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Preventing osteoporosis using the PRECEDE model

By: Lydia L. Kim, Digital Content Editor

In August 2019, a study was published that investigated the efficacy of educational intervention based on the PRECEDE (Predisposing, Reinforcing and Enabling Constructs in Educational Diagnosis and Evaluation) model to promote osteoporosis prevention behaviors in women.

The study evaluated 200 women in two health centers in Iran in 2017 and 2018. Investigators used a questionnaire that evaluated demographic data. The PRECEDE model was applied to measure nutrition and the women’s walking performances before and 12 months after intervention. The women’s bone mineral density was also recorded before and 12 months after intervention.

The findings revealed that after 12 months “education interventions based on PRECEDE model can positively affect prevention behaviors from osteoporosis by improving the subjects’ knowledge, attitude, enabling factors (resources such as health care access and services that can provide motivation for prevention behaviors from osteoporosis in women), self-efficacy, and reinforcing factors.”


The views and opinions expressed here are those of the author and do not necessarily reflect the opinions or recommendations of the American Nurses Association, the Editorial Advisory Board members, or the Publisher, Editors and staff of American Nurse Journal. This has not been peer reviewed.

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