Department of Health Education and Promotion, Social Determinants of Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Aging Health Department, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
J Med Life. 2022 Mar;15(3):408-414. doi: 10.25122/jml-2021-0073.
This research aims to identify the predictive factors related to the initiation and sustaining of regular physical activity behaviors and their influence in adapting to menopausal symptoms. The study uses the multi-theory model (MTM) as the conceptual framework. The descriptive cross-sectional research was conducted on 200 post-menopausal women aged 45-55 years. All participants were referred to health centers, where they completed a three-part questionnaire involving: demographic information, a questionnaire on the influence of regular physical activity on the onset and sustaining of menopause using the MTM, and a standard questionnaire of menopausal quality of life. Data were collected, managed, and analyzed using SPSS 20 and AMOS 23 software. This study reveals that behavioral confidence and changes in the physical environment with coefficients of 0.55 and 0.14 respectively had a direct and significant impact on the initiation of regular physical activity-related behaviors during menopause. The construct of participatory dialogue had no significant impact on the initiation of regular physical activity-related behaviors and menopause. Regarding the sustainability of regular physical activity, the emotional transformation construct with a coefficient of 0.73 and change in social environment construct with a coefficient of 0.11 directly and significantly impact keeping regular physical activity behaviors due to menopause. Therefore, interventions based on the MTM can prove very useful for this specific population. In addition, the use of constructs validated by this study will especially be useful in producing evidence-based intervention for the target population.
本研究旨在确定与启动和维持定期身体活动行为相关的预测因素及其对适应更年期症状的影响。该研究以多理论模型（MTM）为概念框架。在 200 名 45-55 岁的绝经后妇女中进行了描述性横断面研究。所有参与者都被转介到健康中心，在那里他们完成了三部分问卷，包括：人口统计学信息、使用 MTM 评估定期身体活动对更年期发病和维持影响的问卷以及更年期生活质量的标准问卷。使用 SPSS 20 和 AMOS 23 软件收集、管理和分析数据。这项研究表明，行为信心和物理环境变化的系数分别为 0.55 和 0.14，对更年期定期身体活动相关行为的启动有直接和显著的影响。参与对话的结构对更年期定期身体活动相关行为的启动没有显著影响。关于定期身体活动的可持续性，情绪转化结构的系数为 0.73，社会环境变化结构的系数为 0.11，直接且显著地影响因更年期而保持定期身体活动行为。因此，基于 MTM 的干预措施对这一特定人群非常有用。此外，使用该研究验证的结构将特别有助于为目标人群提供基于证据的干预措施。
