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:: Volume 11, Issue 1 (3-2023) ::
Iran J Health Educ Health Promot 2023, 11(1): 5-19 Back to browse issues page
The effect of family empowerment on preventive lifestyle of cardiovascular disease risk factors in middle-aged women during the covid-19 pandemic: A Randomized Clinical Trial
Fariba Hosseini , Shahzad Pashaeypoor * , Sarieh Poortaghi , Farshad Sharifi , Hossein Poorcheraghi
Abstract:   (292 Views)
Background and Objective: The Covid-19 pandemic doubled the need for creative interventions to prevent cardiovascular diseases. Therefore, the present study was conducted with the aim of determining the effect of intervention based on family empowerment on preventive lifestyle of cardiovascular disease risk factors in middle-aged women.

Materials and Methods: In this randomized clinical trial study, 74 middle-aged women covered by comprehensive health service centers in the south of Tehran were selected based on inclusion criteria and randomly assigned to two intervention and control groups and were investigated. The family-centered empowerment program based on the preventive lifestyle of the risk factors of cardiovascular diseases was conducted for the intervention group during 6 sessions and each session lasted for 30 minutes virtually and through the WhatsApp application. After 8 weeks, the questionnaires were re-completed and the data were collected using demographic information, Food Frequency questionnaire, Baecke and metabolic health questionnaires and descriptive statistics methods (frequency distribution tables - index numerical values calculation) and inferential statistics (chi-square test, independent t, paired t and Fisher) were used and analyzed in SPSS statistical software version 20.

Results: The findings of this study showed that the average age in the control group was 44.03 ± 2.35 in the intervention group was 46.65 ± 3.29 and the intervention and control groups were homogenous in terms of demographic variables, eating habits, physical activity, and metabolic health, and there were no significant differences (P<0.001). After the intervention in metabolic health (control of blood sugar, blood pressure, blood cholesterol and smoking), physical activity and eating habits, there was a significant difference between the two groups, which indicates the effectiveness of the intended intervention (P<0.001).

Conclusion: Family empowerment is one of the most effective methods to prevent modifiable risk factors in chronic diseases, especially cardiovascular diseases. The covid-19 pandemic created a good opportunity for families to participate in the implementation of the above programs. Programs that focus on the foundation of the family leads positive effects in the direction of educating people, especially older people in the family, in relation to changing behavior, and it can be used as a safe and effective method for cardiovascular disease prevention.

Article number: 1
Keywords: Family empowerment model, lifestyle, risk factors, cardiovascular disease, middle-aged women
Full-Text [PDF 583 kb]   (162 Downloads)    
Type of Study: Research | Subject: Health Promotion Interventions
Received: 2022/08/13 | Accepted: 2022/12/29
1. Bansal M. Cardiovascular disease and COVID-19. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2020;14(3):247-50. [DOI:10.1016/j.dsx.2020.03.013] [PMID] [PMCID]
2. Zhao D, Liu J, Wang M, Zhang X, Zhou M. Epidemiology of cardiovascular disease in China: current features and implications. Nature Reviews Cardiology. 2019;16(4):203-12. [DOI:10.1038/s41569-018-0119-4] [PMID]
3. Khademi F, Vaez H, Momtazi-Borojeni AA, Majnooni A, Banach M, Sahebkar A. Bacterial infections are associated with cardiovascular disease in Iran: a meta-analysis. Archives of medical science: AMS. 2019;15(4):902. [DOI:10.5114/aoms.2019.85509] [PMID] [PMCID]
4. Pourreza B. Effect of Education Programs on Preschool Children, Their Teachers, Principals and Parents Cardiovas Health. Journal of Guilan University of Medical Sciences. 2013;22(85):68-79.
