Discussion
’ behaviors
EVENTS, HEART DISEASES, DISORDERS
According to the results of this study, the mean score of perceived benefits of HCSB significantly increased in the experimental as compared to that before intervention, while this increase was not statistically significant in comparison to control group. Fair et al. [After the intervention, perceived barriers in the women in experimental group significantly decreased as compared to control group. There is some evidence that community health programs, in local communities or small religious organizations, have helped increase the reception of health services by reducing perceived barriers [The results of study indicated that the educational intervention program was able to increase the positive feelings and reduce the negative feelings in the experimental group. The findings of Low et al. suggest that creating a positive emotion in the patient due to receiving support from health care providers creates a sense of security, which ultimately enables the patient to easily accept recommendations regarding treatment options [An appropriate strategy for enhancing the positive emotions and reducing the negative ones in patients is to communicate with those who have already been treated using the same therapeutic process and who are satisfied with their HCSB [The findings of this study showed that educational intervention increased the mean score of the interpersonal influences construct in women in experimental group compared to control group. A large number of studies have shown the association between interpersonal influences and their direct impact on health and receiving health care [The mean score of situational influences in experimental group was significantly different from the pre-intervention stage, but this increase was not statistically significant in comparison with control group. It may be due to the role of some social factors which should be considered in addition to environmental factors. Ensor et al. stated even with the presence of health services and appropriate geographical access, people may not use them, because the health services are not in accordance with their culture and needs [After intervention, the mean scores of behavioral preferences and competitive demands significantly decreased in the women in experimental group compared to control group. Jayapalan et al. suggest that education and information in health centers and in the community should be increased to reduce the use of alternative treatments. The public health sector should offer affordable and high quality services. Health planners and managers should be aware of the concerns that patients have on healthcare issues such as access to medicines and confidentiality, that make them evade referring to the health care system and instead seek out alternative treatments [The results of study showed educational intervention, by increasing the women’s ability to manage daily life priorities and increasing control over unforeseen events, reduced the score of immediate competing demands and thus helped improve their decisions in challenging situations. Blanc observed that empowering women had a profound effect on the use of health services and could improve women’s reproductive health [Finally, after intervention, the mean score of HCSB in experimental group increased compared to control group, indicating that the designed intervention was appropriate for the behavior. In fact, the HCSB is improved when a person decides to seek health care services in the formal health service resources immediately after observing illness symptoms and interpreting them appropriately. But this behavior is not a mere decision-making process, but rather, in order to achieve this purpose, in addition to behavioral characteristics, other factors that can entail family members’ behaviors, and norms and expectations of the community as well as the characteristics and behaviors of the health service provider should also be taken into account [In the present study, there was a significant difference between the mean scores of referring to the health care system after observing some medical symptoms related to mental disorders, urogenital problems, heart diseases, or some non-specific symptoms before and after the intervention in the experimental group. There is evidence, show that using health intervention strategies such as consultation and education, sharing key messages and mass media campaigns causes a significant increase in appropriate seeking medical care [