Document Type : Original Article
Authors
- . Mahnaz Solhi
- . Farbod Ebadi Fard Azar 1
- . Jamileh Abolghasemi 2
- . Mina Maheri 3
- . Seyed Fahim Irandoost 4
- . Saeede Khalili 5
1 Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
2 Department of Biostatistics, School of Health, Iran University of Medical Sciences, Tehran, Iran
3 Department of Public Health, School of Health, Reproductive Health Research Center, Urmia University of Medical Sciences, Urmia, Iran
4 Department of Public Health, School of Health, Urmia University of Medical Sciences, Urmia, Iran
5 PhD Candidate of Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran
Abstract
BACKGROUND: The health-promoting lifestyle by empowering individuals will increase control over
their health, improve quality of life, and prevent diseases. The purpose of the present study was to
determine the effect of the educational intervention based on the intervention mapping approach on
health-promoting lifestyle in Iranian college students.
METHODS: This study is a quasi-experimental control study that was conducted in two groups of
65 students of Iran University of Medical Sciences in 2018–2019. The data were collected using the
Health-Promoting Lifestyle Standard Profile II questionnaire and a researcher-made questionnaire
based on the mapping approach, whose validity and reliability were confirmed. The educational
intervention was designed according to the pretest results, including five training sessions and
performed for the intervention group. The two groups were evaluated with the same questionnaires
1 month and 3 months later, and the data were analyzed using independent t-test, Spearman,
ANCOVA, ANOVA test, and covariance.
Results: Before the intervention, no significant difference was observed between the mean scores of
health-promoting behaviors in the two groups, but after the intervention, the mean scores of attitude,
subjective norms, enabling factors, and perceived self-efficacy and mean scores of health-promoting
lifestyle and its dimensions increased significantly in the intervention group (P < 0.001) compared
to the control group.
Conclusion: The educational intervention is effective in improving behaviors related to healthpromoting lifestyle and its dimensions. Therefore, performing educational interventions are suggested
to adopt and adhere to behaviors related to health-promoting lifestyle by utilizing and reinforcing
perceived self-efficacy, subjective norms, enabling factors, and attitudinal change.
Keywords
Harrison G, et al. Strengthening health systems for universal
health coverage and sustainable development. Bull World Health
Organ 2017;95:537-9.
2. Nies MA, McEwen M. Community/Public Health Nursing-EBook: Promoting the Health of Populations. United States:
Elsevier Health Sciences; 2014.
3. Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B.
Reliability and validity of Persian version of the health-promoting
lifestyle profile. J Mazandaran Univ Med Sci 2012;21:102-13.
4. Ramazani A, Miri MR, Shayegan F. Effect of health education on health coordinating volunteers of Birjand Health Center to
promote the community healthy life styles. J Birjand Univ Med
Sci 2007;14:27-33.
5. Sousa P, Gaspar P, Fonseca H, Hendricks C, Murdaugh C.
Health promoting behaviors in adolescence: Validation of the
Portuguese version of the adolescent lifestyle profile. J Pediatr
(Rio J) 2015;91:358-65.
6. Al-Qahtani MF. Health-promoting lifestyle behaviors among
nurses in private hospitals in Al-Khobar, Saudi Arabia. J Egypt
Public Health Assoc 2015;90:29-34.
7. Buck KD, Roe D, Yanos P, Buck B, Fogley RL, Grant M, et al.
Challenges to assisting with the recovery of personal identity and
wellness for persons with serious mental illness: Considerations
for mental health professionals. Psychosis 2013;5:134-43.
8. Sabzevar I. Relationship between various aspects of life style in
middle-aged women. Bull Environ Pharmacol Life Sci 2013;3:68-
74.
9. Mehri A, Solhi M, Garmaroudi G, Nadrian H, Sighaldeh SS.
Health promoting lifestyle and its determinants among university
students in Sabzevar, Iran. Int J Prev Med 2016;7:65.
10. Cheng YR. Investigation and countermeasures on the healthpromoting lifestyle of the disabled elderly in a rural area. Chin
Nurs Res 2015;2:107-9.
11. Baheiraei A, Mirghafourvand M, Charandabi SM, Mohammadi E.
Facilitators and inhibitors of health-promoting behaviors: The
experience of Iranian women of reproductive age. Int J Prev Med
2013;4:929-39.
12. Mo PK, Winnie WM. The influence of health promoting practices
on the quality of life of community adults in Hong Kong. Soc Indic
Res 2010;95:503-17.
13. Pender NJ, Murdaugh CL, Parsons MA, Ann M. Health Promotion
in Nursing Practice. United States: Pearson 2006.
14. Tol A, Tavassoli E, Shariferad GR, Shojaeezadeh D. Healthpromoting lifestyle and quality of life among undergraduate
students at school of health, Isfahan University of Medical
Sciences. J Educ Health Promot 2013;2:11.
