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:: Volume 4, Issue 1 (Spring 2016) ::
Iran J Health Educ Health Promot 2016, 4(1): 5-19 Back to browse issues page
Determinants of Physical Activity among Patients with Cardiovascular Metabolic Risk Factors based on the Educational Factors of PRECEDE Model: A Mixed Method Study
Leila Sabzmakan *, Mohammad Asghari Jafarabadi, Akbar Nikpajouh, Fatemeh Bakhtari
Abstract:   (8531 Views)

Background and objective: Physical activity (PA) is a multi-factorial behavior that is affected by intrapersonal, interpersonal, environmental and social factors. The aim of this study was to investigate determinants of PA among patients with cardiovascular (CV) metabolic risk factors based on the educational factors of PRECEDE Model.
Materials and methods: This mix method study (qualitative and quantitative) was conducted in two consecutive phases. In the qualitative phase, the experiences of 50 patients with CV metabolic risk factors and 12 healthcare providers who worked in the Diabetes Units of Health Centers of Alborz University of Medical Sciences (ABZUMS) were explained based on the educational factors of PRECEDE Model. In the quantitative phase, the questionnaire of determinants of PA was developed and its validity and reliability were evaluated and confirmed and it was completed by 450 patients and the strongest determinants of PA using the Structural equation modeling (SEM) through AMOS 18 were identified.
Results: Using path analysis the findings showed, self-efficacy (β= 0.90) and perceived barriers (β= -0.63) determinants of predisposing category, skill (β= 0.38) determinant of enabling category, motivation comply (β= 0.47), social support (β= 0.23) and behavioral outcomes (β= 0.17) determinants of reinforcing category were higher predictive power and they were significant.
Conclusion: The determinants mentioned should be targeted in designing an intervention program for promoting PA. Identifying the determinants of PA helps health planners to select the most appropriate methods and applications to address these determinants in order to increase the PA behavior.
Paper Type: Research Article.

Keywords: Physical Activity, Predisposing factors, Enabling factors, Reinforcing factors, Risk factors, PRECEDE Model, Karaj
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Type of Study: Research |
Received: 2015/06/6 | Accepted: 2015/11/29
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Sabzmakan L, Asghari Jafarabadi M, Nikpajouh A, Bakhtari F. Determinants of Physical Activity among Patients with Cardiovascular Metabolic Risk Factors based on the Educational Factors of PRECEDE Model: A Mixed Method Study. Iran J Health Educ Health Promot. 2016; 4 (1) :5-19
URL: http://journal.ihepsa.ir/article-1-327-en.html


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Volume 4, Issue 1 (Spring 2016) Back to browse issues page
فصلنامه آموزش بهداشت و ارتقاء سلامت ایران Iranian Journal of Health Education and Health Promotion
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