:: Volume 9, Issue 3 (1-2018) ::
JNKUMS 2018, 9(3): 461-466 Back to browse issues page
The Relationships Between constructs of Trans-theoretical Model and Physical Activity in Patients with Hypertension
Abstract:   (750 Views)
Introduction: Motivating people to participate in physical activities is challenging, especially in patients with hypertension. According to the role of trans-theoretical model in determining behavioral change and to time it, this study conducted with the aim of determining the relationships between constructs of trans-theoretical model and physical activity in patients with hypertension.
Methods: This cross-sectional descriptive survey was conducted on 144 patients with hypertension using purposive sampling method. Data was collected by a questionnaire related to constructs of trans-theoretical model including stages of change, self efficacy, decisional balance, processes of change and International Physical Activity Questionnaire (IPAQ) short form. Data was analyzed by SPSS 21 and tests of one way analysis of variance (ANOVA), Kruskal–Wallis, Pearson’s, and Spearman’s correlation coefficients.
Results: The mean age of participants was 53 ± 7.70 years; 11.8% of the participants were in the pre-contemplation stage, 29.9% in contemplation, 33.3% in preparation, 19.4% in action, and 5.6% in maintenance. Significant relationships were found in the PA with stages of change (r = 0.592, P < 0.001), processes of change (r = 0.250, P = 0.018), and self-efficacy (r = 0.258, P = 0.017). However, significant relationships between decisional balance and PA were not observed (r = 0.456, P < 0.082).
Conclusions: According to the relationship of constructs of trans-theoretical model with physical activity behavior, it is suggested to be used in designing interventions for improving physical activity behaviors.
Keywords: Physical Activity, Hypertension, Trans-Theoretical Model
Full-Text [PDF 755 kb]   (200 Downloads)    
Type of Study: Orginal Research | Subject: Basic Sciences
Received: 2017/12/31 | Accepted: 2017/12/31 | Published: 2017/12/31
1. Feng XL, Pang M, Beard J. Health system strengthening and hypertension awareness, treatment and control: data from the China Health and Retirement Longitudinal Study. Bull World Health Organ. 2014;92(1):29-41. DOI: 10.2471/BLT.13.124495PMID: 24391298
2. Hacihasanoglu R, Gozum S. The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviours and BMI in a primary health care setting. J Clin Nurs. 2011;20(5-6):692-705. DOI: 10.1111/j.1365-2702.2010.03534.xPMID: 21320198
3. Organization WH. Raised blood pressure, Situation and trends: World Health Organization; 2015 [cited 2015 Feb 1]. Available from: http://www.who.int/gho/ncd/risk_factors/blood_pressure_prevalence_text/en.
4. Organization WH. World health statistics: World Health Organization; 2015 [cited 2016 Feb 2]. Available from: http://www.who.int/gho/publications/world_health_statistics/2015/en/.
5. Program NHBPE. The seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. NIH Publication, 2004 Contract No.: 04-5230.
6. Ciolac EG, Guimaraes GV, VM DA, Bortolotto LA, Doria EL, Bocchi EA. Acute effects of continuous and interval aerobic exercise on 24-h ambulatory blood pressure in long-term treated hypertensive patients. Int J Cardiol. 2009;133(3):381-7. DOI: 10.1016/j.ijcard.2008.02.005PMID: 18501444
7. Zheng H, Orsini N, Amin J, Wolk A, Nguyen VT, Ehrlich F. Quantifying the dose-response of walking in reducing coronary heart disease risk: meta-analysis. Eur J Epidemiol. 2009;24(4):181-92. DOI: 10.1007/s10654-009-9328-9PMID: 19306107
8. Momayyezi M, Fallahzadeh H, Farzaneh F. [Physical activity in People with High Blood Pressure: A Case – control Study]. J Toloo-e-Behdasht. 2016;14(6):139-48.
9. Hossaini F, Farshidi H, Aghamolaei T, Madani A, Ghanbarnejad A. [Lifestyle of Patients With High Blood Pressure in Rural Areas of Jahrom, Iran]. J Prev Med. 2015;1(1):1-9.
10. Mansourian M, Qorbani M, Shafieyan N, Asayesh H. [Association between life style and hypertension in rural population of Gorgan]. J Health Promot Manage. 2012;1(2):23-8.
11. Martins LC, Guedes NG, Teixeira IX, de Oliveira Lopes MV, de Araujo TL. Physical activity level in people with high blood pressure. Rev Lat Am Enfermagem. 2009;17(4):462-7. PMID: 19820851 [DOI:10.1590/S0104-11692009000400005]
12. Gong J, Chen X, Li S. Efficacy of a Community-Based Physical Activity Program KM2H2 for Stroke and Heart Attack Prevention among Senior Hypertensive Patients: A Cluster Randomized Controlled Phase-II Trial. PLoS One. 2015;10(10):e0139442. DOI: 10.1371/journal.pone.0139442PMID: 26426421
13. Mostafavi F, Ghofranipour F, Feizi A, Pirzadeh A. Improving physical activity and metabolic syndrome indicators in women: a transtheoretical model-based intervention. Int J Prev Med. 2015;6:28. DOI: 10.4103/2008-7802.154382PMID: 25949778
14. Malekshahi F, Heidarnia A, Niknami S, Aminshokravi F, Farhadi A. [Predictors of osteoporosis prevention behavior (physical activity) in women aged 30-50 in Khorramabad: A Trans-theoretical Model study]. Yafte. 2015;17(2):69-80.
