The Effect of a Health Promotion Program Based on  Longwe's Empowerment Framework on Self-efficacy, Perceived Social Support and Health Enablers among Postmenopausal Women: a Randomized Controlled Trial

Khademi, khadijeh; Kaveh, Mohammad Hossein; Nazari, Mahin; Asadollahi, Abdolrahim

doi:10.22034/13.2.8

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Volume 13, Issue 2 (4-2025)

Iran J Health Educ Health Promot 2025, 13(2): 113-127

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The Effect of a Health Promotion Program Based on Longwe's Empowerment Framework on Self-efficacy, Perceived Social Support and Health Enablers among Postmenopausal Women: a Randomized Controlled Trial

Khadijeh Khademi

, Mohammad Hossein Kaveh ^*

, Mahin Nazari

, Abdolrahim Asadollahi

Abstract: (414 Views)

Background and Objectives: Menopause is an important stage in a woman's life. Therefore, menopausal women should prioritize maintaining and improving their health and quality of life. Self-efficacy, social support and health enablers are among the most important determinants of health and quality of life for postmenopausal women. The present study examines the effect of an educational program based on Longwe's empowerment framework on self-efficacy, social support, and health enablers of postmenopausal women.

Materials and Methods: This study is a randomized controlled trial with simple random sampling. It was conducted on 140 postmenopausal women in Shiraz from November 2023 to May 2024. The intervention group participated in six 120-minute training sessions over 6 weeks. Data were collected using the General Self-Efficacy Belief Scale (GSES), the Multidimensional Scale of Perceived Social Support (MSPSS), and a researcher-made questionnaire about women's health enabling factors before, two weeks, and four months after the intervention. The reliability of these tools were determined using Cronbach’s alpha coefficients of 0.82, 0.84, and 0.70, respectively. Data analysis was performed using Independent t, Chi-square and ANOVA Repeated Measure tests in SPSS 27 software. A p<0.05 was considered statistically significant.

Results: The findings demonstrate a significant improvement with a medium effect size in self-efficacy (η² = 0.06, p = 0.01), and perceived social support (η² = 0.07, p = 0.006), as well as a large effect size on women's health enablers (η² = 0.19, p < 0.001).

Conclusion: The health promotion program based on Longwe's empowerment framework resulted in a significant improvement in self-efficacy, perceived social support, and health enablers of postmenopausal women. Therefore, it is recommended to implement empowering educational programs based on health theories for postmenopausal women in all health centers.

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/

Keywords: Menopause, Self-Efficacy, Social Support, Empowerment, Women

Full-Text [PDF 351 kb] (172 Downloads)

Type of Study: Research | Subject: Health Promotion Interventions
Received: 2024/08/15 | Accepted: 2024/12/21

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‎ 10.22034/13.2.8

Ethics code: IR.SUMS.REC.1402.049

Clinical trials code: IRCT20230716058792N1

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Khademi K, Kaveh M H, Nazari M, Asadollahi A. The Effect of a Health Promotion Program Based on Longwe's Empowerment Framework on Self-efficacy, Perceived Social Support and Health Enablers among Postmenopausal Women: a Randomized Controlled Trial. Iran J Health Educ Health Promot 2025; 13 (2) :113-127
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