Skip to main content
Top
Published in: BMC Public Health 1/2022

Open Access 01-12-2022 | Human Immunodeficiency Virus | Research

Peer-led theoretically Desinged HIV/AIDS prevention intervention among students: a case of health belief model

Authors: Hoda Joorbonyan, Mohtasham Ghaffari, Sakineh Rakhshanderou

Published in: BMC Public Health | Issue 1/2022

Login to get access

Abstract

Background & aim

HIV/AIDS is one of the most dangerous viruses known in the world. In addition, considering its fatality rate and high cost of care, it is a serious threat to the health and economy of social communities. Adolescents are one of the high-risk groups. One of the most effective ways to prevent this disease is to promote healthcare, raise awareness, and change health-related beliefs and attitudes. This study aims at determining the effect of peer education, based on the health belief model, on the preventative measures against AIDS adopted by girls.

Methods & materials

In this empirical-interventionist study two schools were randomly selected, one of which was considered as the intervention group and the other as the control group. The classes were also randomly selected and 80 students from each school took part in the project following the entry criterion. A questionnaire with acceptable validity and reliability was used to collect data. In this study a few bright students were chosen as peer educators after being trained. The intervention group (N = 80) received 4 sessions of 60-min education through training, lectures, question and answer, and group discussion, But the control group received no instruction. The posttest was administered two months after the treatment. The data was fed into the SPSS 16. Finally, T-test, Chi-Square, and ANCOVA were employed to analyze the data.

Results

The average scores obtained from the intervention group and the control group were not significantly different in terms of awareness level, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, behavioral intention, and behavior in baseline (P>0.05). Two months after the intervention there was a significant increase in the average scores of all the variables in the experimental group (P > 0.05). However, there was no significant change in the scores of the control group (P > 0.05).

