Volume 20, Issue 6 (1-2022)
TB 2022, 20(6): 58-72 |
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Research code: 7088
Ethics code: 7830
Clinical trials code: 7081
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dehghaniTafti A A, karami M, Rezaei pandar H, Jambarsang S, Rahmati Andani M. Effectiveness of Physical Activity Educational Program Based on Self-regulatory Theory on the Quality of Life among the Elderly. TB 2022; 20 (6) :58-72
URL: http://tbj.ssu.ac.ir/article-1-3190-en.html
URL: http://tbj.ssu.ac.ir/article-1-3190-en.html
Abbas Ali DehghaniTafti 
, Mehdi Karami , Hassan Rezaei pandar * , Sara Jambarsang , Maryam Rahmati Andani
, Mehdi Karami , Hassan Rezaei pandar * , Sara Jambarsang , Maryam Rahmati Andani
Department of Health in Disaster and Emergencies, School of Public Health, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran , hrezaeipandari@yahoo.com
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Effectiveness of Physical Activity Educational Program Based on Self-regulatory Theory on the Quality of Life among the Elderly
Abbas Ali Dehghani (Ph.D.)1, Mahdi Karami (M.Sc.s)2 , Hassan Rezaeipandari (Ph.D.)3,
Sara Jambarsang (Ph.D.)4, Maryam Rahmati Andani (Ph.D.)5
1.Associate Professor, Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2.M.Sc. Student in Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
3.Corresponding Author:Assistant Professor, Department of Aging Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Email: hrezaeipandari@yahoo.com Tel:09103090966
4.Assistant Professor, Center for Healthcare Data Modeling, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
5.Ph.D. Candidate. Student Research Committee, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract
Introduction: One of the most important factors in maintaining and promoting health in old age is regular physical activity. Benefiting from self-regulatory strategies is an important part of exercise interventions that have been proven to be important in promoting physical activity. The present study was designed and conducted to determine the effectiveness of physical activity educational program based on self-regulatory theory on quality of life of the elderly.
Methods: This interventional and quasi-experimental study was conducted on 64 elderly in in 2020 in Comprehensive Health Centers in Isfahan. The elderly were randomly divided into intervention (n = 34) and control (n = 30) groups. For the intervention group, self-regulated physical activity educational program was performed. The required information was collected using the WHOQOL-BREF Questionnaire and Physical Activity Scale for the Elderly before and two months after the intervention. The data were analyzed using SPSS software version 20 using Chi-square, Mann-Whitney, t-test, and covariance.
Results: In the intervention group before and after the intervention, the mean score of walking was 7.75 ± 7.35 vs. 15.54±8.01, mild physical activity 2.85±2.87 vs. 5.53±6.23, and low physical activity was 2.86±15.71 vs. 7.86 ± 14.41, respectively. Moreover, the mean of social relationshipswas 61.76 ±17.3 vs. 68.75±9.68 and mental health was 51.1±11.06 vs. 53.67±9.66, respectively before and after the intervention, which was significantly different (P <0.05).
Conclusions: Self-regulatory strategies can be used to increase in physical activity in the elderly. In fact, if the elderly are more active, their social relationships and mental health will improve..
Keywords: Elderly, Education, Physical activity, Quality of life, Self-regulation
Conflict of interest: The authors declared that there is no conflict of interest.
References
1-Babak A, Davari S, Aghdak P, Pirhaji O. Assessment of Healthy Lifestyle among Elderly in Isfahan, Iran. Journal of Isfahan Medical School. 2011;29(149).
2-Anderson ES, Wojcik JR, Winett RA, Williams DM. Social-cognitive determinants of physical activity: the influence of social support, self-efficacy, outcome expectations, and self-regulation among participants in a church-based health promotion study. Health psychology. 2006;25(4):510.
3-Van Malderen L, Mets T, Gorus E. Interventions to enhance the Quality of Life of older people in residential long-term care: a systematic review. Ageing research reviews. 2013;12(1):141-50.
4-Noroozian M. The elderly population in iran: an ever growing concern in the health system. Iranian journal of psychiatry and behavioral sciences. 2012;6(2):1.
5-Rafati N, Yavari P, Mehrabi Y, Montazeri A. Quality of life and its influencing factors in adults aged 65 and over living in Kahryzek Hospice Charity. Journal of Health School and Health research institute. 2005;3(2):67-75.
