Journal of Education and Health Promotion

The effect of educational intervention based on the theory of planned behavior and stages of change construct on women’s physical activity

Document Type : Original Article

Authors

. Ali Taghipour
. Mohammad Vahedian Shahroudi 1
. Hamed Tabesh 2
. Ali Safari‑Moradabadi 3
. Mansoure Alipour Anbarani 4

1 Department of Health and Management, School of Health, Health Sciences Research Center, Mashhad University of Medical Sciences

2 Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Social Development and Health Promotion Research Center, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran

4 Student Research Committee, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract
BACKGROUND: Insufficient physical activity is a global health‑care problem and is considered an
independent risk factor for chronic diseases. The present research aimed to explore the effect of
an educational intervention based on the theory of planned behavior (TPB) and stages of change
on promoting women’s physical activity.
MATERIALS AND METHODS: This quasi‑experimental research was conducted on 68 women
who voluntarily visited the health‑care centers of Mashhad. They were selected by randomized
multistratified sampling method and were divided into two groups of intervention (n = 34) and control
(n = 34). The data collection tools included a demographic information questionnaire, a questionnaire
based on the TPB and stages of change, and the International Physical Activity Questionnaire. The
data were statistically analyzed by SPSS software version 16 using descriptive statistics (frequency,
percentage, mean, and standard deviation) and inferential statistics (paired t‑test, correlation
coefficient, and covariance). The significance level of P < 0.05 was considered in this study.
RESULTS: No statistically significant difference was found between the intervention and control groups
before the intervention in terms of the scores of the TPB constructs and physical activity (P > 0.05).
However, after the educational intervention, a significant difference was observed in the mean scores
of TPB constructs and physical activity (P < 0.05). In addition, no statistically significant difference
was found in the stages of change between the two groups after the intervention.
CONCLUSIONS: The results of this study pointed to the effectiveness of educational intervention
and the necessity to use educational interventions to help adopt preventive behaviors. Therefore,
the use of well‑established educational models rather than conventional methods is recommended.

