A Survey on the Effects of the Pender's Health Promotion Model on Prediction of the Employees' Physical Activity

Authors
1 Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
2 Faculty of Mathematics, Ferdowsi University of Mashhad, Mashhad Iran
Abstract
Aims: Most of the world population who is at work and production age does not have appropriate and regular physical activity for various reasons. Accordingly, the researchers tried to evaluate the effect of physical activity predictors of employees through the path analysis based on the Pender's Health Promotion Model (HPM). Methods and Materials: We conducted this study on 359 employees of the milk and milk powder production factories in Mashhad. A questionnaire consisted of items related to the structure of the Pender's Health Promotion Model (Perceived Benefits, Perceived Barriers, Prior Related Behavior, Perceived Self-Efficacy, Activity Related Affect, Personal Factors, Interpersonal Influences and Situational Influences) and the IPAQ standard questionnaire related to the physical activity were designed and applied in interviews as data collection instruments. Findings: One fourth of the employees had proper physical activity. Generally, structures of the Pender's Health Promotion Model predicted 34.8 % of the physical activity behavior variance. Regression analysis has shown that the predictability of Prior Related Behavior, Perceived Self-Efficacy, Personal Factors, Activity Related Affect and Interpersonal Influences are significant and Situational Influences are nearly significant. Prior Related Behavior (β = 0.45, P < 0.000) and Self-Efficacy (β = 0.17, PConclusions: The findings of the study revealed that HPM is efficient in identifying and predicting the physical activity behavior. This pattern can be used as a framework for planning and implementing educational interventions in order to improve the physical activity of the adult employees.

Keywords


[1] Gal D, Santos AC, Barros H. Leisure-time versus full-day energy expenditure: a cross-sectional study of sedentarism in a Portuguese urban population. BMC Public Health 2005; 5(1): 16.

[2] WHO. Health and development through physical activity and sport. Geneva, Switzerland: World Health Organization. http://apps.who.int/iris/handle/10665/67796; 2003.

[3] Pronk NP, Kottke TE. Physical activity promotion as a strategic corporate priority to improve worker health and business performance. Prev Med 2009; 49(4): 316-21.

[4] Choobine A. [Methods of posture assessment in occupational ergonomics ]. 1st, editor. Hamadan: Fanavaran; 2003 (Persian).

[5] Burton NW, Turrell G. Occupation, Hours Worked, and Leisure-Time Physical Activity. Prev Med 2000; 31(6): 673-81.

[6] Yang X, Telama R, Hirvensalo M, Hintsanen M, Hintsa T, Pulkki-Raback L, et al. The benefits of sustained leisure-time physical activity on job strain. Occupational medicine (Oxford, England). 2010; 60(5): 369-75.

[7] WHO. Reducing risks to health, promoting healthy life. JAMA 2002; 288(16): 1974.

[8] Farmanbar R, Niknami S, Hidarnia A, Hajizadeh E. [Prediction of Exercise Behavior among College Students Based on Transtheoretical Model and Self-determination Theory Using Path Analysis]. payesh 2010; 10: 27-39. (Persian).

[9] Daley AJ, Duda JL. Self-determination, stage of readiness to change for exercise, and frequency of physical activity in young people. EJSS 2006; 6(4): 231-43.

[10]           Robbins LB, Gretebeck KA, Kazanis AS, Pender NJ. Girls on the move program to increase physical activity participation. Nurs Res 2006; 55(3): 206-16.

[11]           Pender N, Murdaugh C, Parsons M. Health Promotion in nursing practice. Fourth edition 2002; p: 58-100.

[12]           Sallis J, Prochaska J, Taylor W. A review of correlates of physical activity of children and adolescents. Medicine and science in sports and exercise. 2000; 32(5): 963-75.

[13]           Aghamolaei T, Tavafian S, Hassani L. Exercise Self-efficacy, Exercise Perceived Benefits and Barriers among Students in Hormozgan University of Medical Sciences IJE. 2009; 4(3-4): 9-15.

[14]           Mazloomy Mahmoudabad S, Mohammadi M, Morovati Sharifabad M. [Exercise and Its Relation to Self Efficacy Based on Stages of Change Model in Employees of Yazd in 2008]. Journal of Kerman University. 2010; 17: 346-54. (Persian).

[15]           Moeini B, Jalilian F, Jalilian M, Barati M. [Predicting Factors Associated with Regular Physical Activity among College Students Applying BASNEF Model]. Sci J Hamadan Univ Med Sci 2011; 18(3): 70-6. (Persian).

[16]           Mohammadi Zeidi I, Ziaeiha M, Khalaj M, Mohammadi Zeidi B, Morshedi H. [Predicting the stages of change in physical activity behavior of QUMS students with Pender’s model]. JQUMS 2010; 14(3): 58-66. (Persian).

[17]           Rejali M, Mostajeran M. [Assessment of physical activity in Medical and Public Health Students of Isfahan University of Medical Sciences]. HSR 2008; 6(2): 35-40 and 173-8. (Persian).

[18]           Bauman A, Bull F, Chey T, Craig C, Ainsworth B, Sallis J, et al. The International Prevalence Study on Physical Activity: results from 20 countries. IJBNPA 2009; 6(1): 21.

[19]           Oyeyemi AL, Oyeyemi AY, Adegoke BO, Oyetoke FO, Aliyu HN, Aliyu SU, et al. The Short International Physical Activity Questionnaire: cross-cultural adaptation, validation and reliability of the Hausa language version in Nigeria. BMC Med Res Methodol 2011; 11: 156.

