eISSN: 2299-0038
ISSN: 1643-8876
Menopause Review/Przegląd Menopauzalny
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vol. 23
Original paper

The impact of theory-based education on promoting urinary tract infection prevention behaviours among elderly diabetic women – experimental study

Elham Nejadsadeghi
Elham Eshaghi gorji
Ahmad Vakili-Basir
Samaneh Norouzi
Seyedeh Leila Dehghani
Shahab Papi
6, 7

  1. Behbahan Faculty of Medical Sciences, Behbahan, Iran
  2. Department of Geriatric Nursing, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Science, Yazd, Iran
  3. Department of Epidemiology and Biostatics, school of Public Health, Tehran university of Medical Sciences, Tehran, Iran
  4. Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
  5. Behbahan Faculty of Medical Sciences, Behbahan, Iran.
  6. Department of Geriatric Health, School of Health, Mazandaran University of Medical Sciences, Sari, Iran
  7. Dental Research Center, Mazandaran University of Medical Sciences, Sari, Iran
Menopause Rev 2024; 23(1): 41-52
Online publish date: 2024/03/28
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Urinary tract infection (UTI) is a prevalent infection among the elderly population, often culminating in more severe and life-threatening complications. The prevalence of diabetes among elderly individuals is markedly on the rise, with UTI emerging as the most prevalent infectious ailment in this diabetic cohort. This study aims to ascertain the influence of theory-based education on promoting UTI prevention behaviours among elderly diabetic women.

Material and methods
In this experimental study, 100 elderly women with diabetes who sought care at comprehensive health service centres in Miandoab City between January and May 2022 were assessed. Multistage random sampling was employed, and an educational intervention was designed according to the health belief model (HBM) constructs. Data collected before and one month after the educational intervention were analysed with a validated and reliable researcher-designed questionnaire.

The participants had a mean age of 62.30 ±7.63 years. There was significant disparity between the experimental and control groups concerning the mean scores for knowledge, HBM constructs, and behaviour, with adjustments made for baseline differences. In essence, the intervention had significant affects, resulting in heightened levels of knowledge, improvements in HBM constructs, and more favourable behavioural changes. The effect size was moderate for perceived benefits and severity, while it was large for other variables (p < 0.05).

The research findings validate the effectiveness of an intervention grounded in HBM for fostering UTI prevention behaviours among elderly diabetic women. Consequently, such an approach is recommended for enhancing the overall health of elderly diabetic women.


aging, women, diabetes, urinary tract infection, educational intervention

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