Volume 9, Issue 1 (2021)                   Health Educ Health Promot 2021, 9(1): 11-18 | Back to browse issues page

XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Araban M, Jafarpour K, Arastoo A, Gholammnia-Shirvani Z, Montazeri A, Haeri-Mehrizi A. The Impact of a Theory-Based Education on Physical Activity among ‘Health Volunteers’: A Randomized Controlled Trial. Health Educ Health Promot 2021; 9 (1) :11-18
URL: http://hehp.modares.ac.ir/article-5-47096-en.html
1- “Social Determinants of Health Research Center” and “Department of Health Education and Promotion, Public Health School”, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- “Social Determinants of Health Research Center” and “Public Health School”, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3- Department of Medical Education Development, Education Development Center (EDC), Babol University of Medical Sciences, Babol, Iran , z.gholamnia@yahoo.com
4- Health Metrics Research Center, Iranian Institute for Health Sciences Research (ACECR), Tehran, Iran
Abstract:   (2250 Views)
Aims: Physical inactivity and a sedentary lifestyle increase the risk of all-cause mortality. This study aimed to assess the impact of a theory-based education on PA among female health volunteers in Iran by applying the Theory of Planned Behavior.
Materials & Methods: This randomized controlled trial was conducted on female health volunteers in Shushtar, Iran, from March to December 2016. One hundred ten participants were selected by purposive sampling, and they were randomized into intervention and control groups based on a 1:1 ratio in a single block.  The intervention included three educational sessions and a walking program. A multi-section questionnaire containing items on TPB constructs, the international physical activity questionnaire, and the physiological cost index (PCI- an objective measure of PA) was used to collect the data at baseline and six-month follow-up assessments. Then the data were compared within and between groups using t-test and paired test using SPSS 19 software.
Findings: All 110 ‘Health Volunteers’ (55 in each group) were entered into the study. The mean±SD age of participants was 35.65±10.25 years. The results obtained from the analysis showed that the educational program improved attitude towards PA, perceived behavioral control, intention, behavior, and PCI among the intervention group (p<0.001). However, no significant changes occurred in the control group regarding the study variables (p>0.05).
Conclusion: The TPB-directed educational program improved physical activity and physiological cost index. The study framework might be used as a practical template for interventions aimed at improving physical activity among female health volunteers.
Full-Text [PDF 476 kb]   (1623 Downloads) |   |   Full-Text (HTML)  (732 Views)  
Article Type: Original Research | Subject: Health Education and Health Behavior
Received: 2020/10/25 | Accepted: 2020/12/2 | Published: 2021/05/8
* Corresponding Author Address: Babol University Of Medical Science, GanjAfrooz Street, Babol, Mazandaran, Iran Postal code: 47176-47745

References
1. Robinson SA, Bisson AN, Hughes ML, Ebert J, Lachman ME. Time for change: Using implementation intentions to promote physical activity in a randomised pilot trial. Psychol Health. 2019;34(2):232-54. [Link] [DOI:10.1080/08870446.2018.1539487] [PMID] [PMCID]
2. Füzéki E, Banzer W. Physical activity recommendations for health and beyond in currently inactive populations. Int J Environ Res Public Health. 2018;15(5):1042. [Link] [DOI:10.3390/ijerph15051042] [PMID] [PMCID]
3. Ezpeleta L, Granero R, de la Osa N, Navarro JB, Penelo E, Domènech JM. Tracing developmental trajectories of oppositional defiant behaviors in preschool children. PLoS One. 2014;9(6):e101089. [Link] [DOI:10.1371/journal.pone.0101089] [PMID] [PMCID]
4. Magai DN, Malik JA, Koot HM. Emotional and behavioral problems in children and adolescents in Central Kenya. Child Psychiatry Hum Dev. 2018;49(4):659-71. [Link] [DOI:10.1007/s10578-018-0783-y] [PMID] [PMCID]
