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The Effect of Education Based on Reasoned Action Theory on the Behaviors of Mothers with Malnourished 2-5 Year-Old Children in Sepidan

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The Effect of Education Based on Reasoned Action Theory on the Behaviors of Mothers with Malnourished 2-5 Year-Old Children in Sepidan 33 J TOLOO E BEHDASHT, School of Public Health, Yazd Shahid Sadoughi Univ Med Sci ORIGINAL ARTICLE Received:2016/08/11 Accepted:2016/08/28 The Effect of Education based on Reasoned Action Theory on the Behaviors of Mothers with Malnourished 2-5 Year-Old Children in Sepidan Mohammad Ali Morowatisharifabad (Ph.D.)1,Raziyeh Vazirie (M.Sc.)2, Hossein Fallahzadeh (Ph.D.)3, Amin Salehi Abargouei (Ph.D.)4,Fatemeh Keshavarzi (M.Sc.)5 1.Corresponding Author: Professor, Elderly Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Email:[email protected] Tel:09133530374 2.M.Sc. Student of Health Education, School of Public Health, Shahid Sadoughi University of Medical Sciences,Yazd,Iran 3.Professor, Research Center of Prevention and Epidemiology of Non-Communicable Disease, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. 4.Professor, Research Center of,School of Public Health,Shahid Sadoughi University of Medical Sciences, Yazd, Iran. 5.M.Sc. Department of Biostatistics ,School of Public Health ,Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Abstract Introduction: Studies showed that about 25 percent of children with less than 5 years of age were underweight to varying degrees in Iran. Mothers, as the most influential group in family education, play very significant roles in preventing growth retardation and regular monitoring. The aim of this study was to determine the effect of educational intervention based on reasoned action theory on the behavior of mothers with malnourished children. Methods: This experimental study was