Application of a Risk Management Program Based on the Health Belief Model for Preventing Home Accidents
Abstract
Background: Accidents are the main cause of mortality in children aged less than 5 years throughout the world. The present study was conducted to empower mothers with children aged less than 5 years in preventing home accidents through the implementation of a risk management training program based on the Health Belief Model (HBM).
Materials and Methods: The present pretest‑posttest, quasi‑experimental study was conducted on 70 mothers with children aged less than 5 years who referred to Community Health Centers of Shahid Beheshti University of Medical Sciences, Iran, in 2019. The subjects were selected through multistage random sampling and were randomly assigned to intervention (n = 35) and control (n = 35) groups. The data were collected using a two‑part questionnaire for demographic characteristics and HBM constructs before, immediately after, and 45 days after the implementation of the risk management training program at a significance level of <0.05.
Results: No significant difference was observed between the two groups before the intervention in terms of HBM constructs (p>0.05). However, they significantly differed between the intervention and control groups after the intervention. Moreover, scores of HBM constructs were significantly different immediately and 45 days after the intervention (p <.05).
Conclusions: The study results showed the effectiveness of the HBM‑based risk management training program; thus, it is essential to design and implement such programs in community health centers to prevent and reduce injuries caused due to home domestic accidents.
Keywords: Accident prevention, child, health education, mothers
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Al Rumhi A, Al Awisi H, Al Buwaiqi M, Al Rabaani S. Home accidents among children: A retrospective study at a tertiary care center in Oman. Oman Med J 2020;35:e85
Cheraghi P, Poorolajal J, Hazavehi S, Rezapur Shahkolai F. Effect of educating mothers on injury prevention among children aged <5 years using the Health Belief Model: A randomized controlled trial. Public Health 2014;128:825 30.
Khan S, Tauheed N, Nawab S, Afzal S, Khalique N. Domestic accidents among under 5 year children: A study on the modern day epidemic. Int J Community Med Public Health 2019;6:1529.
Lao Z, Gifford M, Dalal K. Economic cost of childhood unintentional injuries. Int J Prev Med 2012;3:303 12.
Younesian S, Mahfoozpour S, Shad EG, Kariman H, Hatamabadi HR. Unintentional home injury prevention in preschool children; A study of contributing factors. Emergency 2016;4:72 77.
Organization WH. Injuries and violence: The facts 2014. 2014.
Esfanjani RM, Sadeghi Bazargani H, Golestani M, Mohammadi R. Domestic injuries among children under 7 years of age in Iran; the baseline results from the Iranian First Registry. Bull Emerg Trauma 2017;5:280 4.
Organization WH. Facts on Injuries to Children. 2019.
Eldosoky R. Home related injuries among children: Knowledge, attitudes and practice about first aid among rural mothers. EMHJ Eastern Mediterr Health J 2012;18:1021 7.
Ablewhite J, McDaid L, Hawkins A, Peel I, Goodenough T, Deave T, et al. Approaches used by parents to keep their children safe at home: A qualitative study to explore the perspectives of parents with children aged under five years. BMC Public Health 2015;15:983.
Ebadi Fardazar F, Hashemi SS, Solhi MS. The effect of educational intervention based on protection motivation theory on mothers’ behaviors about prevention of home accidents in children under 5 year old. J Health Res Commun 2016;1:37 44.
Silva ECS, de Fátima Fernandes MN, Sá MCN, de Souza LM, de Araújo Gordon AS, de Jesus Costa ACP, et al. The effect of educational intervention regarding the knowledge of mothers on prevention of accidents in childhood. Open Nurs J 2016;10:113 21.
Dalal K, Lao Z, Gifford M, Wang S M. Knowledge and attitudes towards childhood injury prevention: A study of parents in Shanghai, China. HealthMed 2012;6:3783 9.
Peden M, McGee K, Sharma G. The Injury Chart Book: A Graphical Overview of the Global Burden of Injuries. Geneva: World Health Organization; 2002. p. 5.
Renu G, George A, Pai MS. nayak, b. s., mundkur, s. c., nayak, d. m., & shashidhara, y. n. (2015). health belief model: a theoretical framework for the development of home safety supervisory program in childhood injury prevention. international journal of current research, 7(11), 22691–22695.
Poorolajal J, Cheraghi P, Hazavehei S, Rezapur SF. Factors associated with mothers beliefs and practices concerning injury prevention in under five year children, based on health belief model. J Res Health Sci 2012;13:63 8.
Peden M, Oyegbite K, Ozanne Smith J, Hyder AA, Branche C, Rahman A, et al. World Report on Child Injury Prevention. Geneva: World Health Organization; 2009.
Rafeifar S, Moazen Jamei M, Rezaei Merghaed O, Amirkhani M. Children Safety Guidline. Tehran: Nashre Shahr; 2009.
Moridi E, Fazelniya Z, Yari A, Gholami T, Hasirini PA, Khani Jeihooni A. Effect of educational intervention based on health belief model on accident prevention behaviours in mothers of children under 5-years. BMC women's health. 2021 Dec;21(1):1-8.
Meimanat Abadi S, Ghofranipour F, Yousefi F, Moradpour F. The effect of educational intervention based on health belief model on the damage caused by accidents among children less than 5 year old of women referred to health centers in Qorveh in 1392. Jorjani Biomed J 2016;4:30 41.
Gilasi HR, Babaee MA, Heidarian M, Tavassoli E. The effect of health education based on Health Belief model on mother’s participation for neonatal hypothyroidism screening program. Iran J Endocrinol Metab 2013;15:285 91.
Jones CL, Jensen JD, Scherr CL, Brown NR, Christy K, Weaver J. The health belief model as an explanatory framework in communication research: Exploring parallel, serial, and moderated mediation. Health Commun 2015;30:566 76.
Fathi M, Shamsi M, Khorsandi M. Effect of theory based education on the promotion of preventive behaviors of accidents and injuries among mothers with under 5 years old children. Iran J Health Educ Health Promot 2016;4:184 93.
Shahkolai FR, Bandehelahi K, Shahanjarini AK, Farhadian M. The factors related to mother’s beliefs and behaviors concerning the prevention of poisoning among children under the age of five, using the Health Belief Model. Turk J Pediatr 2019;61:749 56.
Curtis, A. (2016). Health Belief Model and Fatalism related to Breast Cancer Screening in Working Women. Published dissertation, Faculty of Auburn University. Retrieved March 26, 2008, from https://etd.auburn.edu/handle/10415/5262.
Guvenc G, Akyuz A, Açikel CH. Health belief model scale for cervical cancer and Pap smear test: Psychometric testing. J Adv Nurs 2011;67:428 37.
Koohpayeh SA, Estebsari F, Lashani F, Homayouni A, Nasiri M. Relationship between health literacy and knowledge, attitude, and performance regarding cancer warning signs. Iran J Nurs Midwifery Res 2021;26:399.
Snowdon AW, Hussein A, High L, Stamler L, Millar Polgar J, Patrick L, et al. The effectiveness of a multimedia intervention on parents’ knowledge and use of vehicle safety systems for children. J Pediatr Nurs 2008;23:126 39.
Rezapur Shahkolai F, Naghavi M, Shokouhi M, Laflamme L. Unintentional injuries in the rural population of Twiserkan, Iran: A cross sectional study on their incidence, characteristics and preventability. BMC Public Health 2008;8:269.
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