Gholamnia-Shirvani Zeinab, Ghofranipour Fazlollah, Gharakhanlou Reza, Kazemnejad Anoshirvan
a Department of Health Education, Faculty of Medical Sciences , Tarbiat Modares University , Tehran , Iran.
b Education Development Center (EDC) , Babol University of Medical Sciences , Babol , Iran.
Women Health. 2018 Aug;58(7):834-850. doi: 10.1080/03630242.2017.1342739. Epub 2017 Aug 29.
Inactivity is prevalent in women, although regular physical activity (PA) has significant health benefits. Health education interventions based on multimedia software and the extended theory of planned behavior (TPB) with planning may be efficacious in promoting PA. This randomized controlled trial, conducted in 2014, aimed to evaluate theory-based multimedia for increasing and maintaining PA and fitness of 130 military personnel's wives in Tehran, Iran. We randomly selected respondents by multistage cluster sampling. We designed a "Women and Active Life" self-taught DVD-Rom, based on the extended TPB model with action and coping planning. We analyzed theoretical constructs and health-related physical fitness at baseline and 3 and 6 months post-education. Administering educational software raised average developed TPB constructs, cardiorespiratory endurance, and muscular fitness (strength, endurance, and flexibility) in women in the intervention group, which was sustained at follow-up (p < .001). Also, mean body composition (body fat percentage, waist-hip ratio, and body mass index) was reduced with retained reduction at follow-up (p < .001), although no significant change was found in these variables in the control group (p > .05). Using a new communication technology in TPB-directed multimedia led to improved and maintained PA, aerobic and musculoskeletal fitness, and body composition of women.
女性中缺乏身体活动的情况很普遍，尽管定期进行体育活动（PA）对健康有显著益处。基于多媒体软件和带有计划的扩展计划行为理论（TPB）的健康教育干预措施可能在促进体育活动方面有效。这项于2014年进行的随机对照试验旨在评估基于理论的多媒体对伊朗德黑兰130名军人妻子增加和维持体育活动及健康状况的作用。我们通过多阶段整群抽样随机选择受访者。我们基于带有行动和应对计划的扩展TPB模型设计了一张名为“女性与积极生活”的自学DVD光盘。我们在基线以及教育后3个月和6个月分析了理论结构和与健康相关的身体素质。在干预组中，使用教育软件提高了女性的平均TPB结构、心肺耐力和肌肉健康状况（力量、耐力和柔韧性），且在随访中保持稳定（p <.001）。此外，平均身体成分（体脂百分比、腰臀比和体重指数）有所降低，且在随访中保持下降（p <.001），而对照组这些变量未发现显著变化（p >.05）。在以TPB为导向的多媒体中使用新的通信技术可改善并维持女性的体育活动、有氧和肌肉骨骼健康状况以及身体成分。
