The impact of using BASNEF model on self-control behaviors among Patients with hypertension

Moradali Zareipour, Mousa Ghelichi Ghojogh, Masoumeh Mahdi-akhgar, Sarvin Abbasi, Nooshin Yoshany, Tohid Hassanalilou, KhairMohammad Jadgal


Background: High blood pressure is the most important public health problem in developed countries. It is one reason for early mortality and risk factors for cardiovascular diseases like stroke and kidney failure. This study aimed to determine the effect of educational intervention based on BASNEF in blood pressure control in 1395.

Methods and Materials: This study was a quasi-experimental study on 160 patients in two groups (each n = 80) suffering from hypertension in urban health centers of Urmia. Data collection questionnaire included: demographic questions, knowledge base questions, self-control behaviors questions and structures of  BASNEF model. Validity and reliability were respectively 80% and 79%. Intervention group had taken three 45 minutes sessions using speeches, questions and answers, posters, booklets, pamphlets and whiteboard. Before training, information collected through questionnaires and after training questionnaires were completed again after 3 months. The data were analyzed in SPSS software with chi-square tests, Fisher, independent and paired sample t-test.

Results: The average age of case and control group were  99.11 ± 01.56 and 75.12 ± 66.53 years. That there was no statistically significant difference (p=0.1). After intervention average systolic blood pressure significantly decreased in the intervention group from 43.157 to 24.147 mm Hg and diastolic blood pressure significantly decreased from 21.93 to 52.87 mm Hg (P <0.05)

Conclusion:  The training program using BASNEF model has provided better results in controlling blood pressure than conventional trainings.


BASNEF model, blood pressure, self-control

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- Barikani A, Saeedi F. Prevalence of hypertension among women aged 30 in minoodar region of Qazvin in 2009. Journal of Qazvin University of Medical Sciences 2010; 1: 41-8. [In Persian]

- Jabal Ameli SH, Neshatdoost H.T, Molavi H. The effectiveness of cognitive behavioral stress management intervention on Quality of life and blood pressure in patients with hypertension. Journal of Medical Sciences. 2011; 15: 89; 88-97. [In Persian]

- Baghaee R, Khaledian N, Didarloo A, Alinezhad V. THE EFFECT OF AN EDUCATIONAL INTERVENTION ON THE MEDICATION ADHERENCE IN PATIENTS WITH HYPERTENSION: BASED ON BASNEF MODEL. J Urmia Nurs Midwifery Fac. 2016; 14 (9) :811-821. [In Persian]

- Izadirad H, Masoudi GH R, Zareban Ir, Shahraki Poor M, Haghshenas D. Effectivness of an educational program based on BASNEF model on blood pressure in hypertension. Payesh 2014; 13: 487-495. [In Persian]

- Izadirad H, Masoudi GH R, Zareban Ir, Shahraki Poor M, Jadgal Kh. M. Effect of education based on BASNEF on blood pressure in hypertensive women. Scientific journal of torbat heydariyeh university of mediacl sciences. 2014; 1: 2. 22-30. [In Persian]

- Vrijens B, Vincze G, Kristanto P, Urquhart J, Burnier M. Adherence to prescribed antihypertensive drug treatments: longitudinal study of electronically compiled dosing histories. BMJ 2008;336 (7653): 1114-7.

- Ghembaza MA, Senoussaoui Y, Kendouci Tani M, Meguenni K. Impact of patient knowledge of hypertension complications on adherence to antihypertensive therapy. Curr Hypertens Rev 2014;10(1): 41-8.

- Rezazadeh-kermani M. Epidemiology and heterogeneity of hypertension in Iran: a systematic review. Arch Iran Med 2008;11(4): 444-52.

- Baghiyanimogaddam MH, Ayvazi S, Mazloomimahmoodabad SS, Fallazadeh H. factors in relation with self- regulation of hypertension, based on model of good directed behavior in yazd city. Journal of Birjand university of medical sciences2007;15(3):78-87. [In Persian]

- Sacks FM, Campos H. Dietary therapy in hypertension. N Engl J Med 2010;362 (22): 2102-12.

- Jalilian N, Tavafian S S, Aghamolaei T, Ahmadi S. The effects of health education program on knowledge and attitudes of people suffering from hypertention. Iran J Health Educ Health Promot 2014; 1(4): 37-44. [In Persian]

- Ogedegbe G, Plange-Rhule J, Gyamfi J, Chaplin W, Ntim M, Apusiga K, Khurshid K, Cooper R. A cluster-randomized trial of task shifting and blood pressure control in Ghana: study protocol. Implement Sci 2014; 9(1): 73.

