A theory-based educational intervention to promote behavior change and physical activity participation in middle-aged women: A randomized controlled trial

Hashemian, Masoumeh; Joveini, Hamid; Malaijerdi, Zeinab; Sharifi, Nader; Borghabani, Rohollah

doi:10.4103/shb.shb_35_22

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…It should be provided manuals of the appropriate type and intensity in consideration of the patients' pain and severity. Furthermore, interventions to improve physical activity need to be introduced based on smartphones and wearable devices to increase accessibility, and education on manuals is needed to increase participation in interventions [32].…”

Section: Plos Onementioning

confidence: 99%

Association between physical activity and health-related quality of life in middle-aged and elderly individuals with musculoskeletal disorders: Findings from a national cross-sectional study in Korea

Lee,

Yun,

Nam

et al. 2023

PLoS ONE

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Purpose This study aimed to identify the association between physical activity and health-related quality of life (HRQoL) in middle-aged and elderly individuals with musculoskeletal disorders. Methods This study used data from the 2016–2020 Korea National Health and Nutrition Examination Survey (KNHANES). We included only those over 40 years of age diagnosed with one or more of the following: osteoarthritis, rheumatism, and osteoporosis. In total, 4,731 participants (783 men and 3,948 women) were included as the study population. Multiple logistic regression analysis was performed to examine the association between physical activity and HRQoL. Results In the case of middle-aged and elderly individuals with musculoskeletal disorders, the likelihood of HRQoL worsening was significantly lower for those who regularly engaged in physical activity compared with that of those who did not engage in physical activity at all (men: OR 0.58, 95% CI 0.37–0.90; women: OR 0.64, 95% CI 0.53–0.79). Stratified analysis by the type and intensity of physical activity revealed that the possibility of poor HRQoL was lowest when leisure-related moderate-intensity physical activities were performed (men: OR 0.44, 95% CI 0.22–0.89; Women: OR 0.50, 95% CI 0.36–0.69). Conclusions Our findings suggest that engaging in regular physical activity contributes to preventing exacerbation of HRQoL, even if the individual suffers from musculoskeletal disorders. It is necessary to provide an appropriate type and intensity of physical activity in consideration of the patients’ pain and severity.

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Section: Plos Onementioning

confidence: 99%

Association between physical activity and health-related quality of life in middle-aged and elderly individuals with musculoskeletal disorders: Findings from a national cross-sectional study in Korea

Lee,

Yun,

Nam

et al. 2023

PLoS ONE

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“…They assessed HAPA predictors and intention before, immediately after the intervention and one month later and compared these with a control group of similar women not receiving such an intervention. Joveini et al [ 66 ] reported the findings of those participants who subsequently developed the intention to exercise and who received a HAPA-based intervention aimed at offering them resources for planning the new behaviour and coping efforts as well as maintenance and recovery self-efficacy (volitional phase skills). The participants were followed for three months (HAPA constructs) and six months (behaviour).…”

Section: Introductionmentioning

confidence: 99%

The AHAWOMEN project: study protocol of a multi-design research for exploring HAPA predictors of exercise in postmenopausal women

