Effects of a prenatal exercise program on health belief model of pregnant women at Somdet Phra Sangharaja 19 Hospital
Keywords:
prenatal exercise program, health beliefs model, pregnant womenAbstract
This quasi-experimental study, a one-group pretest-posttest design, aimed to examine health beliefs of pregnant women before and after participation in a prenatal exercise program. The study compared scores across five dimensions of the Health Belief Model: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and perceived self-efficacy, before and after the intervention. The sample consisted of 30 pregnant women attending antenatal care at Somdet Phra Sangharaja 19 Hospital. The research instrument was a prenatal exercise program integrating exercises from the Thai Health Promotion Foundation (ThaiHealth), yoga for pregnancy, and Maneveda practice. The data collection instrument was a Health Belief Model questionnaire, with content validity indices ranging from 0.67 to 1.00 and a Cronbach’s alpha coefficient of 0.86. Data were analyzed using a paired samples t-test.
The results showed that the mean health belief scores in the experimental group after participation in the prenatal exercise program were significantly higher than before the intervention (p < 0.05).
The prenatal exercise program can be implemented in parent-school activities within antenatal clinics to encourage pregnant women to engage in appropriate physical activity, thereby promoting sustained health and improving the quality of life for both mothers and infants.
References
บุญชม ศรีสะอาด. (2560). การวิจัยเบื้องต้น (พิมพ์ครั้งที่ 10). สุวีริยาสาส์น.
สำนักงานกองทุนสนับสนุนการส่งเสริมสุขภาพ. (2566). ลูกเกิดรอด แม่ปลอดภัย ลดเสี่ยงเด็กไทยพิการแต่กำเนิด. https//www.thaihealt.or.th
สำนักนโยบายและยุทธศาสตร์. (2559). แผนยุทธศาสตร์ชาติ ระยะ 20 ปี (ด้านสาธารณสุข). https://waa.inter.nstda.or.th/stks/pub/2017/20171117-MinistryofPublicHealth.pdf
สำนักสนับสนุนสุขภาวะประชากรกลุ่มเฉพาะ. (2566). แนวทางการส่งเสริมสุขภาพหญิงตั้งครรภ์และทารกแรกเกิด. https://www.thaihealth.or.th
Abdolaliyan, N., Shahnazi, H., Kzemi, A., & Hasanzadeh, A. (2017). Determinants of the self-efficacy of physical activity for maintaining weight during pregnancy: The application of the health belief model. Journal of Education and Health Promotion, 6, 93. https://doi.org/10.4103/jehp.jehp_175_16
American Psychiatric Association & Centers for Disease Control and Prevention. (2023). Perinatal mental and substance use disorders: A white paper. https://www.psychiatry.org/getmedia/344c26e2-cdf5-47df-a5d7-a2d444fc1923
Daley, A. J., Foster, L., Long, G., Palmer, C., & Robinson, O. (2015). The effectiveness of exercise for the prevention and treatment of antenatal depression: Systematic review with meta-analysis. BJOG: An International Journal of Obstetrics & Gynaecology, 122(1), 57–62. https://doi.org/10.1111/1471-0528.12909
El-Rafie, M. M., Khafagy, G. M., & Gamal, M. G. (2016). Effect of aerobic exercise during pregnancy on antenatal depression. International Journal of Women's Health, 8, 53–57. https://doi.org/10.2147/IJWH.S94112
Fox, P., & Yamaguchi, C. (1997). Body image change in pregnancy: A comparison of normal weight and overweight primigravidas. Birth, 24(1), 35-40. https://doi.org/10.111/j.1523536X.1997.tb00334.x
Gong, H., Ni, C., Shen, X., Wu, T., & Jiang, C. (2015). Yoga for prenatal depression: A systematic review and meta-analysis. BMC Psychiatry, 15, 14. https://doi.org/10.1186/s12888-015-0393-1
Jette, S. L., Mills, J. M., & Tinius, R. A. (2023). Physical activity beliefs and behaviors during pregnancy and their association with provider counseling among women in the Southern United States. Physical Activity and Health, 7(1), 210. https://doi.org/10.5334/paah.210
Liamputtong, P., Yimyam, S., Parisunyakul, S., Baosoung, C., & Sansiriphun, N. (2005). Traditional beliefs about pregnancy and child birth among women from Chiang Mai, Northern Thailand. Midwifery, 21(2), 139–153. https://doi.org/10.1016/j.midw.2004.05.002
Maiman, L. A., & Becker, M. H. (2016). The health belief model: Origins and correlates in psychological theory. Health Education Monographs, 2(4), 336-353. https://doi.org/10.1177/109019817400200404
Matin, Z. S., Khayat, S., Navidian, A., & Fanaei, H. (2020). Comparing the effect of group training and telemedicine on exercise during pregnancy: An application of the health belief model. Journal of Education and Health Promotion, 9, 187. https://doi.org/10.4103/jehp.jehp_88_20
Norman, G. R., & Streiner, D. L. (2008). Biostatistics: The bare essentials (3rd ed.). B. C. Decker.
Polit, D. F., & Beck, C. T. (2004). Nursing Research: Principles and Methods (7th ed.). Lippincott Williams & Wilkins.
Mohammadkhah, F., Kamyab, A., Pezeshki, B., Norouzrajabi, S., & Khani Jeihooni, A. (2025). The effect of training intervention based on health belief model on self-care behaviors of women with gestational diabetes mellitus. Frontiers in Global Women's Health, 5, 1490754. https://doi.org/10.3389/fgwh.2024.1490754
Shafieian, M., & Kazemi, A. (2017). A randomized trial to promote physical activity during pregnancy based on health belief model. Journal of Education and Health Promotion, 6, 40. https://doi.org/10.4103/jehp.jehp_19_15
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Boromarajonani College of Nursing Buddhachinaraj
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
