The Effect of a Training Program Based on the PRECEDE-PROCEED Model on Lifestyle of Adolescents with Beta-Thalassemia: A Randomized Controlled Clinical Trial
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Abstract
Background: Lifestyle is a key issue in the concept of health promotion. Lifestyle includes all activities that encourage optimum physical, spiritual, and mental functions. The aim of this study was to determine the effect of a training program based on PRECEDE-PROCEED Model on lifestyle of adolescents with beta thalassemia.
Materials and Methods: In this clinical trial study, 64 adolescents (age 16-20) who referred to the Thalassemia Center of Ahvaz (2015) were selected and randomly divided into two groups: experimental and control group. The components of the PRECEDE-PROCEED Model were used for planning, implementation and evaluation of the program. Changes in predisposing, reinforcing, enabling factors and lifestyle were immediately and a month after the intervention were assessed by a questionnaire based on PRECEDE-PROCEED Model and the Health-Promoting Lifestyle Profile.
Results: The intervention had significantly positive effect on predisposing, enabling and reinforcing factors immediately and a month after the intervention (P < 0.05). Repeated measures analysis of variance showed a significant positive increase in the six dimensions of lifestyle score in the experimental group from baseline to one-month follow-up (P < 0.05).
Conclusion: This study showed that the theory-based training program in adolescents suffered from beta thalassemia disease could improve the adolescent’s awareness and attitude of healthy lifestyle.
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11. Loef M, Walach H. The combined effects of healthy lifestyle behaviors on all-cause mortality: A systematic review and meta-analysis. Prev Med. 2012; 55(3): 163–70.
12. Razzazan N, Ravanpour M, Gharibi T, et al. Effect of self-management empowering model on the quality of life in adolescents and youths with major thalassemia. J Nurs Educ. 2014; 3(2):48-59.
13. Hakeem GLA, Mousa SO, Moustafa AN, et al. Health-related quality life in pediatric and adolescent patients with transfusion-dependent ß-thalassemia in Upper Egypt (single center study). Health Qual Life Outcomes. 2018; 16(1): 59.
14. Dupuy M, Godeau E, Vignes C, et al. Socio-demographic and lifestyle factors associated with overweight in a representative sample of 11-15 year olds in France: results from the WHO-Collaborative Health Behaviour in School-aged Children (HBSC) cross-sectional study. BMC Public Health. 2011; 11: 442.
15. Pormehr Yabandeh A, Nejatizadeh AA, Hamayeli Mehrabani H, et al. Assessment of nutritional status, dietary habits and physical activity of adolescents in Bandar Abbas, Iran. J Fasa Univ Med Sci. 2014; 17(6):455-463.
16. Kamrani Rad Z, Attarian F, Ebrahimi Pour H. Health-promoting lifestyle among Mashhad School of Health Students, Mashhad, Iran . JMRH. 2014; 2(3):195-204.
17. Lu CH, Tang ST, Lei YX, et al. community-based intervention in hypertensive patient: a comparison of three health education strategies. BMC Public Health. 2015; 15: 33.
18. Raingruber B. Contemporary health promotion in nursing practice, United States Burlington, MA: Jones & Bartlett Learning; 2014.
19. Hodges B, Kuper E. Theory and Practice in the Design and Conduct of Graduate Medical Education. Acad Med. 2012; 87(1): 25-33.
20. Crosby R, Noar S. What is a planning model? An introduction to PRECEDE-PROCEED. J Public Health Dent. 2011; 71 Suppl 1:S7-15.
21. Solhi M, Shabani Hamedan M, Salehi M. A PRECEDE-PROCEED based educational intervention in quality of life of women-headed households in Iran. Med J Islam Repub Iran. 2016; 30:417.
22. Rezapour B, Mostafavi F, Khalkhali HR. School-Based and PRECEDE-PROCEED-Model Intervention to Promote Physical Activity in the High School Students: Case Study of Iran. Glob J Health Sci. 2016; 8(9):54497.
23. Shanta Bridges L, Sharma M, Lee JHS, et al. Using the PRECEDE-PROCEED model for an online peer-to-peer suicide prevention and awareness for depression (SPAD) intervention among African American college students: experimental study. Health Promot Perspect. 2018; 8(1):15-24.
24. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987; 36(2):76-81.
25. Zeidi I, Hajiagha A. Reliability and validity of Persian version of the health-promoting lifestyle profile. JMUMS. 2012; 22 (1):102-113.
26. Gielen AC, McDonal EM, Gary TL, et al. Using the PRECEDE-PROCEED Model to apply health behavior theories. In : Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: theory, research, and practice.4th ed:John Wiley &Sons;2008.pp.407-33
27. Fertman CI, Allenswoth DD. Health promotion programs: from theory to practice. John willey & Sons; 2010.
28. Green LW, Kreuter MV. Health promotion planning : An educational and environmental approach . mountain view, calif: Mayfield:1999.
