Volume 1, Issue 2 (Summer 2014)                   J Educ Community Health 2014, 1(2): 67-84 | Back to browse issues page

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Hazavehei S M M, Emdadi S, Khezeli M. Models and Theories of Health Education and Health Promotion in Physical Activity Interventions for Women: a Systematic Review . J Educ Community Health. 2014; 1 (2) :67-84
URL: http://jech.umsha.ac.ir/article-1-34-en.html
1- Research Center for Health Science and Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran.
2- Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran.
3- Psychological Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran. , khezelimehdi@yahoo.com
Abstract:   (16947 Views)

Introduction: The present study as a systematic review investigated and analyzed interventions based on models and theories of health education and promotion in the field of physical activity in women. 

Materials and Methods: Three electronic databases, including Springer, Biomed Central and Science Direct were searched systematically. Only studies were selected that were quantitative, interventional and in English language as well as those that used at least one of the models and theories of health education and health promotion. Finally, 13 studies were reviewed that met the inclusion criteria and published from 2000 to 2013. 
Results: Of 13 studies reviewed, 10 studies measured levels of physical activity before and after the intervention, which nine interventions increased physical activity in the intervention group compared to the control group. Studies were conducted in different settings of health promotion including health care centers, community setting and workplace. The most widely used model was the Transtheoretical Model applied in eight of investigations. 
Conclusion: It is suggested to focus more on physical activity and duration of interventions to increase the efficacy of interventions. It is suggested to measure changes of physical activity habits in experimental and control groups in interventions based on the transtheoretical model to prepare a complementary scale to assess the efficacy of interventions. According to the results, no study had focused on changes in institutional policies or general health or providing changes in environment related to physical activity.
Full-Text [PDF 1711 kb]   (5067 Downloads)    
Type of Study: Systematic Review Articles | Subject: Physical Activity
Received: 2014/06/23 | Accepted: 2014/11/6

1. U.S. Department of Health and Human Services. Healthy people 2010: Understanding and improving health. 2ed. Washington, DC: U.S. Government Printing Office; 2000. Available from: http://www.health.gov/healthypeople/
2. World Health Organization. Physical activity and women. WHO Web Site; 2013 [updated 1 October, 2013; cited 30 November, 2014]; Available from: http://www.who.int/dietphysicalactivity/factsheet_women/en/)
3. World Health Organization. Global recommendations on physical activity for health. WHO Web Site; 2010 [updated 1 August, 2013; cited 30 November, 2014]; Available from: http://whqlibdoc.who.int/publications/2010/9789241599979_eng.pdf?ua=1
4. Cengiz C, Ince ML, Cicek S. Exercise stages of change in Turkish university students by sex, residence, and department. Percept Mot Skills.2009; 108(2):411-21.
5. Kahn EB, Ramsey LT, Brownson RC, Heath GW, Howze EH, Powell KE, et al. the Effectiveness of interventions to increase physical activity: A systematic review. Am J Prev Med.2002: 22(4S):73-107.
6. Kallings LV. Physical activity on prescription: studies on physical activity level, adherence and cardiovascular risk factors [PhD thesis]. Stockholm: Karolinska Institute; 2008.
7. Williamson DF, Madans J, Pamuk E, Flegal KM, Kendrick JS, Serdula MK. A prospective study of childbearing and 10-year weight in US white women 25 to 45 years of age. Int J Obes Relat Metab Disord.1994; 18(8):561-9.
8. Brown W, Trost SG. Life transitions and changing physical activity patterns in young women. Am J Prev Med.2003; 25(2):140-3.
9. Trost SG, Sallis JF, Pate RR, Freedson PS, Taylor WC, Dowda M. Evaluating a Model of Parental Influence on Youth Physical Activity. Am J Prev Med.2003; 25(4):277-82.
