Volume 2, Issue 4 (Winter 2016)
J Educ Community Health 2016, 2(4): 13-24 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Gholamnia-shirvani Z, Ghofranipour F, Gharakhanlo R, Kazemnezhad A. Improving and Maintaining Physical Activity and Anthropometric Indices in females from Tehran: Application of the Theory of Planned Behavior. J Educ Community Health. 2016; 2 (4) :13-24
URL: http://jech.umsha.ac.ir/article-1-169-en.html
URL: http://jech.umsha.ac.ir/article-1-169-en.html
Zeynab Gholamnia-shirvani 1, Fazllolah Ghofranipour * 2, Reza Gharakhanlo 3, Anoshirvan Kazemnezhad 4
1- Department of Health Education, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2- Department of Health Education, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran. , ghofranf@modares.ac.ir
3- Department of Physical Education, School of Humanities, Tarbiat Modares University, Tehran, Iran.
4- Department of Biostatistics, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2- Department of Health Education, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran. , ghofranf@modares.ac.ir
3- Department of Physical Education, School of Humanities, Tarbiat Modares University, Tehran, Iran.
4- Department of Biostatistics, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Abstract: (4551 Views)
Background and Objectives: The amount of physical activity as an essential determinant of healthy lifestyle in females is less than is required. Theory-driven health education interventions, particularly Theory of Planned Behavior (TPB), are effective in promoting and sustaining physical activity. This research evaluated the TPB-based educational intervention on exercise behavior and anthropometric indices in females residing in organizational houses in Tehran.
Materials and Methods: A randomized controlled trial was performed on 130 females residing in institutional houses in Tehran (2014). Participants were randomly chosen with multi-stage cluster sampling. The instructional sessions were carried out applying modified methods of the TPB structure (instrumental and affective attitudes, subjective norms, perceived behavioral control, intention and behavior). The TPB constructs, physical activity level and intensity, Body Mass Index (BMI) and Waist Hip Ratio (WHR) were analyzed using the SPSS 16software in baseline, three and six months post-education.
Results: Conducting the educational program led to a rise and maintained the mean of the TPB constructs and mean rank of the physical activity level and intensity, three and six months post-intervention in the case group (P<0.001). Also, the averages of Body Mass Index (BMI) and WHR decreased and sustained in temporal sections (P<0.001). However, no significant changes of aforesaid variables occurred in the control group (P>0.05)
Conclusions: Implementing the TPB-directed instructional sessions resulted in ameliorating and sustaining exercise behavior and anthropometric indices in females.
Type of Study: Research Article |
Subject:
Physical Activity
Received: 2016/02/27 | Accepted: 2016/03/18
Received: 2016/02/27 | Accepted: 2016/03/18
References
1. World Health Organization. Physical activity 2014 [updated 2015; cited 2015 5 July]. Available from: http://www.who.int/mediacentre/factsheets/fs385/en/.
2. World Health Organization. Global Strategy on Diet, Physical Activity and Health. Physical activity 2010 [updated 2016; cited 2015 4 July]. Available from:http://www.who.int/dietphysicalactivity/pa/en/.
3. World Health Organization. Global Strategy on Diet, Physical Activity and Health. Physical Activity and Women 2016 [updated 2016; cited 2015 23 November]. Available from: http://www.who.int/dietphysicalactivity/factsheet_women/en/.
4. Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U, et al. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012;380(9838):247-57. [DOI] [PubMed]
5. World Health Organization. Global Health Observatory (GHO): Prevalence of insufficient physical activity: Situation and trends 2008 [updated 2015; cited 2015]. Available from: http://www.who.int/gho/ncd/risk_factors/physical_activity_text/en/.
6. Salamat Magazine. Healthy community. 60 percent of housewives are sedentary 2010 [updated 2015; cited 2015]. Available from: http://www.salamatiran.com/pdf/salamat/309_2.pdf.
7. Delavari A, Alikhani S, Alaeddini F. The Report of non communicable diseases risk factors in Islamic Republic of Iran. 1st ed. Tehran: Tehran, Seda; 2005.
8. Gholamnia Shirvani Z, Ghofranipour F, Gharakhanlou R, Kazemnejad A. Determinants of physical activity based on the theory of planned behavior in Iranian Military Staff ’s Wives: a path analysis. Glob J Health Sci. 2015;7(3):230-9. [DOI] [PubMed]
9. Sharma M, Romas JA. Theoretical foundations of health education and health promotion. 2th ed: Jones & Bartlett Learning, LLC; 2011.
