BackgroundThe progress of technology in developed countries has changed lifestyles to sedentary and has increased non-communicable diseases. Identifying factors affecting patterns of physical activity among adolescents is valuable and it is important to change these pattern.ObjectiveThis study aimed to explore teenage girls’ experiences regarding the determinants of physical activity promotion based on Pender’s Health Promotion Model.MethodsThis qualitative study is a content analysis research on the girls of three high schools in Minoodasht city for six months from September 2015 until the end of February 2016. The data were obtained by focused group discussions and semi-structured in-depth interviews from 48 girls ranging from 15 to 18 years old and six teachers. Data analysis was done using theory-driven qualitative content analysis.ResultsData analysis resulted in a total number of 53 primary codes which were classified in the six predetermined classifications of Pender’s Health Promotion Model (Perceived benefits, perceived barriers, perceived self-efficacy of physical activity behavior, feelings related to physical activity behavior, interpersonal and situational influencers). The results showed that two classifications (perceived barriers, and situational influencers) were considered more important than other classifications in reducing levels of physical activity in adolescent girls and also high self-efficacy for promoting physical activity in adolescents.ConclusionThe results obtained from this study specified the determinants affecting the promotion of physical activity among adolescent girls and can help the planners to choose the most appropriate methods and strategies in order to promote physical activity among adolescent girls and to prevent chronic non-communicable diseases in this age group and gender.
Background and objective: The problems caused by diabetes have direct and indirect impacts on the quality of life of diabetic patients. An increase of these problems means a decrease in a patient’s quality of life. This study was conducted to assess the effect of the educational programme based on the precede model in promoting quality of life of patients with type 2 diabetes. Design and methods: This pre- and post-intervention quasi-experimental study was conducted on 78 patients with type 2 diabetes who were referred to a diabetes clinic in Minoodasht, Iran. The educational programme was based on the precede model and patients’ educational needs were included in the design. The data were collected using two questionnaires, including The World Health Organization Quality of Life (WHOQOL) questionnaire and the precede model-based educational questionnaire. The subjects were followed for one month after intervention to identify the role of educational intervention them. The data were analyzed by paired sample t-test, variance of analysis test and bivariate correlation test using SPSS version 15. Results: After the intervention, the mean score of quality of life increased from 80.39 ± 11.35 to 81.35 ± 8.31. No significant difference existed in the total score of quality of life after intervention, but there were significant differences in physical health ( p < 0.05), self-evaluation of quality of life by patients ( p < 0.01), and self-assessment of health by patients after educational intervention. In addition, no significant differences were observed between demographic parameters and quality of life, except in the number of children. Conclusion: The educational programme based on the precede model was effective in improving the quality of life of patients with regard to physical health and self-assessment of their health status.
BackgroundTo control diabetes mellitus (DM) it is necessary to make overall changes in the life style of the patients. The aim of this study was to determine the effects of predisposing, reinforcing and enabling factors on self-care behaviors of the patients with DM in the Minoodasht city, Iran in 2012.MethodsIn this quasi-experimental study, 78 people with DM were selected by convenience sampling method. In the first stage of study, the educational program was compiled and executed on six information sessions. To present the informative content, a video projector and different lecturing methods including questions and answers, dynamic group discussion and different educational materials such as pamphlets and CDs were employed. After one month, the efficiency of the educational program was determined by using the same questioner. Data were analyzed using paired sample T-test and McNemar test.ResultsThe mean age of participants was 49 (SD: 3.27.) years old, 87.2% were married, and 19.2% were illiterate. The results showed that the enabling factors like adopting to go on a diet and the educational classes facilitated by the staff had significant effects on health care behavior of the patients. Furthermore 69.2% of the participants adopted to go on a diet before the educational sessions; that figure increased to 94.9% after the educational sessions. According to the results the mean scores for the knowledge, attitude, and behavior, reinforcement factors and enabling factors increased significantly after of the educational intervention (p- value >0.001).ConclusionPredisposing, enabling and reinforcement factors affected in taking self-care behavior in the patient with DM.
The impact of education on the prevention of vaginal infection ... [22] Application of PRECEDE-PROCEED Planning model ... [23] Application Precede-Proceed health promotion model ... [24] Adolescent idiopathic scoliosis screening for ... [25] Predicting of Factors influencing physical activity in women ... [26] Effectiveness of PRECEDE model for health education ... [27] Investigating the Effect of educational program based ... [28] Survey of the effect of educational intervention ... [29] Effects of self-guided e-counseling on health behaviors and ... AimsHypertension is one of the most common chronic health problems worldwide and selfcare behaviors are an important part of managing blood pressure in these patients. Therefore, the present study was conducted to determine the effect of educational intervention based on the PRECEDE model on the promotion of self-care behaviors of patients with hypertension.Materials & Methods This randomized controlled trial was performed among 102 patients with hypertension who were selected by multi-stage cluster sampling in 2018. Data collection tools included demographic information and a standard questionnaire based on the PRECEDE model constructs which were completed by interview. The experimental group participated in 4 training sessions. Questionnaires were collected before and 3 months after the educational intervention from the participants of the experimental and control groups. Data were analyzed in SPSS 19 software using Chi-square, independent t-test, paired t-test, and linear regression. Findings The results showed that knowledge, attitude and enabling factors predicted 20% of the variance of self-care behaviors of patients with hypertension before the educational intervention. After the educational intervention, the mean scores of all structures of the PRECEDE model were statistically significant between the experimental and control groups (p<0.05), except for the enabling factors (p>0.05). Also, the mean score of self-care behaviors 3 months after the educational intervention in the experimental group was significantly increased compared to the control group (p<0.05). Conclusions Increasing the average of self-care behavior in patients undergoing educational intervention indicates the effective role of education in the use of self-care behaviors. Proper planning for educational interventions based on the PRECEDE model as well as providing the necessary structures is necessary to facilitate the realization of self-care behaviors in patients with hypertension.
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