Journal of Preventive Medicine and Public Health

  • 제57권2호
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  • Pages.167-175
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  • 2024
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
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Empowering Rural Housewives in Iran: Utilizing the Transtheoretical Model to Increase Physical Activity

  • Mahboobe Borhani (Health Management and Social Development Research Center, Golestan University of Medical Sciences) ;
  • Zakieh Sadat Hosseini (Department of Public Health, Faculty of Health and Paramedicine, Neyshabur University of Medical Sciences) ;
  • Najme Shahabodin (Health Management and Social Development Research Center, Golestan University of Medical Sciences) ;
  • Ali Mehri (Department of Health Education, Faculty of Health, Sabzevar University of Medical Sciences) ;
  • Mohadese Kiani (Health Management and Social Development Research Center, Golestan University of Medical Sciences) ;
  • Marzieh Abedi (Health Management and Social Development Research Center, Golestan University of Medical Sciences)
  • 투고 : 2023.10.16
  • 심사 : 2024.01.11
  • 발행 : 2024.03.31
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초록

Objectives: Rural housewives are integral to household management and family care, yet their sedentary lifestyles present significant health risks. This study used the transtheoretical model (TTM) to investigate strategies that encourage and maintain regular exercise habits among rural housewives. Methods: A semi-experimental study was conducted in 2021 with 114 housewives aged 30 to 59 who attended rural health centers in Gorgan, Iran. Participants were randomly assigned to 1 of 2 groups. Data collection involved a validated questionnaire that gathered demographic information and constructs of the TTM. The intervention group participated in a comprehensive educational program, which included four 60-minute sessions. Data were collected again 6 months post-intervention and analyzed using descriptive and inferential statistics in SPSS version 21. Results: The study encompassed women with an average age of 39.75±6.05 years, the majority of whom had educational levels below a diploma, and over 90% were married. We observed strong correlations between the processes of change, self-efficacy, and decisional balance. At the outset, there were no significant differences in demographics or model structures between the 2 groups. However, 6 months post-intervention, the intervention group exhibited statistically significant differences in the mean scores of model structures, stages of change, and body mass index (p<0.05). Conclusions: This study highlights the importance of physical activity training for rural housewives. The findings suggest that the educational intervention, which utilized the TTM, significantly impacted the participants' model structures and their stages of change.

키워드

과제정보

The authors express their gratitude to the village housewives for their enthusiastic involvement in the research, and they acknowledge and value the support and cooperation of the village officials.

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