Effect of a Health Promotion Program Based on the Health Belief Model on Exercise Behaviors Among Non-Specific Low Back Pain Patients
Keywords:
Health belief model, Non-specific low back pain, Exercise behaviorAbstract
Non-specific low back pain interferes with daily life, reducing the ability to do work and perform daily activities. Health belief models can promote desirable health behaviors. This quasi experimental research aimed to study the effects of a health promotion program based on the health belief model on exercise behaviors among non-specific low back pain patients. Fifty-six participants from Mae Khaw Tom and Ta Sud Sub-districts, Muang district, Chiang Rai province were recruited using inclusion criteria and the purposive method, and assigned to a control and experimental group, in equal numbers. The instrument used in this study was a health promotion program based on the health belief model, which consisted of 1) a lesson plan and material for learning, 2) a VDO on methods of exercise, modified from the McKenzie exercise. Data collection instruments consisted of a demographic data form and a record form for exercise behaviors. Instrument quality was tested based on the recommendations of three experts. The reliability of a record form for exercise behaviors tested by Cronbach’s alpha coefficient, was 0.84. Descriptive statistics, Fisher’s exact probability test, paired t-test, and independent t-test were computed for data analysis.
Research findings revealed that, after receiving the program, the experimental group had a significantly higher mean score for exercise behavior (M = 14.18, SD = 1.59) than before receiving the program, (M = 7.57, SD = 2.74, t = 12.23, p < 0.001) and significantly higher than that of the control group (M = 8.36, SD = 2.02, t = 11.97, p < 0.001).
This study showed that the health promotion program based on the health belief model related to exercise behaviors among non-specific low back pain patients was effective. Therefore, this concept can be used to promote health promoting behavior among low back pain patients.
References
Becker, M. H., & Rosenstock, I. M. (1984). Compliance with medical advice. In A. Steptoe & A. Matthews (Eds.), Health care and human behavior (pp. 135-152). Academic Press.
Bell, J. A., & Burnett, A. (2009). Exercise for the primary, secondary and tertiary prevention of low back pain in the workplace: A systematic review. Journal of Occupational Rehabilitation, 19(1), 8-24. https://doi.org/10.1007/s10926-009-9164-5
Bid, D. D., Soni, N. C., Yadav, A. S., & Rathod, P. V. (2018). The effect of McKenzie exercises in chronic nonspecific low back pain patient with central sensitization: A pilot study. Physiotherapy, 12(1), 37-42. https://doi.org/10.4103/PJIAP.PJIAP_27_17
Burton, A. K., Balagué, F., Cardon, G., Eriksen, H. R., Henrotin, Y., Lahad, A., Leclerc, A., Muller, G., & van der Beek, A. J. (2004) Chapter 2. European guidelines for prevention in low back pain: November 2004. European Spine Journal, 15(Suppl 2), S136-S168. https://doi.org/10.1007/s00586-006-1070-3
Chen, Y. J., & Cheng, C. Y. (2023). Common statistical concepts and methods used in nursing research and scholarly projects. International Journal of Nursing & Clinical Practices, 10, 383. https://doi.org/10.15344/2394-4978/2023/383
Chuaysakun, N. (2019). A study of factors Influencing desirable health behaviors of the working –age population in Regional health 11. https://hpc11.anamai.moph.go.th (in Thai)
Cohen, J. (1992). Quantitative methods in psychology: A power primer. Psychological Bulletin, 112(1), 155-159. https://web.mit.edu/hackl/www/lab/turkshop/readings/cohen1992.pdf
Czajka, M., Truszczyńska-Baszak, A., & Kowalczyk, M. (2018). The effectiveness of McKenzie method in diagnosis and treatment of low back pain-a literature review. Advances in Rehabilitation, (1), 5-11. https://doi.org/10.5114/areh.2018.76985
Department of disease control, Ministry of Public health. (2021). Report on occupational and environmental disease and health hazards situation. https://ddc.moph.go.th/uploads/ckeditor2//files/20220224_01A.pdf (in Thai)
Degenais, S., Caro, J., & Haldeman, S. (2008). A systematic review of low back pain cost of illness studies in the United States and internationally. The Spine Journal, 8(1), 8-20. https://doi.org/10.1016/j.spinee.2007.10.005
Fangpong, N., Loonpom, N., Techakunaluck, V., Supimarot, P., & Monyanon, S., (2017). Factor effecting to health promotion behavior in physical activity of people in Khamyai, Sub-District Community, Mueang District, Ubon Ratchathani Province. Ratchathani University. In The 2nd National conference 26-27 July 2017. (in Thai)
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007) G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.
Finucane, L. M., Downie, A., Merce,r C., Greenhalgh, S. M., Boissonnault, W. G., Goudzwaard, A. L., Beneciuk, J. M., Leech, R. L., & Selfe, J. (2020). International framework for red flags for potential serious spinal pathologies. Journal of Orthopaedic & Sports Physical Therapy, 50(7), 350-372. https://doi.org/10.2519/jospt.2020.9971
Gordon, R., & Bloxham, S. (2016). A systematic review of the effects of exercise and physical activity on non-specific chronic low back pain. Healthcare (Basel), 4(2), 22. https://doi.org/10.3390/healthcare4020022
Hassett, R. J., Peake, S., & Mason, M. (2002). Medical treatment: Pharmacotherapy and supportive measures. In J. Derebery & J. Anderson (Eds.), Low back pain: An evidence-based, biopsychosocial model for clinical management. OEM Press.