Conclusion

Following a health belief model focusing on peer eduaction among high school girls, the intervention eduaction can affect awareness level, susceptibility, severity, benefits, perceived barriers, perceived self-efficacy, behavioral intention, and finally avoidance of high-risk behavior.
Literature
1.
go back to reference Pirzadeh A, Sharifirad GR. Effect of educational program on knowledge and health belief model structures about acquired immune deficiency syndrome (AIDS) among high school female student in Isfahan, Iran. J Gorgan Univ Med Sci. 2012;14(3):66–71 [In Persian]. Pirzadeh A, Sharifirad GR. Effect of educational program on knowledge and health belief model structures about acquired immune deficiency syndrome (AIDS) among high school female student in Isfahan, Iran. J Gorgan Univ Med Sci. 2012;14(3):66–71 [In Persian].
2.
go back to reference Bhutto A-Q, Nisar N. Health-seeking behaviour of people living with HIV/AIDS and their satisfaction with health services provided at a tertiary care hospital, Karachi. Pakistan East Mediterr Health J. 2017;23:13–9.CrossRef Bhutto A-Q, Nisar N. Health-seeking behaviour of people living with HIV/AIDS and their satisfaction with health services provided at a tertiary care hospital, Karachi. Pakistan East Mediterr Health J. 2017;23:13–9.CrossRef
4.
go back to reference Fight With Diseases Group. The census of HIV/AIDS- infected patients. Isfahan: Hygiene Vice-president, Isfahan University of Medical Sciences; 2011. [In Persian] Fight With Diseases Group. The census of HIV/AIDS- infected patients. Isfahan: Hygiene Vice-president, Isfahan University of Medical Sciences; 2011. [In Persian]
8.
go back to reference Jafari A, Yazdani R, Khami MR, Mohammadi M, Hajiabdolbaghi M. Effect of an educational course at an iranian dental school on students’ knowledge of and attitudes about HIV/HIV/AIDS. J Dent Educ. 2012;76(6):792–9.CrossRef Jafari A, Yazdani R, Khami MR, Mohammadi M, Hajiabdolbaghi M. Effect of an educational course at an iranian dental school on students’ knowledge of and attitudes about HIV/HIV/AIDS. J Dent Educ. 2012;76(6):792–9.CrossRef
9.
go back to reference Kara WSK, Benedicto M, Mao J. Knowledge, attitude, and practice of contraception methods among female undergraduates in Dodoma. Tanzania Cureus. 2019;11(4):e4362.PubMed Kara WSK, Benedicto M, Mao J. Knowledge, attitude, and practice of contraception methods among female undergraduates in Dodoma. Tanzania Cureus. 2019;11(4):e4362.PubMed
11.
go back to reference Sadeghi R, Khanjani N. Impact of educational intervention based on theory of planned behavior (TPB) on the AIDSPreventive behavior among health volunteers. Iran J Health Educ Health Promot. 2015;3(1):23–31. Sadeghi R, Khanjani N. Impact of educational intervention based on theory of planned behavior (TPB) on the AIDSPreventive behavior among health volunteers. Iran J Health Educ Health Promot. 2015;3(1):23–31.
12.
go back to reference Noori Sistani M, Merghati KE. The impact of peer-based educational approaches on girls' physical practice of pubertal heaith. Arak Med Univ j. 2010;12(4):129–35. Noori Sistani M, Merghati KE. The impact of peer-based educational approaches on girls' physical practice of pubertal heaith. Arak Med Univ j. 2010;12(4):129–35.
13.
go back to reference Medley A, Kennedy C, O'Reilly K, Sweat M. Effectiveness of peer education interventions for HIV prevention in developing countries: a systematic review and meta-analysis. AIDS Educ Prev. 2009;21(3):181–206.CrossRef Medley A, Kennedy C, O'Reilly K, Sweat M. Effectiveness of peer education interventions for HIV prevention in developing countries: a systematic review and meta-analysis. AIDS Educ Prev. 2009;21(3):181–206.CrossRef
14.
go back to reference Shams M, Solyman Ekhtiari Y. Parnyani. [Basic skills in the field of health behavior modification]. Mehr Matin; 2013. Shams M, Solyman Ekhtiari Y. Parnyani. [Basic skills in the field of health behavior modification]. Mehr Matin; 2013.
15.
go back to reference Babazadeh T, Zibaei N, Shabani L, Moradi F. Effectiveness of educational intervention based on peer education on knowledge, attitude and behavioral intention related to HIV/AIDS in the high school female students in the region 14 of Tehran. J Educ Community Health. 2015;2(3):19–27.CrossRef Babazadeh T, Zibaei N, Shabani L, Moradi F. Effectiveness of educational intervention based on peer education on knowledge, attitude and behavioral intention related to HIV/AIDS in the high school female students in the region 14 of Tehran. J Educ Community Health. 2015;2(3):19–27.CrossRef
16.
go back to reference Alizadeh Sivaki H, Zareban I, Rajhshani F, Shahrakipour M, Hasanzadeh M, Razavishmaei N. The effect of peer education on AIDS preventive behaviors based on the theory of planned behavior in male students of high school second year in Zahedan. JQ Horizon. 2013;18(5):233–40. Alizadeh Sivaki H, Zareban I, Rajhshani F, Shahrakipour M, Hasanzadeh M, Razavishmaei N. The effect of peer education on AIDS preventive behaviors based on the theory of planned behavior in male students of high school second year in Zahedan. JQ Horizon. 2013;18(5):233–40.
