Effect of theory-based education on promoting a healthy lifestyle in pre-diabetic women: RCT

MohammadniaMotlagh, Kolsoum; Shamsi, Mohsen; Roozbahani, Nasrin; Karimi, Mahmood; Moradzadeh, Rahmatollah

doi:10.1186/s12905-022-01608-1

Cited by 3 publications

(4 citation statements)

References 19 publications

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“…After the intervention, the attitude score for regular PA within the intervention group was significantly increased in this study, consistent with the findings of another TPB-based intervention done on prediabetic women [ 44 ]. This showed that the intervention reinforced the beliefs and attitudes of secondary school teachers, which further contributed to school teachers having a higher tendency to perform PA.…”

Section: Discussionsupporting

confidence: 90%

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Effect of Educational Intervention Based on Theory of Planned Behaviour on Physical Activity Intention among Secondary School Teachers of Nepal

Shrestha

Pahari

Adhikari

et al. 2022

BioMed Research International

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Any bodily movement produced by skeletal muscle which requires energy expenditure is known as physical activity (PA). WHO has recommended that at least 150 minutes of moderate or 75 minutes of vigorous-intensity PA or a combination of both per week is required for health benefits. Physical inactivity is one of the strongest risk factors for noncommunicable diseases (NCDs) and other conditions and is attributable to 6% of global premature death. However, data on the PA of teachers are unavailable in Nepal. They are considered one of the risk groups for NCDs because of the less active nature of their job. So, we aimed to evaluate the effect of the educational intervention based on the theory of planned behaviour on PA intention among secondary school teachers in Bhaktapur district, Nepal. For this study, we recruited 126 teachers from 6 schools. Each intervention and control group contained three randomly selected secondary schools. All the teachers from the selected schools were enrolled in the respective groups. A quasiexperimental (pretest-posttest control group) study design was used to test the effectiveness of the intervention on attitude, behaviour control, subjective norms, and intention for engaging in regular PA. Both groups underwent baseline and follow-up assessments at four weeks using the self-administered questionnaire developed for this study. The intervention group delivered a one-hour lecture session supported by audio-video materials for PA promotion. The effect was analysed by comparing the changes in the theory of planned behaviour (TPB) constructs within and between intervention and control groups. The difference in scores between and within the groups was tested using Student’s t -test. Adjusted difference-in-difference scores were calculated through linear regression. Data analysis was done using Statistical Package for Social Science version 26.0. The adjusted mean score increase in TPB constructs due to the interaction of time and intervention increased from 0.641 to 1.381. The highest gain ( beta = 1.381 ) was seen in the intention score, while a minor improvement was seen in perceived behavioural control ( beta = 0.641 ). After the intervention, the net increase in PA intention score was 9.35% compared to the control group. Thus, the promotion package was effective in increasing PA intention. The findings of this study and educational package could be helpful in encouraging teachers to engage in PA in other schools.

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Section: Discussionsupporting

confidence: 90%

“…Perceived behavioural control after intervention in this study was not significantly improved as in another study [44]. No improvement in perceived behavioural control showed that the school teachers did not consider themselves more capable of doing PA.…”

Section: Discussioncontrasting

confidence: 77%

Effect of Educational Intervention Based on Theory of Planned Behaviour on Physical Activity Intention among Secondary School Teachers of Nepal

Shrestha

Pahari

Adhikari

et al. 2022

BioMed Research International

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“…In the study of MohammadniaMotlagh et al . [ 35 ] and Parrott et al ,[ 36 ] the perceived behavioral control increased after the intervention compared to the pre-test. In Kelley’s intervention,[ 37 ] the perceived behavioral control after the educational intervention in the intervention group increased significantly compared to the control group, and it sustained after the follow-up.…”

Section: Discussionmentioning

confidence: 99%

Physical Activity Promotion in Schools Using Theoretically Designed Mobile Phone Application