conducted on 130 mothers with malnourished 2-5 year-old children in Sepidan city. Participants were divided into two groups (65 in the case group and 65 in the control group). Data were collected using a questionnaire containing demographic data and a questionnaire based on the structures of the reasoned action theory. Data were analyzed by SPSS 16. Results: The mean score of attitude in the intervention group increased from 33.1± 5.2 to 38.5±3.8, their intention score from 24.4±3.3 to 30.03±3.1, and practice score from 31.6±4.9 to 42.5±3.8, which were statistically significant (p<0.001). However, the mean score of subjective norms increased from 31.4±5.5 to 32.7±5.3 and the difference was not statistically significant. The weight mean of children in the intervention and control groups were 1.1 ± 1.6 and 11.5 ± 1.5 kg before the intervention, respectively. After the intervention, the weight mean of children in the intervention group increased to 12.05±1.4, which was statistically significant. On the other hand, weight gain in children of the control group was not statistically significant. Conclusion: Educational intervention based on reasoned action theory was effective on behaviors of mothers with malnourished children. So, this theory can be used as an educational framework to prevent malnutrition Downloaded from tbj.ssu.ac.ir at 20:26 IRST on Thursday September 30th 2021 [ DOI: 10.18502/tbj.v17i6.497 ] in children. Keywords: Malnutrition, Intention, Theory of reasoned action, Behavior Conflict of interest: The authors declared that there is no Conflict interest This Paper Should be Cited as: Author: Mohammad Ali Morowatisharifabad,Raziyeh Vazirie, Hossein Fallahzadeh , Amin Salehi Abargouei,Fatemeh Keshavarzi . Effect of Education Based on Reasoned Action Theory on…….. Tolooebehdasht Journal.2019;17(6): 33-45.