Predicting health‐related quality of life by using a health promotion model among Iranian adolescent girls: A structural equation modeling approach

Abstract

Predicting the significant determinants of health-related quality of life through the application of structural equation modeling in adolescents has received little attention in the health education and health promotion literature. The purpose of this study was to investigate the relationships between self-efficacy, barriers, social support, health-promoting lifestyle, and health-related quality of life among Iranian adolescent girls. Pender's health promotion model guided this study. This was a cross-sectional survey of 500 students who were recruited in Kashan, Iran. Their health-related quality of life was measured by using the Short Form Health Survey. A path analysis was conducted to predict the health-related quality of life determinants. The results indicated that 71% of the variance in health-related quality of life could be predicted by the variables. The results affirmed that self-efficacy was the most significant predictor of the students' health-related quality of life. It was concluded that interventions that are aimed at improving self-efficacy can lead to the enhancement of health-related quality of life among adolescent girls in the developing country of Iran.

The Role of Healthy Lifestyle in the Implementation of Regressing Suboptimal Health Status among College Students in China: A Nested Case-Control Study

“…Lifestyle-related factors were assessed by the HPLP-II, which has been widely used as a measuring tool for assessing health-promoting behavior [35], and has been considered reliable and valid both domestically and internationally [36,37]. The HPLP-II is comprised of 52 items that assess six behavioral dimensions of lifestyle: spiritual growth, health responsibility, sports and exercise, nutrition, interpersonal relationships and stress management.…”

Evaluation of Quality of Life and Safety of Seniors in Golestan Province, Iran

“…Each dimension was scored from 0 through 100. The SF-36 has been validated by Montazeri, Goshtasebi, Vahdaninia, and Gandek (2005) as having a Cronbach’s alpha coefficient of .95 for the Iranian population (Mohamadian et al, 2011; Montazeri et al, 2005). The CPSC questionnaire had 54 items, and each item had two options (yes/no).…”

Social support as a predictor of diet and exercise self-efficacy in patients with coronary artery disease

“…It is reasonable to presume that overweight is a barrier to the initiation of physical activity. Perceived barriers to action are shown to correlate with a lower level of self-efficacy, which in turn demonstrates a direct effect on health-promoting behavior and an indirect effect on the quality of life (Mohamadian et al, 2011). The close link between BMI and exercise self-efficacy was demonstrated by an intervention study of an exercise and nutrition program, which found that changes in self-efficacy for physical activity and controlled eating accounted for 26% of the total variance explained in the BMI change (Annesi & Gorjala, 2010).…”

“…One of the hypotheses argues that self-efficacy promotes change and long-term adherence to a number of health-related behaviors including exercise (Conraads et al, 2012;Tierney et al, 2012), diet (Ferranti et al, 2014;Sharp & Salyer, 2012), treatment compliance (Chair et al, 2013;McAuley et al, 2011), self-care behavior (Bohanny et al, 2013), and general health-promoting behavior (Lo, Chair, & Lee, 2015). A study in Iran explained the quality of life in 500 participants by using structural equation modeling approach (Mohamadian et al, 2011). The results showed that health-promoting behavior resulting from enhanced self-efficacy and other factors significantly influenced the quality of life.…”