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

Alireza  Mohammadi; Fatemeh  Karamizadeh; Zohreh  Karimiankakolaki

doi:10.18502/ehj.v12i1.21909

Alireza Mohammadi Department of Nursing, Shk.C., Islamic Azad University, Shahrekord, Iran
Fatemeh Karamizadeh Department of Nursing, Shk.C., Islamic Azad University, Shahrekord, Iran
Zohreh Karimiankakolaki Department of Health, Shk.C., Islamic Azad University, Shahrekord, Iran

DOI: https://doi.org/10.18502/ehj.v12i1.21909

Keywords: Health Belief Model, Urinary Tract Infection, Spinal Cord Injury, Education, Telenursing

Abstract

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.