(3):235-41.

Hobbs FD, Kenkre JE, Roalfe AK, Davis RC, Hare R, Davies MK. Impact of heart failure and left ventricular systolic dysfunction on quality of life: a cross-sectional study comparing common chronic cardiac and medical disorders and a representative adult population. Eur Heart J 2002;23(23):1867-76.

Neubauer S. The failing heart: an engine out of fuel. N Engl J Med 2007;356(11):1140-51.

Kannel WB. Incidence and epidemiology of heart failure. Heart Fail Rev 2000;5(2):167-73.

Strecher VJ, Rosenstock IM. The health belief model. In: Glanz K, Lewis FM, Rimer BK, editors. Health Behavior and Health Education: Theory, Research and Practice. 2nd ed. San Francisco, CA: Jossey-Bass Inc.; 1997. p. 41-59.

Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Q1988;15(2):175-83.

Snillitoe RW, Christie MJ. Determinants of self care: the health belief model. Holistic Medicine 1989;4:3-17.

Becker MH, Maiman LA. Sociobehavioral determinants of compliance with health and medical care recommendations. Med Care 1975;13(1):10-24.

Janz NK, Becker MH. The health belief model: a decade later. Health Educ Q 1984;11(1):1-47.

Kloeblen AS, Batish SS. Understanding the intention to permanently follow a high folate diet among a sample of low-income pregnant women according to the Health Belief Model. Health Educ Res 1999;14(3):327-38.

Artinian NT, Magnan M, Sloan M, Lange MP. Self-care behaviors among patients with heart failure. Heart Lung 2002;31(3):161-72.

Orem DE. Nursing: Concepts of Practice. 6th ed. St. Louis: Mosby; 2001.

Bockting WO, Rosser BR, Scheltema K. Transgender HIVprevention: implementation and evaluation of a workshop. Health Educ Res 1999;14(2):177-83.

Tan AS, Yong LS, Wan S, Wong ML. Patient education in the management of diabetes mellitus. Singapore Med J 1997;38(4):156-60.

Beranth C. The Health Belief Model applied to glycemic control. Diabetes Educ 1999;21(8):321-9.

Neil JA, Knuckey CJ, Tanenberg RJ. Prevention of foot ulcers in patients with diabetes and end stage renal disease. Nephrol Nurs J 2003;30(1):39-43.

Aalto AM, Uutela A. Glycemic control, self-carebehaviors, and psychosocial factors among insulin treated diabetics: a test of an extended health belief model. Int J Behav Med 1997;4(3):191-214.

Baghianimoghadam MH, Shafiei F, Haydarneia AR, Afkhami M. Efficay of BASNEF Model in controlling of Diabetic Patients in city of Yazd, Iran. Indian J Commun Med 2005;30(4):10-2.

Viswanathan V, Madhavan S, Rajasekar S, Chamukuttan S, Ambady R. Amputation prevention initiative in South India: positive impact of foot care education. Diabetes Care 2005;28(5):1019-21.

Graziani C, Rosenthal MP, Diamond JJ. Diabeteseducation program use and patient-perceived barriers to attendance. Fam Med 1999;31(5):358-63.

Rith-Najarian S, Branchaud C, Beaulieu O, Gohdes D,Simonson G, Mazze R. Reducing lower-extremity amputations due to diabetes. Application of the staged diabetes management approach in a primary care setting. J Fam Pract 1998;47(2):127-32.

Aljasem LI, Peyrot M, Wissow L, Rubin RR. The impact of barriers and self-efficacy on self-care behaviors in type 2 diabetes. Diabetes Educ 2001;27(3):393-404.

Cerkoney KA, Hart LK. The relationship between the health belief model and compliance of persons with diabetes mellitus. Diabetes Care 1980;3(5):594-8.

Troein M, Råstam L, Selander S. Health beliefs and heartdisease risk among middle-aged Swedish men. Results from screening in an urban primary care district. Scand J Prim Health Care 1997;15(4):198-202.

Ghofranipour F, Shojaee zade D. Use of health belief model in prevention of brucelosis in Shahr-e-cord City in Iran. Daneshvar J 1997;15:23-8. [Persian]

Driver VR, Madsen J, Goodman RA. Reducing amputation rates in patients with diabetes at a military medical center: the limb preservation service model. Diabetes Care 2005;28(2):248-53.

Haidarnia AR. Design of model in health education for prevention of secondary myocardium infarct us for cardiovascular diseases. Special J Cardiovasc Dis 1994;6:1-5.

Brevidelli MM, Cianciarullo TI. Application of the health belief model to the prevention of occupational needle accidents. Rev Saude Publica 2001;35(2):193-201.

Robinson-Whelen S, Bodenheimer C. Health practices of veterans with unilateral lower-limb loss: Identifying correlates. J Rehabil Res Dev 2004;41(3B):453-60.

Daniel M, Messer LC. Perceptions of disease severity andbarriers to self-care predict glycemic control in Aboriginal persons with type 2 diabetes mellitus. Chronic Dis Can 2002;23(4):130-8.

Polly RK. Diabetes health beliefs, self-care behaviors, and glycemic control among older adults with non-insulindependent diabetes mellitus. Diabetes Educ 1992;18(4):321-7.

Aljasem LI, Peyrot M, Wissow L, Rubin RR. The impact of barriers and self-efficacy on self-care behaviors in type 2 diabetes. Diabetes Educ 2001;27(3):393-404.

Ratanasuwan T, Indharapakdi S, Promrerk R, Komolviphat T, Thanamai Y. Health belief model about diabetes mellitus in Thailand: the culture consensus analysis. J Med Assoc Thai 2005;88(5):623-31.

Daniel M, Messer LC. Perceptions of disease severity and barriers to self-care predict glycemic control in Aboriginal persons with type 2 diabetes mellitus. Chronic Dis Can 2002;23(4):130-8.

Mohamaei F, Nouri Tajer M, Noohi F, Maleki M.Application of BASNEF health belief model in preventing the occurrence of risk factors contributing to Myocardial infarction in patients with coronary disease. Iran Heart J 2004;5(1-2):29-32.

James AS, Campbell MK, Hudson MA. Perceived barriers and benefits to colon cancer screening among African Americans in North Carolina: how does perception relate to screening behavior? Cancer Epidemiol Biomarkers Prev 2002;11(6):529-34.

Aiken LS, West SG, Woodward CK, Reno RR, ReynoldsKD. Increasing screening mammography in asymptomatic women: evaluation of a second-generation, theory-based program. Health Psychol 1994;13(6):526-38.

Bowen DJ, Christension CL, Powers D, Graves DR, Anderson CM. Effect of counseling and ethnic identity on perceived risk and cancer worry in African American women. J Clin Psychol Med Settings 1998;5:365-79.

Siero S, Kok G, Pruyn J. Effects of public education about breast cancer and breast self-examination. Soc Sci Med 1984;18(10):881-8.

Lerman C, Lustbader E, Rimer B, Daly M, Miller S, Sands C, Balshem A. Effects of individualized breast cancer risk counseling: a randomized trial. J Natl Cancer Inst 1995;87(4):286-92.

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IssueVol 51, No 1 (2013) QRcode
SectionOriginal Article(s)
Keywords
Heart failure Health Belief Model Perceived susceptibility Perceived benefits

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How to Cite
1.
Baghianimoghadam MH, Shogafard G, Sanati HR, Baghianimoghadam B, Mazloomy SS, Askarshahi M. Application of the Health Belief Model in Promotion of Self-Care in Heart Failure Patients. Acta Med Iran. 1;51(1):52-58.