[20]           Taymoori P, Lubans DR. Mediators of behavior change in two tailored physical activity interventions for adolescent girls. Psychol Sport Exerc 2008; 9(5): 605-19.

[21]           Sechrist KR, Walker SN, Pender NJ. Development and psychometric evaluation of the exercise benefits/barriers scale. Res Nurs Health 1987;  10(6): 357-65.

[22]           Seyed-Emami R, Eftekhar-Ardebili H. [Effect of a Health Education Intervention on Physical Activity Knowledge, Attitude and Behavior in Health Volunteers]. HAYAT 2010; 16(3-4): 48-55. (Persian).

[23]           Norouzi A, Ghofranipour F, Heydarnia A, Tahmasebi R. [Determinants of physical activity based on Health Promotion Model (HPM) in diabetic women of Karaj diabetic institute]. ISMJ 2010; 13(1): 41-51. (Persian).

[24]           Sallis JF, Haskell WL, Wood PD, Fortmann SP, Rogers T, Blair SN, et al. Physical activity assessment methodology in the Five-City Project. Am J Epidemiol 1985; 121(1): 91-106.

[25]           Morowatisharifabad MA, Ghofranipour F. [Modification of Health Promotion Model and It's Application Together With Adult Education Theory in Changing Heath Promoting Behaviors of Older Adults in Yazd]. School of Medical Sciences: Tarbiat Modares University; 2005.

[26]           Stuifbergen AK, Seraphine A, Roberts G. An explanatory model of health promotion and quality of life in chronic disabling conditions. Nurs Res 2000; 49(3): 122-9.

[27]           Pirasteh A, Hidarnia A, Asghari A, Faghihzadeh S, Ghofranipour F. Stages of Changes for Physical Activity among Iranian Adolescent Girls. World Academy of Science, Engineering and Technology 2011; 53: 1146-8.

[28]           Farmanbar R, Niknami S, Hidarnia A, Hajizadeh E. [Prediction of Exercise Behavior among College Students Based on Transtheoretical Model and Self-determination Theory Using Path Analysis]. GUMS 2009; 18(71): 35-46. (Persian).

[29]           Pitsavos C, Panagiotakos D, Lentzas Y, Stefanadis C. Epidemiology of leisure-time physical activity in socio-demographic, lifestyle and psychological characteristics of men and women in Greece: the ATTICA Study. BMC Public Health 2005; 5(1): 37.

[30]           Al-Tannir M, Kobrosly S, Itani T, El-Rajab M, Tannir S. Prevalence of physical activity among Lebanese adults: a cross-sectional study. Journal of Physical Activity & Health 2009; 6(3): 315-20.

[31]           Patterson E, McGeough D, Cannon E, Hagströmer M, Bergman P, Kearney J, et al. Self-efficacy, stages of change and physical activity in Irish college students. J Public Health 2006; 14(2): 81-6.

[32]           Madanat H, Merrill RM. Motivational factors and stages of change for physical activity among college students in Amman, Jordan. Promotion & Education. 2006; 13(3): 185-90.

[33]           Keshavarz Z, Simbar M, Ramezankhani A. [Effective Factors on exercise behavior of Female Workers: A Qualitative Approach based On Integrated Model of Planned Behavior and Self-efficacy]. J Mashhad School Nurs Midw 2010; 10(2): 19-30. (Persian).

[34]           Yamaguchi Y, Miura S, Urata H, Himeshima Y, Yamatsu K, Otsuka N, et al. The Effectiveness of a Multicomponent Program for Nutrition and Physical Activity Change in Clinical Setting: Short-term Effects of PACE+ Japan. JSHS 2003; 1(2): 229-37.

[35]           Pullen C, Walker SN, Fiandt K. Determinants of Health-Promoting Lifestyle Behaviors in Rural Older Women. Famil & Community Health 2001; 24(2): 49-72.

[36]           Nutbeam D, Harris E. Theory in a Nutshell: A practical guide to health promotion theories. Mc Graw- Hill Australia Pty Ltd. 2004; Second edition.

[37]           Norouzi A, Ghofranipour F, Haidarnia A, Tahmasbi R. [Promoting physical activity in diabetic women with using stage of change construct in health promotion model] [persian]. Faculty of Medical Sciences: Tarbiat Modares University, Tehran, 2010.

[38]           Levy SS, Cardinal BJ. Factors Associated With Transitional Shifts in College Students' Physical Activity Behavior. Research Quarterly for Exercise and Sport 2006; 77(4): 476-85.

[39]           Alinia A, Vahdian-Shahrodi M. [study of the Effects of educational interventions based on trans-theoretical model on physical activity in student's Tonekabon] [persian]. School of Health: Mashhad University of Medical Sciences; 2012.

[40]           Buckworth J, Granello DH, Belmore J. Incorporating Personality Assessment Into Counseling to Help College Students Adopt and Maintain Exercise Behaviors. JCC 2002; 5(1): 15-25.

[41]           Sullum J, Clark MM, King TK. Predictors of exercise relapse in a college population. Journal of American college health: J of ACH 2000; 48(4): 175-80.

[42]           Thrasher JF, Campbell MK, Oates V. Behavior-specific social support for healthy behaviors among african american church members: applying optimal matching theory. Health Educ Behav 2004; 31(2): 193-205.

[43]           Wu T-Y, Jwo JL. A prospective study on changes of cognitions, interpersonal influences, and physical activity in Taiwanese youth. Research quarterly for exercise and sport. 2005; 76(1): 1-10.

[44]           Biddle SJH, Mutrie N. Psychology of Physical Activity: Determinants, Well-Being and Interventions. Loughborough University, UK: Taylor & Francis Group; 2008.