Evaluation of the Educational Nutrition Intervention's Effects on Healthy Nutritional Behaviors Promotion in Elderly of Sanandaj: Application BASNEF Model

Authors
Abstract
Introduction

Poor nutrition is the underlying cause of many diseases in the elderly and imposes enormous costs to the governments. Education of proper nutrition has an important role in health promotion of elderly persons. This study is conducted to assess the effect of education based on the BASNEF model on promotion of healthy nutritional behaviors in elderly, Sanandaj.

Materials and Methods

This was a quasi-experimental study that conducted on 110 elderly people in health centers, Sanandaj. Data collected through a researcher-made questionnaire consisted of two parts: the basic and demographic questions and questions related to the BASNEF model. After selecting two groups of Intervention and control randomly, questionnaires were completed and required data received. Then, intervention was administered to the control group. The control group received no intervention. 6 weeks after the intervention, the questionnaire was completed by two groups. Finally, information received from the two groups was compared before and 6 weeks after the intervention. The data obtained was analyzed by SPSS16. The results in less than 0.05 were considered as significant results.

Results

Based on the findings of this study, after the intervention, the mean score of knowledge, behavioral beliefs, attitude toward the behavior, and subjective norms significantly increased in the intervention groups compared to the control, however, mean score of normative Beliefs, enabling factors and intention in the intervention groups was not significantly than the control group.

Conclusion

The results of this study showed that nutritional education based on the BASNEF model can be effective on promote healthy nutritional behaviors in elderly.
Keywords

