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Zhang N, Ding K, Park C, Vo J, Cantos KM. The Effect of Social Support on Social Media on Asian College Students' Intention to Participate in Physical Activity in the United States. Health Equity 2023; 7:735-742. [PMID: 38025655 PMCID: PMC10664567 DOI: 10.1089/heq.2022.0208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/19/2023] [Indexed: 12/01/2023] Open
Abstract
Background College students who identified themselves as Asians in the United States (i.e., Asian college students) are facing health inequalities and engaging in increasingly low levels of physical activity (PA). Although social support was found to be effective in increasing college students' PA and social media is an important channel for social support for Asian students, few studies have explored how to provide social support through social media interventions to promote Asian students' PA level. Thus, this study aimed to explore the effects of social support on social media on Asian college students' intention to participate in PA based on the theory of planned behavior. Methods We conducted an online Qualtrics survey among all undergraduate students at a university on the West Coast of the United States. Among 936 respondents, 337 (36%) were Asian college students. Descriptive analysis, regression models, and mediating effect tests were performed using SPSS 28. Results For Asian students, social support on social media has both direct effects and indirect effects through perceived behavioral control (PBC) on their intention to participate in PA. Conclusion Future interventions could consider encouraging Asian students to provide support to each other and form support groups using social media to increase their PBC.
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Affiliation(s)
- Ni Zhang
- Department of Public Health and Recreation, San Jose State University, San Jose, California, USA
| | - Kele Ding
- School of Health Sciences, Kent State University, Kent, Ohio, USA
| | - Chulwoo Park
- Department of Public Health and Recreation, San Jose State University, San Jose, California, USA
| | - Jane Vo
- Department of Public Health and Recreation, San Jose State University, San Jose, California, USA
| | - Katrina Marie Cantos
- Department of Public Health and Recreation, San Jose State University, San Jose, California, USA
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Kamalian S, Didarloo A, Khalkhali HR, Maheri M. A Study on the effect of lifestyle educational intervention based on the theory of planned behavior on promoting quality of life of middle-aged women. J Women Aging 2023; 35:573-588. [PMID: 37115728 DOI: 10.1080/08952841.2023.2202658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Revised: 03/28/2023] [Accepted: 04/10/2023] [Indexed: 04/29/2023]
Abstract
The present study aimed to determine the effect of lifestyle educational intervention based on the theory of planned behavior on promoting the quality of life of middle-aged women. The present quasi-experimental study examined 80 middle-aged women and randomly divided them into two groups (intervention and control). Data collection tools included the demographic information questionnaire, the Health Promoting Lifestyle Profile-II (HPLP-II), the 12-Item Short-Form Health Survey (SF-12), and the author-developed questionnaire based on constructs of the theory of planned behavior. Data were collected via WhatsApp twice (before and three months after the educational intervention). Five 45-minute training sessions were held for the intervention group and a 60-minute session for a family member regarding physical activity and spiritual growth over two months via WhatsApp. Data were analyzed using SPSS, and the results were considered significant at a statistical level (p < .05). The implementation of the educational intervention significantly increased the mean scores of quality of life, physical activity and spiritual growth, knowledge regarding physical activity and spiritual growth, attitude toward physical activity and spiritual growth, subjective norms toward spiritual growth, perceived behavioral control for physical activity, and behavioral intention to perform physical activity and spiritual growth in the intervention group in comparison with the control group. The educational intervention, which was designed based on constructs of the theory of planned behavior, was influential in promoting the lifestyles and quality of life of middle-aged women. Therefore, it is suggested to use the educational program of the present study in addition to other middle-age health care.
