Effect of a Health Belief Model-based education program on patients’ belief, physical activity, and serum uric acid: a randomized controlled trial

Abstract

ObjectiveWe aimed to investigate the effect of a Health Belief Model (HBM)-based education program on the perception scores of 5 HBM domains, physical activity, and serum uric acid (SUA) among asymptomatic hyperuricemia (AHU) patients in a randomized controlled trial.MethodsOne hundred and ninety-three AHU patients were involved in this prospective experimental interventional study in Shanghai, China. Subjects were randomly divided into interventional or control group. The educational program was designed based on HBM component for the improvement of knowledge and promotion of lifestyle adherence in terms of low-purine diet and physical activity among AHU patients. This program included educational booklets and educational classes. Data were collected from interventional and control group members both before and after the intervention, using a questionnaire covering sociodemographic characteristics, HBM variables, physical activity from the Health-Promoting Lifestyle Profile II, and a check list for recording the subject’s SUA values, as well as the body mass index, waist–hip ratio, systolic blood pressure, and diastolic blood pressure.ResultsIn the interventional group, the mean scores of the HBM variables (perceived susceptibility, perceived severity, perceived benefit, perceived barriers, and self-efficacy), SUA values, physical activity, body mass index, and waist–hip ratio were improved significantly after the intervention (p<0.05), whereas no significant differences were detected in the control group between baseline and follow-up measures.ConclusionThis study showed the importance of the educational program based on the HBM in improving the model constructs and physical activity, as well as in decreasing the SUA values in AHU patients.

Physical Activity and Factors Affecting Its Maintenance Among Patients With Coronary Heart Disease Not Undergoing Cardiac Rehabilitation in China

“…Patients with a history of chronic disease (hypertension, diabetes, and stroke) were 1.4 times more likely to maintain regular PA in our study, which differs from the findings of Armstrong et al 39 This may be because individuals in our study with chronic disease history had more frequent visits to healthcare providers and received more education about the benefits of PA. We found that patients who knew the benefits of PA were 4 times more likely to maintain PA. This is similar to results from a previous study, which showed that an awareness of the benefits of PA is helpful in encouraging patients to establish PA. 40 Years of CHD was negatively associated with maintaining regular PA. An additional year of CHD lowered the odds of maintaining regular PA by 4% ( P = .02). This might be explained by a reduction in the capacity for PA associated with progression of CHD.…”

Comparing the effect of group training and telemedicine on exercise during pregnancy: An application of the health belief model

“…The results showed that group training by HBM led to an improvement in the scores of all model's constructs and the level of physical activity. [ 27 ]…”

Factors that influence participation in physical activity for anxiety or depression: a synthesis of qualitative evidence

“…We will use an adapted version of the HBM (Figure 1) as a basis for a 'best fit' framework synthesis (BFFS) approach to analyse and synthesise qualitative evidence (Booth 2015; Booth 2016; Carroll 2013). The HBM has been used to explore health beliefs and physical activity in a range of populations, Gristwood 2011; Hosseini 2017; Kasser 2012, and informed the development of physical activity interventions (Shao 2018). The selection of the Cochrane Database of Systematic Reviews HBM drew on the Cochrane Methods guidance for selecting a theory for complex intervention reviews (Noyes 2015); the model has the ability to consider complex interventions and has been validated and used in other systematic reviews.…”