5. Francula-Zaninovic S, Nola IA. Management of measurable variable cardiovascular disease'risk factors. Current cardiology reviews. 2018;14(3):153-63. [DOI:10.2174/1573403X14666180222102312] [PMID] [PMCID]
6. Lin JS, Evans CV, Johnson E, Redmond N, Coppola EL, Smith N. Nontraditional risk factors in cardiovascular disease risk assessment: updated evidence report and systematic review for the US Preventive Services Task Force. Jama. 2018;320(3):281-97. [DOI:10.1001/jama.2018.4242] [PMID]
7. Metsios GS, Moe R, Van Der Esch M, van Zanten J, Fenton S, Koutedakis Y, et al. The effects of exercise on cardiovascular disease risk factors and cardiovascular physiology in rheumatoid arthritis. Rheumatology international. 2020;40(3):347-57. [DOI:10.1007/s00296-019-04483-6] [PMID]
8. Mahmassani HA, Avendano EE, Raman G, Johnson EJ. Avocado consumption and risk factors for heart disease: a systematic review and meta-analysis. The American journal of clinical nutrition. 2018;107(4):523-36. [DOI:10.1093/ajcn/nqx078] [PMID]
9. Lawson CA, Zaccardi F, Squire I, Okhai H, Davies M, Huang W, et al. Risk factors for heart failure: 20-year population-based trends by sex, socioeconomic status, and ethnicity. Circulation: Heart Failure. 2020;13(2):e006472. [DOI:10.1161/CIRCHEARTFAILURE.119.006472] [PMID]
10. Valieiny N, Poorcheraghi H, Pashaeypoor S. Nursing interventions in prevention of fall in older adults; An Integrated review study. Journal of Gerontology. 2022;6(4):0-.
11. Hart JL, Turnbull AE, Oppenheim IM, Courtright KR. Family-centered care during the COVID-19 era. Journal of pain and symptom management. 2020;60(2):e93-e7. [DOI:10.1016/j.jpainsymman.2020.04.017] [PMID] [PMCID]
12. Seyed Nematollah Roshan F, Navipor H, Alhani F. Effect of Family-Centered Empowerment Model (FCEM) on quality of life of mothers having teenagers with iron deficiency anemia. Journal of Nursing Education. 2014;3(2):27-40.
13. Yoo HJ, Shim J. The effect of a multifaceted family participation program in an adult cardiovascular surgery ICU. Critical Care Medicine. 2020;49(1):38-48. [DOI:10.1097/CCM.0000000000004694] [PMID]
14. Collins S, Dykes P, Bates DW, Couture B, Rozenblum R, Prey J, et al. An informatics research agenda to support patient and family empowerment and engagement in care and recovery during and after hospitalization. Journal of the American Medical Informatics Association. 2018;25(2):206-9. [DOI:10.1093/jamia/ocx054] [PMID] [PMCID]
15. Wharff EA, Ginnis KB, Ross AM, White EM, White MT, Forbes PW. Family-based crisis intervention with suicidal adolescents: a randomized clinical trial. Pediatric emergency care. 2019;35(3):170-5. [DOI:10.1097/PEC.0000000000001076] [PMID]
16. Jafari Y, Tehrani H, Esmaily H, Shariati M, Vahedian‐shahroodi M. Family‐centred empowerment program for health literacy and self‐efficacy in family caregivers of patients with multiple sclerosis. Scandinavian journal of caring sciences. 2020;34(4):956-63. [DOI:10.1111/scs.12803] [PMID]
17. Shojaei MS, Tavakoly Sany SB, Ghavami V, Tehrani H. An educational intervention based on family-centered empowerment model to modify high-risk behaviors of brucellosis via mother education. Scientific Reports. 2022;12(1):1-11. [DOI:10.1038/s41598-022-23385-5] [PMID] [PMCID]
18. Tol A, Baghbanian A, Sharifirad G, Shojaeizadeh D, Eslami A, Alhani F, et al. Assessment of diabetic distress and disease related factors in patients with type 2 diabetes in Isfahan: A way to tailor an effective intervention planning in Isfahan-Iran. Journal of Diabetes & Metabolic Disorders. 2012;11(1):1-5. [DOI:10.1186/2251-6581-11-20] [PMID] [PMCID]
19. SAH P. The effectiveness of "Family-Centered Empowerment Model" on the treatment adherence of patients with type II diabetes and heart disorder admitted to AJA Hospitals, during year 2015. Military Caring Sciences Journal. 2017;4(1):58-69. [DOI:10.29252/mcs.4.1.58]
20. Zimmermann LJ, Kostenzer J, Mader S. Tackling bronchopulmonary dysplasia to improve preterm health: a call for family-centered care at World Prematurity Day 2020. American Physiological Society Bethesda, MD; 2020. p. L867-L70. [DOI:10.1152/ajplung.00415.2020] [PMID]
21. Ataguba JE. COVID-19 pandemic, a war to be won: understanding its economic implications for Africa. Springer; 2020. [DOI:10.1007/s40258-020-00580-x] [PMID] [PMCID]
22. Poorcheraghi H, Valieiny N, Rahimi M, Nazari S, Navab E. New findings on Alzheimer's and Covid-19 disease in elderly; An Integrated review study. Iranian Journal of Systematic Review in Medical Sciences. 2022;2(2):19-34.