et al. 2023

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Background The postmenopausal period can represent an opportunity for women to improve their health and well-being. The Active and Healthy Ageing in Women during early postmenopause (AHAWOMEN) study aims to identify the key determinants of an active lifestyle among middle-aged women, with a focus on the stages and the social-cognitive variables outlined in the Health Action Process Approach (HAPA) model, a theoretical framework for understanding health behaviour change. We expected that HAPA factors and processes of intention creation (motivational phase) and action adoption (volitional phase) will be significant predictors of exercise initiation and maintenance, supporting both the HAPA tenets and the efficacy of HAPA-based interventions. Methods/design This study was approved by the authors’ Institutional Review Committee. Postmenopausal women aged between 45 and 65 years will voluntarily participate. The participants will be allocated to one of three groups: Intervention-Initiators (n = 100, random allocation), Control-Sedentary (n = 100, random allocation) or Control-Active (n = 100, non-random allocation). The intervention group will engage in a supervised exercise programme lasting at least 3 months, supplemented with a HAPA-based intervention for behaviour change. The sedentary control group will not receive any intervention to change their physical activity, while the active control group will consist of women who are already regularly adhering to an active lifestyle. Study variables will be measured at baseline and postintervention phases, as well as at 1, 3, 6 and 12-month follow-ups. The predictors of exercise behaviour in the different phases of the behavioural change process will be explored and compared within and between groups throughout the study. These analyses will help identify the factors that determine the adoption of a healthy active behaviour. Additionally, the effectiveness of the model and the intervention for changing active behaviour will be evaluated. Discussion This paper describes the rationale, development and methods used in the AHAWOMEN project. Supporting women who intend to become active can help them to translate their goals into sustainable action. Verifying that the HAPA predictions are applicable to postmenopausal women’s adoption of exercise would provide the basis for designing effective interventions for promoting healthy and active ageing that are also tailored to the experiences of middle-aged women. Trial registration ISRCTN16251361. Registration date: 01/06/2023 (retrospectively registered).

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“…Education is very important in modifying nutritional behaviors to prevent health problems [ 13 ]. The most effective educational programs are based on theory-based approaches rooted in behavior change models [ 14 ]. The Health Belief Model (HBM) is one of the most widely used models of health behavior change, often used to prevent diseases [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Promotion of nutritional behaviors in the prevention of cardiovascular diseases: application of the health belief model in primary health care centers

Midjani,

Hossaini,

Sharifi

2023

BMC Prim. Care

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Background Cardiovascular diseases (CVD) are the most important cause of death in many countries of the world, including Iran. This study aimed to investigate the effect of educational intervention based on the Health Belief Model (HBM) on the promotion of nutritional behaviors to prevent CVD among the all people (aged 30–59 years). Methods This semi-experimental study was conducted on all people (aged 30–59 years) referring to the primary healthcare centers of Jahorm city, southern Iran, from September 2021 to July 2022. In this study, 100 participants (50 participants for the intervention group and 50 for the control group) were selected using a multistage cluster random sampling method. The data collection tool was a questionnaire with confirmed validity and reliability. Also, the food consumption frequency checklist was used. The educational intervention included holding four sessions, each lasting for 60 min. The methods used for training included lectures, questions and answers, and group discussions. Before the intervention and three months after, the intervention and control groups completed the questionnaire. The obtained data were analyzed by SPSS 17. Results after the educational intervention, the mean score of knowledge (4.84 ± 0.84; 2.76 ± 1.41; p < 0.001), perceived susceptibility (9.52 ± 1.81; 8.76 ± 1.9; p = 0.004), perceived severity (14.78 ± 1.66; 13.80 ± 2.23; p = 0.015), perceived benefits (10.66 ± 1.79; 7.52 ± 1.99; p < 0.001), perceived barriers (5.92 ± 2.81; 12.68 ± 10.24; p < 0.001) and practice (178.78 ± 14.35; 147.36 ± 13.19; p < 0.001) showed a significant difference between the intervention and control groups. Conclusion The results showed that the educational intervention effectively improved people (aged 30–59 years) knowledge and HBM constructs to prevent CVD. Also, improving people’s performance regarding CVD prevention behaviors will be successful by implementing an educational intervention based on the HBM.

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A theory-based educational intervention to promote behavior change and physical activity participation in middle-aged women: A randomized controlled trial

Cited by 4 publications

References 22 publications

Association between physical activity and health-related quality of life in middle-aged and elderly individuals with musculoskeletal disorders: Findings from a national cross-sectional study in Korea

Association between physical activity and health-related quality of life in middle-aged and elderly individuals with musculoskeletal disorders: Findings from a national cross-sectional study in Korea

The AHAWOMEN project: study protocol of a multi-design research for exploring HAPA predictors of exercise in postmenopausal women

Promotion of nutritional behaviors in the prevention of cardiovascular diseases: application of the health belief model in primary health care centers

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