Year 2025,
Volume: 15 Issue: 2, 399 - 408, 30.06.2025
Zehra Kartoğlu
,
Nurcan Kolaç
References
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Karatay, G., Yeşiltepe, A., Aktaş, H. Cardiovascular disease risk factors knowledge levels of individuals over 40 years old and their relationship with some variables. Acta Med Nicomedia. 2021;4(2):50-55. (Turkish)
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Boateng, D., Wekesah, F., Browne, J. L., Agyemang, C., Agyei-Baffour, P., Aikins, A. D., Smit, H. A., Grobbee, D. E., Klipstein-Grobusch, K. Knowledge and awareness of and perception towards cardiovascular disease risk in sub-Saharan Africa: A systematic review. PloS one. 2017;12(12):e0189264. https://doi.org/10.1371/journal.pone.0189264
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Saffari, M., Sanaeinasab, H., Jafarzadeh, H., Sepandi, M., O'Garo, K. N., Koenig, H. G., Pakpour, A. H. Educational intervention based on the health belief model to modify risk factors of cardiovascular disease in police officers in Iran: A quasi-experimental study. J Prev Med Public Health. 2020;53(4):275–284. https://doi.org/10.3961/jpmph.20.095
-
Amraei, S. G., Malekshahi, F., Goudarzi, F., Ebrahimzadeh, F. Using an educational program based on health belief model to improve the preventive behaviors of nurses against cardiovascular diseases. J Educ Health Promot. 2020;9(1):100. https://doi.org/10.4103/jehp.jehp_620_19
-
Racodon, M., and Porrovecchio, A. Un réseau de santé pour l’éducation thérapeutique en cas de pathologies cardiovasculaires [A therapeutic patient education health network for cardiovascular disease]. Soins. 2019;64(837):18–21. https://doi.org/10.1016/j.soin.2019.06.002
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Türkiye İstatistik Kurumu. Adrese Dayalı Nüfus Kayıt Sistemi Sonuçları, 2023. Available at: https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2023-49684 Accessed July 19, 2024. (Turkish)
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Moretti Anfossi, C., Tobar Fredes, C., Pérez Rojas, F., Cisterna Cid, F., Siques Urzúa, C., Ross, J., Head, J., Britton, A. Workplace interventions for cardiovascular diseases: protocol of a systematic review and meta-analysis. BMJ open. 2022;12(8):e061586. https://doi.org/10.1136/bmjopen-2022-061586
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Ras J, Kengne AP, Smith DL, Soteriades ES, Leach L. Association between cardiovascular disease risk factors and cardiorespiratory fitness in firefighters: A systematic review and meta-analysis. Int J Environ Res Public Health. 2023;20(4):2816. https://doi.org/10.3390/ijerph20042816
-
Ras, J., Leach, L. Prevalence of coronary artery disease risk factors in firefighters in the city of Cape Town fire and rescue service - A descriptive study. J Public Health Res. 2021;10(1):2000. https://doi.org/10.4081/jphr.2021.2000
-
Ras, J., Kengne, A. P., Smith, D. L., Soteriades, E. S., November, R. V., Leach, L. Effects of cardiovascular disease risk factors, musculoskeletal health, and physical fitness on occupational performance in firefighters-A systematic review and meta-analysis. Int J Environ Res Public Health. 2022;19(19):11946. https://doi.org/10.3390/ijerph191911946
-
Gendron, P., Lajoie, C., Laurencelle, L., Trudeau, F. Cardiovascular disease risk in female firefighters. Occup Med (Lond). 2018;68(6):412–414. https://doi.org/10.1093/occmed/kqy074
-
Hunter, A. L., Shah, A. S., Langrish, J. P., Raftis, J. B., Lucking, A. J., Brittan, M., Venkatasubramanian, S., Stables, C. L., Stelzle, D., Marshall, J., Graveling, R., Flapan, A. D., Newby, D. E., Mills, N. L. Fire simulation and cardiovascular health in firefighters. Circulation. 2017;135(14):1284–1295. https://doi.org/10.1161/CIRCULATIONAHA.116.025711
-
Savall, A., Charles, R., Bertholon, A., Gramont, B., Trombert, B., Barthélémy, J. C., Roche, F. Volunteer and career French firefighters: Cardiovascular risk factors and cardiovascular risk assessment. Eur J Prev Cardiol. 2020;27(1):107–109. https://doi.org/10.1177/2047487319827463
-
Jeung, D. Y., Hyun, D. S., Kim, I., Chang, S. J. Effects of emergency duties on cardiovascular diseases in firefighters: A 13-year retrospective cohort study. J Occup Environ Med. 2022;64(6):510–514. https://doi.org/10.1097/JOM.0000000000002490
-
Mathias, K. C., Bode, E. D., Stewart, D. F., Smith, D. L. Changes in firefighter weight and cardiovascular disease risk factors over five years. Med Sci Sports Exerc. 2020;52(11):2476–2482. https://doi.org/10.1249/MSS.0000000000002398
-
Roman, W.P., Martin, H.D., Sauli, E. Assessment of risk factors for cardiovascular diseases among patients attending cardiac clinic at a referral hospital in Tanzania. J Xiangya Med. 2019;4(18):1-14.
