Ghanbari M, Rajati F, Salehi L. Fiber Consumption in Constipated Older Adults; a Theory-Based Interventional Study. Health Educ Health Promot 2023; 11 (3) :485-492 URL: http://hehp.modares.ac.ir/article-4-57834-en.html
1- Department of Health Education and Health Promotion, School of Health, Alborz University of Medical Sciences, Karaj, Iran 2- Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran 3- Research Center for Health, Safety and Environment, Health Education and Promotion, Alborz University of Medical Sciences, Karaj, Iran
* Corresponding Author Address: Research Center for Health, Safety and Environment, Health Education and Promotion, Alborz University of Medical Sciences, Eshteraki Street, Karaj, Iran. Postal Code: 3149969415 (leilisalehi@abzums.ac.ir)
Abstract (2584 Views)
Aims: This study aimed to assess the effectiveness of an intervention on fiber consumption, self-efficacy, perceived benefit, and barriers among the elderly using the Trans-theoretical Model (TTM). Materials & Methods:This quasi-experimental study was developed among constipated elderly people aged ≥60 in Karaj, Iran, between 2019 and 2021. Constipated participants were randomly assigned to the intervention (n=66) or the control (n=64) groups. Before and after four educational sessions, demographic information, participants’ stages of change for diet, self-efficacy, decisional balance, and daily amount of fiber consumption were evaluated. An analysis was performed to assess any differences in the stages of change (posttest vs. baseline). Findings: The perceived barriers and self-efficacy were statistically significant after intervention (p<0.001) in the intervention group compared to the control group (p>0.001). In both groups, perceived benefits changed statistically significantly (p<0.001). Pearson correlation also showed a significant correlation between stages of change and benefits, barriers, self-efficacy, and fiber consumption. The analysis of variance adjusting for covariates also indicated significant differences between intervention and control groups. Conclusion: The TTM is a useful model that can be applied to dietary behavior change, specifically fruit and vegetable consumption among elderly populations.