Document Type : Original Article


Department of Internal Medicine, School of Medicine, Digestive Diseases Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran


BACKGROUND: Skill Training Intervention Based on the Healthy Lifestyle Counselling Module (5As
model) in the Ira PEN Program.
MATERIALS AND METHODS: This study was a randomized controlled trial in Iran. Participants
were 184 health workers and 184 clients (92 in each study group). The training program entailed
an online training course, educational video, and clip. The behavior related to a healthy lifestyle in
clients was also followed‑up 2 months later. Data were analyzed using SPSS 22 software.
RESULTS: Based on the observations, significant improvement in lifestyle counseling skills
among health workers in the intervention group compared to the control group in terms of healthy
nutrition (P < 0.001), physical activity (P < 0.001), smoking cessation (P = 0.03), and withdrawal of
alcohol consumption (P < 0.001) was observed. Also, lifestyle‑related behaviors among clients in
terms of healthy nutrition (P < 0.001), physical activity (P < 0.001), and withdrawal smoking (P < 0.001)
increased significantly. Furthermore, waist circumference (P < 0.024) and BMI (P < 0.001) among
clients were significantly reduced.
CONCLUSION: The training program for health personnel in healthy lifestyle has a more effective
role in changing people’s behavior and prevention of noncommunicable risk factors. Healthy life
style counselling in primary health cares may lead to control risk factors for Noncommunicable


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