-
Palmer, A. S., Yoos, J. L. Health promotion in volunteer firefighters: Assessing knowledge of risk for developing cardiovascular disease. Workplace Health Saf. 2019;67(12):579–583. https://doi.org/10.1177/2165079919853822
-
Wohlgemuth, K. J., Conner, M. J., Tinsley, G. M., Palmer, T. B., Mota, J. A. Strategies for improving firefighter health on-shift: A review. J Funct Morphol Kinesiol. 2024;9(2):105. https://doi.org/10.3390/jfmk9020105
-
Coşkun S. Investigation of the relationship between the knowledge level of cardiovascular diseases risk factors and health promotion and protective behaviors of adults. Turk J Cardiovasc Nurs. 2024;15(36):8-16. (Turkish)
-
Vural Doğru B, Utli H, Karaman E. Cardiovascular disease risk awareness assessment questionnaire: Psychometric properties of the turkish version. Turk J Cardiovasc Nurs 2021;12(27):18-25. https://dx.doi.org/10.5543/khd.2021.05914
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Chow, C. K., Islam, S. M., Farmer, A., Bobrow, K., Maddision, R., Whittaker, R., Dale, L. P., Lechner, A., Niessen, L., Lear, S. A., Eapen, Z. J., Santo, K., Stepien, S., Redfern, J., Rodgers, A. Text2PreventCVD: protocol for a systematic review and individual participant data meta-analysis of text message-based interventions for the prevention of cardiovascular diseases. BMJ Open. 2016;6(10):e012723. https://doi.org/10.1136/bmjopen-2016-012723
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Sallis, A., Sherlock, J., Bonus, A., Saei, A., Gold, N., Vlaev, I., Chadborn, T. Pre-notification and reminder SMS text messages with behaviourally informed invitation letters to improve uptake of NHS Health Checks: a factorial randomised controlled trial. BMC Public Health. 2019;19(1):1162. https://doi.org/10.1186/s12889-019-7476-8
Impact of Education and Text Messages on Cardiovascular Disease Risk Factors Awareness Knowledge and Quality of Life
Year 2025,
Volume: 15 Issue: 2, 399 - 408, 30.06.2025
Zehra Kartoğlu
,
Nurcan Kolaç
Abstract
Objective: This study was conducted to evaluate the effect of health education based on the health belief model and text messages on knowledge, awareness and quality of life regarding cardiovascular disease risk factors in firefighters.
Methods: The research data were collected by the researcher between December 2023 and May 2024 at two different fire stations on the European side of Istanbul. The intervention group received a 3-session Health Belief Model-based health education on prevention of cardiovascular disease risk factors. Following the health education, a total of 39 reminder text messages were sent via WhatsApp three or four times a week for 12 weeks to increase self-efficacy and health motivation. Data were collected using the Introductory Information Form, Cardiovascular Disease Risk Awareness Rating Scale, Cardiovascular Disease Risk Factor Knowledge Level Scale and EQ-5D-5L Quality of Life Scale.
Results: In the post-test, the mean scores of the intervention group on the Cardiovascular Disease Risk Awareness Rating Scale and Cardiovascular Disease Risk Factors Knowledge Level Scale were significantly higher than those of the control group (p<.05).
Conclusion: Health Belief Model-based cardiovascular disease risk factor prevention education and text messages increased firefighters' awareness, knowledge and quality of life in cardiovascular disease risk factor prevention.
Ethical Statement
This study was approved by Ethics Committee of Marmara University, Noninvasive Clinic Ethics Committee (Approval date: 14.07.2023; Number: 09.2023.931)
Thanks
We would like to thank Marmara University for providing access to academic databases, Niyazi Kartoğlu for inspiring this study and all the firefighters who participated in the study.
