Influence of a Trans-Theoretical Model Based Intervention on Physical Activity in Hypertensive Patients: A Randomised Clinical Trial

Motlagh, Zahra; Hidarnia, Alireza; Kaveh, Mohammad Hossein; Kojuri, Javad

doi:10.5812/asjsm.42655

Cited by 4 publications

(6 citation statements)

References 25 publications

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“…The participants with heart failure (HF),[ 26 27 28 29 30 31 32 33 ] coronary heart disease (CHD),[ 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 ] hypertension (HTN),[ 13 39 40 41 42 43 44 ] coronary artery bypass graft (CABG),[ 20 45 46 47 48 ] myocardial infarctions (MI),[ 17 19 49 50 51 ] patients with pacemaker,[ 52 ] heart valve disease,[ 53 ] and cardiac rehabilitation[ 18 ] were highest and lowest target groups in studied papers, respectively. The detailed characteristics of included studies are revealed in [ Table 2 ].…”

Section: Resultsmentioning

confidence: 99%

“…Knowledge and awareness about systolic and diastolic blood pressure using BAZNEF model,[ 42 ] increasing average time of physical activity among hypertensive patients based on TTM,[ 41 ] intervention HBM-based on nutritional behavior among patients with MI,[ 50 ] HBM-based educational program on nutritional knowledge and behaviors among CABG patients,[ 45 46 ] improving motivation for health behaviors,[ 48 ] and active education and prevention of recurrent MI[ 51 ] revealed significant difference on educational outcomes after interventions.…”

Section: Resultsmentioning

confidence: 99%

“…Improving self-monitoring of BP among patients with HTN using BAZNEF model,[ 40 ] increasing average time of physical activity among hypertensive patients based on TTM,[ 41 ] belief change and adherence to treatment among elders with HTN,[ 13 ] using CCM in self-care management among patients with HF[ 26 ] and promoting quality of life (QoL) in CHD patients,[ 38 ] improving QoL with BAZNEF model in patients with MI,[ 49 ] lifestyle modifications and health-promoting behaviors by TPB among patients with MI,[ 19 ] enhancing self-efficacy using TPB in CABG patients,[ 20 ] improving dimensions of QoL with CCM in patients with HF,[ 33 ] enhancing some dimensions of lifestyle behaviors except stress management, physical activity, and smoking based on BAZNEF model,[ 27 ] using PCM on improving QoL in HF patients, adherence to treatment using SCT in patients with valvular surgery[ 53 ] were some examples of the effectiveness of theory-based interventions on promoting practical outcomes. Table 2 represents all types of outcomes in detail.…”

Section: Resultsmentioning

confidence: 99%

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Application of health education and promotion theory-based interventions on patients with cardiovascular disease

Mohebbi

Sabouri

Tol

2021

Journal of Education and Health Promotion

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BACKGROUND: Adopting healthy behaviors can lead to better outcomes which can deeply impact cardiovascular diseases (CVDs) development; consequently, tailoring appropriate theory-based interventions may improve various outcomes among patients at CV risks. This study aimed to assess published researches on the application of health education and promotion of intrapersonal and interpersonal theories/models’ interventions on patients with CVD. MATERIALS AND METHODS: In this systematic review, PubMed, Web of Science, Google Scholar, Scopus, Science Direct, and SID, Magiran databases for English and Persian studies were searched using relevant keywords, respectively. We searched for interventional studies published with no time limits until the end of 2020 assessing the application of health education and promotion theories/models interventions on adult patients with CVDs. Two reviewers individually reviewed abstracts/full-text articles to assess inclusion according to predefined criteria. In case of discrepancy between the two researchers, a third expert was requested to assess papers, and final selection decision was made based on the agreement among the three evaluators. This systematic review was conducted using the following data extraction steps and assessing the quality of the studies and results. RESULTS: From 60 articles, 35 studies met inclusion criteria. Most interventions improved at least some educational including models constructs (20%), clinical (14.2%), and practical (88.5%) outcome related to CVDs. It is noted that attention to educational, practical, and clinical outcomes was focused in published papers, respectively. Furthermore, based on the study categorization using models, some CVDs and theories/models were more concerned compared to others. CONCLUSIONS: Health education and promotion theory-based interventions on patients with CVD appeared beneficial in the most published paper.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Application of health education and promotion theory-based interventions on patients with cardiovascular disease

Mohebbi

Sabouri

Tol

2021

Journal of Education and Health Promotion

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“…study revealed that changing in stage of change construct was one of the positive criteria in intervention effectiveness in managing HTN which is in line of our study. [ 34 ] Furthermore, Rodriguez et al . revealed that distribution of studied hypertensive patients in stage of change construct posed to action and maintenance stages after TTM nutritional intervention[ 35 ] which was accordance to our study.…”

