Nutrition self-efficacy intervention to improve nutritional status of Iranian older adults

Abstract Objectives Older adults are a vulnerable group that is at risk of poor nutritional status, which can lead to disease and increase their healthcare costs. Our study aimed to investigate the impact of a self-efficacy intervention on the nutritional status of older adults. Methods A controlled...

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Main Authors: Seyedeh Belin Tavakoly Sany, Hamideh Ahangari, Amir Rasoulifar, Mitra Salimi, Jamshid Jamali, Hadi Tehrani
Format: Article
Language:English
Published: BMC 2024-02-01
Series:Journal of Health, Population and Nutrition
Subjects:
Online Access:https://doi.org/10.1186/s41043-024-00519-1
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author Seyedeh Belin Tavakoly Sany
Hamideh Ahangari
Amir Rasoulifar
Mitra Salimi
Jamshid Jamali
Hadi Tehrani
author_facet Seyedeh Belin Tavakoly Sany
Hamideh Ahangari
Amir Rasoulifar
Mitra Salimi
Jamshid Jamali
Hadi Tehrani
author_sort Seyedeh Belin Tavakoly Sany
collection DOAJ
description Abstract Objectives Older adults are a vulnerable group that is at risk of poor nutritional status, which can lead to disease and increase their healthcare costs. Our study aimed to investigate the impact of a self-efficacy intervention on the nutritional status of older adults. Methods A controlled before and after study was conducted on 110 older adults in the Mashhad, Iran, from 2020 to 2022. Participants were randomly allocated to the intervention (n = 55) and control groups (n = 55). Participants in the intervention group received educational training that was based on the self-efficacy theory. The control group received the routine care. Data collection tools included demographic information questionnaire, Mini Nutritional Assessment Questionnaire, and standard self-efficacy questionnaire. The questionnaires were completed at baseline (before intervention), instantly after the intervention, and at 3-months follow-up by participants in both groups. Data were analyzed using SPSS version 25 and the significance level was considered less than 0.05. Results The Mean of nutritional status in the intervention group, at the baseline, immediately after intervention and 3 months of follow-up were 25.1 ± 2.3, 28.3 ± 5.2 and 27.6 ± 6., respectively. This increase was significant (p < 0.001). Our findings revealed that self-efficacy among participants in the intervention group significantly changed (P < 0.001) across time from baseline through follow-up. There was no significant difference in the mean of self-efficacy and nutritional status in the control group during the study period (P > 0.05). Conclusion This current study provided a basis to examine in the effectiveness of such intervention using a properly powered randomized controlled study. Therefore, it can be concluded that self-efficacy interventions are a promising approach to improving the nutritional behaviors of the older adults. Trial registration: IRCT20160619028529N9.
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spelling doaj.art-4ec58caaac3c45bab3b5178ded2944992024-03-05T19:27:53ZengBMCJournal of Health, Population and Nutrition2072-13152024-02-014311910.1186/s41043-024-00519-1Nutrition self-efficacy intervention to improve nutritional status of Iranian older adultsSeyedeh Belin Tavakoly Sany0Hamideh Ahangari1Amir Rasoulifar2Mitra Salimi3Jamshid Jamali4Hadi Tehrani5Social Determinants of Health Research Center, Mashhad University of Medical SciencesStudent Research Committee, Mashhad University of Medical SciencesStudent Research Committee, Mashhad University of Medical SciencesManagement Education District of MashhadSocial Determinants of Health Research Center, Mashhad University of Medical SciencesDepartment of Health Education and Health Promotion, School of Health, Mashhad University of Medical SciencesAbstract Objectives Older adults are a vulnerable group that is at risk of poor nutritional status, which can lead to disease and increase their healthcare costs. Our study aimed to investigate the impact of a self-efficacy intervention on the nutritional status of older adults. Methods A controlled before and after study was conducted on 110 older adults in the Mashhad, Iran, from 2020 to 2022. Participants were randomly allocated to the intervention (n = 55) and control groups (n = 55). Participants in the intervention group received educational training that was based on the self-efficacy theory. The control group received the routine care. Data collection tools included demographic information questionnaire, Mini Nutritional Assessment Questionnaire, and standard self-efficacy questionnaire. The questionnaires were completed at baseline (before intervention), instantly after the intervention, and at 3-months follow-up by participants in both groups. Data were analyzed using SPSS version 25 and the significance level was considered less than 0.05. Results The Mean of nutritional status in the intervention group, at the baseline, immediately after intervention and 3 months of follow-up were 25.1 ± 2.3, 28.3 ± 5.2 and 27.6 ± 6., respectively. This increase was significant (p < 0.001). Our findings revealed that self-efficacy among participants in the intervention group significantly changed (P < 0.001) across time from baseline through follow-up. There was no significant difference in the mean of self-efficacy and nutritional status in the control group during the study period (P > 0.05). Conclusion This current study provided a basis to examine in the effectiveness of such intervention using a properly powered randomized controlled study. Therefore, it can be concluded that self-efficacy interventions are a promising approach to improving the nutritional behaviors of the older adults. Trial registration: IRCT20160619028529N9.https://doi.org/10.1186/s41043-024-00519-1Self-efficacyMalnutritionHealth educationAgedHealth promotion
spellingShingle Seyedeh Belin Tavakoly Sany
Hamideh Ahangari
Amir Rasoulifar
Mitra Salimi
Jamshid Jamali
Hadi Tehrani
Nutrition self-efficacy intervention to improve nutritional status of Iranian older adults
Journal of Health, Population and Nutrition
Self-efficacy
Malnutrition
Health education
Aged
Health promotion
title Nutrition self-efficacy intervention to improve nutritional status of Iranian older adults
title_full Nutrition self-efficacy intervention to improve nutritional status of Iranian older adults
title_fullStr Nutrition self-efficacy intervention to improve nutritional status of Iranian older adults
title_full_unstemmed Nutrition self-efficacy intervention to improve nutritional status of Iranian older adults
title_short Nutrition self-efficacy intervention to improve nutritional status of Iranian older adults
title_sort nutrition self efficacy intervention to improve nutritional status of iranian older adults
topic Self-efficacy
Malnutrition
Health education
Aged
Health promotion
url https://doi.org/10.1186/s41043-024-00519-1
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