Interactive Multimedia Training in Osteoporosis Prevention of Female High School Students: An Interventional Study
Given the limitations of traditional teaching methods in the learning process of adolescents, this study was designed to investigate the effects of osteoporosis prevention training through interactive multimedia method on the degree of knowledge and self-efficacy of female high school students. In this interventional study which was conducted in 2016 in Fars province, Iran, 120 high school students were selected through proportional stratified sampling from schools and different classes at first, second, third, and pre-university grades. The participants were randomly divided into two groups, each containing 60 students. Educational interventions for the test group included an interactive multimedia CD, and for the control group was an educational booklet. Before and one month after the intervention the students' level of knowledge and self-efficacy was measured. The spss 19 statistical software was used, and descriptive and analytical tests were performed to analyze the data. Results showed a significant difference in self-efficacy scores after the intervention (P=0.012) with the test group obtained a higher self-efficacy score than the control group. Also, a significant increase was observed in the knowledge score of both groups after the training (P<0.001), but the knowledge score between the two groups was not statistically significant (P=0.38) after the intervention. The use of new training methods like interactive multimedia CD for public education, particular adolescents about health and hygiene is recommended.
Naz MSG, Ozgoli G, Aghdashi MA, Salmani F.Prevalence and Risk Factors of Osteoporosis in Women Referring to the Bone Densitometry Academic Center in Urmia, Iran. Glob J Health Sci 2015;8:135.
Stovall DW, editor. Osteoporosis: diagnosis and management. 1st ed. Wiley-Blackwell: John Wiley & Sons, 2013:2.
El-Hameed AA, Emam H, Fouad W, El-Mohsen AA.Evaluation of health education intervention program for female employees towards osteoporosis. J Appl Sci Res2008;4:863-70.
Forouzi MAZ, Haghdoost A, Saidzadeh Z, Mohamadalizadeh S. Study of knowledge and attitude of Rafsanjanian female teachers toward prevention of osteoporosis. J Birjand Univ Med Sci 2009;16:71-7.
Sanchez-Riera L, Carnahan E, Vos T, Veerman L, Norman R, Lim SS, et al. The global burden attributable to low bone mineral density. Ann Rheum Dis 2014;73:1635-45.
Irani AD, Poorolajal J, Khalilian A, Esmailnasab N, Cheraghi Z. Prevalence of osteoporosis in Iran: A meta- analysis. J Res Med Sci 2013;18:759-66.
Agency IsIRN. Alert for a dramatic increase in osteoporosis Tehran, IRNA, Health; 2014 (Accessed May 2017, 12, at(.(https://www.ncbi.nlm.nih.gov/pubmed/28386849).
Pajouhi M, Komeylian Z, Sedaghat M, Baradar Jalili R, Soltani A, Larijani B. Efficacy of educational pamphlets for improvement of knowledge and practice in patients with Osteoporosis. Payesh. J Iran Inst Health Sci Res2004;1:67-74.
Oommen A, AlZahrani I. Prevalence of osteoporosis and factors associated with osteoporosis in women above 40 years in the Northern Part of Saudi Arabia. Int J Res Med Sci 2014;2:274-8.
Vakili M, Pirzadeh A, MD. Female Students' Knowledge on Osteoporosis in Medical Sciences university of Yazd. Q Fac Public Health Yazd 2006;6:24-36.
Instituto Nacional de Estadística. Accessed May 2017, 12, at (http://www.amar.org.ir/Portals/0/Files/abstract/1390/n_s arshomari90_2.pdf).
Parvizi S, Hamzehgardeshi Z. Adolescents’ view of health concept and its risk factors: a literature review. Int J Adolesc Med Health 2014;26:351-9.
Ghaffari M, Tavassoli E, Esmaillzadeh A, Hasanzadeh A.The effect of education based on health belief model on the improvement of osteoporosis preventive nutritional behaviors of second grade middle school girls in Isfahan. Health Sys Res 2011;6:714-23.
Amini A, Tavousi M, Niknami S. The impact of an educational intervention on nutritional preventive behaviors inosteoporosis among adolescent girls. Payesh 2014;13:609-19.
Franck LR, Langenkamp ML. Mandatory education via the computer: Cost-effective, convenient, and creative. J Nurs Prof Dev 2000;16:157-63.
Johnson SD, Aragon SR, Shaik N. Comparative analysis of learner satisfaction and learning outcomes in online and face-to-face learning environments. J Interact Learn Res 2000;11:29-49.
Whitten P, Ford DJ, Davis N, Speicher R, Collins B. Comparison of face‐to‐face versus interactive videocontinuing medical education delivery modalities. J Contin Educ Health Prof 1998;18:93-9.
Atack L, Rankin J. A descriptive study of registered nurses' experiences with web‐based learning. J Adv Nurs 2002;40:457-65.