10. 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. Int J Sport Health Sci. 2003;1(2):229-37. [DOI]
11. Nutbeam D, Harris E, Wise W. Theory in a nutshell: a practical guide to health promotion theories. Sydney, Australia McGraw-Hill; 2010.
12. Ajzen I. The theory of planned behavior. Organ Behav Hum Dec. 1991;50(2):179-211. [DOI]
13. McEachan RRC, Conner M, Taylor NJ, Lawton RJ. Prospective prediction of health-related behaviours with the theory of planned behaviour: A meta-analysis. Health Psychol Rev. 2011;5(2):97-144. [DOI]
14. Conner M, Sandberg T, Norman P. Using action planning to promote exercise behavior. Ann Behav Med. 2010;40(1):65-76. [DOI] [PubMed]
15. Stead M, Tagg S, MacKintosh AM, Eadie D. Development and evaluation of a mass media Theory of Planned Behaviour intervention to reduce speeding. Health Educ Res. 2005;20(1):36-50. [DOI] [PubMed]
16. Mohseni M. Elements of health education. 3rd ed. Tehran: Tahoori; 2003.
17. Amini N, Shojaeezade D, Saffari M. [The study of the effect of e-education on physical activity and Body Mass Index of female employees]. J Sch Public Health Inst Public Health Res. 2013;11(3):95-106.
18. Ahmadi M, Fathi Ashtiani A, Habibi M. Psychological health in military pilots’ families. J Behav Sci. 2009;2(4):305-8.
19. Kinmonth AL, Wareham NJ, Hardeman W, Sutton S, Prevost AT, Fanshawe T, et al. Efficacy of a theory-based behavioural intervention to increase physical activity in an at-risk group in primary care (ProActive UK): a randomised trial. Lancet. 2008;371(9606):41-8. [DOI] [PubMed]
20. Pocock SJ. Clinical trials: a practical approach. West Sussex, England: John Wiley & Sons; 2013.
21. World Health Organization. Global Strategy on Diet, Physical Activity and Health. Physical Activity and Adults. Recommended levels of physical activity for adults aged 18 - 64 years 2010 [cited 2015 6 July]. Available from: http://www.who.int/dietphysicalactivity/factsheet_adults/en/.
22. Poobalan AS, Aucott LS, Clarke A, Smith WC. Physical activity attitudes, intentions and behaviour among 18-25 year olds: a mixed method study. BMC Public Health. 2012;12(1):640. [DOI] [PubMed]
23. Mok W, Lee AY. A Case Study on Application of the Theory of Planned Behaviour: Predicting Physical Activity of Adolescents in Hong Kong. J Community Med Health Educ. 2013;3:231. [DOI]
24. Ghazanfari Z, Niknami S, Ghofranipour F, Hajizadeh E, Montazeri A. Development and psychometric properties of a belief-based Physical Activity Questionnaire for Diabetic Patients (PAQ-DP). BMC Med Res Methodol. 2010;10(1):104. [DOI] [PubMed]
25. Francis JJ, Eccles MP, Johnston M, Walker A, Grimshaw J, Foy R, et al. Constructing questionnaires based on the theory of planned behaviour Newcastle upon Tyne, UK: Centre for Health Services Research, University of Newcastle upon Tyne; 2004 [updated 2015; cited 2015]. Available from: http://openaccess.city.ac.uk/1735/1/TPB%20Manual%20FINAL%20May2004.pdf.
26. Ajzen I. Constructing a TPB questionnaire: Conceptual and methodological considerations 2002 [updated 2116; cited 2015]. Available from: http://www-unix.oit.umass.edu/~aizen/pdf/tpb.measurement.pdf.
27. Banville D, Desrosiers P, Genet-Volet Y. Translating questionnaires and inventories using a cross-cultural translation technique. J Teach Phys Edu. 2000;19(3):374-87.
28. French DP, Sutton S, Hennings SJ, Mitchell J, Wareham NJ, Griffin S, et al. The Importance of Affective Beliefs and Attitudes in the Theory of Planned Behavior: Predicting Intention to Increase Physical Activity1. J Appl Soc Psychol. 2005;35(9):1824-48. [DOI]
29. Warburton DE, Jamnik V, Bredin SS, Gledhill N. The 2014 Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) and electronic Physical Activity Readiness Medical Examination (ePARmed-X+). Health Fit J Canada. 2014;7(1):80-3.
