scholarly journals The effect of educational intervention based on the theory of planned behavior on improving physical and nutrition status of obese and overweight women

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Ali Khani Jeihooni ◽  
Mehdi Layeghiasl ◽  
Asiyeh Yari ◽  
Tayebeh Rakhshani

Abstract Background Regarding the high rate of obesity and overweight among women, develop a comprehensive and effective program it seems necessary to improve their nutritional behaviors and physical activity. This study aims to survey the effect of educational intervention based on the theory of planned behavior (TPB) on improving physical and nutritional activities of obese and overweight women. Methods This experimental study was performed on 400 obese and overweight women over the age of 20. The sampling method was A simple random sampling. The data collection was valid and reliable self-reports measure, questionnaires. This tools was including demographic information, questionnaire based on the constructs of the theory of planned behavior, physical activity performance questionnaire and nutritional performance questionnaire that individuals completed before and 6 months after the educational intervention. The training intervention for the experimental group consisted of 12 sessions of 50–55 min. Data analyzed by SPSS22 and by using chi-square test, independent t-test and paired t-test. Results Findings showed that before the educational intervention, was no significant difference between the experimental and control groups in terms of education, household monthly income, occupation, mean age, marital status, awareness, attitude, perceived behavioral control, subjective norms, physical activity and nutritional behavioral intentions, and physical activity and nutritional performance, weight and BMI. However, six months after the training intervention, there was a significant increase in each of the TPB contracts, weight and BMI in the experimental group, while no significant difference was observed in the control group. The meaningful level was considered 0.05. Conclusion Our findings partially support of applying theory of planned behavior in reducing the weight, BMI and improved nutritional performance and physical activity of the study subjects. TPB could be an important strategy for effective future educational interventions.

2019 ◽  
Author(s):  
Elham Mirzaei ◽  
Farbod Ebadi Fard Azar ◽  
Arash Ziapour ◽  
Nammam Ali Azadi ◽  
Mostafa Qorbani ◽  
...  

Abstract Aims Physical activity is the most critical determinant of physical health which reduces the health risks during life. This designed study aims to evaluate the effect of educational intervention based on the theory of planned behavior on promoting physical activity among middle-aged women attending the health centers in Karaj city during 2017-2018. Methods This research was a quasi-experimental controlled trial, and the study incorporated 140 Middle-Aged Women Referring to Karaj Health Centers assigned randomly to a control and intervention group (70 each group). Participants enrolling in the survey were asked to complete the International Physical Activity Questionnaire and also the theory of planned behavior measures at the baseline and the end of the study. The study applied Nonparametric Wilcoxon and Mann-Whitney tests and ANCOVA to interpret the results. Results The results revealed participants' age range between 30 to 50 years with the mean and standard deviation scores 40.07 (8.750) in training and 45.81 (8.513) at the control group. The intervention improved the theory of planned behavior measures and the physical activities of participants. The results showed a significant difference in the attitude score, the perceived behavioral control score, and the level of subjective norms between two training and non-training groups (P<0.001). The followed-up physical activity score also showed an improvement in the IPAQ score of participants in the training group (p<0.001). Conclusions The findings suggested the effectiveness of training based on the theory of planned behavior in the promotion of physical activity among middle-aged women.


Author(s):  
Elham Mirzaei ◽  
Farbod Ebadi Fard Azar ◽  
Arash Ziapour ◽  
Nammam Ali Azadi ◽  
Mostafa Qorbani ◽  
...  

Background Physical activity is the most critical determinant of physical health which reduces the health risks during life. This designed study aims to evaluate the effect of educational intervention based on the theory of planned behavior on promoting physical activity among middle-aged women attending the health centers in Karaj city during 2017–2018. Methods This research was a quasi-experimental controlled trial, and the study incorporated 140 Middle-Aged Women Referring to Karaj Health Centers assigned randomly to a control and intervention group (70 each group). Participants enrolling in the survey were asked to complete the International Physical Activity Questionnaire and also the theory of planned behavior measures at the baseline and the end of the study. The SPSS software were used, to analyze the data. The study applied Nonparametric Wilcoxon and Mann-Whitney tests and ANCOVA to interpret the results. Results The results revealed participants' age range between 30 to 50 years with the mean and standard deviation scores 40.07 (8.750) in training and 45.81 (8.513) at the control group. The intervention improved the theory of planned behavior measures and the physical activities of participants. The results showed a significant difference in the attitude score, the perceived behavioral control score, and the level of subjective norms between two training and non-training groups (P < 0.001). The followed-up physical activity score also showed an improvement in the IPAQ score of participants in the training group (p < 0.001). Conclusions The results of this specific study support the effectiveness of the theory of planned behavior for promoting the physical activity of women.


