The effect of educational program based on theory of planned behavior on health promotion and childbearing of minor thalassemia couples

نویسندگان

1 Reproductive Health Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

2 Mashhad University of Medical Sciences, Department of Biostatistics and Epidemiology

3 Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences and Health Education Department, School of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran

4 Nursing and Midwifery School, Mashhad University of Medical Sciences, Mashhad, Iran

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چکیده

INTRODUCTION: It is essential to provide key information and support to every woman regardingpregnancy and childbirth to enable all women to make a fully informed decision regarding their choiceof reproduction. The study aimed to find the impact of an educational program based on the Theoryof Planned Behavior (TPB) on health promotion and childbearing of minor thalassemia couples.SUBJECTS AND METHODS: This study was quasi‑experimental. A total of 70 women with minorthalassemia held in Minudasht health center were classified into two groups: study and control. Thestudy group received the educational program based on TPB, and the control group only receivedthe routine program. The data were collected using the TPB‑based questionnaire at baseline and3 months after the intervention. They were analyzed by Chi‑square, Student’s t‑test, Wilcoxon test,and regression analysis through SPSS version 16.RESULTS: The mean (standard deviation) ages of the participants in the control and study groupwere 30.69 (6.20) and 31.08 (6.66), respectively. There were significant differences betweenthe two groups (study vs. control) in terms of perceived behavioral control, intention, attitude, orchildbearing behavior (P < 0.001). The change in fertility behaviors had a significant increase in thestudy group (62.8%) compared to the control group (2.9%) (P < 0.001).CONCLUSION: Based on the results, the TPB is an effective model to explain fertility intentionsand behaviors in Iranian women with minor thalassemia; however, further researches are neededto generalize our findings to other people including healthy women.