“…(2014) on the effect of an empowerment program on the quality of life of patients with asthma showed that the mean score of quality of life in the intervention group increased from 20.37 to 32.85 after the intervention, which was a significant difference ( P = 0.001). [ 24 ] In regard to determining and comparing the quality of life of transgender people undergoing hormone therapy in both groups before and after the intervention, no statistically significant difference in the mean quality of life was found in the control group in terms of the aspects of physical performance ( P = 0.23), role disorder regarding physical problems ( P = 0.160), emotional health ( P = 0.824), vitality and happiness ( P = 0.213), emotional well-being ( P = 0.397), social performance ( P = 0.736), pain ( P = 0.209), general health ( P = 0.393), physical health ( P = 0.314), mental health ( P = 0.814), and overall quality of life ( P = 0.726). Also, the results showed no statistically significant difference in the intervention group before and after the intervention in terms of the aspects of physical performance ( P = 0.055), physical problems ( P = 0.793), vitality ( P = 0.109), social performance ( P = 0.864), pain, and overall physical health ( P = 0.166), but in terms of the aspects of emotional health ( P = 0.003), emotional well-being ( P = 0.343), the general perception of health ( P = 0.001), mental health ( P = 0.001), and overall quality of life ( P = 0.002), the difference was statistically significant before and after the intervention.…”