Environmental and Occupational Hazards Control Research Center, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Community Health Nursing, Faculty of Nursing and Midwifery, Community-Oriented Nursing and Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Health Educ Res. 2024 May 11;39(3):262-271. doi: 10.1093/her/cyae016.
This paper evaluates the effectiveness of an educational intervention based on the transtheoretical model aimed at increasing physical activity (PA) participation among female employees in Bandar Abbas city (Iran) healthcare centers in December 2017 and August 2018. Using a semi-experimental interventional study design with a randomized and multi-stage method, 100 participants were included in both the intervention (n = 50) and control groups (n = 50). Data collection involved questionnaires assessing demographic information (age, gender, marital status and education), stages of change in PA behavior, Perceived Benefits, Barriers and Self-efficacy. The data were analyzed using SPSS-16, employing both descriptive (mean, SD, frequency, percentage) and inferential statistics (t-tests, chi-squared tests, etc.). Prior to the educational intervention, 19 participants (0.38%) in the intervention group engaged consistently in PA (stages 4-5). After 3 and 6 months of intervention, these numbers increased to 29 (0.58%) and 25 (0.50%), respectively. This improvement was statistically significant compared to the pre-intervention stage (P < 0.001). The findings highlight the importance of theory-based behavior change models and health education programs in promoting PA and combating sedentary lifestyles. Although focused on a specific population in Bandar Abbas, the intervention can serve as a model for similar programs targeting diverse social classes and populations.
本研究旨在评估基于跨理论模型的教育干预对提高伊朗班达尔阿巴斯市医疗中心女性员工身体活动参与度的效果。采用半实验性干预研究设计，采用随机多阶段方法，于 2017 年 12 月至 2018 年 8 月，共纳入 100 名参与者，分别纳入干预组（n=50）和对照组（n=50）。数据收集包括评估人口统计学信息（年龄、性别、婚姻状况和教育程度）、身体活动行为变化阶段、感知益处、障碍和自我效能的问卷。采用 SPSS-16 进行数据分析，采用描述性统计（均值、标准差、频率、百分比）和推断性统计（t 检验、卡方检验等）。在教育干预之前，干预组有 19 名参与者（0.38%）一直积极参与身体活动（4-5 阶段）。在干预 3 个月和 6 个月后，这一数字分别增加到 29 名（0.58%）和 25 名（0.50%）。与干预前阶段相比，这一改善具有统计学意义（P<0.001）。研究结果强调了基于理论的行为改变模型和健康教育计划在促进身体活动和对抗久坐生活方式方面的重要性。尽管该干预措施专注于班达尔阿巴斯市的特定人群，但它可以作为针对不同社会阶层和人群的类似计划的模型。
