PDF(Pubmed)
Abstract：
The highest incidence of overweight among adults is found among women, predominantly middle-aged women. While it has been demonstrated that being overweight increases mortality by compromising physical and mental health, it also imposes substantial costs on the healthcare system. Lack of physical activity is a primary contributing factor to becoming overweight. The majority of inactive adults are women, particularly middle-aged women. Consequently, this study investigated the training program for overweight women based on the health belief model (HBM) and social support approach.
A randomized, controlled trial involving 73 overweight middle-aged women (control group: 37, intervention group: 36) was conducted using simple random sampling. The intervention group participated in six 120-min sessions per week for 6 weeks of a training program based on HBM and social support through physical activity, group discussion, role play, and media. Data were collected using the Physical Activity Questionnaire (IPAQ), Bandura\'s Exercise Self-Efficacy Scale (Bandura\'s ESE), and a researcher-made questionnaire before and 4 weeks after the training. The collected data were analyzed using descriptive and inferential statistics via SPSS 27 software. p-values <0.05 were considered statistically significant.
A training program based on HBM and social support led to improved perceived benefits (p < 0.001), cues to action (p = 0.03), and self-efficacy (p < 0.001) of physical activity; decreased perceived barriers (p = 0.001); increased social support (p = 0.001); and increased physical activity (p < 0.001). In addition, the BMI of the intervention group decreased after the training program (p = 0.01).
The findings of the study demonstrate the efficacy of the training program based on HBM and the social support approach in improving social support and physical activity of women. In addition, the study evaluates the long-term outcome in populations with varying social, economic, and cultural standings.
https://clinicaltrials.gov/, (IRCT201706236261N17).
A randomized, controlled trial involving 73 overweight middle-aged women (control group: 37, intervention group: 36) was conducted using simple random sampling. The intervention group participated in six 120-min sessions per week for 6 weeks of a training program based on HBM and social support through physical activity, group discussion, role play, and media. Data were collected using the Physical Activity Questionnaire (IPAQ), Bandura\'s Exercise Self-Efficacy Scale (Bandura\'s ESE), and a researcher-made questionnaire before and 4 weeks after the training. The collected data were analyzed using descriptive and inferential statistics via SPSS 27 software. p-values <0.05 were considered statistically significant.
A training program based on HBM and social support led to improved perceived benefits (p < 0.001), cues to action (p = 0.03), and self-efficacy (p < 0.001) of physical activity; decreased perceived barriers (p = 0.001); increased social support (p = 0.001); and increased physical activity (p < 0.001). In addition, the BMI of the intervention group decreased after the training program (p = 0.01).
The findings of the study demonstrate the efficacy of the training program based on HBM and the social support approach in improving social support and physical activity of women. In addition, the study evaluates the long-term outcome in populations with varying social, economic, and cultural standings.
https://clinicaltrials.gov/, (IRCT201706236261N17).
摘要：
■成人超重发生率最高的是女性，主要是中年妇女。虽然已经证明超重会通过损害身心健康而增加死亡率，这也给医疗保健系统带来了巨大的成本。缺乏体力活动是导致超重的主要因素。大多数不活跃的成年人是女性，尤其是中年妇女。因此,这项研究调查了基于健康信念模型（HBM）和社会支持方法的超重女性培训计划。
■随机，采用简单随机抽样的方法，纳入73名超重中年妇女（对照组：37名，干预组：36名）进行对照试验。干预组每周参加6次120分钟的课程，为期6周，进行基于HBM和社会支持的体育锻炼培训计划，小组讨论,角色扮演,和媒体。数据使用身体活动问卷(IPAQ)收集，班杜拉的运动自我效能量表(班杜拉的ESE)，以及培训前和培训后4周的研究人员制作的问卷。通过SPSS27软件对收集的数据进行描述性和推断性统计分析。P值<0.05被认为是统计学上显著的。
■基于HBM和社会支持的培训计划提高了感知收益（p<0.001），行动线索(p=0.03)，和身体活动的自我效能（p<0.001）；减少感知障碍（p=0.001）；增加社会支持（p=0.001）；和增加身体活动（p<0.001）。此外,干预组的BMI在训练后下降(p=0.01)。
■研究结果证明了基于HBM的培训计划和社会支持方法在改善女性社会支持和体育锻炼方面的有效性。此外,这项研究评估了不同社会人群的长期结果，经济,和文化地位。
■https://clinicaltrials.gov/,（IRCT201706236261N17）。
■随机，采用简单随机抽样的方法，纳入73名超重中年妇女（对照组：37名，干预组：36名）进行对照试验。干预组每周参加6次120分钟的课程，为期6周，进行基于HBM和社会支持的体育锻炼培训计划，小组讨论,角色扮演,和媒体。数据使用身体活动问卷(IPAQ)收集，班杜拉的运动自我效能量表(班杜拉的ESE)，以及培训前和培训后4周的研究人员制作的问卷。通过SPSS27软件对收集的数据进行描述性和推断性统计分析。P值<0.05被认为是统计学上显著的。
■基于HBM和社会支持的培训计划提高了感知收益（p<0.001），行动线索(p=0.03)，和身体活动的自我效能（p<0.001）；减少感知障碍（p=0.001）；增加社会支持（p=0.001）；和增加身体活动（p<0.001）。此外,干预组的BMI在训练后下降(p=0.01)。
■研究结果证明了基于HBM的培训计划和社会支持方法在改善女性社会支持和体育锻炼方面的有效性。此外,这项研究评估了不同社会人群的长期结果，经济,和文化地位。
■https://clinicaltrials.gov/,（IRCT201706236261N17）。