2020 ◽  
Vol 26 (3) ◽  
pp. 212-227
Author(s):  
Ali Alami ◽  
◽  
Masomeh Esmailzade ◽  
Reza Esmaeili ◽  
Mohammad Matlabi ◽  
...  

Aims: Fertility is an important factor for population growth and its proportion. Regarding the overall decrease in the total fertility rate in Iran and reaching below the replacement rate, this study aimed at determining the effect of the education based on the Theory of Planned Behavior (TPB) on women’s fertility intention. Methods & Materials: This interventional study was conducted on 100 pregnant women of reproductive age covered by the Gonabad community health centers. The subjects were selected through two-stage cluster sampling and randomly assigned to the control and experimental groups (n=50 per group). Data were analyzed using SPSS V. 20 and Independent t-test, paired t-test, and Chi-square test. Findings: There was no significant difference between the demographic characteristics of the subjects in the experimental and control groups. Before the intervention, there was no significant difference between the mean score of the theoretical constructs between the two groups. After the intervention, the mean score of attitude (P=0.014), perceived behavioral control (P=0.042), and behavioral intention (P=0.005) were significantly different between the two groups. Conclusion: The results showed that the educational intervention based on TPB could positively affect the fertility intention of single-child women. Hence, it is suggested to use this model in educational programs related to population growth policy and to plan interventions encouraging couples to have another child.


Author(s):  
Esmat Rezabeigi Davarani ◽  
Mohammad Reza Mahmoodi ◽  
Narges Khanjani ◽  
Mohammad Mehdi Fadakar

Background: We sought to evaluate the effect of educational intervention based on the theory of planned behavior (TPB) on nutritional behaviors in relation to the cardiovascular disease (CVD) among health volunteers. Methods: In this quasi-experimental study, the participants included 128 active health volunteers. To conduct the study, 65 and 63 participants were randomly assigned into the intervention and control groups, respectively. Data were collected before and six weeks after the intervention using a validated researcher-made questionnaire. The questionnaire consisted of demographic variables, knowledge questions, and TPB constructs. Data were analyzed by Chi-square, t-test, Mann-Whitney U, and Wilcoxon test. Results: No significant difference was observed between the intervention and control groups with regard to the demographic characteristics, knowledge mean scores, and TPB constructs at the beginning of the study. However, the mean scores of knowledge, attitude, subjective norms, perceived behavioral control (PBC), and nutritional behavior increased significantly (P < 0.001, P < 0.001, P = 0.018, P = 0.007, and P < 0.001, respectively) in the intervention group six weeks after the beginning of study. Significant differences were observed in nutritional performance of the intervention group, in other words the nutritional behavior of the intervention group members changed during the intervention. Conclusion: The PBC was the strongest construct in attitude. To optimize nutritional interventions in preventing the CVD, TPB should be implemented in educational interventions.


2020 ◽  
Author(s):  
Saeideh Shahsavari ◽  
Sakineh dadipoor ◽  
Mohtasham Ghaffari ◽  
Ali Safari-Moradabadi

Abstract Background: The aim of the present study was to assess readiness to become or stay physically active according to the Stages of Change Model.Methods: The present quasi-experimental study was conducted on 100 women working in the healthcare centres of Bandar Abbas, Iran. The sampling method is clustering in type. The subjects were assigned into two groups of intervention and control. The collected data were analysed by SPSS-16 software using descriptive and inferential statistics, including independent-sample t-test, paired-sample t-test and Chi-square test.Results: Before the educational intervention, 19 subjects (0.38%) from the intervention group showed to have regular physical activity (4-5 stages). This number changed to 29 (0.58%) and 25 (0.50%) after three months and six months of intervention. A statistically significant difference was found before the intervention and 3 and 6 months afterwards (P˂.001). In the control group, no statistically significant difference was found between the pre-intervention and post-intervention (three months (P=.351) and six months (P=.687).Conclusion: The educational intervention based on the stages of behaviour change model showed to be effective in promoting the physical activity of employed women. These findings may benefit health education researchers and practitioners who tend to develop innovative theory-based interventions and strategies to increase the level of physical activity in women.