[Persian] 34 ٔحٕسػّی ٔطٚتی قطیف آثبز ٞ ٕٚىبضاٖ تبثیز آمًسش بز اسبس تئًری عمل مىطقی بز رفتبرمبدران دارای کًدک دي تب پىج سبل دچبر سًءتغذیٍ در شُزستبن سپیدان وًیسىدگبن :محمدعلی مزيتی شزیف آببد1، راضیٍ يسیزی2، حسیه فﻻح ساد3ٌ، امیه صبلحی ابزقًیی 4 ، فبطمٍ کشبيرسی5 طلوع بهداشت 1. اؾتبز ٔطوعتحمیمبت ؾﻻٔت ؾبِٕٙسی ، زا٘كىسٜ ثٟساقت، زا٘كٍبّٛػ ْٜ پعقىی ٚ ذسٔبت ثٟساقتی زضٔب٘ی قٟیس نسٚلی یعز، یعز، ایطاٖ . تّفٗ تٕبEmail: [email protected] 09133530374:ؼ 2. زا٘كدٛی وبضقٙبؾی اضقس آٛٔظـ ثٟساقت، زا٘كىسٜ ثٟساقت ،زا٘كٍبّٛػ ْٜ پعقىی ٚ ذسٔبت ثٟساقتی زضٔب٘ی قٟیس نسٚلی یعز،یعز، ایطاٖ. 3. اؾتبز ٔطوع تحمیمبت پیكٍیطی ٚ اپیسٔیِٛٛغی ثیٕبضی ٞبی غیط ٚاٌیط،زا٘كىسٜ ثٟساقت، زا٘كٍبّٛػ ْٜ پعقىی ٚ ذسٔبت ثٟساقتی زضٔب٘ی قٟیس نسٚلی یعز، یعز،ایطاٖ. 4. اؾتبزیبضٔطوع تحمیمبت تغصیّٛػ ٚ ْٝ غصایی،زا٘كىسٜ ثٟساقت ، زا٘كٍبّٛػ ْٜ پعقىی ٚ ذسٔبت ثٟساقتی زضٔب٘ی قٟیس نسٚلی یعز، یعز،ایطاٖ. 5. وبضقٙبؾی اضقس آٔبض ظیؿتی،زا٘كىسٜ ثٟساقت، زا٘كٍبّٛػ ْٜ پعقىی ٚ ذسٔبت ثٟساقتی زضٔب٘ی قٟیس نسٚلی یعز،یعز،ایطاٖ چکیدٌ مقدمٍ : حسٚز 25 زضنس اظ وٛزوبٖ ظیط ؾ 5بَ زضوكٛض ٔب ثٝ زضخبت ٔرتّف وٓ ٚظ٘ی ٔجتﻻ ؿٞتٙس. ٔبزضاٖ ثٝ دو ماهنامه علمی پژوهشی ٛٙػاٖ تبثیطٌصاضتطیٗ افطاز،زضآٛٔظـ ثٙٔ ٝظٛض پیكٍیطی اظ اذتﻻَ ضقس ٚ پبیف ٙٔظٓ آٖ ثؿیبض حبئع إٞیت دانشكده بهداشت يزد ٔی ثبقٙس. ایٗ ٔغبٝؼِ ثب ٞسف تؼییٗ تبثیط آٛٔظـ ثط اؾبؼ تئٛضی ٙٔ ُٕػغمی ثط ضفتبض ٔبزضاٖ زاضای وٛزن زچبض سال هفدهم ٛؾتغصیٝ ا٘دبْ قس. شماره ششم ريش بزرسی: ایٗ ٔغبٝؼِ ی ٔساذّٝ ای تدطثی ثط ضٚی 130 ٔبزض زاضای وٛزن ؾ 2-5بِٝ قٟطؾتبٖ ؾپیساٖ، بهمن و اسفند 1397 زضاؾتبٖ فبضؼ ا٘دبْ ٌطزیس. ٔبزضاٖ ثغٛض تهبزفی زض زٚ ٌطٜٚ 65 ٘فطی ٔساذٚ ّٝ وٙتطَ لطاض ٌطفتٙس. ثطای خٕغ شماره مسلسل: 72 آٚضی اعﻻػبت اظ پطؾكٙبٝٔ حبٚی اعﻻػبت زٌٛٔطافیه ٚ پطؾف ٘بٝٔ ٔحمك ؾبذتٝ ثط اؾبؾ ؼبظٞ ٜبی تئٛضی ٙٔ ُٕػغمی ،پؽ اظ تبییس ضٚایی ٚ پبیبیی آٖ ،اؾتفبزٜ ٌطزیس.زازٞ ٜب زض زٚ ٔطحّٝ ،لجُ ٞ 6ٚفتٝ ثؼس اظ آٛٔظـ خٕغ تبضید ٚنَٛ: 21/05/1395 آٚضی ٚ ثب اؾتفبزٜ اظ ٘طْ افعاضٛٔ، spssضز تدعیٚ ٝ تحّیُ لطاض ٌطفت. تبضید پصیطـ: 07/06/1395 یبفتٍَب: ± ± ± زضٌطٜٚ ٔساذّٝ ، ٔیبٍ٘یٗ ٕ٘طؾ ٜبظٜ ٍ٘طـ اظ2/5 1/33 ثٝ 8/3 5/38، لهس ٔبزضاٖ اظ3/3 24/4 ± ± ± ثؾ ٚ 30/03 3/1ٝبظػ ّٜٕىطز اظ9/4 6/31 ث8ٝ/3 5/42، افعایف یبفت وٝ ایٗ افعایف اظ ٘ظط آٔبضی ٙؼٔی زاض ثٛز) P >0/001 (. أب ٔیبٍ٘یٗ ٕ٘طؾ ٜبظٙٞ ٜدبض ا٘تعاػی زض ٌطٜٚ ٔساذّٝ اظ5/5 ±4/31 ث3ٝ/5 ± 7/32 تغییط زاقت ± وٝ ایٗ افعایف ثٝ ِحبػ آٔبضی ٙؼٔی زاض ٘جٛز.