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in improving pregnant women's knowledge and diet behavior regarding iron ... exercise acquisition, and stress management. ...... Shanthini and Nivedita [46] who studied "knowledge, attitude and practices of pregnant women regarding IDA.

IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 6, Issue 3 Ver. VI (May - June 2017), PP 72-85

Diet Behavior Modification of Pregnant Woman with Iron Deficiency Anemia Using Construct of the Trans-Theoretical Model: A Theory-Based Study Heba Abdel-Fatah Ibrahim1, Hanan Abd Elwahab El Sayed 2 Ebtisam Mohamed Abd El-aal2 1

Obstetrics and Woman Health Nursing, Benha University, Benha, Egypt 2 Community Health Nursing, Benha University, Benha, Egypt

Abstract: Background: Iron deficiency anaemia is a major cause of morbidity and mortality of pregnant women and increases the risks of foetal, neonatal and infant mortality. Nutritional education, with special emphasis on strategies based on locally available food stuffs to improve the dietary intake of proteins and iron is important during pregnancy. This study aimed to evaluate diet behaviour of pregnant woman with iron deficiency anaemia before and after the implementation of educational intervention based trans-theoretical model of change. Methods: A quasi-experimental design was utilized. Setting: The study was conducted at obstetrics and gynecology outpatient clinic affiliated to Benha teaching hospital. A purposive sample of 73 pregnant women were included in the current study. Two tools were used for data collection; first tool interviewing questionnaire to collect data about the subjects' socio-demographic data, medical and obstetric history and knowledge regarding iron deficiency anemia. Second tool; the trans-theoretical model of behavior change questionnaire, it composed of the four main constructs that are stage of change, self-efficacy, decisional balance (pros and cons), experiential and behavioral process of change. Results: There were highly statistically significant differences (P

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