10. World Health Organization. Health and Development through Physical Activity and Sport. WHO Web Site; 2003 [updated 5 August, 2010; cited 30 November, 2014]; Available from: http://whqlibdoc.who.int/hq/2003/WHO_NMH_NPH_PAH_03.2.pdf
11. Armstrong T, Bauman A, Davies J. Physical activity patterns of Australian adults. Australian Institute of Health and Welfare web Site; 2000 [updated 13 August, 2000; cited 30 November, 2014]; Available from: http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=6442454841
12. Zhang J, Savitz DA. Exercise during Pregnancy among US Women. Ann Epidemiol.1996; 6(1):53-9.
13. Bouchard C, Shepard RJ, Stephens T, Champaign IL. Physical activity fitness and health consensus statement. 1thed. England: Human Kinetics publishers; 1994.
14. Aghamolaei T, Zare Sh, Kebriaei A, Poudat A. [Quality gap in primary healthcare services in Bandar Abbas: women's perspective]. Payesh Health Monit.2008; 7(2):253-8. (Persian)
15. Parhoodeh Y, Khezeli M, Bakhtiyari M, Delpisheh A, Latifi A. [Effect of education based on Trans-theoretical model on physical activity behavior in college students]. Journal of Health System Research.2012; 8(2):1-10. (Persian)
16. DiClemente RJ, Crosby RA, Kegler MC. Emerging theories in health promotion practice and research: Strategies for improving public health. 2thed. San Francisco: Jossey-Bass publisher; 2002.
17. Miller Y, Trost S, Brown W. Mediators of physical activity behavior change among women with young children. Am J Prev Med.2002; 23(2):98-103.
18. Cramp A, Brawley L. Moms in motion: a group-mediated cognitive behavioral physical activity intervention. Int J Behav Nutr Phys Act.2006; 3(23):1-9.
19. Fahrenwald NL, Atwood JR, Walker SN, Johnson DR, Berg K. A randomized pilot test of “Moms on the Move” a physical activity intervention for WIC Mothers. Ann Behav Med.2004; 27(2):82-90.
20. Cody R, Lee C. Development and evaluation of a pilot program to promote exercise among mothers of preschool children. Int J Behav Med.1999; 6(1):13-29.
21. Shirvani A, Rajabnejad M, Khazanedari S. [Systematic Review]. 1sted. Tehran: University Excellence Center, Clinical Excellence Office; 2007. (Persian)
22. Vameghi M, Rafiey H, Sajadi H, Rashidian A. [A systematic review of studies on street children in recent decades in Iran: Family factors related to and the consequences of street children]. Iranian Journal of Social Problems.2011; 2(1):135-66. (Persian)
23. Dehdari T, Khezeli M, Bakhtiyari M, Nilsaz M. [Health Education Interventions on Student Nutrition: A Systematic Review]. Journal of Health, Ardabil University of Medical Journal.2012; 3(3):62-72. (Persian)
24. Smith R. Introductions. In: Hall GM; How to Write a Paper. 3rd ed. London: BMJ Publishing Group; 2003.
25. Mahdizadeh M, Peymam N, Taghipour A, Esmaily H, Mahdizadeh SM. Effect of Health Education Program on Promoting Physical Activity among Diabetic Women in Mashhad, Iran: Applying Social Cognitive Theory. J Res Health Sci.2013; 13(1):90-97.
26. Karimzadeh-Shirazi K, Wallace LM, Niknami Sh, Hidarnia A, Torkaman G, Gilchrist M, et al. A home-based, Transtheoretical change model designed strength-training intervention to increase exercise to prevent osteoporosis in Iranian women aged 40–65 years: a randomized controlled trial. Health Educ Res.2007; 22(3):305-17.
27. Albright CL, Maddock JE, Nigg CR. Increasing physical activity in postpartum multiethnic women in Hawaii: results from a pilot study. BMC Women's Health.2009; 9:4.
28. Rimmer JH, Rauworth A, Wang E, Heckerling PS, Gerber BS. A randomized controlled trial to increase physical activity and reduce obesity in a predominantly African American group of women with mobility disabilities and severe obesity. Prev Med.2009; 48(5):473-9.