15. Kaveh MH, Golij M, Nazari M, Mazloom Z, Rezaeian Zadeh A. Effects of an osteoporosis prevention training program on physical activity-related stages of change and self-efficacy among university students, Shiraz, Iran: a Randomized Clinical Trial. J Adv Med Educ Prof. 2014;2(4):158-64. PMID: 25512940
16. Glanz K, Rimer B, Viswanath K. Health behavior and health education: theory, research, and practice. 4th ed. USA: Jossey-Bass; 2008.
17. Chang L, McAlister AL, Taylor WC, Chan W. Behavioral change for blood pressure control among urban and rural adults in Taiwan. Health Promot Int. 2003;18(3):219-28. PMID: 12920142 [DOI:10.1093/heapro/dag017]
18. Martin MY, Prayor-Patterson H, Kratt P, Kim Y, Person S. Characteristics of insufficiently active hypertensive Black women who volunteer to be in a physical activity promotion intervention: an application of social cognitive theory and the transtheoretical model. Ethn Dis. 2007;17(4):604-10. PMID: 18072367
19. Knapp TR, Brown JK. Ten measurement commandments that often should be broken. Res Nurs Health. 1995;18(5):465-9. PMID: 7676079 [DOI:10.1002/nur.4770180511]
20. Marcus B, Forsyth L. Motivating people to be physically active. Champaign, IL: Human kinetics; 2003.
21. Roozbahani N, Ghofranipour F, Eftekhar Ardabili H, Hajizadeh E. [The relationship between self-efficacy and stage of change and physical activity behavior in postpartum women]. Arak Med Univ J. 2013;15(68):61-71.
22. Roozbahani N, Ghofranipour F, Eftekhar Ardabili H, Hajizadeh E. Factors influencing physical activity among postpartum Iranian women. Health Education Journal. 2013;73(4):466-76. DOI: 10.1177/0017896913490511 [DOI:10.1177/0017896913490511]
23. Bandura A. Self-efficacy: The exercise of control. New York: Freeman & Company; 1997.
24. Noroozi A, Ghofranipour F, Heydarnia AR, Nabipour I, Tahmasebi R, Tavafian SS. The Iranian version of the exercise self-efficacy scale (ESES). Health Educ J. 2010;70(1):21-31. DOI: 10.1177/0017896910374547 [DOI:10.1177/0017896910374547]
25. Committee IR. Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ) -Short and Long Forms: IPAQ 2005 [cited 2015 Jul 8].
26. Moghadam M, Hajikazemi E, Roozber MF, Hoshyar Rad A, Hosseini A. [Relationship between physical activity and triceps skin fold thickness in adolescent girl student]. Iran J Nurs. 2011;24(69):62-8.
27. Moeini B, Hazavehei S, Jalilian M, Moghimbeigi A, Tarigh Seresht N. [Factors Affecting Physical Activity and Metabolic Control in Type 2 Diabetic Women Referred to the Diabetes Research Center of Hamadan: Applying Trans-Theoretical Model]. Sci J Hamadan Univ Med Sci. 2011;18(2):31-7.
28. Kamran A, Heydari H. [Power of the Trans Theoretical Model for Physical Activity in Patients with Diabetic Patients]. J Health Promot Manage. 2016;6(4):388-403.
29. Guicciardi M, Lecis R, Anziani C, Corgiolu L, Porru A, Pusceddu M, et al. Type 2 diabetes mellitus, physical activity, exercise self-efficacy, and body satisfaction. An application of the transtheoretical model in older adults. Health Psychol Behav Med. 2014;2(1):748-58. DOI: 10.1080/21642850.2014.924858PMID: 25750816
30. Wilson JJ, Kirk A, Hayes K, Bradbury I, McDonough S, Tully MA, et al. Applying the Transtheoretical Model to Physical Activity Behavior in Individuals With Non-Cystic Fibrosis Bronchiectasis. Respir Care. 2016;61(1):68-77. DOI: 10.4187/respcare.04154PMID: 26647454
31. Keshavarz-Mohammadian S, Farmanbar R, Mohtasham-Amiri Z, Atrkar-Roushan Z. [Factors associated with physical activity based on the stages of change model among health volunteers in Rasht]. Iran J Health Educ Health Promot. 2015;3(3):253-65.
32. Hassani L, Shahab Jahanlu A, Ghanbarnejad A, Salimian Rizi A. [Effect of educational intervention based on TTM model about regular physical activity among high school girl students in lenjan]. J Prev Med. 2014;1(2):22-30.

XML   Persian Abstract   Print

Volume 9, Issue 3 (1-2018) Back to browse issues page