17.
go back to reference Adeomi AA, Adeoye OA, Asekun-Olarinmoye EO, Abodunrin OL, Olugbenga-Bello AI, Sabageh AO. Evaluation of the effectiveness of peer education in improving HIV knowledge, attitude, and sexual behaviours among in-school adolescents in Osun state, Nigeria. AIDS Res Treat. 2014;2014:131756.PubMedPubMedCentral Adeomi AA, Adeoye OA, Asekun-Olarinmoye EO, Abodunrin OL, Olugbenga-Bello AI, Sabageh AO. Evaluation of the effectiveness of peer education in improving HIV knowledge, attitude, and sexual behaviours among in-school adolescents in Osun state, Nigeria. AIDS Res Treat. 2014;2014:131756.PubMedPubMedCentral
18.
go back to reference Calloway DS, Long-White DN, Corbin DE. Reducing the risk of HIV/AIDS in African American college students: an exploratory investigation of the efficacy of a peer educator approach. Health Promot Pract. 2014;15(2):181–8.CrossRef Calloway DS, Long-White DN, Corbin DE. Reducing the risk of HIV/AIDS in African American college students: an exploratory investigation of the efficacy of a peer educator approach. Health Promot Pract. 2014;15(2):181–8.CrossRef
20.
go back to reference Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice: John Wiley & Sons; 2008. Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice: John Wiley & Sons; 2008.
21.
go back to reference Fallahi H, Sadat Tavafian S, Yaghmaie F, Hajizadeh E. Perceived susceptibility to AIDS in men living with HIV: a qualitative research. Payesh. 2014;13:357–65 [In Persian]. Fallahi H, Sadat Tavafian S, Yaghmaie F, Hajizadeh E. Perceived susceptibility to AIDS in men living with HIV: a qualitative research. Payesh. 2014;13:357–65 [In Persian].
22.
go back to reference Fallahi H, Tavafian SS, Yaghmaie F, Hajizadeh E. Perspectives of HIV/AIDS patients towards condom use barriers. Payesh. 2013;11(6):831–40 [In Persian]. Fallahi H, Tavafian SS, Yaghmaie F, Hajizadeh E. Perspectives of HIV/AIDS patients towards condom use barriers. Payesh. 2013;11(6):831–40 [In Persian].
23.
go back to reference Amirkhani M, Rafieefar S, Sarmast H, Golmakani M. Designing, implementing and evaluating evidence-based peer education plans: guidelines for the prevention of psychotropic substances and alcohol, vol. 29-30: Tandis Publishing; 2008. p. 58–9. [In Persian] Amirkhani M, Rafieefar S, Sarmast H, Golmakani M. Designing, implementing and evaluating evidence-based peer education plans: guidelines for the prevention of psychotropic substances and alcohol, vol. 29-30: Tandis Publishing; 2008. p. 58–9. [In Persian]
24.
go back to reference Saffari M, Heydarnia A, Ghofranipour F. Health education promotion (theories, Methods & Methods) Tehran,Iran: Sobhan; 2009. p. 78–82. Saffari M, Heydarnia A, Ghofranipour F. Health education promotion (theories, Methods & Methods) Tehran,Iran: Sobhan; 2009. p. 78–82.
25.
go back to reference Ghafari M. Comparing the efficacy of health belief model and it's integrated model in AIDS education among male high school students in Tehran [thesis]. Tehran: Tarbiat Modares University; 2007. Ghafari M. Comparing the efficacy of health belief model and it's integrated model in AIDS education among male high school students in Tehran [thesis]. Tehran: Tarbiat Modares University; 2007.
26.
go back to reference Ali MHM, Osman OB, Ibrahim MAM, Ahmed WAM. The effect of AIDS peer health education on knowledge, attitudes, and practices of secondary school students in Khartoum, Sudan. AIMS Public Health. 2015;2(4):718.CrossRef Ali MHM, Osman OB, Ibrahim MAM, Ahmed WAM. The effect of AIDS peer health education on knowledge, attitudes, and practices of secondary school students in Khartoum, Sudan. AIMS Public Health. 2015;2(4):718.CrossRef
27.
go back to reference Kharazi SS, Peyman N. Effect of educational interventions based on the health belief model on the promotion of aids preventive behaviors among female high school students in Mashhad, Iran, in 2016. J Health Syst Res. 2017;13(1):14–8. Kharazi SS, Peyman N. Effect of educational interventions based on the health belief model on the promotion of aids preventive behaviors among female high school students in Mashhad, Iran, in 2016. J Health Syst Res. 2017;13(1):14–8.
28.
go back to reference Soltani K, Tavafian SS, Vakili MM. Influence of educational program based on health belief model in health beliefs in AIDS among students. Armaghane-danesh. 2014;19(9):789–807. Soltani K, Tavafian SS, Vakili MM. Influence of educational program based on health belief model in health beliefs in AIDS among students. Armaghane-danesh. 2014;19(9):789–807.
29.
go back to reference Khani Jeihooni A, Arameshfard S, Hatami M, Mansourian M, Kashfi SH, Rastegarimehr B, et al. The effect of educational program based on health belief model about HIV/AIDS among high school students. Int J Pediatr. 2018;6(3):7285–96. Khani Jeihooni A, Arameshfard S, Hatami M, Mansourian M, Kashfi SH, Rastegarimehr B, et al. The effect of educational program based on health belief model about HIV/AIDS among high school students. Int J Pediatr. 2018;6(3):7285–96.