23. Duffy E, Chilazi M, Cainzos-Achirica M, Michos ED. Cardiovascular Disease Prevention During the COVID-19 Pandemic: Lessons Learned and Future Opportunities. Methodist DeBakey cardiovascular journal. 2021;17(4):68. [DOI:10.14797/mdcvj.210] [PMID] [PMCID]
24. Fraser N, Brierley L, Dey G, Polka JK, Pálfy M, Coates JA. Preprinting a pandemic: the role of preprints in the COVID-19 pandemic. BioRxiv. 2020. [DOI:10.1101/2020.05.22.111294]
25. Kovach CP, Perman SM. Impact of the COVID-19 pandemic on cardiac arrest systems of care. Current Opinion in Critical Care. 2021;27(3):239. [DOI:10.1097/MCC.0000000000000817] [PMID] [PMCID]
26. Wong P, Lim WY, Chee HL, Iqbal R. COVID-19 pandemic: ethical and legal aspects of inadequate quantity and quality of personal protective equipment for resuscitation. Korean Journal of Anesthesiology. 2021;74(1):73. [DOI:10.4097/kja.20379] [PMID] [PMCID]
27. Akbar Z, Aisyawati MS. Coping Strategy, Social Support, and Psychological Distress Among University Students in Jakarta, Indonesia During the COVID-19 Pandemic. Frontiers in Psychology. 2021:3409. [DOI:10.3389/fpsyg.2021.694122] [PMID] [PMCID]
28. Sarrafzadegan N, Mohammmadifard N. Cardiovascular disease in Iran in the last 40 years: prevalence, mortality, morbidity, challenges and strategies for cardiovascular prevention. Archives of Iranian medicine. 2019;22(4):204-10.
29. Kazemi T, Hajihosseini M, Moossavi M, Hemmati M, Ziaee M. Cardiovascular risk factors and atherogenic indices in an Iranian population: Birjand East of Iran. Clinical Medicine Insights: Cardiology. 2018;12:1179546818759286. [DOI:10.1177/1179546818759286] [PMID] [PMCID]
30. Cena L, Biban P, Janos J, Lavelli M, Langfus J, Tsai A, et al. The collateral impact of COVID-19 emergency on neonatal intensive care units and family-centered care: challenges and opportunities. Frontiers in Psychology. 2021;12. [DOI:10.3389/fpsyg.2021.630594] [PMID] [PMCID]
31. Ameri F, Golaghaie F, Harorani M, Poorcheraghi H, Rahbarian A, Jadidi A. The role of the Islamic Republic of Iran broadcasting in people's perspective toward nurses. Journal of Client-Centered Nursing Care. 2018;4(4):185-92. [DOI:10.32598/jccnc.4.4.185]
32. Heyworth L, Kirsh S, Zulman D, Ferguson JM, Kizer KW. Expanding access through virtual care: The VA's early experience with Covid-19. NEJM Catalyst Innovations in Care Delivery. 2020;1(4). [DOI:10.1056/CAT.19.1111]
33. Ramalingam B, Prabhu J. Innovation, development and COVID-19: Challenges, opportunities and ways forward. OECD Tackling Coronavirus (COVID-19): Contributing to a Global Effort. 2020:1-14.
34. Malekshah A, Kimiagar M, Saadatian-Elahi M, Pourshams A, Nouraie M, Goglani G, et al. Validity and reliability of a new food frequency questionnaire compared to 24 h recalls and biochemical measurements: pilot phase of Golestan cohort study of esophageal cancer. European journal of clinical nutrition. 2006;60(8):971-7. [DOI:10.1038/sj.ejcn.1602407] [PMID]
35. Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. The American journal of clinical nutrition. 1982;36(5):936-42. [DOI:10.1093/ajcn/36.5.936] [PMID]
36. Sadeghisani M, Manshadi FD, Azimi H, Montazeri A. Validity and reliability of the Persian version of Baecke habitual physical activity questionnaire in healthy subjects. Asian journal of sports medicine. 2016;7(3). [DOI:10.5812/asjsm.31778] [PMID] [PMCID]
37. Elfaramawy A, El Aroussy W, Youssef G, El Remisy D, Eldeeb H, Abdelaal A, et al. Prevalence Of Cardiovascular Risk Factors Among Hypertensive Egyptians, Data From The Egyptian Specialized Hypertension Clinics. Journal of Hypertension. 2019;37:e168. [DOI:10.1097/01.hjh.0000572152.03116.4b]
38. Shamsi A, Pilehvarzadeh M, Ebadi A. Assessment the risk factors of cardiovascular disease in elderly resident in nursing homes in Tehran. Journal of Health Promotion Management. 2012;1(4):32-42.
