Effect of Educational Intervention on Promoting Adherence to Iron Supplementation Consumption Program in Pregnant Women

Abstract

[1] Dietary determinants of and possible solutions to iron deficiency for young women living in industrialized countries: a review [2] WHO recommendations on antenatal care for a positive pregnancy experience [3] Anaemia in pregnancy [4] Systematic review and meta-analysis of the prevalence of anemia among pregnant Iranian women (2005-2015) [5] Health knowledge of pregnant women on anemia and its complication in pregnancy [6] Awareness of iron deficiency anemia among women of Reproductive age in Hubei Province, China [7] Psychometric properties of a protection motivation theory questionnaire used for cancer early detection [8] Phytates and the inhibitory effect of bran on iron absorption in man [9] Simple educational intervention will improve the efficacy of routine antenatal iron supplementation [10] Prenatal care behaviors status among pregnant women using by BASNEF model [11] Interventional study to strengthen the health promoting behaviours of pregnant women to prevent anaemia in southern India [12] Cognitive and physiological processes in fear appeals and attitude change: a revised theory of protection motivation [13] The effect of education for iron consumption based on the theory of planned behavior in pregnant women in Mashhad [14] The effect of educational package on nutritional knowledge and behavior toward the coping with complication and supplement consumption [15] Effectiveness of an educational program on mothers' knowledge about iron deficiency anemia [16] The effect of educational intervention on preventive nutritional behaviors of anemia in pregnant women based on health belief model [17] Iron deficiency anemia (IDA) perceptions and dietary iron intake among young women and pregnant women in Jordan [18] Effects of education based on health belief model on dietary behaviors of Iranian pregnant women [19] Predictors of iron supplement consumption in high school girls: an application of the health promotion model Aims Incomplete adherence to iron supplementation consumption program is one of the main causes of iron deficiency anemia during pregnancy. The purpose of this study was to investigate the effect of educational intervention on promoting adherence to different aspects of iron supplementation consumption program in pregnant women. Materials & Methods This semi-experimental study with pretest-posttest design with control group was conducted among 100 pregnant women during 16-20 weeks of pregnancy who referred to two health centers in Asadabad, Hamadan in 2017. The subjects were selected using random sampling method and randomly divided into intervention and control groups (50 people in each group). The training program was presented to the intervention group in the form of text messages along with pictures, self-monitoring and a phone call. Blood parameters were measured by blood tests and other variables were evaluated using a questionnaire. Data were analyzed by SPSS 21 software using Chi-square test, independent t-test and paired t-tests. Findings Intervention could make a significant difference in the behavior of mothers in both groups regarding iron supplementation consumption with vitamin C sources (p<0.001). However, despite the improvement of iron supplementation consumption behavior, lack of simultaneous iron supplementation consumption with calcium sources and observation of the distance between tea drinking and supplement consumption, the difference between the two groups was not significant. The mothers of the two groups also had a significant difference in the amount of ferritin (p=0.003). Conclusion The intervention program designed based on the protection motivation theory is effective in promoting adherence to the iron supplementation consumption plan and reducing anemia in pregnant women.