Document Type : Original Research Article
Authors
1
MSc Student, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2
Full Professor, Reproductive Health Promotion Research Center, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3
Lecturer, Department of biostatistics, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4
Assistant Professor, Department of Psychology, Dezful Branch, Islamic Azad University, Dezful, Iran
Abstract
Background & aim: Studies have been conducted on the effectiveness of preventive interventions on osteoporosis, but there is little information on the impact of cognitive-behavioral counseling (CBC) on prevention of osteoporosis. The present study aimed to determine the effect of cognitive-behavioral counseling, provided by a midwife, on preventive behaviors of osteoporosis in middle-aged women.
Methods: This randomized controlled trial study was conducted in 2020 on 62 middle-aged women, 45-60 years old referring to health centers in Dezful city. The participants were allocated into intervention group (n=31) and control group (n=31) using block randomization design. For the intervention group, eight weekly sessions of CBC based on preventive behaviors against osteoporosis were held. The control group received routine care. Data were collected through demographic, food frequency, and short version of international physical activity questionnaires, before and eight weeks after the intervention. Data were analyzed by SPSS software (version 22).
Results: The two groups were homogeneous in terms of demographic and obstetric characteristics. Before the intervention, there was no significant difference between the two groups in terms of osteoporosis prevention behaviors. After the intervention, the frequency of consumption of dairy products, vitamin D and calcium supplements, bone density measurement and the amount of using sunlight significantly increased in the intervention group compared to the control group (p<0.05). The mean index of energy consumed in the form of physical activity did not show a significant difference between the two groups (P>0.05).
Conclusion: CBC, as a non-pharmacological and safe method, can be used to promote preventive behaviors against osteoporosis.
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