39. Poorcheraghi H, Valieiny N, Rahimi M, Nazari S, Navab E. New findings on Alzheimer's and Covid-19 disease in elderly: An integrated review study. Iranian journal of Systematic Review In Medical Sciences. 2022;3(1):19-27.
40. Prime H, Wade M, Browne DT. Risk and resilience in family well-being during the COVID-19 pandemic. American Psychologist. 2020;75(5):631. [DOI:10.1037/amp0000660] [PMID]
41. Vahedian-Azimi A, Bashar F, Amini H, Salesi M, Alhani F. Effect of family-centered empowerment model on quality of life in adults with chronic diseases: A systematic review and meta-analysis study. HAYAT. 2018;24(2):152-73.
42. Rakhshan M, Kordshooli KR, Ghadakpoor S. Effects of family-center empowerment model on the lifestyle of heart failure patients: A randomized controlled clinical trial. International journal of community based nursing and midwifery. 2015;3(4):255.
43. Luttik ML, Garcia-Vivar C, Konradsen H, Mahrer-Imhof R, Imhof L, Brodsgaard A, et al. The COVID-19 pandemic: A family affair. Journal of Family Nursing. 2020;26(2):87-9. [DOI:10.1177/1074840720920883] [PMID] [PMCID]
44. Kaur H, Singh T, Arya YK, Mittal S. Physical fitness and exercise during the COVID-19 pandemic: A qualitative enquiry. Frontiers in psychology. 2020;11:2943. [DOI:10.3389/fpsyg.2020.590172] [PMID] [PMCID]
45. Hado E, Friss Feinberg L. Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. Journal of aging & social policy. 2020;32(4-5):410-5. [DOI:10.1080/08959420.2020.1765684] [PMID]
46. Sanaie N, Nejati S, Zolfaghari M, Alhani F, KazemNejad A. The effect of family-centered empowerment in self efficacy and self esteem in patients undergoing coronary bypass graft surgery. Journal of Research Development in Nursing and Midwifery. 2013;10(2):44-53.
47. Afshin A, Micha R, Khatibzadeh S, Mozaffarian D. Consumption of nuts and legumes and risk of incident ischemic heart disease, stroke, and diabetes: a systematic review and meta-analysis. The American journal of clinical nutrition. 2014;100(1):278-88. [DOI:10.3945/ajcn.113.076901] [PMID] [PMCID]
48. Mok E, Martinson I, Wong TK. Individual empowerment among Chinese cancer patients in Hong Kong. Western journal of nursing research. 2004;26(1):59-75. [DOI:10.1177/0193945903259037] [PMID]
49. de Lima JGR, Abud GF, de Freitas EC, Júnior CRB. Effects of the COVID-19 pandemic on the global health of women aged 50 to 70 years. Experimental gerontology. 2021;150:111349. [DOI:10.1016/j.exger.2021.111349] [PMID] [PMCID]
50. Pollard CA, Morran MP, Nestor-Kalinoski AL. The COVID-19 pandemic: a global health crisis. Physiological genomics. 2020;52(11):549-57. [DOI:10.1152/physiolgenomics.00089.2020] [PMID] [PMCID]
51. Andrieieva O, Yarmak O, Blystiv T, Khrypko I, Bobrenko S, Dudnyk O, et al. Physical and psychological deconditioning of overweight middle-aged women caused by Covid-19. Journal of Physical Education and Sport. 2021;21(4):1781-7.
52. Eriksson J, Taimela S, Eriksson K, Parviainen S, Peltonen J, Kujala U. Resistance training in the treatment of non-insulin-dependent diabetes mellitus. International journal of sports medicine. 1997;18(04):242-6. [DOI:10.1055/s-2007-972627] [PMID]
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Ethics code: IR.TUMS.FNM.REC.1399.105
Clinical trials code: IRCT20201208049649N1

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Hosseini F, Pashaeypoor S, Poortaghi S, Sharifi F, Poorcheraghi H. The effect of family empowerment on preventive lifestyle of cardiovascular disease risk factors in middle-aged women during the covid-19 pandemic: A Randomized Clinical Trial. Iran J Health Educ Health Promot 2023; 11 (1) :5-19
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Volume 11, Issue 1 (3-2023) Back to browse issues page
فصلنامه آموزش بهداشت و ارتقاء سلامت ایران Iranian Journal of Health Education and Health Promotion
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