29. Hausenblas HA, Brewer BW, Van Raalte JL, Cook B, Downs DS, Weis CA, et al. Development and evaluation of a multimedia CD-ROM for exercise during pregnancy and postpartum. Patient Educ Couns.2008; 70(2):215-9.
30. Annesi JJ, Whitaker AC. Weight loss and psychologic gain in obese women-participants in a supported exercise intervention. Perm J.2008; 12(3):36-45.
31. Gorini G, Carreras G, Giordano L, Anghinoni E, Iossa A, Coppo A, et al. The Pap smear screening as an occasion for smoking cessation and physical activity counseling: effectiveness of the SPRINT randomized controlled trial. BMC Public Health.2012; 12:740.
32. Eakin EG, Lawler SP, Winkler EAH, Hayes SC. A randomized trial of a telephone-delivered exercise intervention for non-urban dwelling women newly diagnosed with breast cancer: exercise for health. Ann Behave Med.2012; 43(2):229-38.
33. Plotnikoff RC, Pickering MA, Rhodes RE, Courneya KS, Spence JC. A test of cognitive mediation in a 12-month physical activity workplace intervention: does it explain behavior change in women?. Int J Behav Nutr Phys Act.2010; 7:32.
34. Opdenacker J, De Bourdeaudhuij I, Auweele YV, Boen F. Psychosocial mediators of a lifestyle physical activity intervention in women. Psychol Sport Exerc.2009; 10(6):595-601.
35. Stadler G, Oettingen G, Gollwitzer PM. Physical activity in women effects of a self-regulation intervention. Am J Prev Med.2009; 36(1):29-34.
36. United States Department of Health and Human Services. Physical activity and health: A report of the Surgeon General. Washington, DC: U.S. Centers for Disease Control Printing Office; 1996.
37. Wojtyła A, Kapka-Skrzypczak L, Biliński P, Paprzycki P. Physical activity among women at reproductive age and during pregnancy (Youth Behavioural Polish Survey- YBPS and Pregnancy-related Assessment Monitoring Survay- PrAMS)- epidemiological population studies in Poland during the period 2010-2011. Ann Agric Environ Med.2011; 18(2):365-74.
38. Pivarnik JM, Chambliss HO, Clapp JF, Dugan SA, Hatch MC, Lovelady CA, et al. Impact of physical activity during pregnancy and postpartum on chronic disease risk. Med Sci Sports Exerc.2006; 38(5):989-1006.
39. Weissgerber TL, Wolfe LA, Davies GA, Mottola MF. Exercise in the prevention and treatment of maternal–fetal disease: a review of the literature. Appl Physiol Nutr Metab.2006; 31(6):661-74.
40. Borer KT. Physical activity in the prevention and amelioration of osteoporosis in women: interaction of mechanical, hormonal and dietary factors. Sports Med.2005; 35(9):779-830.
41. Dempsey JC, Butler CL, Sorensen TK, Lee IM, Thompson ML, Miller RS, et al. A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus. Diabetes Res Clin Pract.2004; 66(2):203-15.
42. Davies GA, Wolfe LA, Mottola MF, MacKinnon C. Joint SOGC/CSEP clinical practice guideline: exercise in pregnancy and the postpartum period. Can J Appl Physiol.2003; 28(3):330-41.
43. Artal R, Toole M. Guidelines of the American college of obstetricians and gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med.2003; 37(1):6-12.
44. Kuijpers W, Groen WG, Aaronson NK, van Harten WH. A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: relevance for cancer survivors. J Med Internet Res.2013; 15(2):e37.
45. Fong DY, Ho JW, Hui BP, Lee AM, Macfarlane DJ, Leung SS, et al. Physical activity for cancer survivors: meta-analysis of randomized controlled trials. BMJ.2012; 344:e70.
46. Speck RM, Courneya KS, Mâsse LC, Duval S, Schmitz KH. An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv.2010; 4(2): 87-100.
47. Spencer RR, Heesch KC, Brown WJ. Exercise and cancer rehabilitation: a systematic review. Cancer Treat Rev.2010; 36(2):185-94.
