Effect of an Osteoporosis Prevention Health Education for Women in an Urban Area

골다공증 예방건강교육 효과에 관한 연구 - 대도시 일부 지역사회 여성을 대상으로 -

  • 양승애 (성신여자대학교 간호대학)
  • Published : 2009.11.30

Abstract

Purpose: This study was conducted to evaluate the effects of an osteoporosis prevention health education on know ledge, health beliefs, self-efficacy and preventive health behaviors of women in an urban area. Methods: A one- group pre-test-post-test design was conducted to identify the effects of an osteoporosis prevention health education. The study was conducted between April and November 2008, and recruited 98 women in Seoul. All participants completed the pretest and posttest measures with self-administered questionaire: Osteoporosis Knowledge Test, Osteoporosis Health Belief Scale, Osteoporosis Self-Efficacy Scale and Osteoporosis Preventive Health Behaviors Survey. Results: The result of the paired t-test revealed statistically significant difference in the perceived susceptibility and perceived benefits of osteoporosis and osteoporosis preventive behaviors between pretest and posttest measures. However, the difference in knowledge and self-efficacy between the pretest and posttest measures was not statistically significant. Conclusions: These finding indicate the need for further health education to increase osteoporosis knowledge, health beliefs, self-efficacy and osteoporosis preventive health behaviors and provide guidance for developing effective osteoporosis prevention health education strategies.

