건강신념모델 기반의 골다공증 예방 중재연구에 대한 체계적 문헌고찰
Systematic Review of Osteoporosis Preventive Intervention Studies based on Health Belief Model
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Purpose: This study aims to systematically clarify and enhance the understanding of osteoporosis prevention interventionsbased on Health Belief Model (HBM). The analysis includes HBM constructs, intervention characteristics, andoutcomes from prior studies. Methods: We extensively searched eight electronic databases to identify peer-reviewedstudies that implemented HBM-based interventions for osteoporosis prevention until June 2023. Results: Initially, 638articles were identified, and after a rigorous evaluation process, 11 articles were included in the evidence synthesis. Theanalysis revealed that HBM-based interventions significantly improved likelihood of taking action including knowledge,HBM constructs and adopting preventive behaviors such as calcium intake and exercise. However, most interventionsincluded in this study did not fully encompass all five HBM constructs or specify the particular components adopted. Conclusion: There is a need for additional research and intervention refinement for a more comprehensive understandingof osteoporosis preventive interventions. This should involve a concerted effort to incorporate all HBM constructs intothe context of osteoporosis prevention. Thus, more effective interventions promoting optimal preventive behaviors andreducing the burden of osteoporosis can be developed.
Abstract
Purpose: This study aims to systematically clarify and enhance the understanding of osteoporosis prevention interventionsbased on Health Belief Model (HBM). The analysis includes HBM constructs, intervention characteristics, andoutcomes from prior studies. Methods: We extensively searched eight electronic databases to identify peer-reviewedstudies that implemented HBM-based interventions for osteoporosis prevention until June 2023. Results: Initially, 638articles were identified, and after a rigorous evaluation process, 11 articles were included in the evidence synthesis. Theanalysis revealed that HBM-based interventions significantly improved likelihood of taking action including knowledge,HBM constructs and adopting preventive behaviors such as calcium intake and exercise. However, most interventionsincluded in this study did not fully encompass all five HBM constructs or specify the particular components adopted. Conclusion: There is a need for additional research and intervention refinement for a more comprehensive understandingof osteoporosis preventive interventions. This should involve a concerted effort to incorporate all HBM constructs intothe context of osteoporosis prevention. Thus, more effective interventions promoting optimal preventive behaviors andreducing the burden of osteoporosis can be developed.
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