Ramezankhani,

Sadeghi,

Ghaffari

et al. 2024

International Journal of Preventive Medicine

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Background: Regular physical activity for adolescents has many health benefits, many of which also affect adulthood. Physical activity is a behavior that requires planning and choosing an appropriate educational method, model, or theory. However, mobile phone applications are known as a suitable method to increase physical activity according to the guidelines. This study aims to increase physical activity in female students based on the theory of planned behavior using mobile phone applications. Methods: This quasi-experimental study was implemented on 220 high school students (110 people in each group). The samples were selected by a multi-stage cluster method and their information was collected by the International Physical Activity Questionnaire (IPAQ) and the Theory of Planned Behavior (TPB) questionnaire whose validity and reliability were confirmed. The intervention group received 8 sessions of education through a mobile phone application that was designed by the constructs of the theory of planned behavior. The samples were evaluated in three stages, through a pre-test, post-test, and two-month follow-up. Results: The results showed a significant difference in the post-test and two months after the intervention between intervention and control groups in terms of attitude, perceived behavioral control, intention, and physical activity. There was a significant difference between intervention and control groups in subjective norms in the post-test, but there was no significant difference in the two-month follow-up compared to the post-test (P = 0.08). Conclusions: An educational intervention based on the theory of planned behavior using mobile phone applications led to an increase in the physical activity of girl high school students. However, to determine the full effectiveness of this study, it is recommended to implement this intervention in all schools.

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“…However, there is no study on lifestyle changes in patients with NAFLD using health education based on behavioral models. On the other hand, studies not only introduce TPB as a suitable model to explain lifestyle intentions and behaviors but also consider it as an effective model for improving the lifestyle of patients with diabetes, obesity, and cardiovascular disease [ 22 – 24 ]. TPB suggests that the main determinant of behavior is the intention of an individual to be involved in behavior and perceived control over behavior [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

Lifestyle Intervention for Patients with Nonalcoholic Fatty Liver Disease: A Randomized Clinical Trial Based on the Theory of Planned Behavior

Mobasheri

Ghahremani

Fallahzadeh

et al. 2022

BioMed Research International

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Introduction. Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease, accounting for about 25% and 33% of the world’s adult population and Iranians, respectively. There is currently no effective therapeutic agent available for the treatment of NAFLD. However, lifestyle modifications aimed at weight loss have been introduced as a cornerstone of NAFLD management. The aim of the present study was to evaluate the effect of educational intervention on lifestyle and anthropometric indices in patients with NAFLD. Methods. The randomized controlled clinical trial was performed on 87 overweight or obese patients with NAFLD, including intervention ( n = 42 ) and control ( n = 45 ) groups. The intervention received 8 training sessions based on theory of planned behavior (TPB), while the control groups received nutritional and physical activity recommendations from their internal specialist and nutritionist. Analyses were carried out based on data collected from TPB constructs and anthropometric indices (weight, body mass index (BMI), waist size, and waist-hip ratio (WHR)) at three stages (before intervention and two and 12 weeks after the intervention), as well as data obtained from liver enzymes (alanine aminotransferase (ALT) and aspartate aminotransferase (AST)), and ultrasound-based grading of NAFLD at two stages (before and 12 weeks after the intervention). Results. After the intervention, a significant difference was found between the intervention and control groups, resulting in the increased mean scores of TPB constructs, decreased liver enzymes, and decreased degree of NAFLD ultrasound. In addition, the intervention group experienced more activity and healthy diet as compared with the control group. Anthropometric indices showed only a significant decrease in BMI in the intervention group ( p < 0.05 ). Conclusions. TPB-based training, as compared with traditional training, is a more effective and cost-effective strategy for altering nutritional behavior and physical activity of patients with NAFLD.

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Effect of theory-based education on promoting a healthy lifestyle in pre-diabetic women: RCT

Cited by 3 publications

References 19 publications

Effect of Educational Intervention Based on Theory of Planned Behaviour on Physical Activity Intention among Secondary School Teachers of Nepal

Effect of Educational Intervention Based on Theory of Planned Behaviour on Physical Activity Intention among Secondary School Teachers of Nepal

Physical Activity Promotion in Schools Using Theoretically Designed Mobile Phone Application

Lifestyle Intervention for Patients with Nonalcoholic Fatty Liver Disease: A Randomized Clinical Trial Based on the Theory of Planned Behavior

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