29. Soleiman Ekhtiari Y, Shojaeizadeh D, Rahimi Foroushani A, et al. The Effect of an Intervention Based on the PRECEDE- PROCEED Model on Preventive Behaviors of Domestic Violence Among Iranian High School Girls. Iran Red Crescent Med J. 2013; 15(1):21-28.
30. Solhi M, Shabani Hamedan M, Salehi M. A PRECEDE-PROCEED based educational intervention in quality of life of women-headed households in Iran. Med J Islam Repub Iran.2016; 30:417.
31. Ranjbaran S, Dehdari T, Sadeghniiat-Haghighi K, et al. Poor Sleep Quality in Patients after coronary artery bypass graft surgery: an intervention study using PRECEDE-PROCEED Model. J Tehran Heart Cent. 2015; 10(1):1-8.
32. Sabzmakan L, Hazavehei S, Morowatisharifabad M, et al. The effects of a PRECEDE based educational program on depression, general health and quality of life of coronary artery bypass grafting patients. Asian J Psychiatr. 2010; 3(2):79-83.
33. Dizaji MB, Taghdisi MH, Solhi M, et al. Effects of educational intervention based on PRECEDE model on self-care behaviors and control in patients with type 2 diabetes in 2012. J Diabetes Metab Disord. 2014; 13:72.
34. Aghamolaei T, Hosseini F, Farshidi H, et al. The Impact of an Educational Intervention Based On PRECEDE-PROCEED Model on Lifestyle of Hypertension Patients. Journal of Hypertension. 2015; 33:e4.
35. Mehdipour N, Shahnazi H, Hassanzade A, et al. The effect of educational intervention on health promoting lifestyle: focusing on middle aged women. J Educ Health Promot. 2015; 4: 51.
2. MehdiKhani B, Eslami A, Qorbani M, et al. Knowledge, attitude, and preventive practice of major thalassemia patients regarding the importance of calcium and Vitamin D. J Appl Hematol 2015;6(1):13-18.
3. Triantafyllou AI, Vyssoulis GP, Karpanou EA, et al. Impact of beta-thalassemia trait carrier state on cardiovascular risk factors and metabolic profile in patients with newly diagnosed hypertension. J Hum Hypertens. 2014; 28(5):328–32.
4. Vogiatzi MG, Macklin EA, Trachtenberg FL, et al. Differences in the prevalence of growth, endocrine and vitamin D abnormalities among the various thalassemia syndromes in North America. Br J Haematol. 2009; 146(5): 546–56.
5. Behdani F, Badiee Z, Hebrani P, et al. Psychological Aspects in Children and Adolescents With Major Thalassemia: A Case-Control Study. Iran J Pediatr. 2015; 25(3):e322.
6. Soliman A, De Sanctis V, Yassin M. Vitamin D Status in Thalassemia Major: an Update. Mediterr J Hematol Infect Dis. 2013; 5(1):e2013057.
7. Qari MH, Wali Y, Albagshi MH, et al. Regional consensus opinion for the management of Beta thalassemia major in the Arabian Gulf area. Orphanet J Rare Dis. 2013; 8: 143.
8. Adib-Hajbaghery M, Ahmadi M, Poormansouri S. Health Related Quality of Life, Depression, Anxiety and Stress in Patients with Beta-Thalassemia Major. Iran J Ped Hematol Oncol. 2015; 5(4):193-205.
9. Wong LH, Chan FW, Wong FY, et al. Transition Care for adolescents and families with chronic illnesses. J Adolesc Health.2010; 47(6):540–6.
10. Safabakhsh L, Jahantigh M, Nosratzehi S, et al. The Effect of Health Promoting Programs on Patient's Life Style After Coronary Artery Bypass Graft–Hospitalized in Shiraz Hospitals. . Glob J Health Sci. 2015; 8(5):154-9.
11. Loef M, Walach H. The combined effects of healthy lifestyle behaviors on all-cause mortality: A systematic review and meta-analysis. Prev Med. 2012; 55(3): 163–70.
12. Razzazan N, Ravanpour M, Gharibi T, et al. Effect of self-management empowering model on the quality of life in adolescents and youths with major thalassemia. J Nurs Educ. 2014; 3(2):48-59.
13. Hakeem GLA, Mousa SO, Moustafa AN, et al. Health-related quality life in pediatric and adolescent patients with transfusion-dependent ß-thalassemia in Upper Egypt (single center study). Health Qual Life Outcomes. 2018; 16(1): 59.
14. Dupuy M, Godeau E, Vignes C, et al. Socio-demographic and lifestyle factors associated with overweight in a representative sample of 11-15 year olds in France: results from the WHO-Collaborative Health Behaviour in School-aged Children (HBSC) cross-sectional study. BMC Public Health. 2011; 11: 442.
