The effect of health education intervention based on the theory of planned behavior to promote physical activity in women's health volunteers of Shushtar health centers

Document Type : Original Article

Authors

1 M.Sc. student in Health education, Social Determinants of Health Research center, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 PhD of Physiotherapy and Rehabilitation, Assistant professor, Department of Public Health, Social Determinants of Health Research center, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

3 Ph.D of Health education, Medical Sciences Education Promotion and Studies Center, Babol University of Medical Sciences, Babol, Iran.

4 Assistant professor, Department of Statistics and Epidemiology, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

5 Ph.D of Health education, Social Determinants of Health Research center, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Abstract

Introduction: The amount of physical activity as a key component of a healthy lifestyle is low than necessary in women. Health educational interventions based on the theory of planned behavior (TPB) are effective in promotion of physical activity. This study was performed with aim to evaluate the effect of health educational interventions based on the theory of planned behavior to promote physical activity in women's health volunteers of Shushtar health centers.
Methods: This interventional study was performed on 110 health volunteers of Shushtar health centers in 2015. The subjects were randomly assigned into two groups of control and intervention. Data were collected by the questionnaire of demographic characteristics, TPB scale, International Physical Activity Questionnaire and heart rate test (by Polar device). The intervention included three educational sessions and one three-month physical activity program. Data were analyzed by SPSS software (version 19). PResults: Conducting the health educational program based on TPB led to increased attitude toward the behavior, perceived behavioral control, intention, physical activity and decreased physiological cost index (PCI) 3 months post-intervention in case group (P<0.001). But, no significant changes occurred in control group (P>0.05). Also, subjective norms had no significant change in two group at post-intervention (P>0.05).
Conclusion: Conducting the health educational program based on TPB results in improving physical activity and PCI in health volunteers. It is necessary to design and evaluate educational programs based on theory to increase healthy behaviors in these community.

Keywords


  1. Soheili F, Alizadeh S, Hassani M, Bastami P. The pathologic assessment of breast masses, before and after menopause. Iran Obstet Gynecol Infertil 2013; 16(68):21-7. (Persian).
  2. Karimi A, Moradi Z, Sayehmiri K, Delpisheh A, Sayehmiri F. Investigation of 1 to 10-year survival of breast cancer in Iranian women: a systematic review and meta-analysis. Iran Obstet Gynecol Infertil 2016; 19(22):17-25. (Persian).
  3. Adjogatse D, Thanopoulou E, Okines A, Thillai K, Tasker F, Johnston SR, et al. Febrile neutropaenia and chemotherapy discontinuation in women aged 70 years or older receiving adjuvant chemotherapy for early breast cancer. Clin Oncol 2014; 26(11):692-6.
  4. Jensen JD, Cold S, Nielsen MH, Jylling AM, Søe KL, Larsen LB, et al. Trends in breast cancer in the elderly in Denmark, 1980-2012. Acta Oncol 2016; 55(Suppl 1):59-64.
  5. Extermann M, Balducci L, Lyman GH. What threshold for adjuvant therapy in older breast cancer patients? J Clin Oncol 2000; 18(8):1709-17.
  6. Litvak DA, Arora R. Treatment of elderly breast cancer patients in a community hospital setting. Arch Surg 2006; 141(10):985-90.
  7. de Glas NA, Kiderlen M, de Craen AJ, Hamaker ME, Portielje JE, van de Velde CJ, et al. Assessing treatment effects in older breast cancer patients: systematic review of observational research methods. Cancer Treat Rev 2015; 41(3):254-61.
  8. Benevento R, Santoriello A, Gambardella A, Mocerino C, Perna G, Gambardella C, et al. The role of sentinel node biopsy (SNB) in elderly breast cancer patients. BMC Geriat 2010; 10(1):A3.
  9. Valassiadou K, Morgan DA, Robertson JF, Pinder SE, Cheung KL. Successful management of elderly breast cancer patients treated without radiotherapy. World J Surg Oncol 2007; 5:62.
  10. Li JJ, Yu KD, Di GH, Shao ZM. Clinicopathological features and treatment sensitivity of elderly Chinese breast cancer patients. Oncol Lett 2010; 1(6):1037-43.
  11. Rocco N, Iannone L, Rispoli C, De Vito D, Accurso A. Early breast cancer in elderly women: surgery or primary endocrine therapy? BMC Geriat 2010; 10(1):A31.
  12. Malik MK, Tartter PI, Belfer R. Undertreated breast cancer in the elderly. J Cancer Epidemiol 2013; 2013:893104.
  13. Dimitrakopoulos F, Kottorou A, Antonacopoulou AG, Makatsoris T, Kalofonos HP. Early-stage breast cancer in the elderly: confronting an old clinical problem. J Breast Cancer 2015; 18(3):207-17.
  14. Mousavi SM, Montazeri A, Mohagheghi MA, Jarrahi AM, Harirchi I, Najafi M, et al. Breast cancer in Iran: an epidemiological review. Breast J 2007; 13(4):383-91.
  15. Villari SA, Famà F, Scarfò P, Pollicino A, Florio MG. Tailored surgery in elderly patients with breast cancer: our experience. BMC Geriat 2010; 10(Suppl 1):A38.
  16. Wang H, Singh AP, Luce SA, Go AR. Breast cancer treatment practices in elderly women in a community hospital. Int J Breast Cancer 2011; 2011:467906.

Angarita FA, Chesney T, Elser C, Mulligan AM, McCready DR, Escallon J. Treatment patterns of elderly breast cancer patients at two Canadian cancer centers. Eur J Surg Oncol 2015; 41(5):625-34.