15. Maheri A, Sadeghi R, Shojaeizadeh D, Tol A, Yaseri M,
Ebrahimi M. Associations between a health-promoting lifestyle
and quality of life among adults with beta-thalassemia major.
Epidemiol Health 2016;38:e2016050.
16. Montazeri N, Kianipour N, Nazari B, Ziapour A, Bakhshi S. Health
promoting behaviors among university students: A case-sectional
study of Kermanshah University of Medical Sciences. Int J Pediatr
2017;5:5091-9.
17. Greaney ML, Less FD, White AA, Dayton SF, Riebe D, Blissmer B,
et al. College students’ barriers and enablers for healthful weight
management: A qualitative study. J Nutr Educ Behav 2009;41:281-
6.
18. Musaiger AO, Awadhalla MS, Al-Mannai M, AlSawad M,
Asokan GV. Dietary habits and sedentary behaviors among health
science university students in Bahrain. Int J Adolesc Med Health
2017;29(2):1-6.
19. Dhiman S, Chawla GK. A study on health promoting lifestyle of
university students. Int J Res Eng Appl Sci 2017;7:142-51.
20. Wang D, Ou CQ, Chen MY, Duan N. Health-promoting lifestyles
of university students in mainland China. BMC Public Health
2009;9:379.
21. Wei CN, Harada K, Ueda K, Fukumoto K, Minamoto K, Ueda A.
Assessment of health-promoting lifestyle profile in Japanese
university students. Environ Health Prev Med 2012;17:222-7.
22. Eldredge LK, Markham CM, Ruiter RA, Fernández ME, Kok G,
Parcel GS. Planning Health Promotion Programs: An Intervention
Mapping Approach. United States: John Wiley & Sons; 2016.
23. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle
profile: Development and psychometric characteristics. Nurs Res
1987;36:76-81.
24. Jahani Eftekhari M, Peyman N, Doosti H. The effect of educational
intervention based on the self efficacy and health literacy theory
on health promoting lifestyles among female health volunteers
of Neyshabur, Iran. J Health Dev 2018;6:302-13.
25. Amiri A, Rkhshany F, Farmanbar R. The Effect of educational
program based on BASNEF model on healthy lifestyle of taxi
drivers in langroud. J Torbat Heydariyeh Univ Med Sci 2014;1:45-
54.
26. Altun I. Effect of a health promotion course on health promoting
behaviours of university students. East Mediterr Health J
2008;14:880-7.
27. Chaeye K, Jullmusi O, editors. The Effects of a Health Promotion
Program on Health-Promoting Behaviors of Nursing Students
at McCormick Faculty of Nursing, Payap University. Chiang
Rai, Thailand: First Mae Fah Luang University International
Conference; 2012.
28. Rahimi Foroushani A, Estebsari F, Mostafaei D, Eftekhar Ardebili H,
Shojaeizadeh D, Dastoorpour M, et al. The effect of health promoting
intervention on healthy lifestyle and social support in elders:
A clinical trial study. Iran Red Crescent Med J 2014;16:e18399.
29. Hassani L, Alighias M, Ghanbarnejad A, Shahab-Jahanlu A,
Gholamnia-Shirvani Z. Effect of educational intervention on
health-promoting behaviors of high school students in Karaj city.
J Prev Med 2015;2:62-9.
30. Mahdipour N, Shahnazi H, Hassanzadeh A, Sharifirad G. The
effect of educational intervention on health promoting lifestyle:
Focusing on middle-aged women. J Educ Health Promot
2015;4:51.
31. Zareiean A, Ghofranipour F. Akhtar Danesh N, Mohamadi E. The
lifestyle concept in adolescent boy. Nurs Res 2007;2:7.
32. Vrdoljak D, Marković BB, Puljak L, Lalić DI, Kranjčević K, Vučak J.
Lifestyle intervention in general practice for physical activity,
smoking, alcohol consumption and diet in elderly: A randomized
controlled trial. Arch Gerontol Geriatr 2014;58:160-9.
33. Peyman N, Ezzati Rastegar K, Taghipour A, Esmaily H. Effect of
education on the weight self-efficacy lifestyle among adolescent
girls with overweight and obesity. Armaghane Danesh
2012;17:117-28.
34. Sabzmakan L, Jafarabadi MA, Springer A, Morowatisharifabad
MA, Mohammadi E. Physical activity and healthy eating
promotion among adults with cardiovascular metabolic risk
factors: An application of intervention mapping framework.
Health Scope 2017;6(3):e15167.
35. Hamilton K, White KM, Cuddihy T. Using a single-item physical
activity measure to describe and validate parents’ physical activity
patterns. Res Q Exerc Sport 2012;83:340-5.
36. Wall DE, Least C, Gromis J, Lohse B. Nutrition education
intervention improves vegetable-related attitude, self-efficacy,
preference, and knowledge of fourth-grade students. J Sch Health
2012;82:37-43.
)