Journal of Education and Health Promotion 2277-9531 10 10 2020 10 01 Effectiveness of an educational intervention using theory of planned behavior on health care empowerment among married reproductive‑age women: A randomized controlled trial 1 8 29272 EN . Maryam Sabouri . Elham Shakibazadeh . Bahram Mohebbi Cardiovascular Intervention Research Center, Cardio-Oncology Research Center, Shahid Rajaei Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran . Azar Tol . Mehdi Yaseri Department of Epidemiology and Biostatistics , School of Public Health, Tehran University of Medical Sciences, Tehran, Iran . Sohrab Babaee Journal Article 2023 03 04 BACKGROUND: Empowerment is an essential issue in women’s lives. Powerful women can act<br />successfully in health‑related issues more than others. This study aimed to determine the effectiveness<br />of an educational intervention designed based on theory of planned behavior (TPB) on health care<br />empowerment among married women in reproductive age.<br />METHODS: This randomized controlled trial was carried out among 488 reproductive‑age women<br />between 2018 and 2019 in Tehran, Iran. Participants were recruited using randomized cluster<br />sampling and divided into intervention (n = 243) and control (n = 245) groups by random allocation.<br />Data were collected using a self‑administered researcher‑made questionnaire based on TPB and<br />Health Care Empowerment Questionnaire. Validity (content validity index = 0.87; content validity<br />ratio  =  0.89) and reliability of the questionnaires were confirmed  ( = 0.96). Intervention was<br />implemented within four sessions (lasting 60 min) using eight health related scenarios based on<br />TPB constructs. Baseline and post intervention data (6 months after the intervention) were analyzed<br />by SPSS25 (Inc., Chicago, IL, USA) using independent t‑test, Chi‑squared test, Fisher’s Exact test,<br />Mann–Whitney, path analysis, and regression of generalized estimating equation model. P < 0.05<br />was considered statistically significant.<br />RESULTS: Results showed the mean ± standard deviation age of the participants was 33.6 ± 7.1.<br />Six months after the intervention, a significant difference was highlighted in health care empowerment<br />domains as well as behavioral intention, attitude toward behavior, subjective norms, and perceived<br />behavioral control (P < 0.001) between intervention and control groups.<br />CONCLUSION: TPB‑based educational intervention can significantly improve women’s perception<br />about health care empowerment. Tailoring and implementation of TPB‑based intervention by health<br />policy makers and health care providers is suggested to achieve better perception of empowerment<br />toward receiving health care among women.<br /><br /> https://jehp.mui.ac.ir/article_29272_16fe58fde1b4617fa7148321b3c0c3c9.pdf