5. Joseph RP, Ainsworth BE, Vega-López S, Adams MA, Hollingshead K, Hooker SP, et al. Rationale and design of Smart Walk: A randomized controlled pilot trial of a smartphone-delivered physical activity and cardiometabolic risk reduction intervention for African American women. Contemp Clin Trials. 2019;77:46-60. [Link] [DOI:10.1016/j.cct.2018.12.011] [PMID] [PMCID]
6. khosravi A, Najafi F, Rahbar M, Atefi A, Motlagh M, Kabir M. Health indicators of the Islamic Republic of Iran. 1st Edition. Tehran: Ministry of Health and Medical Education; 2009. [Persian] [Link]
7. Mohebi F, Mohajer B, Yoosefi M, Sheidaei A, Zokaei H, Damerchilu B, et al. Physical activity profile of the Iranian population: STEPS survey, 2016. BMC Public Health. 2019;19:1266. [Link] [DOI:10.1186/s12889-019-7592-5] [PMID] [PMCID]
8. Simonson J. Why we must teach written and verbal communication skills to medical students and residents. Acad Med. 2013;88(4):435. [Link] [DOI:10.1097/ACM.0b013e3182854f57] [PMID]
9. Guelfi KJ, Wang C, Dimmock JA, Jackson B, Newnham JP, Yang H. A comparison of beliefs about exercise during pregnancy between Chinese and Australian pregnant women. BMC Pregnancy Childbirth. 2015;15:345. [Link] [DOI:10.1186/s12884-015-0734-6] [PMID] [PMCID]
10. Steinmetz H, Knappstein M, Ajzen I, Schmidt P, Kabst R. How effective are behavior change interventions based on the theory of planned behavior?. Zeitschrift für Psychologie. 2016;224(3):216-33. [Link] [DOI:10.1027/2151-2604/a000255]
11. Jeihooni AK, Hidarnia A, Kaveh MH, Hajizadeh E, Askari A. The effect of an educational program based on health belief model on preventing osteoporosis in women. Int J Prev Med. 2015;6. [Link] [DOI:10.4103/2008-7802.170429] [PMID] [PMCID]
12. Amini N, Shojaeezadeh D, Saffari M. The study of the effect of e-education on physical activity and Body Mass Index of female employee. J Sch Public Health Inst Public Health Res. 2014;11(3):95-106. [Persian] [Link]
13. Pant P, Budhathoki B, Ellis M, Manandhar D, Deave T, Mytton J. The feasibility of community mobilisation for child injury prevention in rural Nepal: A programme for female community health volunteers. BMC Public Health. 2015;15:430. [Link] [DOI:10.1186/s12889-015-1783-5] [PMID] [PMCID]
14. Laleman G, Kegels G, Marchal B, van der Roost D, Bogaert I, van Damme W. The contribution of international health volunteers to the health workforce in sub-Saharan Africa. Hum Resour Health. 2007;5:19. [Link] [DOI:10.1186/1478-4491-5-19] [PMID] [PMCID]
15. Gholamnia-Shirvani Z, Ghofranipour F, Gharakhanlou R, Kazemnejad A. Improving and maintaining of physical activity and anthropometric indices in Tehranian women: Application of the theory of planned behavior. J Educ Commun Health. 2016;2(4):13-24. [Persian] [Link] [DOI:10.21859/jech-02043]
16. Warburton DER, Jamnik V, Bredin SSD, Shephard RJ, Gledhill N. The 2015 physical activity readiness questionnaire for everyone (PAR-Q+) and electronic physical activity readiness medical examination (ePARmed-X+). Health Fit J Can. 2015;8(1):53-6. [Link]
17. Morin C, Morin J, Andrea N, Anderson P. Protocols testing association testing fitness American. 1st Editon. Tehran: Yazdani; 2004. [Persian] [Link]
18. Warburton D, Bredin S, Jamnik V, Gledhill N. Validation of the PAR-Q+ and ePARmed-X+. Health Fit J Can. 2011;4(2):38-46. [Link]
19. PAR-Q form. Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ)-short and long forms [Internet]. Tehran: Tarbiat Modares University [Cited 2020 jul. 05]. Available from: https://www.modares.ac.ir/uploads/Stu.Sport.News.980610.1.pdf [Link]
20. Montoye HJ. Energy costs of exercise and sport, nutrition in sport. Oxford: Blackwell Science Ltd; 2000. [Link]
21. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95. [Link] [DOI:10.1249/01.MSS.0000078924.61453.FB] [PMID]
22. McMillan LB, Zengin A, Ebeling PR, Scott D. Prescribing physical activity for the prevention and treatment of osteoporosis in older adults. Healthcare. 2017;5(4):85. [Link] [DOI:10.3390/healthcare5040085] [PMID] [PMCID]
23. Arastoo AA, Ahmadi A, Zahednejad Sh. The comparison of effect of 8 weeks aerobic and yoga training on physiological cost index in multiple sclerosis patients. Jundishapur Sci Med J. 2011;10(2):153-62. [Persian] [Link]