Bazreafshan S, Alikhani M. The effect of learning through e-content (multimedia training) on female students in the sixth grade science class learning impaired. J Spec Educ 2015;14:17-21.
Kasper MJ, Peterson MG, Allegrante JP, Galsworthy TD, Gutin B. Knowledge, beliefs, and behaviors among college women concerning the prevention of osteoporosis. Arch Fam Med 1994;3:696.
Chang SF. Knowledge, health beliefs, and behaviours in firstdegree relatives of women suffering fromosteoporosis. J Clin Nurs 2006;15:227-9.
Nejati S, Rasoulzadeh N, Sedighiyani A. The effectiveness of education on prevention of osteoporosis among high school female students. Hayat 2009;15:59-65.
Munch S, Shapiro S. The silent thief: osteoporosis and women's health care across the life span. Health Soc Work 2006;31:44-53.
Martin JT, Coviak CP, Gendler P, Kim KK, Cooper RodriguesFisher L. Female adolescents' knowledge of bone health promotion behaviors and osteoporosis risk factors. Orthop Nurs 2004;23:235-44.
Pour Namdar Z, Khamarnia M, Razavi Amin M. Effects of Training Course on the Knowledge and Attitudes Towards Risk Factors and Preventive Methods of Osteoporosis in Female High School Students in Shiraz– Iran:(Short Report). J Rafsanjan Univ Med Sci 2012;11:285-92.
Horan ML, Kim KK, Gendler P, Froman RD, Patel MD.Development and evaluation of the osteoporosis self‐efficacy scale. Res Nurs Health 1998;21:395-403.
Hutchison A. Hispanic Women's Level of Self-Efficacy and it's Relationship to Their Risk for Osteoporosis [Dissertation]. The Ohio State Univ., 2008.
Swaim RA, Barner JC, Brown CM. The relationship of calcium intake and exercise to osteoporosis health beliefs in postmenopausal women. Res Soc Admin Pharm 2008;4:153-63.
Kargar M, Moghadam NJ, Moattari M, Zadeh MHF, Pourahmad S. The Effect of Education by Peers andHealth Personnel on the Osteoporosis Knowledge and Health Beliefs in Adolescents with Nephrotic Syndrome. Int J Commun Based Nurs Midwifery 2013;1:137-46.
Clark RC, Mayer RE, eds. E-learning and the science of instruction: Proven guidelines for consumers and designers of multimedia learning. 3rd ed. San Francisco, CA: John Wiley & Sons, 2016:401-24.
Kaveh MH, Golij M, Nazari M, Mazloom Z, Zadeh AR.Effects of an osteoporosis prevention training program on physical activity-related stages of change and self- efficacy among university students, Shiraz, Iran: a Randomized Clinical Trial. J Adv Med Educ Prof 2014;2:158-64
.32. Fary RE, Slater H, Chua J, Ranelli S, Chan M, Briggs AM. Policy‐Into‐Practice for Rheumatoid Arthritis:Randomized Controlled Trial and Cohort Study of E‐Learning Targeting Improved
PhysiotherapyManagement. Arthrit Care Res 2015;67:913-22.
Mohamadirizi S, Fahami F, Bahadoran P. Comparison of the effect of multimedia and illustrated booklet educational methods on women's knowledge of prenatal care. Iran J Nurs Midwifery Res 2014;19:127-31.
Blum ML, Kumar P, Tran P. Multimedia patient education to assist the informed consent process for knee arthroscopy. ANZ J Surg 2011;81:176-80.
Majidi N, Sabzevari S, Safizade H. Comparing the Efficiency of Electronic Learning and Workshop Learning on Knowledge and Performance of Nursing Students in Controlling Nosocomial Infections. Future Med Educ J 2014;4:8-12.
Khorami Rad A, Heidari A, Ahmari Tehran H.Comparison of Two Self-Learning Methods (CD-Rom or Booklet) for Physician Education about Reporting Diseases Cases. Iran J Med Educ 2011;11:149-58.
Rostom A, O’Connor A, Tugwell P, Wells G. A randomized trial of a computerized versus an audio- booklet decision aid for women considering post- menopausal hormone replacement therapy. Patient Educ Couns 2002;46:67-74.
Dilles A, Heymans V, Martin S, Droogné W, Denhaerynck K, De Geest S. Comparison of a computer assisted learning program to standard education tools in hospitalized heart failure patients. Eur J Cardiovasc Nurs2011;10:187-93.
Temiz İ, Akuner C. Comparison of traditional education to computer aided education: simulation of three-phase rotating area in an induction machine. Procedia Soc Behav Sci 2009;1:1825-33.
|Issue||Vol 55, No 8 (2017)|
|Osteoporosis Interactive multimedia training Interventional study|
|Rights and permissions|
|This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.|