48. Physical Activity Guidelines Advisory Committee. Physical activity guidelines advisory committee report. Washington, DC: U.S. Department of Health and Human Services, 2008. Available from: http://www.health.gov/paguidelines/report/pdf/CommitteeReport.pdf
49. Scharff D, Homan S, Kreuter M, Brennan L. Factors associated with physical activity in women across the lifespan: Implications for program development. Women Health.1999; 29(2):115-34.
50. Warburton DE, Katzmarzyk PT, Rhodes RE, Shephard RJ. Evidence-informed physical activity guidelines for Canadian adults. Can J Public Health.2007; 98(2):S16-68.
51. Bauman A, Lewicka M, Schöppe S. The health benefits of physical activity in developing countries. WHO Web Site: 2005.
52. Grol, R, Bosch MC, Hulscher ME, Eccles MP, Wensing M. Planning and studying improvement in patient care: the use of theoretical perspectives. Milbank Q.2007; 85(1):93-138.
53. Ammerman AS, Lindquist CH, Lohr KN, Hersey J. The efficacy of behavioral interventions to modify dietary fat and fruit and vegetable intake: a review of the evidence. Prev Med.2002; 35(1):25-41.
54. Legler, J, Meissner HI, Coyne C, Breen N, Chollette V, Rimer BK. The effectiveness of interventions to promote mammography among women with historically lower rates of screening. Cancer Epidemiol Biomarkers Prev.2002; 11(1):59-71.
55. Hillsdon M, Foster C, Cavill N, Crombie H, Naidoo B. The effectiveness of public health interventions for increasing physical activity among adults: a review of reviews. 2nded. UK: Health Development Agency; 2005 [updated 2 February, 2004; cited 30 November, 2014]; Available from: http://www.lho.org.uk/Download/Public/9168/1/PA_EB_Full_Text_4.pdf
56. Earp JA, Ennett ST. Conceptual models for health education research and practice. Health Educ Res.1991; 6(2):163-71.
57. Prochaska JO, Redding CA, Evers KE. Transtheoretical model and stages of change. In: Glanz K, Rimer KB, Viswanath K. Health behavior and health education: theory, research, and practice. 4thed. San Francisco; Jossey-Bass publisher; 2008. PP:97-121.
58. Bunton R, Baldwin S, Flynn D, Whitelaw S. The ‘stages of change’ model in health promotion: science and ideology. Crit Public Health.2000; 10(1):55-70.
59. Littell JH, Girvin H. Stages of change: A critique. Behav Modif.2002; 26(2):223-73.
60. Mullen PD, Evans D, Forster J, Gottlieb NH, Kreuter M, Moon R, et al. Settings as an important dimension in health education/promotion policy, programs, and research. Health Educ Q.1995; 22(3):329-45.
61. van Dongen JM, Proper KI, van Wier MF, van der Beek AJ, Bongers PM, van Mechelen W, van Tulder MW. Systematic review on the financial return of worksite health promotion programmes aimed at improving nutrition and/or increasing physical activity. Obes Rev.2011; 12(12):1031-49.
62. Barr-Anderson DJ, AuYoung M, Whitt-Glover MC, Glenn BA, Yancey AK. Integration of short bouts of physical activity into organizational routine: a systematic review of the literature. Am J Prev Med.2011; 40(1):76-93.
63. Anderson LM, Quinn TA, Glanz K, Ramirez G, Kahwati LC, Johnson DB, et al. The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: a systematic review. Am J Prev Med.2009; 37(4):340-57.
64. Ackland T, Braham R, Bussau V, Smith K, Grove R, Dawson B. Workplace Physical Activity. Perth: Western Australian Government, Department of Sport and Recreation; 2005 [updated 20 August, 2013; cited 30 November, 2014]; Available from: http://docs.health.vic.gov.au/docs/doc/1E36225355BE219BCA257BCD001874C9/$FILE/WorkplacePhysicalActivity.pdf

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