Hekmatpoue D, Shamsi M, Zamani M.The effect of healthy lifestyle educational programs on the quality of life of the elderly in Arak. amuj 2013; 16(72):1-11. [Persian]
Tofighi A, Ghafari G. Effects of regular aerobic training accompanied by omega-3 supplementation on soluble intercellular adhesion molecule-1 and lipid profiles of obese elderly women. Iranian Journal of Nutrition Sciences & Food Technology 2013; 8(3):35-44. [Persian]
Naghibi A, Alizadeh M, Faghrzadeh H, Sharifi F, Rezaei Rad M, Yosefi R, et al. Efficacy of the two educational methods: Traditional and electronic techniques in training of nutritional aspect to healthy life style in elderly. ijdld 2013;13(1):9-20. [Persian]
Pasdar Y, Garetaph A, Pashaie T, Alqasy Sh, Niazi P, Haghnazari L. Nutritional status using multidimensional assessment in elderly iranian. Behbood 2011; 15(8):178-85. [Persian]
Lashkarboloki F, Aryaei M, Djazayery S, Eftekhar-Ardebily H, Minaei M. Association of demographic, socio-economic features and some health problems with nutritional status in elderly. Iranian Journal of Nutrition Sciences & Food Technology 2015; 9(4):27-34. [Persian]
Ebrahimi Fakhar M R, Zand S. Nutritional status and associated factors in elderly residents in nursing homes. Payesh 2013; 12(2):143-9. [Persian]
Saka B, Kaya O, Ozturk GB, Erten N, Karan MA. Malnutrition in the elderly and its relationship with other geriatric syndromes. Clin Nutr 2010;29(6):745-8.
Raynaud-Simon A, Lesourd B. Malnutrition in the elderly. Clinical consequences. Presse Med 2000; 29(39):2183-90.
Dorosty A, Alavi Naeini AM. Correlation of elderly nutritional status with cardio-vascular disease and diabetes. Tehran Univ Med J 2007; 65(3):68-71. [Persian]
Ipchi Sheshgelani P, Mahboub S, Ipchi Sheshgelani M. Assessment of nutritional status, food intake, serum’s iron and lipid profile of old people living in Khooban elderly institute of Tabriz At 1378. URMIA MED J 2002; 12(4):314-21. [Persian]
Almasi Hashyani A, Salehi M, Torke-Jokar B, Shamsi M. Evaluation of nutritional behavior of elderly people about prevention of gastric ulcers in Shiraz. daneshvarmed 2013; 20(102):43-50. [Persian]
Frolic J, Griffin C. Nutrition and the elderly: a case manager’s guide. Lippincotts Case Manag 2001; 6(4):177-82.
Omran M, Morley J. Assessment of protein energy malnutrition in older persons, part I: History, examination, body composition, and screening tools. Nutrition 2000; 16(1):50-63.
Mirbazegh SF, Rahnavard Z, Rajabi F. The effect of education on dietary behaviors to prevent cancer in mothers. J Research & Health 2012; 2(1):26-35.
Mainbolagh BL, Rakhshani F, Zareban I, Montazerifar F, Sivaki HA, Parvizi Z. The effect of peer education based on health belief model on nutrition behaviors in primary school boys. J Research & Health 2012; 2(2):214-25.
Allahverdipoor H. Passing through traditional health education towards theory-oriented health education. Iran J Health Educ Health Promot 2005;1(3):75-9. [Persian]
Taghdisi MH, Nejadsadeghi E. The effect of health education based on health belief model on behavioral promotion of urinary infection prevention in pregnant women. J Research & Health 2012; 2(1):126-36.
Bashirian S, Haidarnia A, Allahverdipour H, Hajizadeh E. Application of Theory of Planned Behavior in Predicting Factors of Substance Abuse in Adolescents. J Fasa Univ Med Sci 2012; 2(3):156-62. [Persian]
Ebadi fard Azar F, Solhi M, Goldoost F. The effect of stress management education based on BASNEF model to promote behaviors of patients with Multiple Sclerosis disease. Hormozgan Medical Journal 2012; 16(4):325-32.
Najimi A, Azadbakht L, Hassanzadeh A, Sharifirad Gh R. The effect of nutrition education on risk factors of cardiovascular diseases in elderly patients with Type 2 diabetes: a randomized controlled trial. Iranian Journal of Endocrinology and Metabolism 2011; 13(3):256-63. [Persian]
Heshmati H, Rahaei Z, Hazavehei S, Dehnadi A, Hasanzadeh A. Related factors to educational behaviors of health volunteers about cutaneous leishmaniasis on the basis of BASNEF model in Yazd. J Health 2010;1(3):48-56. [Persian]
Zareipour M, Sadeghi R, Sadeghi Tabatabaei S, Seyedi S. Effective factors on smoking based on BASNEF model in male students in Tehran medical sciences university in 2009. J Urmia Nurs Midwifery Fac 2011;9(1):23-29. [Persian]
Najimi A, Azadbakht L, Hassanzadeh A, Sharifirad Gh R. The effect of nutritional education on metabolic outcomes based on BASNEF model in elderly patients with type 2 diabetes. HEALTH SYSTEM RESEARCH 2010; 6(3):549-58. [Persian]
Hazavehei SMM, Faghih Solaimani P, Moeini B, Soltanian AR. Factors affecting nutritional behaviors of ageing population based on BASNEF model: Sanandaj, Iran. jgn 2016; 2(2):61-70. [Persian]
Najimi A, Sharifirad G, Hasanzadeh A, Azadbakht L. Effect of nutrition education on nutritional behaviors and glycemic control indices based on BASNEF model among elderly with type 2 diabetes. Journal of Isfahan Medical School 2011; 29(155):1247-58. [Persian]
Motlag ME, KHoshbin S, Ghousi A, Farahani A, Alavian SM. [Manual improving a healthy lifestyle during ageing]. 5th ed. Tehran: Tandis; 2012, p.71-8.
Rezai N, Tahbaz F, Kimiagar M, Alavi Majd H. Effect of nutrition education on knowledge, attitude and practice of patients with type 1 diabetes in the city Aligoodarz. J Shahrekord Univ Med Sci 2006; 8(2):52-9. [Persian]
Mohd Shariff Z, Abu Samah B, Paim L, Ismail M, Kasim MS, Othman N, et al. Nutrition education intervention improves nutrition knowledge, attitude and practices of primary school children: a pilot study. International Electronic Journal of Health Education 2008; 11(1):119-32.
Hazavehei SMM, Sharifirad G, Kargar M. The comparison of educational intervention effect using BASNEF and classic models on improving assertion skill level. J Res Health Sci 2008; 8(1):1-11.
Hazavehei M, Khani Jyhouni A, Hasanzadeh A, Rashidi M. The effect of educational program based on BASNEF model on diabetic (Type II) eyes care in Kazemi's clinic,(Shiraz). Iranian Journal of Endocrinology and Metabolism 2008; 10(2):145-54. [Persian]
Salehi M, Kimiagar SM, Shahbazi M, Mehrabi Y, Kolahi A. Assessing the impact of nutrition education on growth indices of Iranian nomadic children: an application of a modified beliefs, attitudes, subjective-norms and enabling-factors model. Br J Nutr 2004; 91(5):779-87.
Hazavehei SMM, Pirzadeh A, Entezari MH, Hasanzadeh A. The effect of educational program based on BASNEF model on the nutritional behavior of students. Zahedan J Res Med Sci 2011; 13(1):23-9. [Persian]
Khani jihoni A, Hazavehie SMM. [Effect of educational programs based on BASNEF model on glycemic control in patients with Type II diabetes]. ijdld 2010; 10(1):67-75. [Persian]
Enah C, Sommers M, Moneyham L, Long CA, Childs G. Piloting an HIV prevention intervention for Cameroonian girls. J Assoc Nurses AIDS Care 2010; 21(6):512-21.
Sharifirad G, Golshiri P, Shahnazi H, Barati M, Hassanzadeh A. The impact of educational program based on BASNEF model on breastfeeding behavior of pregnant mothers in Arak. amuj 2010; 13(1):63-70.
Sharifirad G, Najimi A, Hassanzadeh A, Azadbakht L. Application of BASNEF educational model for nutritional education among elderly patients with type 2 diabetes: improving the glycemic control. J Res Med Sci 2011; 16(9):1149-58.