Document Type : Original Article

Authors

1 Departments of Psychological Nursing

2 Behavioral Sciences Research Center, Faculty of Nursing, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran

3 Departments of Health, Faculty of Nursing, Baqiyatallah University of Medical Sciences

4 Department of Nursing, Health Research Center of Pregnancy, Zahedan University of Medical Sciences, Zahedan, Iran

Abstract

BACKGROUND: Many of the problems caused by aging can be delayed and the health of the elderly
maintained by improving and applying a healthy lifestyle during old age. Therefore, the researcher
has designed and implemented a study aimed “compare the impact of group motivational interviews
with multimedia education on improving lifestyle in the elderly.”
METHODS: This study is triple blind before and after clinical trial was performed on three groups of
thirty (n = 90) of the elderly with mean age 63.41 ± 6.88 who were members of the elderly centers
of Tehran city neighborhoods with average to unfavorable lifestyle score. The first test group was
subjected to group motivational interviewing during five sessions. The second test group was subjected
to distant multimedia training. No training was given to the third group as the control group. After
3 months, the lifestyle questionnaire was completed in three groups. The results were analyzed
by these techniques as statistical tests such as mean, standard deviation, relative frequency, and
absolute frequency were used. The inferential statistical tests such as paired t‑test and one‑way
ANOVA were used, respectively, to compare the pre‑ and post‑mean scores and in each group and
compare the mean scores of lifestyle dimensions in three groups.
RESULTS: Both motivational interviewing and multimedia education have been effective in changing
the lifestyle of the elderly, but according to the findings, motivational interviewing has a greater impact
on elderly lifestyle. The total lifestyle score in four areas such as nutrition, self‑care, mental health,
and physical activity was significantly different in the three groups after the intervention (P < 0.001).
CONCLUSIONS: Each educational program can somehow improve behavioral skills in individuals.
Effective teaching methods should address the learning difficulties and inability to learn during the
aging period. The results of this study can be a step toward the elaboration of strategies for education
and promotion of healthy lifestyle in the elderly.