References

  1. Ali, N. S., & Twibell, K. R. (1994). Barriers to osteoporosis prevention in perimenopausal and elderly women. Geriatric Nursing, 15(4), 201-205. https://doi.org/10.1016/S0197-4572(09)80009-8
  2. Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. https://doi.org/10.1037/0033-295X.84.2.191
  3. Bohaty, K., Rocole, H., Wehling, K., & Waltman, N. (2008). Testing the effectiveness of an educational intervention to increase dietary intake of calcium and vitamin D in young adult women. Journal American Academy of Nurse Practitioners, 20(2), 93-99. https://doi.org/10.1111/j.1745-7599.2007.00281.x
  4. Chan, M. F., Ko, C. Y., & Day, M. C. (2005). The effectiveness of an osteoporosis prevention education programme for women In Hong Kong: a randomized controlled tral. Journal of Clinical Nursing, 14(9), 1112-1123. https://doi.org/10.1111/j.1365-2702.2005.01224.x
  5. Chew, F., Palmer, S., Sionska, Z., & Subbiah, K. (2002). Enhancing health knowledge, health beliefs and health behaviour in Poland through a health promoting television programme series. Journal of Health Communication, 7(3), 179-196. https://doi.org/10.1080/10810730290088076
  6. Conn, V. S. (1998). Older adults and exercise: path analysis of self-efficacy related constructs. Nursing Research, 47(3), 180-189. https://doi.org/10.1097/00006199-199805000-00009
  7. Cohen, J. (1987). Statistical power analysis for the behaviour science (Rev. ed). Hillsdale, NJ: Lawence Erbaun Assoc.
  8. Curry L. C., & Hogstel, M. O. (2002). Osteoporosis: education and awareness can make a difference. American Journal of Nursing, 102(1), 26-32.
  9. Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health Education Quarterly, 11(1), 1-47. https://doi.org/10.1177/109019818401100101
  10. Kang, Y. M. (1999). A study on the relationships between osteoporosis knowledge, health belief and self-efficacy of middle aged women. Unpublished master's thesis, Ewha Womans University, Seoul.
  11. Kasper, M. J., Peterson, M. G., & Allegrante, J. P. (2001). The need for comprehensive educational osteoporosis prevention programs for young women: Results from a second osteoporosis prevention survey. Arthritis and Rheumatism, 45(1), 28-34. https://doi.org/10.1002/1529-0131(200102)45:1<28::AID-ANR80>3.0.CO;2-G
  12. Kim, K., Horan, M., & Gendler, P. (1991). Osteoporosis knowledge tests, osteoporosis health belief scale and osteoporosis self-efficacy scale. Allendale, MI: Grand Valley State
  13. Korea National Statistical Office. (2006). Life tables. Retrieved January 22, 2009, from http://www.kosis.kr/lnterStatic
  14. Lee, E. N. (1998). The effect of the health belief and efficacy expectation promoting program on osteoporosis preventive health behavior in women with rheumatoid arthritis. Journal of Rheumatology Health, 5(2), 174-190.
  15. Lee, H. Y., & Kim, S. Y. (2001). The effect of education for prevention of osteoporosis patients with bone fracture. Journal of Korean Nurses Academic Society, 31(2), 194-205. https://doi.org/10.4040/jkan.2001.31.2.194
  16. Levin, L. S. (1986). Patients education and self care. Nursing Outlook, 34, 170-175.
  17. Ooms, M. E., Roos, J. C., Bezemer, P., Van Der Vijgh, W. J., Bouter, L. M., & Lips, P. (1995). Prevention of bone loss to vitamin D supplementation in elderly women: A randomized double-blind trial. Journal of Clinical Endocrinology and Metabolism, 80, 1052-1058. https://doi.org/10.1210/jc.80.4.1052
  18. Peterson, J. A. (2001). Osteoporosis overview. Geriatric Nursing, 22(1), 17-23. https://doi.org/10.1067/mgn.2001.113534
  19. Piaseu, N., Belza, B., & Mitchell, P. (2001). Testing the effectiveness of an osteoporosis educational program for nursing students in Thiland. Arthritis and Rheumatism, 45(3), 246-251. https://doi.org/10.1002/1529-0131(200106)45:3<246::AID-ART256>3.0.CO;2-Y
  20. Ribeiro, V., & Blakeley, J. A. (2001). Evaluation of an Osteoporosis Workshop for Women. Public Health Nursing, 18(3), 186-193. https://doi.org/10.1111/j.1525-1446.2001.00186.x
  21. Riggs, B. L., & Melton, L. J. 3rd. (1986). Involutional osteoporosis. New England Journal of Medicine, 314(26), 1676-1686. https://doi.org/10.1056/NEJM198606263142605
  22. Riggs, B. L., & Melton, L. J. (1992). The health belief model: explainig health behavior through expectancies: health behavior and health education. theory, research & practice. San Francisco, CA: Jossey-Bass.
  23. Rosenstock, I. M. (1974). Historical origins of the health belief model: the health behavior. Thorofare, NJ: Charles B. Slack.
  24. Sedlak, C. A., Doheny, M. O., & Jones, S. L. (2000). Osteoporosis education programs: Changing knowledge and behaviors. Public Health Nursing, 17(5), 398-402. https://doi.org/10.1046/j.1525-1446.2000.00398.x
  25. Shin, Y. A. (2002). Effects of an osteoporosis prevention programme on bone densitometry and health belief for postmenopausal women. Journal of Rheumatology Health, 9(2), 238-246.
  26. Sideleau, B. F. (1987). Irrational belief and intervention. Journal of Psychosocial Nursing and Mental Health Services, 25(3), 18-24.
  27. Tung, W. C., & Lee, I. F. (2006). Effects of an osteoporosis educational programme for men. Journal of Advanced Nursing, 56(1), 26-34. https://doi.org/10.1111/j.1365-2648.2006.03976.x
  28. The Korean Society of Bone Metabolism (2000). Osteoporosis (Rev. ed). Seoul: Hanmi Publishing Co.
  29. Von Hurst, P. R., & Wham, C. A. (2007). Attitudes and knowledge about osteoporosis risk prevention: a survey of New Zealand women. Public Health Nutrition, 10(7), 747-753.
  30. Yeoum, S. G. (1996). A study on the relationships of cognitive-perceptual factors and behavior about middle age women's health promotionjocus on the prevention of osteoporosis. Doctoral dissertation, Chung-Ang University, Seoul.