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Affiliation(s)
- Shahla Kamalian
- Social Determinants of Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
- Department of Public Health, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Alireza Didarloo
- Social Determinants of Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
- Department of Public Health, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Hamid Reza Khalkhali
- Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
- Department of Epidemiology and Biostatistics, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
| | - Mina Maheri
- Social Determinants of Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
- Department of Public Health, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
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Dastmanesh S, Karimi M, Ghahremani L, Seif M, Zare E. A health communication campaign for prevention of osteoporosis in rural elderly women. BMC Womens Health 2023; 23:124. [PMID: 36959583 PMCID: PMC10037817 DOI: 10.1186/s12905-023-02282-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2022] [Accepted: 03/15/2023] [Indexed: 03/25/2023] Open
Abstract
BACKGROUND Osteoporosis, as the most common metabolic disease and the leading cause of death among older people, affects more than 200 million women throughout the world. This study aimed to evaluate the effect of a health communication campaign on knowledge, attitude, and practice of older women towards prevention and control of osteoporosis. METHODS In this multi-stage mixed methods study, 30 days' health communication campaign for prevention of osteoporosis was conducted on 60- 75-year-old women, in rural areas of Fasa, Iran. Subjects were divided into two groups, control (n = 103) and intervention (n = 98). Data were collected using a researcher-made questionnaire and analyzed by SPSS 25.0. The significance level was set at < 0.05. RESULTS Inter-group group analysis revealed that the mean scores of knowledge, attitude, and practice were not significantly different between the two groups before the intervention, but after the intervention, unlike the behavior (P = 0.569), mean scores of knowledge (p < 0.001) and attitude (p < 0.001) of the intervention group were significantly more than the control group. Intra-group comparisons showed that, unlike the control group, the mean scores of knowledge (p < 0.001), attitudes (p < 0.001), and behavior (P < 0.001) increased significantly in the intervention group. CONCLUSIONS Health communication campaign is an effective way to change the knowledge and attitude and to a lesser extent the practice of the eldery toward prevention and control of osteoporosis.
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Affiliation(s)
- Solmaz Dastmanesh
- Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Masoud Karimi
- Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Leila Ghahremani
- Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mozhgan Seif
- Non-Communicable Diseases Research Center, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Elahe Zare
- MSc, Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
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Yang HM, Choo J. Effects of a parent-led childhood obesity management program for socioeconomically vulnerable families: A randomised controlled trial. Collegian 2023. [DOI: 10.1016/j.colegn.2022.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
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Lee WP, Wu PY, Chen LC, Shih WM. Using a Motivational Paradigm to Develop an Exercise Program for Nurses with High Risk of Metabolic Syndrome. Healthcare (Basel) 2022; 11:healthcare11010005. [PMID: 36611465 PMCID: PMC9818651 DOI: 10.3390/healthcare11010005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2022] [Revised: 12/08/2022] [Accepted: 12/13/2022] [Indexed: 12/24/2022] Open
Abstract
Nurses are frontline care providers whose health is vital to providing good quality of care to patients. The purpose of this study was to develop an exercise program for high-risk metabolic syndrome nurses based on the transtheoretical model. The transtheoretical model was used in this study due to its popular use in exercise behavior change and it can clearly identify the stage of exercise so as to plan an effective program to promote health. This was a quasi-experimental pilot study with a total of 40 participants who met the inclusion criteria. Exercise programs were developed for three groups distinguished by their commitment to exercising for health. Sixteen (40%) nurses moved one step forward, six (15%) nurses moved backward, and eighteen (45%) nurses maintained at the same stage over time (stable sedentary, 40%; stable active, 5%). Bowker’s test of symmetry, χ2 = 14.00 (p < 0.01), revealed that the population exercising increased significantly after the intervention. After the program, the perceived benefits from exercise in the decisional balance significantly increased to 1.53 (t = 2.223, p < 0.05), perceived exercise barriers significantly decreased to 3.10 (t = −3.075, p < 0.05), and self-efficacy significantly increased to 2.90 (t = 3.251, p < 0.01), respectively. Applying the transtheoretical model to health behavior enables significant change. The benefits of applying the transtheoretical model for promoting exercise include increasing perceived exercise benefits and self-efficacy, decreasing perceived exercise barriers, and increasing physical activity levels.
