Shahin Safari, Sanaz Aezami, Davod Vahabzadeh, Hossein Sayedkhani, Hamid Taghinejad


Background: Education can improve nutritional behaviors of individuals. The aim of this study was to assess effects of nutritional health education based on the BASNEF model on nutritional behaviors of families with elderly members in Ilam, Iran.

Materials & Methods: The present research was conducted as an interventional study among 70 individuals (35 subjects for intervention and 35 for control groups) giving care to family members older than 60 years. The data collection tool in this study was a researcher-made questionnaire designed based on the BASNEF model measuring awareness, attitude, subjective norms, enabling factors and intent toward nutritional behaviors. Baseline and follow up information between interventions and controls were compared and the results were analyzed using SPSS version 22.

Results: The results of paired t-test revealed series of significant differences between score obtained at baseline and follow-up measurements within the intervention group for only 3 subscale of knowledge (p= 424.68, p= 0.001), attitude (t = 66.54, P = 0.001), as well as behavioral intention (t = 974.9., P= 0.001). The results of independent t-test showed series of significant differences between the two groups for 4 subscale of knowledge (t=0.399, p=0.001), attitude (t=90.78, p=0.000), enabling factor (t=0.09, p=0.02) and intention (t=110, p=0.000).

Conclusion: Our findings indicated that participating in educational programs can significantly increase level of knowledge, attitude, and behavioral intention about healthy nutritional behaviors. This study demonstrated the importance of receiving educational programs adopted from a model such as BASNEF in developing personal understanding of enabling factors to change the behavioral nutrition.


BASNEF Model; Behavioral Intention; Enabling Factors; Subjective Norms; Nutritional Attitude; Nutritional Knowledge; Nutritional Behaviors; Health Education.

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Alhossaini M. , Kazemnejad A. , Zayeri F. , Sadeghi M. Assessment of longitudinal and cross-sectional effects of age on adult obesity in an Iranian population: results of a large population-based cohort study. Iranian Red Crescent Medical Journal 2021;23(6).

Momenabadi V, Goodarzi E, Seraji M, Naghibzadeh-Tahami A, Beiranvand R, Nejadsadeghi E, Zahmatkeshan M, Moayed L, Khazaei Z: Insufficient Physical Activity Among Adults and Human Development Index: A Global Study. Iranian Red Crescent Medical Journal 2020;22(7).

Baharlouei H, Sadeghi-demneh E, Mehravar M, Manzari P, Shaterzadeh Yazdi MJ, Joghataei MT, Jaberzadeh S: Comparison of Transcranial Direct Current Stimulation of the Primary Motor Cortex and Cerebellum on Static Balance in Older Adults. Iranian Red Crescent Medical Journal 2020;22(3).

Raynaud-Simon A, Lesourd B: Malnutrition in the elderly. Clinical consequences. Presse medicale (Paris, France: 1983) 2000;29(39):2183-2190.

Qumer M, Albert A, Sarwar H, Abdullahi KO, Afzal M: Nursing students'desire to care for geriatric patients in Lahore, Pakistan. Gomal Journal of Medical Sciences 2022;20(2):67-74.

Muhammad S, Mudassar Iqbal A, Muhammad Ali G, Abdullah D, Saira S, Ramesha A: Interventional Study on Adherence to Pharmacotherapy and Drug Pattern in Elderly Patients at Civil Hospital of Badin, Pakistan. Sudan J Med Sci (SJMS) 2021;16(3).

Youssief AA, Gamal DA, El-Naggar MS, Zarzor MA, A R, Ahmed S: Could Concurrent Capecitabine with Hypofractionated Radiotherapy in Elderly Patients with Muscle-Invasive Bladder Cancer be an Option? Asian Pacific Journal of Cancer Prevention 2022;23(5):1733-1740.

Kim H: Comparisons of Factors Influencing Cancer Rescreening Intention in Middle-Aged and Elderly. Asian Pacific Journal of Cancer Prevention 2021;22(8):2521-2528.

Hatefi M, KomLakh K: Investigation of the effect of Duloxetine on pain status of patients with spinal cord injuries: A systematic review of drug therapy. Eurasian Chemical Communications 2022;4(3):256-262.

Kiumars Nowroozpoor D, Mohammad Ali Heidari G, Seyed Hamzeh H, Asadollah F: The Impact of Cataract Surgery on Depression in Elderly Iranian Patients: A Case-Control Study. Sudan J Med Sci (SJMS) 2021, 16(4).