Author(s):  
Zahra Farzaneh ◽  
Zahra Asadollahi ◽  
Mohammad Asadpour ◽  
Zohre Rahaei ◽  
Farzaneh Sardari ◽  
...  

Introduction: Theory of planned behavior can provide a framework for intervention to understand how to prevent health problems. The aim of this study was to determine the effect of training intervention based on the theory of planned behavior in promoting oral health behavior of pregnant women who visit health care centers of Rafsanjan. Methods: In this educational intervention trial, 100 pregnant women in Rafsanjan were selected by multi-stage sampling in 2016. Initially, four centers were randomly selected, followed by two centers selected as intervention groups and two centers as control groups. Data were collected using a three-part researcher-made questionnaire, that were completed by pregnant women in two periods, ie, before and three months after the intervention. Quantitative data were presented as mean ± SD and qualitative data as n (%). First, the homogeneity of the two groups was examined using an independent t-test and chi-square test. Data were analyzed with SPSS 18. The significance level of all tests was considered to be 0.05. Results: Findings showed that there was no statistically significant difference between the demographics of the two groups (p> 0.05). After the implementation of the program, the mean score of intervention in all constructs of the theory of planned behavior model was significant between the control and intervention groups (p < 0.001). Following the educational program, the oral health behavior of pregnant women increased in the intervention group (3.72 ± 4.22) which was significantly higher than the control group (1.48 ± 2.58) (p < 0.001). Conclusion: The results of this study showed that educational interventions can focus on the subjective norm which had fruitful results in the field of oral health. This theory can be used as an appropriate model for oral health promotion programs.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tayebeh Rakhshani ◽  
Zahra Khiyali ◽  
Fatemeh Masrurpour ◽  
Ali Khani Jeihooni

Abstract Background Regular physical activity has important health benefits for women. The present study aimed to investigate the effect of theory-based educational interventions on the improvement of physical activities of middle-aged women. Methods This experimental study was conducted on 160 middle-aged women referred to Ahwaz health centers Iran in 2017 who were selected through the cluster sampling method. They were randomly divided into two groups: intervention (n = 80) and control (n = 80). The educational intervention for the experimental group consisted of 4 consultation and 4 follow-up sessions. The study outcomes included physical activity change, self-efficacy, decision-making balance, and the International Physical Activity Questionnaire, which were measured before the intervention and 2 months after that. The data were analyzed using the SPSS19 software as well as the Chi-square, independent t-test and paired t-test. Results After the intervention, the mean scores of preparedness for change, decision-making balance, perceived self-efficacy, pre-thinking, thinking, preparation, practice and maintenance were significantly different in both the experimental and control groups (P value < 0.05). The t-test showed that after the educational intervention, the mean score of physical activity was significantly higher in the experimental group than in the control group (726.3 ± 201.6 and 339.8 ± 90.2, respectively) (P value < 0.001). Conclusion The findings of this study showed that the theory-based educational intervention was effective on the improvement of the middle-aged women’s physical activities. Therefore, it is suggested that a theory-based educational program be designed and implemented in order to increase the physical activities of this group.


2021 ◽  
Author(s):  
Ali Khani Jeihooni ◽  
Zhila Fereidouni ◽  
Mina Bahmandoost ◽  
Pooyan Afzali Harsini

Abstract Objectives. The purpose of this study was designed and conducted so that the educational intervention based on the theory of planned behavior be performed in order to promote preventive behaviors of knee osteoarthritis in women over 40 living in, Fars, I.R.IranMethods. This research is a quasi-experimental study. The subjects of the study were 100 women over the age of 40 who were under the coverage of Health Centers. The data collection tool was a questionnaire TPB. The educational intervention program consisted of 8 training sessions on the adoption of preventive behaviors from knee osteoarthritis based on the theory of planned behavior (TPB). Results. There was a significant difference between the experimental and control groups in terms of the scores for attitude, subjective norms, perceived control behavior, intention and behavior before and after the intervention. However, three months after the intervention, there was a significant increase in each of the constructs in the experimental, but there was no such a significant difference in the control group.Conclusion. With regard to the findings of this study, performing educational intervention based on theories and changing behavior modes particularly the TPB aiming at reducing knee osteoarthritis can lead to its morbidity reduction.


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