- Zendehtalab H, Vaghei S, Emami-moghadam Z. Effect of intervention based on BASNEF model on quality of life in patients with type 2 diabetes. Evidence based care 2013: 3(1): 7-16.

- Zareipour M A, Sadeghi R, Sadeghi Tabatabaee S. A., Sayedi S. Factors Affecting based on BASNEF model on smoking behavior among male students in Tehran University of Medical Sciences. Urima Nursing and Midwifery journal 2010: 1 (1): 23-29. [In Persian]

- Didarloo A, Shojaii-zade D, Mohammadian H. Planning health promotion, based on the models of behavior change. 2, editor. Tehran: Asar Sobhan; 2014. [In Persian]

- Najimi A, Azadbakht L, Hassanzade A, Sharifirad GR. The effect of nutritional eduucation on metabolic outcomes based on BASNEF model in elderly patients with type 2 diabetes. Health system research 2010;6 (3): 549-58.

- Khani-Jeihooni A, Hatami M, Kashfi S M, Heshmati H. The effectiveness of education based on BASNEF model program in promotion of preventive behavior of Leishmaniasis among health workers and families under health centers coverage. J Fasa Univ Med Sci 2012;2(1): 26-33. [In Persian]

- Agha Molaei T, Eftekhar H, Mohammad K. Application of health belief model to behavior change of diabetic patients. Payesh. 2005; 4(4):263-269. [In Persian]

- Jadgal Kh. M., Alizade-Seiouki H., Lotfi-Mayen-Boulagh, B. & Zareban. The Effectiveness of Educational Program Based On BASNEF Model on the Urban Taxi Drivers’ Healthy Lifestyle. Iran J Health Educ Health Promot. Summer 2016; 4(2): 110-119. [In Persian]

- Yoshany N, Mihanpour H, Jadgal Kh. M, Dori M. The Effect of Breast Self Examination Educational Program on the Knowledge and Performance of Women in Yazd. Journal of Community Health Research. 2016; 5 (3): 211-219.

- Hemati Z, Ganji F, Alidosti M, Reisi M. The impact of education based on the basnef model on maternal attitudes toward child abuse in Shahrekord health centers, 2012. Int J Community Based Nurs Midwifery 2013; 1(3): 130-6.

- Baghaee R, Khaledian N, Didarloo A, Alinezhad V. THE EFFECT OF AN EDUCATIONAL INTERVENTION ON THE MEDICATION ADHERENCE IN PATIENTS WITH HYPERTENSION: BASED ON BASNEF MODEL. The J Urmia Nurs Midwifery Fac, Vol 14(9), December, 2016. [In Persian]

- Daniels PR, Kardia SL, Hanis CL. Familial aggregation of hypertension treatment and control in the genetic epidemiology network of arteriopathy (GENOA) study. The American Journal of medicine 2004; 116(10): 676-81.

- chobanian AV, Bakris GL, Black HR ,Cushman Wc, Green LA, Izzo JL, et al.seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension 2003; 42 (6):1206-52.

- Baghianimoghadam M.H, Rahaee Z, Morovatisharifabad M.A, Sharifirad GH, AndishmandA, Azadbakht L. Effects of education on self- monitoring of blood pressure based on BASNAF model in hepertensive patients. Journal of research in medical sciences2010; 15(2):70-77.

- Sadeghi R, Rezaeian M, Mohseni M. The effect of an educational program based on BASNEF model on breast self- examination practice of 20-45 year old women in Sirjan city: A training trial study. JRUMS 2015; 14 (9): 769-80. [In Persian]

- Izadirad H, Masoudy G. Evaluation of efficacy of education program based on BASNEF model on Self-care behaviors of women with hypertension. J Zabol Univ Med Sci 2014;6(1): 42-51. [In Persian]

- Hazavehei M. M, KhaniJyhouni A, Hasanzadeh A, Rashidi M. the effect of education program based on BASNEF model on diabetic (type II)eyes care in kazemis clinic, Journal of endocrinology and metabolism2008;10:145-154.

- Mohebi S, Shahsiah M, Matlabi M, Kargar M. the study of factors influencingsmoking among male university students in Kermanshah. knowledge & health 2010;5(2,3):5-11. [In Persian]

- Ezzati E, Anoosheh M, Mohammadi E.[A study of the effects of group discussion with male high school students on their parents hypertension control]. J research & health. 2011; 1:64-72. [In Persian]

- Chodosh J, Morton SC, MojicaW, Maglione M, Suttorp MJ, HiltonL, et al. Meta-analysis chronic disease self-management program for older adults.philadelphia2005; 143(6):412-427.


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