30. Morin C, Morin J, Andrea N, Anderson P. Protocols Testing Association Testing Fitness American. 1st ed. Tehran: Yazdani; 2004.
31. Warburton DE, Bredin SS, Jamnik VK, Gledhill N. Validation of the PAR-Q+ and ePARmed-X+. Health Fit J Canada. 2011;4(2):38-46.
32. IPAQ Research Committee. Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ) -Short and Long Forms 2005 [updated 2015; cited 2015]. Available from: www.ipaq.ki.se.
33. Montoye HJ. Energy costs of exercise and sport ,Nutrition in Sport. 1st ed. UK, Oxford: Blackwell Science Ltd; 2000. 53-72 p.
34. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95. [DOI] [PubMed]
35. Gifted and Talented Students Center. Iran University of Medical Sciences. International Physical Activity Questinnaire (IPAQ) 2015 [updated 2015; cited 2015]. Available from: http://www.ssu.ac.ir/fileadmin/templates/fa/daneshkadaha/daneshkade-behdasht/takhzie/upload_takhzieh/IPAQ.pdf.
36. World Health Organization. BMI classification 2006 [updated 2015; cited 2015]. Available from: http://apps.who.int/bmi/index.jsp?introPage=intro_3.html.
37. World Health Organization. Waist Circumferenceand Waist-Hip RatioReport of aWHO Expert Consultation 2008 [updated 2011; cited 2015]. Available from: http://whqlibdoc.who.int/publications/2011/9789241501491_eng.pdf.
38. Saffari M, Shojaeezade D, Ghofranipour F, Heidarnia A, Pakpour Hajiagha A. Health Education& Promotion Theories, Models & Methods. 1st ed. Tehran: Asar-e-Sobhan; 2009.
39. Aghamolaei T. Heallth Education. 1st ed. Tehran: Hamgaman Chap; 2008.
40. Mack MG, Shaddox LA. Changes in Short-Term Attitudes Toward Physical Activity and Exercise of University Personal Wellness Students. Coll Student J. 2004;38(4):587.
41. Solhi M, Zinat Motlagh F, Karimzade Shirazi K, Taghdisi MH, Jalilian F. [Designing and Implementing Educational Program to Promote Physical Activity Among Students: An Application of the Theory of Planned Behavior].Ofogh-e-Danesh. 2011;18(1):45-53.
42. Hazavehei S, Asadi Z, Hasanzadeh A, Shokrchizadeh P. [A study on the effect of physical education curriculum based on BASNEF model on female student’s regular physical activity in Isfahan University of Medical Sciences]. J Zanjan Univ Med Sci. 2010;17(69):70-83.
43. Ghazanfari Z. [The effectiveness of a theory-based behavior change intervention to increase and maintain physical activity in female diabetic patients in Tehran, Iran]. Tehran,Iran: Tarbiat Modares University; 2010.
44. Ajzen I. Behavioral Interventions based on the Theory of Planned Behavior: A Brief Description of the Theory of Planned Behavior 2002 [updated 2015; cited 2015]. Available from: http://people.umass.edu/~aizen/pdf/tpb.intervention.pdf.
45. Ahmadi Tabatabaei S, Taghdisi M, Nakhaei N, Balali F. [Effect of educational intervention based on the theory of planned behaviour on the physical activities of Kerman Health Center’s Staff (2008)]. J Babol Univ Med Sci. 2010;12(2):62-9.
46. Kelley K, Abraham C. RCT of a theory-based intervention promoting healthy eating and physical activity amongst out-patients older than 65 years. Soc Sci Med. 2004;59(4):787-97. [DOI] [PubMed]
47. Hill C, Abraham C, Wright DB. Can theory-based messages in combination with cognitive prompts promote exercise in classroom settings? Soc Sci Med. 2007;65(5):1049-58. [DOI] [PubMed]
48. Parrott M, Tennant L, Olejnik S, Poudevigne M. Theory of planned behavior: Implications for an email-based physical activity intervention. Psychol Sport Exerc. 2008;9(4):511-26.
Send email to the article author