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Affiliation(s)
- Wen-Ping Lee
- Department of Nursing, New Taipei Municipal Tucheng Hospital (Built and Operated by Chang Gung Medical Foundation), New Taipei City 236, Taiwan
| | - Pao-Yuan Wu
- Department of Nursing, New Taipei Municipal Tucheng Hospital (Built and Operated by Chang Gung Medical Foundation), New Taipei City 236, Taiwan
- Department of Nursing, University of Kang Ning, Taipei City 114, Taiwan
| | - Li-Chin Chen
- Department of Nursing, New Taipei Municipal Tucheng Hospital (Built and Operated by Chang Gung Medical Foundation), New Taipei City 236, Taiwan
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan 333, Taiwan
| | - Whei-Mei Shih
- Department of Nursing, New Taipei Municipal Tucheng Hospital (Built and Operated by Chang Gung Medical Foundation), New Taipei City 236, Taiwan
- Graduate Institute of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taoyuan 333, Taiwan
- Correspondence: ; Tel.: +886-953313075; Fax: +886-32118866
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Mobasheri N, Ghahremani L, Fallahzadeh Abarghooee E, Hassanzadeh J, Apte U. Lifestyle Intervention for Patients with Nonalcoholic Fatty Liver Disease: A Randomized Clinical Trial Based on the Theory of Planned Behavior. BioMed Research International 2022; 2022:1-10. [PMID: 36132088 PMCID: PMC9484896 DOI: 10.1155/2022/3465980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 07/23/2022] [Accepted: 08/16/2022] [Indexed: 11/26/2022]
Abstract
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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Cuy Castellanos D, Daprano CM, Blevins C, Crecelius A. The theory of planned behavior and strength training in college-aged women. J Am Coll Health 2022; 70:837-842. [PMID: 32569505 DOI: 10.1080/07448481.2020.1775606] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2019] [Revised: 05/13/2020] [Accepted: 05/22/2020] [Indexed: 06/11/2023]
Abstract
ObjectivesUsing Theory of Planned Behavior, the objective of this study was to determine how attitudes, subjective norms and perceived behavior control related to intent to strength training by college-aged women. Participants: Participants were college-aged females (N = 162) from a mid-sized private university in the Midwestern United States who were divided into three groups: non-exercisers, cardiovascular-only exercisers, and strength or strength and cardiovascular exercisers. Methods: Participants completed a questionnaire assessing attitudes, subjective norms and perceived behavior control in relation to strength training behavior. MANOVA was utilized to examine the differences between groups. Results: The MANOVA was significant at p < .01. Post hoc analysis indicated strength training participation was significantly higher for non-exercisers and cardiovascular-only exercisers for the attitude and perceived behavior control constructs (p<.05) but not for subjective norm. Conclusions: Perceived behavior control and direct attitude factors may be strong contributors to college-aged women's participation in strength training.
