Submitted: 08 Aug 2020
Accepted: 29 Jun 2021
ePublished: 30 Mar 2022
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J Educ Community Health. 2022;9: 47-53.
doi: 10.34172/jech.2022.8
  Abstract View: 80
  PDF Download: 61

Injury Prevention

Original Article

Influencing Factors of the Back Care-related Behavior Among Female Schoolchildren: A Structural Equation Modeling

Zahra Akbari-Chehrehbargh 1,2 ORCID logo, Sedigheh Sadat Tavafian 1* ORCID logo, Ali Montazeri 3

1 Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2 Department of Public Health, Nursing and Midwifery, Faculty of Medical Sciences, Karaj Islamic Azad University, Karaj, Iran.
3 Health Metrics Research Center, Iranian Institutes for Health Sciences Research, ACECR, Tehran, Iran.
*Corresponding Author: *Corresponding author: Sedigheh Sadat Tavafian, Address: No 212, Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, P.O. Box 14115-331, Tel: 0098 21 82994547, Fax: 0098 21 82884555, Email: , Email: tavafian@modares.ac.ir


Background: Back pain is one of the most important public health problems that is on the rise among the schoolchildren’s population. The aim of this study was to determine cognitive factors related to back care-related behavior based on the social cognitive theory (SCT) among female schoolchildren.

Methods: A cross-sectional study was directed among 5th-grade female students through a convenience method. Structured questionnaire data were collected from 610 students attending public elementary schools in Tehran, Iran from October 2018 to March 2019. The initial model was formulated based on the SCT. Based on these data, the hypothesized model was confirmed via a structural equation modeling analysis using SPSS (version 24.0) and LISREL (version 8.80).

Results: The skills (r=0.73, t-value=13.42), self-efficacy (r=0.87, t-value=15.51), and expectation beliefs (r=0.61, t-value=6.68) were verified as key cognitive factors that cause a back behavior. Finally, various indicators such as comparative fit index, normed fit index, and root mean squared error of approximation demonstrated the fitness of the models (P<0.0001).

Conclusion: The results showed that those schoolchildren having more self-efficacy, skills, and expectation beliefs are more likely to do proper back behavior. In this regard, school-based back pain prevention interventions should further focus on predefine key cognitive factors that consider the potential change strategies.

Keywords: Social cognitive theory, Back-care behavior, Schoolchildren, Structural equation modeling

Please cite this article as follows: Akbari-Chehrehbargh Z, Sadat Tavafian S, Montazeri A. Influencing factors of the back care-related behavior among female schoolchildren: a structural equation modeling. J Educ Community Health. 2022; 9(1):47-53. doi:10.34172/jech.2022.8
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