The effect of educational intervention on health promoting lifestyle: Focusing on middle-aged women

BACKGROUND: The health-promoting lifestyle by empowering individuals will increase control over their health, improve quality of life, and prevent diseases. The purpose of the present study was to determine the effect of the educational intervention based on the intervention mapping approach on health-promoting lifestyle in Iranian college students. METHODS: This study is a quasi-experimental control study that was conducted in two groups of 65 students of Iran University of Medical Sciences in 2018–2019. The data were collected using the Health-Promoting Lifestyle Standard Profile II questionnaire and a researcher-made questionnaire based on the mapping approach, whose validity and reliability were confirmed. The educational intervention was designed according to the pretest results, including five training sessions and performed for the intervention group. The two groups were evaluated with the same questionnaires 1 month and 3 months later, and the data were analyzed using independent t -test, Spearman, ANCOVA, ANOVA test, and covariance. Results: Before the intervention, no significant difference was observed between the mean scores of health-promoting behaviors in the two groups, but after the intervention, the mean scores of attitude, subjective norms, enabling factors, and perceived self-efficacy and mean scores of health-promoting lifestyle and its dimensions increased significantly in the intervention group ( P < 0.001) compared to the control group. Conclusion: The educational intervention is effective in improving behaviors related to health-promoting lifestyle and its dimensions. Therefore, performing educational interventions are suggested to adopt and adhere to behaviors related to health-promoting lifestyle by utilizing and reinforcing perceived self-efficacy, subjective norms, enabling factors, and attitudinal change.

Introduction and Objective:Providing and enhancing the level of health are one of the essential needs of all people, and implementation of health promotion lifestyle is the most important and effective factor in maintaining and improving the health of the elderly. The present study aimed at defining the effect of aging on health-promoting lifestyle.Methodology:This randomized clinical trial was conducted on 72 individuals from the retirees clubs of Education department, Social Security, and Health centers in Ramsar, in 2017. Sampling was done randomly with blocking and random allocation in two groups: Experimental and control. Data were collected in two steps by Demographic profile questionnaire, AMT, ADL, OHI and HPlP II which validity and reliability of them were confirmed. Participants attended eight training sessions (twice each week). Data analysis was performed with the use of SPSS 18 and descriptive (Frequency) and analytic tests (Chi-square, Fisher's exact test, Independent Sample t test and Paired Sample t test) with a significance level of 0.05.Results:The results showed that the mean age of the elderly was 64.4 ± 4.1 years. The mean score of lifestyle enhancement was 148.59 and 173.25 before and after training in the experimental group, respectively. Based on the results of paired t-test (P < 0. 323), there was no significant difference between the mean life expectancy of elderly health promotion in control group before and after educational intervention; however, there was a significant difference between the two groups before and after training (P = 0.001).Conclusion:Educational programs play an important role in integrating health-promoting lifestyle to encourage the elderly to accept more accountability regarding health, sustained physical fitness, proper nutrition, healthy interpersonal relationships, expected spiritual growth, and the proper management of stress and anxiety in life.

Introduction Worldwide, the burden of communicable disease and maternal, neonatal, and nutritional disorders declined between 1990 and 2013, whereas the burden of non-communicable disease (NCD) increased. 1,2 A sustainable development goal is a global framework to reduce premature deaths from NCDs by one-third. Nutrition-related NCD is important because remarkable transformations of food systems have resulted in a rapid increase on NCDs in low-and middle-income countries. 3 Diet plays an important role in NCDs such as cardiovascular disease, 2,4-13 diabetes, 2,5,8,12 cancer, 2,12,14 mental disorders, 15-17 and chronic obstructive pulmonary disease. 18 Unhealthy diet is a increases the risk of NCDs and provide an opportunity to intervene perfect, appropriately, and synergistically on more than one risk behavior concurrently to prevent NCDs as a whole. 12 It has been recommended that the workplace is an appropriate filed to evaluate lifestyle intervention such as promotion of a healthy diet because many adults, regardless of socioeconomic status, lifestyle, and risk profile can be targeted at once. 9 Globalization of the food supply has increased the need to strengthen food safety. For this reason, the World Health Organization (WHO) is promoting efforts to improve food safety by making the theme of World Health Day 2015 "improve food safety from farm to plate (always and everywhere). " 19 The first step to promoting a healthy diet in a given society is to assess diet behavior; thus, the present study assessed the diet behavior of employees at a medical sciences university in Tehran on Health Day 2015.