References
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Civek S., Akman M. Frequency and risk assessment of cardiovascular diseases in the world and Turkey. Jour Turk Fam Phy. 2022;13(1):21-28. (Turkish)
-
World Heart Federation. World Heart Report 2023: Confronting the World’s Number One Killer. Geneva, Switzerland. World Heart Federation. Available at: https://world-heart-federation.org/wp-content/uploads/World-Heart-Report-2023.pdf. Accessed January 14, 2024.
-
Balbay, Y., Gagnon-Arpin, I., Malhan, S., Öksüz, M. E., Sutherland, G., Dobrescu, A., Villa, G., Ertuğrul, G., Habib, M. Modeling the burden of cardiovascular disease in Turkey. Anatol J Cardiol. 2018;20(4):235–240. https://doi.org/10.14744/AnatolJCardiol.2018.89106
-
Karatay, G., Yeşiltepe, A., Aktaş, H. Cardiovascular disease risk factors knowledge levels of individuals over 40 years old and their relationship with some variables. Acta Med Nicomedia. 2021;4(2):50-55. (Turkish)
-
World Health Organization. Cardiovascular diseases (CVDs). Available at: https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds). Accessed August 10, 2023.
-
Türkiye İstatistik Kurumu. Ölüm Nedeni İstatistikleri, 2023. Available at: https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2022-49679. Accessed August 3, 2024. (Turkish)
-
Chukwuemeka, U.M., Okoro, F.C., Okonkwo, U.P., Amaechi, I.A., Anakor, A.C., Onwuakagba, I.U., Okafor, C.N. Knowledge, awareness, and presence of cardiovascular risk factors among college staff of a Nigerian University. Bull Fac Phys Ther. 2023;28(8). https://doi.org/10.1186/s43161-023-00119-w
-
Boateng, D., Wekesah, F., Browne, J. L., Agyemang, C., Agyei-Baffour, P., Aikins, A. D., Smit, H. A., Grobbee, D. E., Klipstein-Grobusch, K. Knowledge and awareness of and perception towards cardiovascular disease risk in sub-Saharan Africa: A systematic review. PloS one. 2017;12(12):e0189264. https://doi.org/10.1371/journal.pone.0189264
-
Muhihi, A. J., Urassa, D. P., Mpembeni, R. N. M., Leyna, G. H., Sunguya, B. F., Kakoko, D., Kessy, A. T., Njelekela, M. A. Effect of training community health workers and their interventions on cardiovascular disease risk factors among adults in Morogoro, Tanzania: study protocol for a cluster randomized controlled trial. Trials. 2018;19(1):552. https://doi.org/10.1186/s13063-018-2924-9
-
Saffari, M., Sanaeinasab, H., Jafarzadeh, H., Sepandi, M., O'Garo, K. N., Koenig, H. G., Pakpour, A. H. Educational intervention based on the health belief model to modify risk factors of cardiovascular disease in police officers in Iran: A quasi-experimental study. J Prev Med Public Health. 2020;53(4):275–284. https://doi.org/10.3961/jpmph.20.095
-
Amraei, S. G., Malekshahi, F., Goudarzi, F., Ebrahimzadeh, F. Using an educational program based on health belief model to improve the preventive behaviors of nurses against cardiovascular diseases. J Educ Health Promot. 2020;9(1):100. https://doi.org/10.4103/jehp.jehp_620_19
-
Racodon, M., and Porrovecchio, A. Un réseau de santé pour l’éducation thérapeutique en cas de pathologies cardiovasculaires [A therapeutic patient education health network for cardiovascular disease]. Soins. 2019;64(837):18–21. https://doi.org/10.1016/j.soin.2019.06.002
-
Türkiye İstatistik Kurumu. Adrese Dayalı Nüfus Kayıt Sistemi Sonuçları, 2023. Available at: https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2023-49684 Accessed July 19, 2024. (Turkish)
-
Moretti Anfossi, C., Tobar Fredes, C., Pérez Rojas, F., Cisterna Cid, F., Siques Urzúa, C., Ross, J., Head, J., Britton, A. Workplace interventions for cardiovascular diseases: protocol of a systematic review and meta-analysis. BMJ open. 2022;12(8):e061586. https://doi.org/10.1136/bmjopen-2022-061586
-
Ras J, Kengne AP, Smith DL, Soteriades ES, Leach L. Association between cardiovascular disease risk factors and cardiorespiratory fitness in firefighters: A systematic review and meta-analysis. Int J Environ Res Public Health. 2023;20(4):2816. https://doi.org/10.3390/ijerph20042816
