فهرست نشریات علمی دسترسی آزاد ایران

INTRODUCTION: Many women refuse to exercise during pregnancy due to lack of awareness andnot receiving training. The aim of this study was to investigate and compare the effect of group andtelemedicine education on exercise during pregnancy by using the health belief model (HBM).MATERIALS AND METHODS: This quasi-experimental study was carried out in 2019 in Zahedan,and a total of 135 pregnant women participated in it. Samples were randomly assigned to the followingthree groups: group training (n = 45), telemedicine (n = 45), and control (n = 45). Group training waspresented in three sessions, and the telemedicine group received the educational content throughmobile applications. The samples completed the HBM questionnaire before and 6 weeks after theintervention. In addition, within 6 weeks after the intervention, they completed the exercise activityschedule. SPSS software Ver. 16 (IBM Corp, Armonk, NY, USA) was used for analysis, and datawere analyzed by ANOVA, Tukey’s post-hoc test, Kruskal–Wallis test, and Mann–Whitney test.RESULTS: After intervention, the scores of HBM constructs and exercise levels in group training,telemedicine group, and control group, respectively, were as follows: perceived susceptibility25.91 ± 3.24, 25.51 ± 1.97, and 22.55 ± 3.78; perceived severity 27.48 ± 2.27, 25.13 ± 2.29, and22.51  ±  3.88; perceived benefits 27.28  ±  2.97, 25.68  ±  3, and 22.8  ±  3.05; perceived barriers10.69 ± 2.69, 10.66 ± 3.19, and 14.17 ± 3.14; cues to action 24.71 ± 4.35, 23.9 ± 2.48, and22.84  ±  3.02; self-efficacy 26.17  ±  3.05, 25.2  ±  2.82, and 22.51  ±  3.38; and exercise levels70.99 ± 20.43, 56.51 ± 21.99, and 37.62 ± 29.66. Group training and telemedicine led to significantimprovement in all HBM constructs and exercise levels (P < 0.05, P < 0.0001, and P = 0.003,respectively). Group training provided more improvement than telemedicine in the scores of perceivedseverity (P < 0.0001), perceived benefits (P = 0.001), cues to action (P = 0.02), and mean exercisetime (P = 0.001).CONCLUSION: The results of this study showed that the HBM is a proper model for exerciseeducation in pregnant women. It is recommended to use HBM as a group training and telehealth inpromoting the rate of exercise in pregnant women.