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Harold G. Koenig 1 Article
Educational Intervention Based on the Health Belief Model to Modify Risk Factors of Cardiovascular Disease in Police Officers in Iran: A Quasi-experimental Study
Mohsen Saffari, Hormoz Sanaeinasab, Hassan Jafarzadeh, Mojtaba Sepandi, Keisha-Gaye N. O'Garo, Harold G. Koenig, Amir H. Pakpour
J Prev Med Public Health. 2020;53(4):275-284.   Published online June 18, 2020
DOI: https://doi.org/10.3961/jpmph.20.095
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AbstractAbstract PDFSupplementary Material
Objectives
Police officers may be at a greater risk for cardiovascular disease (CVD) than the general population due to their highstress occupation. This study evaluated how an educational program based on the health belief model (HBM) may protect police officers from developing CVD.
Methods
In this single-group experimental study, 58 police officers in Iran participated in a 5-week intervention based on HBM principles. Outcomes included changes in scores on an HBM scale, time spent on moderate to vigorous physical activity (International Physical Activity Questionnaire), body mass index (BMI), blood lipid profile, blood glucose, and blood pressure. The intervention consisted of 5 HBM-based educational sessions. Follow-up was conducted at 3 months post-intervention. The paired t-test was used to examine differences between baseline and follow-up scores.
Results
All aspects of the HBM scale improved between baseline and follow-up (p<0.05), except the cues to action subscale. Self-efficacy and preventive behaviors improved the most. BMI decreased from 26.7±2.9 kg/m2 at baseline to 25.8±2.4 kg/m2 at follow-up. All components of the lipid profile, including triglycerides, cholesterol, high-density lipoprotein, and low-density lipoprotein, showed significant improvements post-intervention. Blood glucose and blood pressure also decreased, but not significantly. Nearly 25% of participants who were not physically active at baseline increased their physical activity above or beyond the healthy threshold.
Conclusions
A relatively brief educational intervention based on HBM principles led to a significant improvement in CVD risk factors among police officers. Further research is needed to corroborate the effectiveness of this intervention.
Summary

Citations

Citations to this article as recorded by  
  • An Intervention Program Using the Health Belief Model to Modify Lifestyle in Coronary Heart Disease: Randomized Controlled Trial
    Mohsen Saffari, Hormoz Sanaeinasab, Hojat Rashidi-jahan, Fardin Aghazadeh, Mehdi Raei, Fatemeh Rahmati, Faten Al Zaben, Harold G. Koenig
    International Journal of Behavioral Medicine.2024; 31(4): 631.     CrossRef
  • Cardiovascular Risk Factors and Metabolic Syndrome among Police Officers in Kozhikode Corporation
    Aparna Padmanabhan, Jayakrishnan Thayyil, G Alan, Siju Kumar
    Indian Journal of Occupational and Environmental Medicine.2024; 28(1): 45.     CrossRef
  • Effect of educational intervention on risk factors of cardiovascular diseases among school teachers: a quasi-experimental study in a suburb of Kolkata, West Bengal, India
    Anubrata Karmakar, Aritra Bhattacharyya, Bijit Biswas, Aparajita Dasgupta, Lina Bandyopadhyay, Bobby Paul
    BMC Public Health.2023;[Epub]     CrossRef
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    Fatemeh Mohammadkhah, Abbas Shamsalinia, Fatemeh Rajabi, Pooyan Afzali Hasirini, Ali Khani Jeihooni
    JRSM Cardiovascular Disease.2023;[Epub]     CrossRef
  • Assessment of Compliance with Healthy Lifestyle Standards by the Instructional Staff of Higher Educational Institutions
    Ivan М. Okhrimenko, Viacheslav V. Zasenko, Olena V. Chebotaryova, Alla L. Dushka, Andrii V. Lapin, Nataliia O. Kvitka, Iryna A. Holovanovа
    Acta Balneologica.2022; 64(5): 463.     CrossRef
  • Educational interventions in relation to the level of physical activities for police officers: a systematic literature review
    Cleise Cristine Ribeiro Borges Oliveira, Carla Tatiane Oliveira Silva, Carolina de Souza-Machado, Fernanda Carneiro Mussi, Ana Carla Carvalho Coelho, Cláudia Geovana Da Silva Pires
    International Journal for Innovation Education and Research.2022; 10(12): 301.     CrossRef
  • Application of health education and promotion theory-based interventions on patients with cardiovascular disease
    Bahram Mohebbi, Maryam Sabouri, Azar Tol
    Journal of Education and Health Promotion.2021; 10(1): 236.     CrossRef

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