30.
go back to reference Mir heydari M, Tavafian SS, Montazeri A, Fallahi H. Effect of educational interventions on sexual high risk behavior between drug addicts ex-users based on the Health Belief Model. SJSPH. 2014;12(2):93–104. Mir heydari M, Tavafian SS, Montazeri A, Fallahi H. Effect of educational interventions on sexual high risk behavior between drug addicts ex-users based on the Health Belief Model. SJSPH. 2014;12(2):93–104.
31.
go back to reference Wamoyi J, Mshana G, Mongi A, Neke N, Kapiga S, Changalucha J. A review of interventions addressing structural drivers of adolescents ‘sexual and reproductive health vulnerability in sub-Saharan Africa: implications for sexual health programming. Reprod Health. 2014;11:88.CrossRef Wamoyi J, Mshana G, Mongi A, Neke N, Kapiga S, Changalucha J. A review of interventions addressing structural drivers of adolescents ‘sexual and reproductive health vulnerability in sub-Saharan Africa: implications for sexual health programming. Reprod Health. 2014;11:88.CrossRef
33.
go back to reference Baiden P, Rajulton F. Factors influencing condom use among women in Ghana: an HIV/AIDS perspective. SAHARA J. 2011;8(2):46–54.CrossRef Baiden P, Rajulton F. Factors influencing condom use among women in Ghana: an HIV/AIDS perspective. SAHARA J. 2011;8(2):46–54.CrossRef
34.
go back to reference Hounton SH, Carabin H, Henderson NJ. Towards an understanding of barriers to condom use in rural Benin using the health belief model: a cross sectional survey. BMC Public Health. 2005;5:8.CrossRef Hounton SH, Carabin H, Henderson NJ. Towards an understanding of barriers to condom use in rural Benin using the health belief model: a cross sectional survey. BMC Public Health. 2005;5:8.CrossRef
35.
go back to reference Alidosti M, Delaram M, Reisi Z. Impact of education based on health belief model in Isfahan’s housewives in preventing H. pylori infection. J Fasa Univ Med Sci. 2012;2(2):71–7 [In Persian]. Alidosti M, Delaram M, Reisi Z. Impact of education based on health belief model in Isfahan’s housewives in preventing H. pylori infection. J Fasa Univ Med Sci. 2012;2(2):71–7 [In Persian].
36.
go back to reference Taghdisi MH, Nejadsadeghi E. The effect of health education based on health belief model on behavioral promotion of urinary infection prevention in pregnant women. J Res Health. 2012;2(1):44–54 [In Persian]. Taghdisi MH, Nejadsadeghi E. The effect of health education based on health belief model on behavioral promotion of urinary infection prevention in pregnant women. J Res Health. 2012;2(1):44–54 [In Persian].
37.
go back to reference Ghaffari M, Jamali R, Rakhshanderou S, Eslami A. Effect of educational program on HIV/AIDS-related knowledge, attitude, and behavioral intentions of male high school’s students in Bavanat (Fars province): an interventional research. J Health in the Field. 2013;1(1):6–1. Ghaffari M, Jamali R, Rakhshanderou S, Eslami A. Effect of educational program on HIV/AIDS-related knowledge, attitude, and behavioral intentions of male high school’s students in Bavanat (Fars province): an interventional research. J Health in the Field. 2013;1(1):6–1.
38.
go back to reference Parrott MW, Tenanant L, Olejnik S, Poudevigne M. Theory of planned behavior: implication of email-based physical activity intervention. Psychology of sport and exercise. Elsevier; 2008. p. 511–26. Parrott MW, Tenanant L, Olejnik S, Poudevigne M. Theory of planned behavior: implication of email-based physical activity intervention. Psychology of sport and exercise. Elsevier; 2008. p. 511–26.
39.
go back to reference Lotfi Mainbolagh B, Rakhshani F, Zareban I, Montazerifar F, Alizadeh Sivaki H, Parvizi Z. The effect of peer education based on health belief model on nutrition behaviors in primary school boys. J Research Health. 2012;2(2):214–25. Lotfi Mainbolagh B, Rakhshani F, Zareban I, Montazerifar F, Alizadeh Sivaki H, Parvizi Z. The effect of peer education based on health belief model on nutrition behaviors in primary school boys. J Research Health. 2012;2(2):214–25.
40.
go back to reference van der Maas F, Otte WM. Evaluation of HIV/AIDS secondary school peer education in rural Nigeria. Health Educ Res. 2009;24(4):547–57.CrossRef van der Maas F, Otte WM. Evaluation of HIV/AIDS secondary school peer education in rural Nigeria. Health Educ Res. 2009;24(4):547–57.CrossRef
Metadata
Title
Peer-led theoretically Desinged HIV/AIDS prevention intervention among students: a case of health belief model
Authors
Hoda Joorbonyan
Mohtasham Ghaffari
Sakineh Rakhshanderou
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2022
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-12445-6

Other articles of this Issue 1/2022

BMC Public Health 1/2022 Go to the issue