6-Salehi L, Taghdisi M, Ghasemi H, Shokervash B. To Identify the facilitator and barrier factors of physical activity among elderly people in tehran. Iranian Journal of Epidemiology. 2010;6(2):7-15.
7-Behnam Vashani H, Vahedian Shahroudi M, Jafarzade Fakhari M. The quality of life of the elderly in Sabzevar, Iran. Journal of Sabzevar University of Medical Sciences. 2010; 17(3):213-17.
8-Mirsaeedi ZS, Eftekhar Ardebili H, Nouri Jalyani K. Effect of a self care program on quality of life of the elderly clients covered by health centers of Southern of Tehran. Journal School of Public Health and Institute of Public Health Research. 2013;10(4):17-32.
9-Borzoo S, Arastoo A, Ghasemzade R, Zahednezhad S, Habibi A, Latifi SM. Effects of aerobic exercise on quality of life in residents of geriatric homes, Ahvaz, Iran. Iranian Journal of Ageing. 2011;6(1): 47-51.
10- Peyman N, Taghipour A, Mahdizadeh M, Esmaeely H. The effect of educational intervention based on self-regulation strategies on physical activity in women with type 2 diabetes. Evidence Based Care. 2013;2(4):7-17.
11-Hosseini FS, Hatamnezhad O. Relationship Between Self-Regulation and Balance-Confidence in Active and Inactive Elderly Men. Iranian Journal of Ageing. 2018;12(4):470-81.
12-Hekmatpou D, Shamsi M, Zamani M. The effect of healthy lifestyle education programs on promotion of physical activity in elderly of Arak. Daneshvar. 2012;19(98):33-42.
13-Washburn RA, Smith KW, Jette AM, Janney CA. The Physical Activity Scale for the Elderly (PASE): development and evaluation. Journal of clinical epidemiology. 1993;46(2):153-62.
14- Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Quality of life research. 2005;14(3):875-82.
15-Alavi A, Parvin N, Kheyri S, Hamidizadeh S, Tahmasebi S. Comparison of perspective of children with major thalassemia and their parents about their quality of life in Shahrekord. Journal of Shahrekord University of Medical Sciences.2007; 8(4): 35 - 41.
16- Stadler G, Oettingen G, Gollwitzer PM. Physical activity in women: Effects of a self-regulation intervention. American journal of preventive medicine. 2009;36(1):29-34.
17- Shahnazi H, Sobhani A, Cherkzi A. Relation of different aspects of lifestyle and elderly quality of life. Journal of Sabzevar University of Medical Sciences. 2018;25(3):370-63.
18-Warner LM, Wolff JK, Ziegelmann JP, Schwarzer R, Wurm S. Revisiting self-regulatory techniques to promote physical activity in older adults: null-findings from a randomised controlled trial. Psychology & health. 2016;31(10):1145-65.
19- Heydarnejad S, Dehkordi AH. The effect of an exercise program on the health-quality of life in older adults. Dan Med Bull. 2010;57(4):113-7.
20-Hatami O, Aghabagheri M, Kahdouei S, Nasiriani K. Psychometric properties of the Persian version of the Physical Activity Scale for the Elderly (PASE). BMC geriatrics. 2021;21(1):1-9.
21- Shafiei Alavijeh N. The relationship between physical activity level with depression and quality of life among elderly living in Alavijeh, Esfahan. Quarterly Journal of Geriatric Nursing. 2018;34-45.
22-Kuem sun, Park SH, Han KS, Kang CB. Effects of exercise programs on depressive symptoms, quality of life, and self-esteem in older people: a systematic review of randomized controlled trials. Applied nursing research.2014;27(4):219-26.
23-Elsawy B, Higgins KE. Physical activity guidelines for older adults. American family physician. 2010;81(1):55-9.
24-Thanakwang K, Soonthorndhada K, Mongkolprasoet J. Perspectives on healthy aging among T hai elderly: A qualitative study. Nursing & health sciences.2012;14(4):472-9.
25- Karimi Z, Gharlipour Z, Kaveh MH, Tavassoli E. Related factors of physical activity preventive behavior of osteoporosis based on health belief model among teen girls in Qom city, Iran. International Journal of Pediatrics.2016;4(10):3579-86.
26-Karimi Z, Tol A, Majlessi F, Sahaf R, Rahimi Foroushani A, Kia F. Survey the effect of educational intervention in the context of physical activity to improve the quality of life of older men in Qom. RJMS.2015; 22(136):119-26.