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Affiliation(s)
| | - Corinne M Daprano
- Department of Health and Sport Science, University of Dayton, Dayton, Ohio, USA
| | - Clarissa Blevins
- Department of Health and Sport Science, University of Dayton, Dayton, Ohio, USA
| | - Anne Crecelius
- Department of Health and Sport Science, University of Dayton, Dayton, Ohio, USA
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Arefi Z, Sadeghi R, Shojaeizadeh D, Yaseri M, Shahbazi Sighaldeh S. The effect of educational intervention on nutritional behavior in pregnant women based on social cognitive theory. J Matern Fetal Neonatal Med 2022; 35:9724-9729. [PMID: 35282747 DOI: 10.1080/14767058.2022.2050901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND One of the key issues for women's health is pregnancy. Healthy nutrition during pregnancy is a reliable guarantee for proper pregnancy and childbirth. This study sought to determine the impact of an educational intervention based on social cognitive theory on the nutritional behavior of pregnant women in Iran. METHODS This randomized controlled trial study was carried out in women of reproductive age in Iran, from February to April 2020. The samples were divided into experimental (n = 150) and control (n = 150) groups. The questionnaire included demographic questions, questions related to the structures of social cognitive theory and nutritional behavior questionnaire. The data were analyzed through the SPSS20 and AMOS23 software. RESULTS The mean age of the women was 28.11 ± 6.54 and 28.83 ± 6.62 years in the intervention and control groups, respectively. The results of the Structural Equation Model showed that direct effect of self-efficacy, self-regulation, and mutual determinants on behavior were significant. After the educational intervention, nutritional behavior in the experimental group was increased significantly. Also, there was a significant difference between two groups in structures such as outcome expectations, outcome value, self-efficacy and knowledge. But there was no significant increase in the self-regulation and social support after educational intervention. CONCLUSION Social cognitive theory as a theoretical framework is able to predict healthy eating behavior during pregnancy. Also educational intervention based on the structures of social cognitive theory, improved the behavior of pregnant mothers. Educational intervention based on social cognitive theory and providing simple and understandable training packages for pregnant women is recommended.
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Affiliation(s)
- Zohreh Arefi
- Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Roya Sadeghi
- Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Davoud Shojaeizadeh
- Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mehdi Yaseri
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Shirin Shahbazi Sighaldeh
- Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
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Sousa MMD, Almeida TDCF, Gouveia BDLA, Freire MEM, Oliveira SHDS. Validation of persuasive audiovisual communication to reduce salt consumption by people with heart failure. Rev Esc Enferm USP 2021; 55:e03751. [PMID: 34190894 DOI: 10.1590/s1980-220x2020006503751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2020] [Accepted: 01/01/2021] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To build and validate persuasive audiovisual communication content to reduce salt consumption in the diet of people with heart failure. METHOD Methodological study, of a technological method, based on the Theory of Planned Behavior, in which the stages of pre-production, production and post-production were followed. Content validation was carried out with specialists in the field of health and communication. RESULTS Based on the survey of beliefs related to salt reduction, the video contains 42 screens with three minutes and eleven seconds in duration and has animations and motivational arguments with the aim of positively influencing behavioral intention and modeling negative beliefs in positive ones. In content validation, the judges unanimously agreed with the evaluation criteria for the target audience, language, harmony, figures, narration and persuasion strategy. The Content Validity Index was satisfactory with a 97% agreement. CONCLUSION Persuasive audiovisual communication was considered valid in terms of content, becoming a tool to enhance the reduction of salt consumption in the care of people with heart failure.
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Affiliation(s)
- Mailson Marques de Sousa
- Universidade Federal da Paraíba, Programa de Pós-Graduação em Enfermagem, João Pessoa, PB, Brazil
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Sousa MMD, Almeida TDCF, Gouveia BDLA, Freire MEM, Sousa FSD, Oliveira SHDS. Persuasive communication and the diminution of the salt intake in heart failure patients: a pilot study. Rev Bras Enferm 2021; 74:e20200715. [PMID: 34133675 DOI: 10.1590/0034-7167-2020-0715] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Accepted: 12/21/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to evaluate the effect of persuasive communication in the modulation of the behavioral intention of reducing the consumption of salt in heart failure patients. METHODS pilot quasi-experimental study with one group, before and after the application of audiovisual persuasive communication, as guided by the Theory of Planned Behavior. This study used a form built and validated to measure behavioral variables (Beliefs, Attitude, Subjective Norm, and Perceived Behavioral Control). Wilcoxon's test and Spearman's correlation were applied. RESULTS 82 heart failure patients who were being monitored in outpatient clinics participated. The medians of the behavioral variables increased significantly after the exposition to persuasive communication, showing a high level of intention to execute the behavior. CONCLUSIONS persuasive communication positively contributed to influence the behavioral intention of reducing the consumption of salt in people with cardiac insufficiency.
