Mollazadeh Sanaz, Khadivzadeh Talat, Mirzaii Najmabadi Khadijeh, Mirghafourvand Mojgan, Moradi Maryam, Moghri Javad, Hafizi Leili
Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Front Reprod Health. 2025 Aug 26;7:1502323. doi: 10.3389/frph.2025.1502323. eCollection 2025.
Endometriosis is a benign and chronic gynecological estrogen-dependent disease. Research has shown that endometriosis can affect various dimensions of women's lives. It is recommended that programs be developed to improve the quality of life and promote the health of affected women. However, no existing studies have written programs to achieve these goals. Therefore, the present study aims to "design and validate a health promotion program using a logical model".
METHODS/DESIGN: A mixed-methods explanatory design will be used to conduct this study in three phases. The first phase (quantitative phase) is a descriptive-analytical cross-sectional study on 200 reproductive-age women with an endometriosis diagnosis. The Health-Promoting Lifestyle Profile (HPLP-II) and Endometriosis Impact Questionnaire (EIQ) will be used to collect quantitative data. The second phase (qualitative phase) will explain women's perceptions and experiences of the health-promoting lifestyle. In this phase, the conventional content analysis approach will be used to analyze the data. In the third phase (design of the health promotion program), findings of the quantitative and qualitative phases, the literature review, and focus group discussion (FGD) with a panel of experts will be used to develop a health promotion program based on a logical model, and its validation will be conducted using the Delphi method.
This is the first study to use a mixed-methods approach for designing a health promotion program for women with endometriosis. This study can reveal hidden issues in the attitude of patients, medical staff, and those involved in providing health services and provide a better understanding of the factors related to improving the health and quality of life of affected women. In addition, the results of research can be effective in formulating a suitable strategy that can be used by policymakers, planners, and health staff as well as respond to the needs of affected women.
子宫内膜异位症是一种良性慢性妇科雌激素依赖性疾病。研究表明，子宫内膜异位症会影响女性生活的各个方面。建议制定相关项目以提高受影响女性的生活质量并促进其健康。然而，目前尚无研究编写实现这些目标的项目。因此，本研究旨在“使用逻辑模型设计并验证一项健康促进项目”。
方法/设计：将采用混合方法解释性设计分三个阶段进行本研究。第一阶段（定量阶段）是对200名诊断为子宫内膜异位症的育龄女性进行描述性分析横断面研究。将使用健康促进生活方式量表（HPLP-II）和子宫内膜异位症影响问卷（EIQ）收集定量数据。第二阶段（定性阶段）将解释女性对健康促进生活方式的认知和体验。在此阶段，将采用传统内容分析法分析数据。第三阶段（健康促进项目设计），将利用定量和定性阶段的研究结果、文献综述以及与专家小组进行的焦点小组讨论（FGD），基于逻辑模型制定一项健康促进项目，并使用德尔菲法对其进行验证。
这是第一项采用混合方法为子宫内膜异位症女性设计健康促进项目的研究。本研究能够揭示患者、医护人员及参与提供卫生服务人员态度中隐藏的问题，并能更好地理解与改善受影响女性健康和生活质量相关的因素。此外，研究结果可有效制定一项合适的策略，供政策制定者、规划者、卫生工作人员使用，同时满足受影响女性的需求。