27-Kumar G, Majumdar A. Quality of life (QOL) and its associated factors using WHOQOL-BREF among elderly in urban Puducherry, India. Journal of clinical and diagnostic research: JCDR. 2014;8(1):54.
28-Heidari MS. Effect of Self-Care Training Program on Quality of Life of Elders. Iran Journal of Nursing. 2012;25(75):1-8.
29- Kazemi N, Sajjadi H, Bahrami G. Quality of Life in Iranian Elderly. Salmand: Iranian Journal of Ageing.2019;13(5):518-33.
Abbas Ali Dehghani (Ph.D.)1, Mahdi Karami (M.Sc.s)2 , Hassan Rezaeipandari (Ph.D.)3,
Sara Jambarsang (Ph.D.)4, Maryam Rahmati Andani (Ph.D.)5
1.Associate Professor, Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2.M.Sc. Student in Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
3.Corresponding Author:Assistant Professor, Department of Aging Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Email: hrezaeipandari@yahoo.com Tel:09103090966
4.Assistant Professor, Center for Healthcare Data Modeling, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
5.Ph.D. Candidate. Student Research Committee, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract
Introduction: One of the most important factors in maintaining and promoting health in old age is regular physical activity. Benefiting from self-regulatory strategies is an important part of exercise interventions that have been proven to be important in promoting physical activity. The present study was designed and conducted to determine the effectiveness of physical activity educational program based on self-regulatory theory on quality of life of the elderly.
Methods: This interventional and quasi-experimental study was conducted on 64 elderly in in 2020 in Comprehensive Health Centers in Isfahan. The elderly were randomly divided into intervention (n = 34) and control (n = 30) groups. For the intervention group, self-regulated physical activity educational program was performed. The required information was collected using the WHOQOL-BREF Questionnaire and Physical Activity Scale for the Elderly before and two months after the intervention. The data were analyzed using SPSS software version 20 using Chi-square, Mann-Whitney, t-test, and covariance.
Results: In the intervention group before and after the intervention, the mean score of walking was 7.75 ± 7.35 vs. 15.54±8.01, mild physical activity 2.85±2.87 vs. 5.53±6.23, and low physical activity was 2.86±15.71 vs. 7.86 ± 14.41, respectively. Moreover, the mean of social relationshipswas 61.76 ±17.3 vs. 68.75±9.68 and mental health was 51.1±11.06 vs. 53.67±9.66, respectively before and after the intervention, which was significantly different (P <0.05).
Conclusions: Self-regulatory strategies can be used to increase in physical activity in the elderly. In fact, if the elderly are more active, their social relationships and mental health will improve..
Keywords: Elderly, Education, Physical activity, Quality of life, Self-regulation
Conflict of interest: The authors declared that there is no conflict of interest.
References
1-Babak A, Davari S, Aghdak P, Pirhaji O. Assessment of Healthy Lifestyle among Elderly in Isfahan, Iran. Journal of Isfahan Medical School. 2011;29(149).
2-Anderson ES, Wojcik JR, Winett RA, Williams DM. Social-cognitive determinants of physical activity: the influence of social support, self-efficacy, outcome expectations, and self-regulation among participants in a church-based health promotion study. Health psychology. 2006;25(4):510.
3-Van Malderen L, Mets T, Gorus E. Interventions to enhance the Quality of Life of older people in residential long-term care: a systematic review. Ageing research reviews. 2013;12(1):141-50.
4-Noroozian M. The elderly population in iran: an ever growing concern in the health system. Iranian journal of psychiatry and behavioral sciences. 2012;6(2):1.
5-Rafati N, Yavari P, Mehrabi Y, Montazeri A. Quality of life and its influencing factors in adults aged 65 and over living in Kahryzek Hospice Charity. Journal of Health School and Health research institute. 2005;3(2):67-75.
6-Salehi L, Taghdisi M, Ghasemi H, Shokervash B. To Identify the facilitator and barrier factors of physical activity among elderly people in tehran. Iranian Journal of Epidemiology. 2010;6(2):7-15.
7-Behnam Vashani H, Vahedian Shahroudi M, Jafarzade Fakhari M. The quality of life of the elderly in Sabzevar, Iran. Journal of Sabzevar University of Medical Sciences. 2010; 17(3):213-17.
8-Mirsaeedi ZS, Eftekhar Ardebili H, Nouri Jalyani K. Effect of a self care program on quality of life of the elderly clients covered by health centers of Southern of Tehran. Journal School of Public Health and Institute of Public Health Research. 2013;10(4):17-32.