15. Pormehr Yabandeh A, Nejatizadeh AA, Hamayeli Mehrabani H, et al. Assessment of nutritional status, dietary habits and physical activity of adolescents in Bandar Abbas, Iran. J Fasa Univ Med Sci. 2014; 17(6):455-463.
16. Kamrani Rad Z, Attarian F, Ebrahimi Pour H. Health-promoting lifestyle among Mashhad School of Health Students, Mashhad, Iran . JMRH. 2014; 2(3):195-204.
17. Lu CH, Tang ST, Lei YX, et al. community-based intervention in hypertensive patient: a comparison of three health education strategies. BMC Public Health. 2015; 15: 33.
18. Raingruber B. Contemporary health promotion in nursing practice, United States Burlington, MA: Jones & Bartlett Learning; 2014.
19. Hodges B, Kuper E. Theory and Practice in the Design and Conduct of Graduate Medical Education. Acad Med. 2012; 87(1): 25-33.
20. Crosby R, Noar S. What is a planning model? An introduction to PRECEDE-PROCEED. J Public Health Dent. 2011; 71 Suppl 1:S7-15.
21. Solhi M, Shabani Hamedan M, Salehi M. A PRECEDE-PROCEED based educational intervention in quality of life of women-headed households in Iran. Med J Islam Repub Iran. 2016; 30:417.
22. Rezapour B, Mostafavi F, Khalkhali HR. School-Based and PRECEDE-PROCEED-Model Intervention to Promote Physical Activity in the High School Students: Case Study of Iran. Glob J Health Sci. 2016; 8(9):54497.
23. Shanta Bridges L, Sharma M, Lee JHS, et al. Using the PRECEDE-PROCEED model for an online peer-to-peer suicide prevention and awareness for depression (SPAD) intervention among African American college students: experimental study. Health Promot Perspect. 2018; 8(1):15-24.
24. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987; 36(2):76-81.
25. Zeidi I, Hajiagha A. Reliability and validity of Persian version of the health-promoting lifestyle profile. JMUMS. 2012; 22 (1):102-113.
26. Gielen AC, McDonal EM, Gary TL, et al. Using the PRECEDE-PROCEED Model to apply health behavior theories. In : Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: theory, research, and practice.4th ed:John Wiley &Sons;2008.pp.407-33
27. Fertman CI, Allenswoth DD. Health promotion programs: from theory to practice. John willey & Sons; 2010.
28. Green LW, Kreuter MV. Health promotion planning : An educational and environmental approach . mountain view, calif: Mayfield:1999.
29. Soleiman Ekhtiari Y, Shojaeizadeh D, Rahimi Foroushani A, et al. The Effect of an Intervention Based on the PRECEDE- PROCEED Model on Preventive Behaviors of Domestic Violence Among Iranian High School Girls. Iran Red Crescent Med J. 2013; 15(1):21-28.
30. Solhi M, Shabani Hamedan M, Salehi M. A PRECEDE-PROCEED based educational intervention in quality of life of women-headed households in Iran. Med J Islam Repub Iran.2016; 30:417.
31. Ranjbaran S, Dehdari T, Sadeghniiat-Haghighi K, et al. Poor Sleep Quality in Patients after coronary artery bypass graft surgery: an intervention study using PRECEDE-PROCEED Model. J Tehran Heart Cent. 2015; 10(1):1-8.
32. Sabzmakan L, Hazavehei S, Morowatisharifabad M, et al. The effects of a PRECEDE based educational program on depression, general health and quality of life of coronary artery bypass grafting patients. Asian J Psychiatr. 2010; 3(2):79-83.
33. Dizaji MB, Taghdisi MH, Solhi M, et al. Effects of educational intervention based on PRECEDE model on self-care behaviors and control in patients with type 2 diabetes in 2012. J Diabetes Metab Disord. 2014; 13:72.
34. Aghamolaei T, Hosseini F, Farshidi H, et al. The Impact of an Educational Intervention Based On PRECEDE-PROCEED Model on Lifestyle of Hypertension Patients. Journal of Hypertension. 2015; 33:e4.
35. Mehdipour N, Shahnazi H, Hassanzade A, et al. The effect of educational intervention on health promoting lifestyle: focusing on middle aged women. J Educ Health Promot. 2015; 4: 51.
| Files | ||
| Issue | Vol 13, No 1 (2019) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijhoscr.v13i1.320 | |
| Keywords | ||
| Beta-thalassemia; Lifestyle; PRECEDE-PROCEED Model; Education | ||
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How to Cite
1.
Bazpour M, Gheibizadeh M, Saki Malehi A, Keikhaei B. The Effect of a Training Program Based on the PRECEDE-PROCEED Model on Lifestyle of Adolescents with Beta-Thalassemia: A Randomized Controlled Clinical Trial. Int J Hematol Oncol Stem Cell Res. 2018;13(1):12-19.