-
Ras, J., Leach, L. Prevalence of coronary artery disease risk factors in firefighters in the city of Cape Town fire and rescue service - A descriptive study. J Public Health Res. 2021;10(1):2000. https://doi.org/10.4081/jphr.2021.2000
-
Ras, J., Kengne, A. P., Smith, D. L., Soteriades, E. S., November, R. V., Leach, L. Effects of cardiovascular disease risk factors, musculoskeletal health, and physical fitness on occupational performance in firefighters-A systematic review and meta-analysis. Int J Environ Res Public Health. 2022;19(19):11946. https://doi.org/10.3390/ijerph191911946
-
Gendron, P., Lajoie, C., Laurencelle, L., Trudeau, F. Cardiovascular disease risk in female firefighters. Occup Med (Lond). 2018;68(6):412–414. https://doi.org/10.1093/occmed/kqy074
-
Hunter, A. L., Shah, A. S., Langrish, J. P., Raftis, J. B., Lucking, A. J., Brittan, M., Venkatasubramanian, S., Stables, C. L., Stelzle, D., Marshall, J., Graveling, R., Flapan, A. D., Newby, D. E., Mills, N. L. Fire simulation and cardiovascular health in firefighters. Circulation. 2017;135(14):1284–1295. https://doi.org/10.1161/CIRCULATIONAHA.116.025711
-
Savall, A., Charles, R., Bertholon, A., Gramont, B., Trombert, B., Barthélémy, J. C., Roche, F. Volunteer and career French firefighters: Cardiovascular risk factors and cardiovascular risk assessment. Eur J Prev Cardiol. 2020;27(1):107–109. https://doi.org/10.1177/2047487319827463
-
Jeung, D. Y., Hyun, D. S., Kim, I., Chang, S. J. Effects of emergency duties on cardiovascular diseases in firefighters: A 13-year retrospective cohort study. J Occup Environ Med. 2022;64(6):510–514. https://doi.org/10.1097/JOM.0000000000002490
-
Mathias, K. C., Bode, E. D., Stewart, D. F., Smith, D. L. Changes in firefighter weight and cardiovascular disease risk factors over five years. Med Sci Sports Exerc. 2020;52(11):2476–2482. https://doi.org/10.1249/MSS.0000000000002398
-
Roman, W.P., Martin, H.D., Sauli, E. Assessment of risk factors for cardiovascular diseases among patients attending cardiac clinic at a referral hospital in Tanzania. J Xiangya Med. 2019;4(18):1-14.
-
Palmer, A. S., Yoos, J. L. Health promotion in volunteer firefighters: Assessing knowledge of risk for developing cardiovascular disease. Workplace Health Saf. 2019;67(12):579–583. https://doi.org/10.1177/2165079919853822
-
Wohlgemuth, K. J., Conner, M. J., Tinsley, G. M., Palmer, T. B., Mota, J. A. Strategies for improving firefighter health on-shift: A review. J Funct Morphol Kinesiol. 2024;9(2):105. https://doi.org/10.3390/jfmk9020105
-
Coşkun S. Investigation of the relationship between the knowledge level of cardiovascular diseases risk factors and health promotion and protective behaviors of adults. Turk J Cardiovasc Nurs. 2024;15(36):8-16. (Turkish)
-
Vural Doğru B, Utli H, Karaman E. Cardiovascular disease risk awareness assessment questionnaire: Psychometric properties of the turkish version. Turk J Cardiovasc Nurs 2021;12(27):18-25. https://dx.doi.org/10.5543/khd.2021.05914
-
Arıkan, I., Metintaş, S., Kalyoncu, C., Yildiz, Z. The cardiovascular disease risk factors knowledge level (CARRF-KL) Scale: a validity and reliability study. Arch Turk Soc Cardiol 2009;37(1):35-40. (Turkish)
-
Yusuf, S., Joseph, P., Rangarajan, S., Islam, S., Mente, A., Hystad, P., Brauer, M., Kutty, V. R., Gupta, R., Wielgosz, A., AlHabib, K. F., Dans, A., Lopez-Jaramillo, P., Avezum, A., Lanas, F., Oguz, A., Kruger, I. M., Diaz, R., Yusoff, K., Mony, P., … Dagenais, G. Modifiable risk factors, cardiovascular disease, and mortality in 155 722 individuals from 21 high-income, middle-income, and low-income countries (PURE): a prospective cohort study. Lancet. 2020;395(10226):795–808. https://doi.org/10.1016/S0140-6736(19)32008-2
-
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