9-Borzoo S, Arastoo A, Ghasemzade R, Zahednezhad S, Habibi A, Latifi SM. Effects of aerobic exercise on quality of life in residents of geriatric homes, Ahvaz, Iran. Iranian Journal of Ageing. 2011;6(1): 47-51.
10- Peyman N, Taghipour A, Mahdizadeh M, Esmaeely H. The effect of educational intervention based on self-regulation strategies on physical activity in women with type 2 diabetes. Evidence Based Care. 2013;2(4):7-17.
11-Hosseini FS, Hatamnezhad O. Relationship Between Self-Regulation and Balance-Confidence in Active and Inactive Elderly Men. Iranian Journal of Ageing. 2018;12(4):470-81.
12-Hekmatpou D, Shamsi M, Zamani M. The effect of healthy lifestyle education programs on promotion of physical activity in elderly of Arak. Daneshvar. 2012;19(98):33-42.
13-Washburn RA, Smith KW, Jette AM, Janney CA. The Physical Activity Scale for the Elderly (PASE): development and evaluation. Journal of clinical epidemiology. 1993;46(2):153-62.
14- Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Quality of life research. 2005;14(3):875-82.
15-Alavi A, Parvin N, Kheyri S, Hamidizadeh S, Tahmasebi S. Comparison of perspective of children with major thalassemia and their parents about their quality of life in Shahrekord. Journal of Shahrekord University of Medical Sciences.2007; 8(4): 35 - 41.
16- Stadler G, Oettingen G, Gollwitzer PM. Physical activity in women: Effects of a self-regulation intervention. American journal of preventive medicine. 2009;36(1):29-34.
17- Shahnazi H, Sobhani A, Cherkzi A. Relation of different aspects of lifestyle and elderly quality of life. Journal of Sabzevar University of Medical Sciences. 2018;25(3):370-63.
18-Warner LM, Wolff JK, Ziegelmann JP, Schwarzer R, Wurm S. Revisiting self-regulatory techniques to promote physical activity in older adults: null-findings from a randomised controlled trial. Psychology & health. 2016;31(10):1145-65.
19- Heydarnejad S, Dehkordi AH. The effect of an exercise program on the health-quality of life in older adults. Dan Med Bull. 2010;57(4):113-7.
20-Hatami O, Aghabagheri M, Kahdouei S, Nasiriani K. Psychometric properties of the Persian version of the Physical Activity Scale for the Elderly (PASE). BMC geriatrics. 2021;21(1):1-9.
21- Shafiei Alavijeh N. The relationship between physical activity level with depression and quality of life among elderly living in Alavijeh, Esfahan. Quarterly Journal of Geriatric Nursing. 2018;34-45.
22-Kuem sun, Park SH, Han KS, Kang CB. Effects of exercise programs on depressive symptoms, quality of life, and self-esteem in older people: a systematic review of randomized controlled trials. Applied nursing research.2014;27(4):219-26.
23-Elsawy B, Higgins KE. Physical activity guidelines for older adults. American family physician. 2010;81(1):55-9.
24-Thanakwang K, Soonthorndhada K, Mongkolprasoet J. Perspectives on healthy aging among T hai elderly: A qualitative study. Nursing & health sciences.2012;14(4):472-9.
25- Karimi Z, Gharlipour Z, Kaveh MH, Tavassoli E. Related factors of physical activity preventive behavior of osteoporosis based on health belief model among teen girls in Qom city, Iran. International Journal of Pediatrics.2016;4(10):3579-86.
26-Karimi Z, Tol A, Majlessi F, Sahaf R, Rahimi Foroushani A, Kia F. Survey the effect of educational intervention in the context of physical activity to improve the quality of life of older men in Qom. RJMS.2015; 22(136):119-26.
27-Kumar G, Majumdar A. Quality of life (QOL) and its associated factors using WHOQOL-BREF among elderly in urban Puducherry, India. Journal of clinical and diagnostic research: JCDR. 2014;8(1):54.
28-Heidari MS. Effect of Self-Care Training Program on Quality of Life of Elders. Iran Journal of Nursing. 2012;25(75):1-8.
29- Kazemi N, Sajjadi H, Bahrami G. Quality of Life in Iranian Elderly. Salmand: Iranian Journal of Ageing.2019;13(5):518-33.
Type of Study: Research |
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Received: 2021/03/15 | Accepted: 2022/03/5 | Published: 2022/01/30
Received: 2021/03/15 | Accepted: 2022/03/5 | Published: 2022/01/30
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