Walaa Eldin I, Sami Mahjoub T, Mustafa Omran M, Mohammed El Imam Mohamed A: The Initial Experience of Trans-Rectal Ultrasound and Biopsy in Diagnosis of Carcinoma Prostate In Gezira Hospital For Renal Disease And Surgery (GHRDS). Sudan J Med Sci (SJMS) 2017;12(1).

Kose E, Wakabayashi H, Yasuno N: Polypharmacy and malnutrition management of elderly perioperative patients with cancer: a systematic review. Nutrients 2021;13(6):1961.

Swann OG, Breslin M, Kilpatrick M, O'Sullivan TA, Mori TA, Beilin LJ, Oddy WH: Dietary fibre intake and its association with inflammatory markers in adolescents. British Journal of Nutrition 2021;125(3):329-336.

Qi L, Van Dam RM, Liu S, Franz M, Mantzoros C, Hu FB: Whole-grain, bran, and cereal fiber intakes and markers of systemic inflammation in diabetic women. Diabetes care 2006;29(2):207-211.

Ahmad I: ABCDE of Community Nutritional Assessment. Gomal Journal of Medical Sciences 2019;17(2):27-28.

Ford DW, Jensen GL, Hartman TJ, Wray L, Smiciklas-Wright H: Association between dietary quality and mortality in older adults: a review of the epidemiological evidence. Journal of nutrition in gerontology and geriatrics 2013;32(2):85-105.

Sharifirad G, Najimi A, Hassanzadeh A, Azadbakht L: Application of BASNEF educational model for nutritional education among elderly patients with type 2 diabetes: improving the glycemic control. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences 2011;16(9):1149.

Najimi A, Azadbakht L, Hassanzadeh A, Sharifirad GR: The effect of nutritional education on metabolic outcomes based on BASNEF model in elderly patients with type 2 diabetes. 2010.

Taghadosi M, Madadzadeh N, Shadzi S, Hasanzadeh A: effects of education interventions on the coke workers' immune performances on baznef model basis at Isfahan Melting Factory, 2005. 2008.

Yarmohammadi S, Mahmoodi M, Jazayeri SA, Chamari M: The effect of an educational program based on the BASNEF model on the nutritional behavior of guidance school female pupils. Journal of School of Public Health and Institute of Public Health Research 2015;13(2):55-68.

Khosravi S, Khayyamfar A, Shemshadi M, Koltapeh MP, Sadeghi-Naini M, Ghodsi Z, Shokraneh F, Bardsiri MS, Derakhshan P, Komlakh K: Indicators of quality of care in individuals with traumatic spinal cord injury: a scoping review. Global spine journal 2022;12(1):166-181.

Komlakh K, Karbasfrushan A: The effect of Pregabalin on the pain status of patients with disc and spinal surgeries: A systematic review of drug therapy. Eurasian Chemical Communications 2022;4(11):1147-1155.

Komlakh K, Hatefi M: Abuse in Patients with Spinal Cord Injury During the COVID-19 Pandemic. Archives of Neuroscience 2022;9(1).

Khattak AM, Gul S, Muntaha ST: Evaluation of nutritional knowledge of mothers about their children. Gomal Journal of Medical Sciences 2007;5(1).

Burki ZG, Hassan M, Burki S, Farooqui WA, Zeb A, Ahmad S: Effect of zinc supplementation on serum fasting blood sugar and HbA1c in adult diabetics on oral hypoglycemic agents. Gomal Journal of Medical Sciences 2017;15(1):8-11.

Sadik I, Yagoub Z, Sayed N, El Nour A, Abide El Hameed M, Satee BA: The Level of Ischemic Modified Albumin (IMA) as Risk Marker for Cardio Vascular D isease (CVD) among some diabetic patients (type II) in Khartoum state -Sudan. Sudan Journal of Medical Sciences (SJMS) 2017;12(4).

Izadi rad H, Masoudi Gh, Zareban I: Evaluation of efficacy of education program based on BASNEF model on self-care behaviors of women with hypertension. Journal of zabol university of medical sciences and health services 2014;6(1):42-51.

Arani MD, Taghadosi M, Gilasi HR: The Effect of Education Based on BASNEF Model on Lifestyle in Patients with Hypertension. Iranian Red Crescent Medical Journal 2017 November; 19(11):e40731



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