The impacts of a health belief model‑based educational program on adopting self‑care behaviors in pemphigus vulgaris patients

نویسندگان

1 Department of Epidemiology and Biostatistics, School of Public Health,

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3 School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

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doi
چکیده

Introduction: Since pemphigus vulgaris (PV) is a chronic disease and regarding its autoimmunenature, patients need to adopt self‑care behaviors. This study aimed to assess the impacts ofan educational program based on health belief model (HBM) on adopting self‑care behaviorsamong patients with PV referred to Razi Hospital. Materials and Methods: Eighty‑eight patientswith PV were randomized in an educational intervention study in two groups in 2013–2014. Theintervention group attended a 6 months self‑care educational program in a specialized outpatientclinic, in addition to the regular care presented for both groups. To collect information aboutdemographic characteristics, PV‑related variables, and HBM constructs items, a self‑designedquestionnaire was used. Data were analyzed by SPSS 20. A P < 0.05 was considered asstatistically significant. Results: Increase in perceived susceptibility, severity, and benefits scorewere significantly higher in intervention group compared with controls when adjusting for thedifference in baseline scores of these HBM constructs and house ownership and employmentstatus distribution in two groups using ANCOVA (P < 0.001). Furthermore, after intervention,the decrease in perceived barriers’ scores was significantly more than controls (P < 0.001),However, the decrease in cues to action score was not found significant (P = 0.380).Discussion: The results of this study show the effects of an HBM‑based educational programas a tertiary preventive measure on adopting self‑care behaviors in patients that can helpthem achieve self‑efficacy in controlling their disease and enhancing their treatment process.