Section: Discussionmentioning

confidence: 99%

Factors predicting nutritional knowledge, illness perceptions, and dietary adherence among hypertensive middle-aged women

Mohebbi

Tafaghodi

Sadeghi

et al. 2021

Journal of Education and Health Promotion

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BACKGROUND: Healthy dietary adherence might be one of the effective and modifiable factors for hypertension (HTN) control; therefor, empowering patients for self-care management including healthy food patterns play a key role in guiding their care, in partnership with health care providers. This study aimed to identify the factors predicting nutritional knowledge, illness perceptions, and adherence to a diet based on transtheoretical model (TTM) among hypertensive middle-aged women. MATERIALS AND METHODS: A cross-sectional survey was conducted on 164 patients with HTN attending west health centers of Tehran, Iran, in 2020. Simple random sampling was used. Sociodemographic characteristics of the respondents were collected, a valid and reliable measure on nutritional knowledge, illness perceptions, and adherence to diet, and a researcher-made measure based on TTM constructs through in-person interview was applied. Descriptive statistics and general linear model were utilized for data analysis using SPSS version 25. The significance level was considered less than 0.05. RESULTS: Mean and standard deviation of participants was 50.82 ± 8.77 years. Multivariate regression analysis indicated that family income (P < 0.001) and body mass index (P < 0.001) predicted nutritional knowledge and adherence to diet, respectively. Decisional balance and self-efficacy constructs predicted nutrition knowledge and illness perceptions (P < 0.001). In adherence to diet, overcoming the temptation construct was indicated as the only predictor (P < 0.001). CONCLUSION: Study findings highlighted the necessity of tailoring and implementing interventions based on TTM using appropriate strategies to promote quality of HTN management approach in nutritional knowledge, illness perceptions, and dietary adherence.

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“…These results are similar to the results of at least seven other researches. The first, Motlagh et al [47] who had showed a significant difference between the intervention and control groups for physical exercise stages of change, processes of change, duration , intensity and frequency of walking at three and six months post-intervention. The second, the previously mentioned Moosavi et al [43] who had stated that TTM-based educational program seems to improve the mean score of self-efficacy and decisional balance.…”

Section: Discussionmentioning

confidence: 99%

The Effect of a Trans-Theoretical Model Based Intervention on Physical Exercises Behaviour among Postpartum Women at Benha City, Egypt

Sayed¹,

Ibrahim²,

Aboud³

et al. 2019

AJNR

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Background: Physical activity behaviour during the postpartum period is very important to improve maternal health and prevent complications both in the short and long term. This study aims to evaluate the effect of a trans-theoretical model based intervention on physical exercises behaviour among postpartum women at Benha City, Egypt. Methods: A quasi-experimental design was utilized. The study was conducted at family planning outpatient clinic affiliated to Benha teaching hospital. A purposive sample of 86 postpartum women were included in the present study. Three tools were used for data collection; first tool: structured interviewing schedule to collect data about the subjects' demographic characteristics, medical and obstetric history and knowledge towards postpartum exercises. Second tool; the trans-theoretical model of behaviour change questionnaire, it composed of the four main dimensions that are stage of change, self-efficacy, decisional balance (pros and cons), experiential and behavioural process of change. Third tool; international physical activity questionnaire short-form to assess the postpartum physical activity level. Results: The mean age of the studied women was 28.88±5.89 years. There were statistically significant improvements (P<0.05) regarding to women' knowledge, and all constructs of trans-theoretical model which include self-efficacy, decisional balance, experiential and behavioural processes of change after the transtheoretical model based intervention as compared to before. Conclusion: The trans-theoretical based intervention was efficient in improving women's knowledge, postpartum exercise behaviour. This was observed in increasing women's self-efficacy, decisional balance pros, experimental and behavioural processes of change. While reducing decisional balance cons. Recommendation: The nurse should implement trans-theoretical model based interventions for postpartum women to promote postpartum exercise behaviour.

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Influence of a Trans-Theoretical Model Based Intervention on Physical Activity in Hypertensive Patients: A Randomised Clinical Trial

Cited by 4 publications

References 25 publications

Application of health education and promotion theory-based interventions on patients with cardiovascular disease

Application of health education and promotion theory-based interventions on patients with cardiovascular disease

Factors predicting nutritional knowledge, illness perceptions, and dietary adherence among hypertensive middle-aged women

The Effect of a Trans-Theoretical Model Based Intervention on Physical Exercises Behaviour among Postpartum Women at Benha City, Egypt

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