ٔیبٍ٘یٗ ٚظٖ وٛزوبٖ لجُ اظ ٔساذّٝ زض ٌطٜٚ وٙتطَ ٚ 11/1 1/6 زض ٌطٜٚ ٔساذّٝ 5/1 ± 5/11 ویٌّٛطْ ثٛزٜ اؾت. وٝ ثؼس اظ ٔساذّٝ ٔیبٍ٘یٗ ٚظٖ وٛزوبٖ زض ٌطٜٚ ٔساذّٝ ثٝ Downloaded from tbj.ssu.ac.ir at 20:26 IRST on Thursday September 30th 2021 [ DOI: 10.18502/tbj.v17i6.497 ] 4/1±05/12افعایف یبفت وٝ ثٝ ِحبػ آٔبضی ٙؼٔی زاض ثٛز) P >0/001 (، أب افعایف ٚظٖ وٛزوبٖ زض ٌطٜٚ وٙتطَ ثٝ ِحبػ آٔبضی ٙؼٔی زاض ٘جٛز. وتیجٍ گیزی: آٛٔظـ ٔجتٙی ثط ٔسَ تئٛضی ٙٔ ُٕػغمی ثط اضتمب ػّٕىطز ٔبزضاٖ زاضای وٛزن ٛؾء تغصیٛٔ ٝثط ٔی ثبقس، ِصا اظ ایٗ تئٛضی ٔی تٛاٖ ثٛٙػ ٝاٖ چٟبضچٛثی ثطای ٔساذﻻت آٛٔظقی زض ظٔیٝٙ پیكٍیطی اظ ٛؾء تغصیٝ وٛزوبٖ اؾتفبزٜ وطز. ياژٌَبی کلیدی: ٛؾءتغصیٝ، تئٛضی ٙٔ ُٕػغمی، ضفتبض . ایٗ ٔمبِٝ حبنُ پبیبٖ٘بٝٔ وبضقٙبؾی اضقس آٛٔظـ ثٟساقت، زا٘كىسٜ ثٟساقت زا٘كٍبّٛػ ْٜ پعقىی ٚ ذسٔبت ثٟساقتی زضٔب٘ی قٟیس نسٚلی یعز ٔیثبقس. زٚ ٔبٙٞبػ ّٕٝٔی پٞٚػكی عّٛع ثٟساقت یعز ؾبَ ٞفسٞٓ،قٕبضٜ قكٓ،ثٚ ٕٟٗ اؾفٙس 1397 35 ثطضؾی تبثیط آٛٔظـ ثط اؾبؼ تئٛضی ٙٔ ُٕػغمی ثط ضفتبضٔبزضاٖ زاضای وٛزن زٚ تب پٙح... مقدمٍ وـٛزن ثـٛزٚ ٜ ٘ـكبٖ ٌطآذـطیٗ ضٚ٘ـس ضقـسوٛزن ٔی ثبقس ٛؾء تغصیٝ یب ٘بضؾبیی ضقس انغﻻحی اؾت وٝ ثٝ تٛلف یب وٝ ثٙٔ ٝظٛض تكریم ٞطٌٝ٘ٛ تأذیط ضقـس یـبٔكىُ اذیط تغصیٝ وبٞف ضقس وٛزن اعﻻق ٔی ٌطزز)ٛؾ.)1تغصیٝ یىی اظ ای ثٝ وبض ٔی ضٚز)13(. ٛػأُ انّی ٔطي ٚٔیط وٛزوبٖ زض وكٛضٞبی زض حبَ تٝؼؾٛ ٌطٞ ٜٚبی آؾیت پصیط خبٝؼٔ، ثٝ عٛض ٕٛؼَٔ، وٛزوبٖ ٚ ٔبزضاٖ ٔی ثبقس. زض وكٛض ایطاٖ ثٝ عٛض ٔتؾٛظ 30 زضنس وٛزوبٖ ؿٞتٙس وٝ زض وكٛضٞبی ضٚثٝ ضقس ٘عزیه 70 زضنس افطاز ؾ 1-3بَ اظ زضخبت ذفیف تب ٔتؾٛظ ٛؾتغصیٝ ض٘ح ٔی ثط٘س)2(. خبٝؼٔ ضا تكىیُ ٔی زٙٞس. تأذیط ضقس ضا ٔی تٛاٖ ٕ٘بیبٖ ٌط ثٝ عٛض وّی زٚ زِیُ ػٕـسٜ زض ثـطٚظ ٛؾءتغصیٝ ٔـٛثطؿٞتٙس وٛؾ ٝءتغصیٝ ٔساْٚ زض ؾبَ ٞبی اَٚ ظ٘سٌی زاؿ٘ت. ثطضؾی ٞب ػجبضتٙس اظ زﻻئُ اضٌب٘یه ٔبٙ٘س ٚخـٛزیــه ثیٕــبضی حــبز یــب ٘كبٖ ٔی زٙٞس وٝ حسٚز 25 زضنس اظ وٛزوبٖ ظیط ؾ 5بَ ٔــعٔٗ )ػفٛ٘ــت ازضاضی ٚتٙفؿی( وٝ زض خـصة یـب ٔتبثِٛیؿـٓ وكٛض ٔب ٔجتﻻ ثٝ زضخبت ٔرتّف وٓ ٚظ٘ی ؿٞتٙس. آؾب٘تطیٗ ٔـٛاز ٔغـصی تساذُ ٔـی وٙـس ٚ یـب ٘یـبظ ثـٝ ا٘ـطغی زضیـبفتی ضا قیٜٛ ثطای پی ثطزٖ ثٝ چٍٍٛ٘ی ضقس ٚ اضظیبثی ؾﻻٔت افعایف ٔی زٞس ٚ زﻻیُ غیطاضٌب٘یـه ٔبٙ٘ـس ػـسْ زضیبفت وٛزن، پبیف ضقس ٔی ثبقس وٛؾ ٝء تغصیٝ ضا زض ٔطاحُ اِٚیٝ غصای وبفی، وـبٞف اقـتٟب، ػـسْ زاقـتٗ زا٘ف وبفی ٔبزض زض ثطای ٔبزض ٚ وبضوٙبٖ ثٟساقتی ضٚقٗ ٔی ٕ٘بیس ٚ آٟ٘ب ضا لبزض ٔی ٛٔضز قیٞ ٜٛـبی نـحیح غـصازازٖ ثٝ وٛزن ٚ ٚضؼیت اقـتغبَ ؾبظز وٝ ثٛٔ ٝلغ، السأبت ضطٚضی ضا ثطای پیكٍیطی اظ ٔطاحُ ٚاِـسیٗ ٔی ثبقس)3،4(. یىی اظٛؾ ُّػتغصیٝ، ثیٕبضی ٞبی پیكطفتٛؾ ٝءتغصیٝ ا٘دبْ زٙٞس)14(. السأبت ٟٔٓ زض ٔساذّٝ ٔبزضظازی لّت زض وٛزوبٖ ٔی ثبقس)5(. وٛزوبٖ ٔجتﻻ ثٝ پبیف ضقس ػجبضتٙس اظ : ثیٕبضی ٞبی ٔبزضظازی لّت ثػ ّٝت زضیبفت ٘بوبفی ا٘طغی ، 1- زضٌیط ٕٛ٘زٖ ٔبزض زض ٚظٖ وطزٖ وٛزن افعایف ٔتبثِٛیٚ ٓؿیب ٞطزؿٔ ،ٚتؼس ٛؾتغصیٝ ٔی ثبقٙس)7، 6(. 2 -قٙبؾبیی وٛزوب٘ی وٝ اذتﻻَ ضقس زاض٘س ٔتساَٚ تــطیٗ ضٚـ پـبیف ضقــس زضوــٛزوبٖ، ا٘ساظٜ ٌیطی 3- پطؾیسٖ اظ ٔبزض زض ٛٔضز ٚضؼیت ٛٔاز غصایی زض زؾتطؼ قبذم ٞبی تٗ ٙؾدی ٔی ثبقس)8(.قبذم ٞبی ٔطثٛط ثٝ ذبٛ٘ازٚ ٜ ٘یع غصایی وٝ ثٝ وٛزن زازٜ اؾت. ٚضؼیت تغصیٝ زضوٛزوبٖ اظ حؿبؼ تطیٗ قبذم ٞب زضاضتجبط 4- زازٖ آٌبٞی تغصیٝ ای ٚیػاٜ ی ثب تٛخٝ ثٝ قطایظ ٔبزض وٝ ثب تغییط ٘بٌٟب٘ی زضقطایظ ثٟساقتی ٚ زؾتطؾی ثٛٔ ٝاز غصایی تٟیٝ آٖ أىبٖ پصیط اؾت. [ Downloaded from tbj.ssu.ac.ir at 20:26 IRST on Thursday September 30th 2021 [ DOI: 10.18502/tbj.v17i6.497 اؾت)10، 9(. ثطای ٔحبؾجٝ قبذم ٞبی تٗ ٙؾدی ٕٛؼٔﻻً اظ آٛٔظـ ثٟـساقت ثب ضٚـ ٞبی ٌٛ٘بؾٚ ،ٌٖٛیّٝ ای ٙٔبؾت ا٘ساظٜ ٌیطی ٔتغیطٞبی ٚ ،ٗؾظٖ ٚ لس زض ٔمبیٝؿ ثب چبضت ٞبی خٟت ایدبز اٍ٘یعٚ ٜ انﻻح ػّٕىطز ٘بزضؾت اؾت ظیطا ضقس اؾتب٘ساضز اؾتفبزٜ ٔی قٛز)ٚ.)11،12ظٖ زض وٛزوبٖ آٛٔظـ ثٟساقت چیعی خع ٙٞ ٚ ّٓػط تٛخٝ زازٖ ٔطزْ ثٝ یه ذطزؾبَ زض ٔمبیٝؿ ثب لس ٚ زٚض ثبظٚ، قبذم ثـؿیبض حـؿبؼ فطایٙس یبزٌیطی، ثطای ایدبز ضفتبض ٔغّٛة ثٙٔ ٝظٛض زؾتیبثی ثٝ تـطی ثـطای تؼیـیٗ ٚضـؼیت ؾـﻻٔت ٚ وفبیـت زضیبفت غـصایی ؾﻻٔت ٘یؿت)15(.
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