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Ahmadi Y, Abdolkarimi M, Sayadi AR, Asadpour M. Effect of Educational Intervention Based on the Theory of Planned Behavior in Promoting Healthy Lifestyle Behaviors of Students. J Educ Community Health 2020. [DOI: 10.29252/jech.7.4.293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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Dos Santos CM, Ulguim FO, Pohl HH, Reckziegel MB. Change in habits of workers participating in a Labor Gymnastics Program. Rev Bras Med Trab 2020; 18:66-73. [PMID: 32783006 DOI: 10.5327/z1679443520200498] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2018] [Accepted: 03/13/2020] [Indexed: 11/05/2022] Open
Abstract
Background Demands as to productivity transform the work environment more and more stressful, and negatively impact on the motivation of workers and the performance of their work activities. Initiatives seek to consolidate advances in policies for comprehensive care for workers health, with actions to prevent injuries and promote health. Offering workers a Labor Gymnastics Program (PGL), which is not restricted to attention to musculoskeletal disorders, becomes a tool to encourage change in habits. Aim To identify possible changes in workers habits after the implementation of a PGL. Method 41 workers in the administrative area and support from a teaching hospital in the municipality of Santa Cruz do Sul answered the questionnaire. The questionnaire includes variables on eating habits, displacement and physical activity, applied before and after intervention. The sessions were held during the workday, with frequency of three times a week, on alternate days, for 4 months, composed of physical activities and information on dietary reeducation, postural education, body awareness and the importance of regular physical activity. Results There is a predominance of females (61.0%), and age of 33.5±10.2 years. Changes in some habits were identified: increase in the number of workers who practice regular physical activity (p=0.01), increase in the duration and frequency of activity (p=0.04), and maintenance / reduction in the frequency of consumption of "Embedded" (p=0.03). Conclusion It was possible to identify positive changes in workers habits after the implementation of the PGL, suggesting that it is an important strategy in the field of health promotion.
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Affiliation(s)
- Carine Muniz Dos Santos
- Universidade de Santa Cruz do Sul - Santa Cruz do Sul (RS), Brazil. Universidade de Santa Cruz do Sul Universidade de Santa Cruz do Sul Brazil
| | - Fernanda Oliveira Ulguim
- Universidade Católica de Pelotas - Pelotas (RS), Brazil. Universidade Católica de Pelotas Universidade Católica de Pelotas Brazil
| | - Hildegard Hedwig Pohl
- Department of Physical Education and Health, Universidade de Santa Cruz do Sul - Santa Cruz do Sul (RS), Brazil. Universidade de Santa Cruz do Sul Department of Physical Education and Health Universidade de Santa Cruz do Sul Brazil
| | - Miriam Beatrís Reckziegel
- Department of Physical Education and Health, Universidade de Santa Cruz do Sul - Santa Cruz do Sul (RS), Brazil. Universidade de Santa Cruz do Sul Department of Physical Education and Health Universidade de Santa Cruz do Sul Brazil
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Hatefnia E, Alizadeh K, Ghorbani M. Applying the theory of planned behavior to determine factors associated with physical activity by women with hypertension in rural areas of Iran. ASIAN BIOMED 2019. [DOI: 10.1515/abm-2019-0005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
Background
Hypertension is the leading preventable cause of premature deaths worldwide. Physical activity reduces the levels of blood lipids and blood pressure in people suffering from hypertension.
Objectives
To apply the theory of planned behavior (TPB) to determine factors associated with physical activity by women with hypertension who were referred to health care centers in Kiashahr in 2016.
Methods
The present observational study was conducted in a cross-section of 215 women diagnosed with hypertension who had records in health care centers in Kiashahr and who were recruited through census from August to September 2016. The data collection tool was a custom-designed questionnaire based on the TPB, and the collected data were analyzed using descriptive and analytical statistical methods.