24. Darker CD, French DP, Eves FF, Sniehotta FF. An intervention to promote walking amongst the general population based on an 'extended'theory of planned behaviour: A waiting list randomised controlled trial. Psychol Health. 2010;25(1):71-88. [Persian] [Link] [DOI:10.1080/08870440902893716] [PMID]
25. Hazavehei SMM, Khani-Jyhouni A, Hasanzade A, Rashidi M. The effect of educational program based on BASNEF model on diabetic (type II) eyes care in Kazemi's clinic. Iran J Endocrinol Metab. 2008;10(2):145-54. [Persian] [Link]
26. Mok W, Lee AY. A case study on application of the theory of planned behaviour: Predicting physical activity of adolescents in Hong Kong. J Commun Med Health Educ. 2013;3:231. [Link] [DOI:10.4172/2161-0711.1000231]
27. Reger B, Cooper L, Booth-Butterfield S, Smith H, Bauman A, Wootan M, et al. Wheeling walks: A community campaign using paid media to encourage walking among sedentary older adults. Prev Med. 2002;35(3):92-285. [Link] [DOI:10.1006/pmed.2002.1074] [PMID]
28. De Meester F, van Lenthe FJ, Spittaels H, Lien N, de Bourdeaudhuij I. Interventions for promoting physical activity among European teenagers: A systematic review. Int J Behav Nutr Phys Activity. 2009;6:82. [Link] [DOI:10.1186/1479-5868-6-82] [PMID] [PMCID]
29. Ahmadi-Tabatabaei S, Taghdisi M, Nakheei N, Balali F. Effect of educational intervention based on the theory of planned behaviour on the physical activities of Kerman Health Center's staff (2008). J Babol Univ Med Sci. 2010;12(2):62-9. [Persian] [Link]
30. Goran M, Reynolds K. Interactive multimedia for promoting physical activity (IMPACT) in children. Obes Res. 2005;13(4):762-71. [Link] [DOI:10.1038/oby.2005.86] [PMID]
31. Armitage CJ. Can the theory of planned behavior predict the maintenance of physical activity?. Health Psychol. 2005;24(3):235-45. [Link] [DOI:10.1037/0278-6133.24.3.235] [PMID]
32. Martin JJ, Oliver K, McCaughtry N. The theory of planned behavior: Predicting physical activity in Mexican American children. J Sport Exerc Psychol. 2007;29(2):225-38. [Link] [DOI:10.1123/jsep.29.2.225] [PMID]
33. Tsorbatzoudis H. Evaluation of a school-based intervention programme to promote physical activity: An application of the theory of planned behavior. Percept Mot Skills. 2005;101(3):787-802. https://doi.org/10.2466/pms.101.3.787-802 [Link] [DOI:10.2466/PMS.101.7.787-802] [PMID]
34. Saber F, Shahnazi H, Sharifirad Gh. The survey of theory of planned behavior constructs regarding girl student's physical activity in Naein Payame Noor University in 2012. Health Syst Res. 2013;9(9):1014-21. [Persian] [Link]
35. Hill C, Abraham C, Wright DB. Can theory-based messages in combination with cognitive prompts promote exercise in classroom settings?. Soc Sci Med. 2007;65(5):1049-58. [Link] [DOI:10.1016/j.socscimed.2007.04.024] [PMID]
36. Moeini B, Jalilian F, Jalilian M, Barati M. Predicting factors associated with regular physical activity among college students applying BASNEF model. Avicenna J Clin Med. 2011;18(3):70-6. [Persian] [Link]
37. Sniehotta FF, Scholz U, Schwarzer R. Action plans and coping plans for physical exercise: A longitudinal intervention study in cardiac rehabilitation. Br J Health Psychol. 2006;11(Pt 1):23-37. [Link] [DOI:10.1348/135910705X43804] [PMID]
38. Williams SL, Michie S, Dale J, Stallard N, French DP. The effects of a brief intervention to promote walking on Theory of Planned Behavior constructs: A cluster randomized controlled trial in general practice. Patient Educ Couns. 2015;98(5):651-9. [Link] [DOI:10.1016/j.pec.2015.01.010] [PMID]
39. Kinmonth AL, Wareham NJ, Hardeman W, Sutton S, Prevost AT, Fanshawe T, et al. Efficacy of a theory-based behavioural intervention to increase physical activity in an at-risk group in primary care (ProActive UK): A randomised trial. Lancet. 2008;371(9606):41-8. [Link] [DOI:10.1016/S0140-6736(08)60070-7]
40. Montgomery P, Grant S, Mayo-Wilson E, Macdonald G, Michie S, Hopewell S, et al. Reporting randomised trials of social and psychological interventions: The CONSORT-SPI 2018 extension. Trials. 2018;19:407. [Link] [DOI:10.1186/s13063-018-2733-1] [PMID] [PMCID]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.