Document Type : Original Article


1 Tropical and Communicable Diseases Research Center, Iranshahr University of Medical Sciences and Health Services, Iranshahr, Iran, Department of Public Health, School of Nursing, Iranshahr University of Medical Sciences and Health Services, Chabahar, Iran

2 Department of Public Health, School of Public Health, Jiroft University of Medical Sciences, Jiroft, Iran

3 Department of Public Health, School of Health, Khoy University of Medical Sciences, Khoy, Iran

4 Health Center of Urmia, Health System Research Unit, Urmia University of Medical Sciences, Urmia, Iran

5 Department of Public Health, School of Nursing, Iranshahr University of Medical Sciences and Health Services, Chabahar, Iran

6 Department of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran


BACKGROUND: Adopting a healthy lifestyle is necessary to maintain and promote health. The aim
of this study was to determine the effect of teach‑back method on improving the lifestyle of health
ambassadors in Urmia.
MATERIALS AND METHODS: In this quasi‑experimental study, 200 health ambassadors were
participated. The research sample was obtained using simple random sampling method. Data
collection tool was a questionnaire including demographic characteristics and lifestyle standard. The
educational intervention was performed in 4 sessions of 45 min based on the teach‑back method.
Data were collected through a lifestyle questionnaire before and 3 months after the educational
intervention. Then, the data were analyzed by mean and standard deviation, independent t‑test,
paired t‑test, and Chi‑square test through SPSS 19.
RESULTS: The results showed that 24% of the control group and 21% of the intervention group
had a good lifestyle before the educational intervention. After the educational intervention 27% of
the control group and 54% of the intervention group were in good lifestyle. The results also showed
that the mean score of total lifestyle and all its dimensions in the intervention group increased
compared to the control group after the educational intervention and the difference between the
mean score of total lifestyle and all its dimensions in the intervention group after the intervention
was significant (P < 0.05).
CONCLUSIONS: Among health ambassadors, teach‑back communication is more effective in
improving the lifestyle. Therefore, it is suggested that this method must be used in designing training
programs for health ambassadors.


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