Effect of health belief model-based education to elder individuals on rational drug use

In this study, it was aimed to determine the effects of education provided according to the health belief model on the rational use of drugs in elder individuals. Pretest-posttest single group test design was used in this semi-experimental study. The study conducted at Hacı-Rukiye Gazioğlu nursing home, between September 2016 and May 2017. A sociodemographic questionnaire, rational use of drugs questionnaire, and Health Belief Scale on Drug Use were used to collect data regarding sociodemographic characteristics and general health status at baseline and after the provision of education about the rational use of drugs according to health belief model. Overall, data from 103 subjects were analyzed. It was found that 54.4% of the study population was male, while 3.9% were married and 45.6% were literate. The mean age was 77.0±9.8 years. The rate of chronic drug use was 91.3%. Significant changes were found in the attitudes and behaviors regarding the rational use of drugs after education. The mean total score of the Health Belief Scale on Drug Use was 130.4±13.3 before education and 136.8±11.2 after education. It was determined that mean total score and all subdomain scores (perceived susceptibility, perceived severity, health motivation, perceived benefit, perceived barrier, self-efficacy) were significantly increased after education.

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1. Ferner RE, Aronson JK. Communicating i̇nformation about drug safety.BMJ 2006;333:143-5.

2. Steinman MA, Hanlon JT. Managing medications in clinically complex elders:There’s got to be a happy medium. JAMA. 2010;304:1592-1601.

3. Field TS, Gurwitz JH, Avorn J, et al. Bates DW.Risk factors for adverse drug events among nursing home residents.Arch Intern Med. 2001;161:1629-34.

4. Wyles H, Rehman HU. Inappropriate polypharmacy in the elderly. In Eur J Intern Med Netherlands. 2005;16:311- 3.

5. Özer E, Özdemir L.Rational drug usage in elderly and nurse’s responsibilities. Hacettepe Univ Fac Health Sci J Nurs. 2009;16:42-51.

6. Esengen Ş, Seçkin Ü, Borman P,et al. The assessment of functional cognitive impairment and drug consumptionin a group of elderly residents of a nursing home. Turk J Geriatr. 2000;3:6-10.

7. Canan Demirbağ B, Timur M. The knowledge, attitude and behavior related to using drugs reflected by the group of elderly. Ankara J Health Serv. 2012;11:1-8.

8. Balkrishnan R. Predictors of medication adherence in the elderly. Clin Ther. 1998;20:764-71.

9. Çiçek Z. The effect of training on women’s unconscious use of drugs nonprescription in accordance with health belief model.Ataturk University, Institute of Health Sciences, Department of Public Health Nursing Doctoral Thesis, Erzurum, Turkey 2012.

10. Champion VL. Use of the health belief model in determining frequency of breast self-examination. Res Nurs Health. 1985;8:373-9.

11. Glanz K, Rimer KR, Viswanath K. Health behavior and health education; Theory, Research and Practice. 4th edition. San Francisco, USA: JosseyBass. 2008,45-62. 19.

12. Birhanu Z, Abdissa A, Belachew T, et al. Health seeking behavior for cervical cancer in Ethiopia: a qualitative study. Int J Equity Health. 2012;29:11-83.

13. Arslan Ş, Atalay A, Gökçe Kutsal Y. Drug use in elderly. Turk J Geriatr. 2000;3:56-60.

14. GökçeKutsal Y. Polypharmacy in elderly.Turkish Journal of Geriatrics2006;9 (special issue): 37-44.

15. Hajian Tilaki K, Auladi S. Health belief model and practice of breast selfexamination and breast cancer screening in Iranian women. Breast Cancer. 2014;21:429-34.

16. Parsa P, Mirmohammadi A, Khodakarami B, et al. Effects of breast selfexamination consultation based on the health belief model on knowledge and performance of Iranian women aged over 40 years. Asian Pac J Cancer Prev. 2016;17:3849-54.

17. Al-Sakkaf KA, Basaleem HO. Breast cancer knowledge, perception and breast self- examination practices among Yemeni women: an application of the health belief model. Asian Pac J Cancer Prev. 2016;17:1463-7.

18. Didarloo A, Nabilou B, Khalkhali HR. Psychosocial predictors of breast selfexamination behavior among female students: an application of the health belief model using logistic regression. BMJ. 2017;3;17:861.

19. Abolfotouh MA, Bani Mustafa AA, Mahfouz AA, et al. Using the health belief model to predict breast self-examination among Saudi women. BMC Pub Health. 2015;23;15:1163.

20. Fouladi N, Pourfarzi F, Mazaheri E, et al. Beliefs and behaviors of breast cancer screening in women referring to health care centers in northwest Iran according to the champion health belief model scale. Asian Pac J Cancer Prev. 2013;14:6857- 62.

21. KhaniJeihooni A, Hidarnia A, Kaveh MH, et al. The effect of a prevention program based on health belief model on osteoporosis. J Res Health Sci Winter. 2015;15:47-53.

22. Ersin F, Gözükara F, Polat P, et al. Determining the health beliefs and breast cancer fear levels of women regarding mammography. Turk J Med Sci. 2015;45:775-81.

23. Kartal A, Altuğ Özsoy S. Effect of planned diabetes education on health beliefs and metabolic control in type 2 diabetes patients. J Hacettepe Univ Fac Nurs. 2014;1:1–15.

24. Elik Z. Effect of education based on Health Belief Model on breast-selfexamination practice. Kocaeli University, Institute of Health Sciences, Department of Public Health Nursing, Master Thesis, Kocaeli, Turkey, 2006.

25. Janz NK, Schottenfeld D, Doerr KM, et al. A two-step intervention to increase mammography among women aged 65 and older. AJPH. 1997;87:1683-6.

26. Ryan AA, Bed MC. Medication management and older patients: an individualized and systematic approach. JCN. 2000;9:732-41.