Application effect of online+offline health education based on information-motivation-behavioral skills model in fall prevention in elderly patients with heart failure
ZHANG Xueting
XU Huaiyu
GU Yang
YIN Zi
MA Yan
DONG Jingjing
Abstract：Objective To investigate the application effect of online+offline health education based on information-motivation-behavioral skills model(IMB)in fall prevention in elderly patients with heart failure(HF).Methods A total of 130 elderly HF patients were selected,who were treated in Department of Cardiology of Huai'an First Hospital Affiliated to Nanjing Medical University from Jan.2023 to Dec.2023,and they were divided into control group and experimental group(each n=65)by using random digital table method.The control group received conventional health education,while experimental group received online+offline combined health education based on IMB model.The cognition and skills of fall prevention,self-efficacy,fall alertness and patient satisfaction were compared between 2 groups before and after intervention.Results After intervention,the scores of cognitive and skills were significantly higher in experimental group than those in control group(P<0.001).The scores of Falls Efficacy Scale International(FES-I)were significantly lower in experimental group than those in control group,with a higher self-efficacy(P<0.001).The scores of all dimensions of fall alertness(safety and environmental alertness,physical function alertness,drug alertness,cognitive behavioral alertness)and satisfaction(education content,method,interactive experience,actual effect)were significantly higher in experimental group than those in control group(P<0.001).Conclusion The online+offline health education based on IMB can effectively improve the cognition and skills related to fall prevention,enhance self-efficacy and fall alertness in elderly HF patients with,and improve patient satisfaction.
Keywords：information-motivation-behavioral skills modelheart failurehealth educationonline+offlineprevention from falling
Publication Date：2026-01-20
Online Publishing Date：2026-03-25(First online date of this platform, not the publication date of the document)
Pages：5( 71-75 )