Keywords

Educational intervention
health candidate
physical activity
stages of change construct
theory of planned behavior
  1. World Health Organization. Launch of New Global Estimates
    on Levels of Physical Activity in Adults. Available from: http://
    www.who.int/ncds/prevention/physical activity.[Last accessed
    on 2018 Oct 05].
    2. Aghamolaei T, Farshidi H, Safari Moradabadi A, Dadipoor S.
    Effect of interventions based on the theory of planned behavior
    on promoting physical activity: A systematic review. J Prev Med
    2017;3:15‑1.
    3. Tabatabaei SV, Taghdisi MH, Nakheei N, Balali F. Effect of
    educational intervention based on the theory of planned
    behaviour on the physical activities of Kerman health center s
    staff. J Babol Univ Med Sci 2010;12:62‑9.
    4. Solhi M, Zinatmotlagh F, Shirazi KK, Taghdisi MH, Jalilian F.
    Designing and implementing educational program to promote
    physical activity among students: An application of the theory
    of planned behavior. Ofogh‑E‑Danesh 2011;18:45‑53.
    5. Dadipoor S, Fallahi S, Safari‑Moradabadi A, Ghanbarnejad A,
    Montazerghaem H. Investigation of the epidemiology of
    hypertension and BMI in the adult population in the province of
    Hormozgan, during 2011. Life Sci J 2013;10:161-6.
    6. Hansen AM, Blangsted AK, Hansen EA, Søgaard K, Sjøgaard G.
    Physical activity, job demand‑control, perceived stress‑energy,
    and salivary cortisol in white‑collar workers. Int Arch Occup
    Environ Health 2010;83:143‑53.
    7. Ahmadi‑Tabatabaei S, TaghdisiM, Sadeghi A, Nakhaei N, Balali F.
    The effect of education in physical activities on knowledge,
    attitude and behavior of Kerman health center’s staff. JRes Health
    2012;2:137‑44.
    8. Marashi T, Ramezankhani A, Dadipoor S, Safari‑Moradabadi A.
    Health problem multiple behaviors in Iranian adolescents: A
    cross‑sectional study. Int J Adolesc Youth 2019;24:224-33.
    9. Glanz K, Rimer BK, Viswanath K. Health Behavior and Health
    Education: Theory, Research, and Practice. San Francisco, CA:
    John Wiley & Sons; 2008.
  2. 10. Saffary M, Shjaeizadeh D, Ghofranipour F, Heydarnia A,
    Pakpour A. Health Education and Promotion (Theorise Models
    and Methods). Tehran: Tehran Sobhan; 2009.
    11. Ghahremani L, Nazari M. Comparing prediction power of
    exercise intention and behavior based on self‑efficacy and theory
    of planned behavior. Payesh 2013;12:99‑107.
    12. Davoodi SH, Agah B, Aghamolaei T, Ghanbarnejad A, Dadipoor S,
    Moradabadi AS. Fish consumption based on transtheoretical
    model among housewives. J Educ Health Promot 2018;7:25.
    13. Marcus BH, Banspach SW, Lefebvre RC, Rossi JS, Carleton RA,
    Abrams DB. Using the stages of change model to increase the
    adoption of physical activity among community participants.
    Am J Health Promot 1992;6:424‑9.
    14. Lael‑Monfared E. The Effects of Physical Activity Training on
    Occupational Burnout of The Effect of Education Based on Health
    Belief Model on Lifestyle Modification on Adopting Preventive
    Behaviors of Osteoporosis among Women in Mashhad 2014.
    Mashhad: Mashhad University of Medical Sciences School of
    Health; 2014.
    15. Mahdizadeh MS. Effect of Social‑Cognitive Theory Based
    Education on Physical Activity Promotion among Women with
    Type 2 Diabetes in Mashhad. Mashhad: Mashhad University of
    Medical Sciences School of Health; 2012.
    16. Jafarpour K, Arastoo A, Shirvani ZG, Saki A, Araban M.
    Determining effect health education intervention based on the
    theory of planned behavior for promoting physical activity in
    women’s health volunteer in Shoshtar health centers. Iran J Obstet
    Gynecol Infertil 2016;19:62‑74.
    17. Sadeghi R, Khanjani N. Impact of educational intervention based
    on theory of planned behavior (TPB) on the aids‑preventive
    behavior among health volunteers. Iran J Health Educ Promot
    2015;3:23‑31.
    18. Hazavehei M, Asadi Z, Hassanzadeh A, Shekarchizadeh P.
    Comparing the effect of two methods of presenting physical
    education Π course on the attitudes and practices of female
    students towards regular physical activity in Isfahan University
    of Medical Sciences. Iran J Med Educ 2008;8:121-31.
    19. Evans DW, Breen AC, Pincus T, Sim J, Underwood M, Vogel S,
    et al. The effectiveness of a posted information package on the
    beliefs and behavior of musculoskeletal practitioners: The UK
    chiropractors, osteopaths, and musculoskeletal physiotherapists
    low back pain managemENT (COMPLeMENT) randomized trial.
    Spine (Phila Pa 1976) 2010;35:858‑66.
    20. Emami RS, Ardebil HE, Golestan B. Effect of a health education
    intervention on physical activity knowledge, attitude and
    behavior in health volunteers. Hayat 2011;16:48‑55.
    21. Parrott MW, Tennant LK, Olejnik S, Poudevigne MS. Theory
    of planned behavior: Implications for an email‑based physical
    activity intervention. Psychol Sport Exerc 2008;9:511‑26.
    22. Martinsen EW. Physical activity in the prevention and treatment of
    anxiety and depression. Nord J Psychiatry 2008;62 Suppl 47:25‑9.
    23. Armitage CJ. Can the theory of planned behavior predict the
    maintenance of physical activity? Health Psychol 2005;24:235‑45.
    24. Marcus BH, Dubbert PM, Forsyth LH, McKenzie TL, Stone EJ,
    Dunn AL, et al. Physical activity behavior change: Issues in
    adoption and maintenance. Health Psychol 2000;19:32‑41.
    25. Zeidi EM, Agha AP, Karbord A, Zeid BM. Effectiveness of an
    educational intervention based on the trans theoretical model in
    order to smoking cessation in patients referred to dental clinics.
    J Dent Med Tehran Univ Med Sci 2015;28:146‑58.
    26. Collins C. Correlates of Breast Self‑Examination: Application
    of the Transtheoretical Model of Change and the Health Belief
    Model. University of Cincinnati; 2005.
    27. Aveyard P, Lawrence T, Cheng KK, Griffin C, Croghan E,
    Johnson C. A randomized controlled trial of smoking cessation
    for pregnant women to test the effect of a transtheoretical
    model‑based intervention on movement in stage and interaction
    with baseline stage. Br J Health Psychol 2006;11:263‑78.
Journal of Education and Health Promotion
Volume 9, Issue 10
October 2019
Pages 1-9

Home

Guide for Authors

Submit Manuscript

Reviewers

Contact Us