Hayden, J. A., van Tulder, M. W., & Tomlinson, G. (2005). Systematic review: Strategies for using exercise therapy to improve outcomes in chronic low back pain. Annals of Internal Medicine, 142(9), 776-185. https://doi.org/10.7326/0003-4819-142-9-200505030-00014
Jalayondeaja, A. (2007). People and work. Flie name: 337-017. Morchorban publishing house. 337 https://shorturl.asia/o0xTv (in Thai)
Joychoo, N., Pinyopasakul, W., & Chareonkitkarn, V. (2014). Relationships among age, perceived benefits of health behaviors, perceived barriers of health behaviors and health behaviors in patients with ischemic stroke. Ramathibodi Nursing Journal, 20(2), 236-247. https://he02.tci-thaijo.org/index.php/RNJ/article/view/22501/19263 (in Thai)
Jullamate, P., Tungthonchai, O., & Pathumarak, P. (2018). Effects of the application of health belief model in exercise with health circle rubber chain and nine - square table on health-related physical fitness and well-being of chronically ill community-dwelling older persons. The Southern College Network Journal of Nursing and Public Health, 5(3), 202-216. https://he01.tci-thaijo.org/index.php/scnet/article/view/156689/113923 (in Thai)
Kaplansky, B. D., Wei, F. Y., & Reecer, M. V. (2006). Prevention strategies for occupational low back pain. Clinics in Occupational and Environmental Medicine, 5(3), 529-544. https://doi.org/10.1016/j.coem.2005.11.018
Kuorinka, I., Jonsson, B., Kilbom, A., Vinterberg, H., Biering-Sørensem, F., Andersson, G., & Jørgensen, K. (1987). Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Journal of Applied Ergonomics, 18(3), 233-237. https://doi.org/10.1016/0003-6870(87)90010-x
Lalley, J. P., & Miller, R. H. (2007). “The learning pyramid: Does it point teachers in the right direction?” Education, 128(1), 64-79.
Liddle, S., Baxter, G., & Gracey, J. (2004). Exercise and chronic low back pain: What work? Pain, 107(1-2), 176-190. https://doi.org/10.1016/j.pain.2003.10.017
Maekaotom sub-district Health Promoting Hospital. (2021). Java health center information system: JHCIS. JHCIS Download. (in Thai)
McClenaghan, E., (2024). A non-parametric test for investigating associations between two categorical, binary variables. Technology Networks. https://www.technologynetworks.com/diagnostics/articles/the-fishers-exact-test-385738
Mitic, W., Abdelaziz, F. B., & Madi, H. (2012). Health education: Theoretical concepts, effective strategies and core competencies. WHO Regional Office for the Eastern Mediterranean.
National Statistical Office, Ministry of Digital Economy and Society. (2021). The labour force survey whole kingdom. https://www.nso.go.th/nsoweb/storage/survey_detail/2023/ 20230501064658_80311.pdf (in Thai)
Powwattana, A., Kalampakorn, S., Lagumpun, S., & Amnatsatsue, K., (2011). Heath promotion and disease prevention in community: An application of concepts and theories in practice (2nd ed.). Kungnana Vittaya press. (in Thai)
Punlomso, S. (2019). Effects of health belief model with exercising program on fall prevention among the elderly in Khok Klang Subdistrict, Nonsaad District, Udonthani Province. [Unpublished master’s thesis]. Mahasarakham University. (in Thai)
Rotrueangnukun, W., & Tinmanee, P. (2021). The effects of McKenzie exercises on pain and functional ability in patients with low back pain, Phrae Hospital. Journal of the Phrae Hospital, 29(2), 43-55. (in Thai)
Shaikh, K., Ingle, G., & Kadam, K. (2021). Effects of Mckenzie exercises in reducing pain and improving functional range of motion in individuals with low back pain associated with lumbar disc prolapse-A Review of Literature. International Journal for Research in Physiotherapy, 1(1), 22-40. https://gnpublication.org/index.php/Physiotherapy/article/view/1804/1036
Terathongkum, S., Prasatkaew, N., & Maneesriwongul, W. (2014). Effects of a home visit and telephone follow-up program on health behaviors and health status in persons with uncontrolled hypertension. Ramathibodi Nursing Journal, 20(3), 356-371. (in Thai)
Walker, B. F. (2000). The prevalence of low back pain: A systematic review of the literature from 1966 to 1998. Journal of Spinal Disorders, 13(3), 205-217. https://doi.org/10.1097/00002517-200006000-00003
Wong-on, J., & Phanmanee, A. (2015). The effect of a physiotherapy teaching program based on to Rosenstock’s health belief model on self-care and exercise behavior of post spinal fusion surgery patients. Journal of Behavioral Science, 21(1), 23-38. https://ejournals.swu.ac.th/index.php/jbst/article/view/5117 (in Thai)
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nursing Journal CMU
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