Keywords

1. Joghatayi MT, Nejati V. Health status of elderly people in Kashan
city. Salmand Iran J Ageing 2006;1:3‑10.
2. Maghsoudnia SH. Primary Health Care for Elderly in Iran. 1st ed.
Tehran: University of Social Welfare and Rehabilitation Sciences;
2006.
3. Paknejad B, Jandaghi J, Rahmani KH. An Outline of Geriatrics
Medicine. 4th ed. Tehran: Nafis Press; 2004.
4. Zanganeh M, Haji Ebrahimi M. Malvandy A. Statistical Yearbook
of Golestan Province Health Center 86 Years. Health Center
of Golestan Province. 1st ed. Gorgan: Reyhani Publisher; 2008.
p. 40‑56.
5. Khoshbin S, Ghousi A, Frahani A, Motalagh ME. Guideline of
Promote Healthy Lifestyles in the Elderly, Nutrition and Physical
Activity. Tehran: Office of Elderly Health, Office of Family Health
and Population; 2007.
6. Aihara Y, Minai J, Aoyama A, Shimanouchi S. Depressive
symptoms and past lifestyle among Japanese elderly people.
Community Ment Health J 2011;47:186‑93.
7. Tanaka H, Sasazawa Y, Suzuki S, Nakazawa M, Koyama H.
Health status and lifestyle factors as predictors of depression in
middle‑aged and elderly Japanese adults: A seven‑year follow‑up
of the Komo‑Ise cohort study. BMC Psychiatry 2011;11:20.
8. Banegas JR, Guallar‑Castillón P, Rodríguez‑Artalejo F, Graciani A,
López‑García E, Ruilope LM, et al. Association between awareness,
treatment, and control of hypertension, and quality of life among
older adults in Spain. Am J Hypertens 2006;19:686‑93.
9. Spencer CA, Jamrozik K, Lawrence‑Brown M, Norman PE.
Lifestyle still predicts mortality in older men with established
vascular disease. Prev Med 2005;41:583‑8.
10. Ashrafizadeh S, Suri H. Effective study habits and lifestyle of
hypertension in the elderly in Ahwaz. Kerman Univ Med Sci
2006;13:29.
11. Womble J. E‑Learning: The Relationship among Learner
Atisfaction, Self‑Efficacy and Usefulness. United States: San Dieg
Alliant International University; 2007.
12. Campbell RJ, Nolfi DA. Teaching elderly adults to use the internet
to access health care information: Before‑after study. J Med
Internet Res 2005;7:e19.
13. Gore L. Study Finds Computerized Health Intervention in
Emergency Departments. Effective in Annals News Releases.
Available from: http://www.acep.org/1,2590,0.html. [Last
retrieved on 2003 Jan 17].
14. Abedi GH, Naghibi A, Alizadeh Khoei M, Faghrzadeh H, Sharifi F,
Rezaei Rad M, et al. Efficacy of the two educational methods:
Traditional and electronic techniques in training of nutritional
aspect to healthy life style in elderly. Iran J Diabetes Metab
2013;13:9‑20.
15. Movahedi M, Khaghanizade M, Khamseh F. Learning effective
teaching methods for self‑care in elderly. Int J Med Rev 2015;
209‑213
16. Sharifi‑Rad GH, Motalabi M, Mohebi S. Assess the Needs Among
of Health Care Systems. Tehran: Sokhangostar; 2007.
17. Cummings SM, CooperRL, Cassie KM. Motivational interviewing
to affect behavioral change in older adults. Res Soc Work Pract
2008;19:195‑204.
18. Van Gerven PW, Paas F, Van Merriënboer JJ, Hendriks M,
Schmidt HG. The efficiency of multimedia learning into old age.
Br J Educ Psychol 2003;73:489‑505.
19. Beatham S. Psychology and Education what is Motivation? In:
Sciences IUoM. Tehran Sahbay Dansh; 2010.P: 312‑315
20. Fields A. Resolving Patient Ambivalence: A Five Motivational
Interviewing Intervention. Portland: Hollifield Associates;
Electronic & Database Publishing, Incorporated; 2006.
21. Navidian A, Poorsharifi H. Motivational Interviewing: A Practical
Guide Motivational Interviewing Group. Mashhad: Sokhangostar;
2011.
22. Navidian A, Abedi M, Baghban I, Fatehizade M, Poursharifi H.
Effect of motivational interviewing on the weight self‑efficacy
lifestyle in men suffering from overweight and obesity. J Behav
Sci 2010;4:149‑54.
23. Movahedi M, Khamseh F, Ebadi A, Haji Amin Z, Navidian A.
Assessment of the lifestyle of the elderly in Tehran. J Health
Promot Manage 2016;3:51‑9.
24. Eshaghi S, Farajzadegan Z, Babak A. Design and Lifestyle
Questionnaire in Elderly. Quarterly Journal of Isfahan University
of Medical Sciences. Winter the Ninth Year; 2009. p. 91‑9.
25. Murphy DA, Chen X, Naar‑King S, Parsons JT, Adolescent Trials
Network. Alcohol and marijuana use outcomes in the healthy
choices motivational interviewing intervention for HIV‑positive
youth. AIDS Patient Care STDS 2012;26:95‑100.
26. Audrain‑McGovern J, Stevens S, Murray PJ, Kinsman S, ZuckoffA,
Pletcher J, et al. The efficacy of motivational interviewing versus
brief advice for adolescent smoking behavior change. Pediatrics
2011;128:e101‑11.27. Taylor RW, Brown D, Dawson AM, Haszard J, Cox A, Rose EA,
et al. Motivational interviewing for screening and feedback and
encouraging lifestyle changes to reduce relative weight in 4‑8 year
old children: Design of the MInT study. BMC Public Health
2010;10:271.
28. Navidian A, Haghshenas L, Abedi MR, Baghban I, Fatehizadeh M.
Comparing the effectiveness of group cognttive behavior therapy
and its integration with motivational interviewing on symptoms
of patients with obsessive‑compulsive disorder. J Res Behav Sci
2011:9:13‑23.
29. Daneshmandi M, Asgari A, Tadrisi SD, Ebadi A, Mokhtari Nori J.
Study of the effect of self‑aid and buddy‑aid education using
lecture and multimedia software package on the performance
level of military personnel. Iran J Crit Care Nurs 2011;4:121‑6.
30. Molinari DL, Blad P, Martinez M. Seniors’ learning preferences,
healthy self‑care practices and computerized education
implications. Online J Rural Nurs Health Care 2012;5:48‑58.
31. Moradi S, Fekrazad H, Mousavi M, Arshi M. The study of
relationship between social participation and quality of life of
old people who are member of senior association of Tehran city
in 2011. Iran J Ageing 2013;7:41‑6.
32. Levasseur M, Desrosiers J, Noreau L. Is social participation
associated with quality of life of older adults with physical
disabilities? Disabil Rehabil 2004;26:1206‑13.