Volume 12, Issue 1 (June 2026)
Elderly Health Journal 2026, 12(1): 72-79 |
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Mohammadi A, Karamizadeh F, Karimiankakolaki Z. Effectiveness of Tele-nursing Supportive Educational Intervention Based on Health Belief Model on Preventive Behaviors of Urinary Tract Infection in People with Spinal Cord Injury: A Protocol Study. Elderly Health Journal 2026; 12 (1) :72-79
URL: http://ehj.ssu.ac.ir/article-1-383-en.html
URL: http://ehj.ssu.ac.ir/article-1-383-en.html
Department of Health, Shk.C., Islamic Azad University, Shahrekord, Iran , zohrehkarimian68@gmail.com
Abstract: (47 Views)
Introduction: Urinary tract infection (UTI) is one of the complications of people with spinal cord injury (SCI). The present study aims to design a protocol for the effectiveness of a telenursing educational intervention based on the health belief model (HBM) on preventive behaviors against UTI in people with SCI in Iran.
Methods: The present study is a randomized controlled trial protocol that will be conducted in 44 individuals with SCI and UTI in rehabilitation centers in Shahrekord, Iran in 2025. The design of this study includes three phases. The first phase of the study is to design a researcher-made questionnaire based on the Health Belief Model (HBM) to assess knowledge, attitude, and preventive behavior of UTI in people with SCI. In the second phase of the study, a telenursing educational-support program will be designed. The third phase will include a pre-test, implementation of the educational intervention, and a post-test two months after the intervention in the intervention and control groups. Data analysis will be performed with SPSS-23 software.
Discussion: This study presents a novel approach to promote preventive behaviors against UTI in individuals with SCI by designing an integrated educational protocol based on telenursing and the HBM. The findings of this study can lead to a significant reduction in complications from UTI and improve the quality of life of these patients.
Methods: The present study is a randomized controlled trial protocol that will be conducted in 44 individuals with SCI and UTI in rehabilitation centers in Shahrekord, Iran in 2025. The design of this study includes three phases. The first phase of the study is to design a researcher-made questionnaire based on the Health Belief Model (HBM) to assess knowledge, attitude, and preventive behavior of UTI in people with SCI. In the second phase of the study, a telenursing educational-support program will be designed. The third phase will include a pre-test, implementation of the educational intervention, and a post-test two months after the intervention in the intervention and control groups. Data analysis will be performed with SPSS-23 software.
Discussion: This study presents a novel approach to promote preventive behaviors against UTI in individuals with SCI by designing an integrated educational protocol based on telenursing and the HBM. The findings of this study can lead to a significant reduction in complications from UTI and improve the quality of life of these patients.
Type of Study: Research |
Subject:
General
Received: 2026/05/22 | Accepted: 2026/06/18 | Published: 2026/06/20
Received: 2026/05/22 | Accepted: 2026/06/18 | Published: 2026/06/20
References
1. National Spinal Cord Injury Statistical Center. Facts and Figures at a Glance. Birmingham, AL: University of Alabama at Birmingham; 2021.
2. Lavelle JP. Intermittent catheters: to reuse or not. Spinal Cord Series and Cases. 2020; 6: 1-2.
3. Chang SC, Zeng S, Tsai SJ. Outcome of different approaches to reduce urinary tract infection in patients with spinal cord lesions: a systematic review. American Journal of Physical Medicine & Rehabilitation. 2020; 99(11): 1056-66.
4. Milligan J, Goetz LL, Kennelly MJ. A primary care provider's guide to management of neurogenic lower urinary tract dysfunction and urinary tract infection after spinal cord injury. Topics in Spinal Cord Injury Rehabilitation. 2020; 26(2): 108-15.
5. D'Hondt F, Everaert K. Urinary tract infections in patients with spinal cord injury. Current Infectious Disease Reports. 2011; 13(6): 544-51.
6. Garcia-Arguello LY, Gater DR Jr. Urinary tract infection in the patient with spinal cord injury. Physical Medicine and Rehabilitation Clinics of North America. 2021; 32(2): 351-67.
7. Taghdisi MH, Nejadsadeghi E. The effect of health education based on health belief model on behavioral promotion of urinary infection prevention in pregnant women. Journal of Research & Health. 2012; 2(1): 44-54.
8. Mohammad ACS, Mirghafourvand M, Rahmani A, Seidi S, Safari E, Mahini M, et al. The effect of software on knowledge and performance of teenage girls toward puberty hygiene: a randomized controlled trial. Iranian Journal of Medical Education. 2014; 14(2): 110-21.
9. Nageswaran L, Giurleo C, Seliman M, Askes HK, Abu-Jurji Z, Craven BC, et al. Parkwood's VIP4SCI platform: A virtual e-health self-management solution for persons with spinal cord injury across the care continuum. Digital Health. 2024; 10: 1-13.
10. Lee S, Kim J, Kim J. Substantiating clinical effectiveness and potential barriers to the widespread implementation of spinal cord injury telerehabilitation: a systematic review and qualitative synthesis of randomized trials in the recent past decade. Telemedicine Reports. 2021; 2(1): 64-77.
11. Tabari L, Kamada I, Rabeh SAN, Nogueira PC. Nursing teleconsultation for people with spinal cord injury: nurses' opinion on the main guidelines. ESTIMA, Brazilian Journal of Enterostomal Therapy. 2023; 21: 1475.
12. Behzad Y, Bastani F, Haghani H. Effect of empowerment program with the telephone follow-up (tele-nursing) on self-efficacy in self-care behaviors in hypertensive older adults. Nursing and Midwifery Journal. 2016; 13(11): 1004-15.
13. Seyed-Rajabizadeh S, Shojaizadeh D. The effect of educational intervention based on health belief model on the promotion of preventive behaviors of urinary tract infections in pregnant women referred to comprehensive health centers in Dezful, Iran, 2019-2020. Journal of Health System Research. 2021; 17(2): 104-10.
14. Chang SC, Zeng S, Tsai SJ. Outcome of different approaches to reduce urinary tract infection in patients with spinal cord lesions: a systematic review. American Journal of Physical Medicine & Rehabilitation. 2020; 99(11): 1056-66.
15. Ashta K, Mohan C, Nair BT, Arora S. Study of prevalence, microbiologic agents, and bladder management methods of urinary tract infections among spinal cord injury patients. Archives of Medicine and Health Sciences. 2023; 11(1): 64-69.
16. Javaheri Tehrani F, Nikpour S, Haji Kazemi EA, Sanaie N, Panahi SAS. The effect of education based on health belief model on health beliefs of women with urinary tract infection. International Journal of Community Based Nursing and Midwifery. 2014; 2(1): 2-11.
17. Gibson NA, Arends R, Hendrickx L. Tele-U to tele-ICU: telehealth nursing education. Critical Care Nurse. 2021; 41(5): 34-9.
18. Madadkar Dehkordi S, Okhovat F, Karimiankakolaki Z. Designing a clinical trial protocol about the impact of family-based multimedia education based on telephone tracking (tele nursing) to improve the quality of life and self-efficacy in patients with myocardial infarction. International Journal of Surgery Protocols. 2021; 25(1): 92-7.
19. Rizk S, Siam B. Effect of tele-nursing education program on nurses’ compliance with standard precautions during COVID-19 pandemic. Assiut Scientific Nursing Journal. 2021; 9(25): 10-9.
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