Results
The mean scores of knowledge, attitudes, subjective norms, perceived behavioral control, and intention to undertake physical activity were significantly (P < 0.01) higher among women who performed regular physical activity than in those without regular physical activity. Constructs including behavioral intention (P < 0.001, odds ratio (OR) 1.36, 95% confidence interval (CI) 1.15, 1.61) and attitude (P = 0.004, OR 1.27, 95% CI 1.08, 1.50) were significant predictors for undertaking physical activities.
Conclusions
Attitude and behavioral intention were predictors for undertaking physical activities. We recommended the design of interventional programs based on these 2 factors for women with hypertension living in rural areas of Iran.
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Affiliation(s)
- Effat Hatefnia
- Social Determinants of Health Research Center, Alborz University of Medical Sciences , Karaj 3146883811, Iran
| | - Kobra Alizadeh
- Department of Health Education and Promotion, School of Public Health, Alborz University of Medical Sciences , Karaj 3146883811, Iran
| | - Mostafa Ghorbani
- Non-communicable Disease Research Center, Alborz University of Medical Sciences , Karaj 3146883811, Iran
- Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute , Tehran University of Medical Sciences , Tehran 1417614418, Iran
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Jia Y, Fu H, Gao J, Dai J, Zheng P. The roles of health culture and physical environment in workplace health promotion: a two-year prospective intervention study in China. BMC Public Health 2018; 18:457. [PMID: 29621986 PMCID: PMC5887264 DOI: 10.1186/s12889-018-5361-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Accepted: 03/22/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To understand the potential influencing factors on the effectiveness of workplace health promotion interventions and examine whether workplace health culture and physical environment can mediate the relationship between workplace health promotion and intervention effectiveness. METHODS A total of 719 participants from 10 Chinese government agencies were recruited for a prospective self-controlled trial. Questionnaires, qualitative interviews, and direct observation were used for the baseline evaluation, process evaluation, and effectiveness evaluation. Based on the results of the need assessment and risk assessment at each workplace, a two-year comprehensive health intervention was conducted by each workplace. Health outcomes including self-rated health (SRH) and mental health were measured at baseline and 24 months. Health culture was measured at 24 months. Physical environment and intervention implementation were measured at 12 months and 24 months. RESULTS Compared with the baseline, the means of SRH and mental health increased significantly by 0.302 and 2.698, respectively. The SRH scores were different before and after intervention; furthermore, the differences varied by workplace. Health culture mediated the relationship between intervention implementation and intervention effectiveness, including SRH and mental health improvement, but physical environment did not. Physical environment quality was significantly negatively correlated with SRH improvement and mental health improvement. Under the relatively high-quality interventions with scores higher than 4.047 or 4.151 (out of 5), better health culture may led to greater SRH and mental health improvements. CONCLUSIONS Health culture may mediate the relationship between intervention implementation and intervention effectiveness, whereas physical environment does not seem to mediate this relationship. Under relatively high-quality interventions, a better health culture may lead to more positive improvements in SRH and mental health. Future studies will need to examine the physical environment as a moderating effect rather than mediating effect. TRIAL REGISTRATION This study was retrospectively registered in Chinese Clinical Trial Registry. TRIAL REGISTRATION NUMBER ChiCTR-OOC-16010059 . Date of registration: Dec 1, 2016.
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Affiliation(s)
- Yingnan Jia
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, 200032, China.,Health Communication Institute, Fudan University, Shanghai, 200032, China
| | - Hua Fu
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, 200032, China. .,Health Communication Institute, Fudan University, Shanghai, 200032, China.
| | - Junling Gao
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, 200032, China
| | - Junming Dai
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, 200032, China
| | - Pinpin Zheng
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, 200032, China
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Rashidi Jahan H, Amin Shokravi F, Sanaeinasab H. Relationship Between Regular Physical Activity and Transtheoretical Model Components Among Members of Municipality Councils in Selected Districts of Tehran. Asian J Sports Med 2017; In Press. [DOI: 10.5812/asjsm.13736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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