مؤلفه‌های مؤثر الزام به انجام و حفظ فعالیت جسمانی مبتنی بر مدل ارتقاء سلامت پندر در زنان میانسال ساکن در مناطق جنوب ایران طی سال 1397

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، ﻣﺮﻛﺰ تحقیقات ﻋﻮاﻣﻞ اﺟﺘﻤﺎﻋﻲ مؤثر ﺑﺮ ﺳﻼﻣﺖ، ﮔﺮوه آموزش و ارتقای سلامت، داﻧﺸﻜﺪه ﺑﻬﺪاﺷﺖ، داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ جندی‌شاپور اهواز، اهواز، اﻳﺮان.

2 اﺳﺘﺎدﻳﺎر، ﻣﺮﻛﺰ تحقیقات ﻋﻮاﻣﻞ اﺟﺘﻤﺎﻋﻲ مؤثر ﺑﺮ ﺳﻼﻣﺖ، ﮔﺮوه آموزش و ارتقای سلامت، داﻧﺸﻜﺪه ﺑﻬﺪاﺷﺖ، داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ جندی‌شاپور اهواز، اهواز، اﻳﺮان.

3 دکترا، ﮔﺮوه آمار حیاتی و اپیدمیولوژی، داﻧﺸﻜﺪه ﺑﻬﺪاﺷﺖ، داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ جندی‌شاپور اهواز، اهواز، اﻳﺮان.

10.22123/chj.2020.211432.1395

چکیده

مقدمه: سازمان بهداشت جهانی کاهش شیوع رفتار کم‌تحرکی را تا سال 2025 اولویت‌ اصلی خود ذکر کرده است. یکی از الگوهای جامع اصلاح سبک زندگی، مدل ارتقاء سلامت پندر است. هدف این مطالعه، تعیین مؤلفه‌های مؤثر الزام به انجام و حفظ فعالیت جسمانی مبتنی بر مدل ارتقاء سلامت پندر در زنان میانسال بود.
مواد و روش‌ها: در این مطالعه توصیفی، داده‌های در دسترس طی روزهای مختلف سال 1397 از مراکز خدمات جامع سلامت غرب شهر اهواز بر اساس رویکرد مدل‌سازی معادلات ساختاری جمع‌آوری شدند. این اطلاعات شامل خصوصیات دموگرافیک، الزام به انجام و حفظ فعالیت جسمانی، حمایت اجتماعی، موانع درک شده، خودکارآمدی و لذت درک شده بودند. از شاخص میانگین واریانس استخراج‌ شده و معیار فورنل - لارکر جهت سنجش روایی همگرا و واگرا و از ضرایب آلفای کرونباخ و پایایی مرکب برای بررسی همسانی درونی استفاده شد.
یافته‌ها: میانگین و انحراف معیار سنی افراد 72/6±22/38 سال بود. موانع قابل کنترل بیشترین (265/0) و موانع غیرقابل‌ کنترل کمترین (152/0) تأثیر را در الزام به انجام و حفظ فعالیت جسمانی داشتند. ضرایب پایایی مرکب موانع قابل کنترل (75/0) و غیرقابل ‌کنترل (79/0) در حد مطلوبی قرار داشتند.
نتیجه‌گیری: مدل ارائه شده از برازش کافی جهت تعیین مؤلفه‌های اصلی الزام به انجام و حفظ فعالیت جسمانی در زنان میانسال برخوردار بود. توصیه می‌شود به نقش موانع قابل کنترل و غیرقابل کنترل در کنار لذت درک شده برای الزام به انجام و حفظ فعالیت جسمانی در زنان میانسال توجه ویژه‌ای داشته باشیم.

کلیدواژه‌ها


عنوان مقاله [English]

Effective Components of the Commitment to Do and Maintain Physical Activity Based on Pender Health Promotion Model in Middle-Aged Women of the Southern Regions of Iran During 2018

نویسندگان [English]

  • Sh Fathhi 1
  • H Mohamadian 2
  • S M Latifi 3
1 MSc, Social Determinants of Health Research Centre, Dept of Health Education and Promotion, Health Faculty, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2 Assistant Prof, Social Determinants of Health Research Centre, Dept of Health Education and Promotion, Health Faculty, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3 PhD, Dept of Biostatistics & Epidemiology, Health Faculty, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
چکیده [English]

Introduction: The World Health Organization (WHO) has selected reducing the prevalence of sedentary behavior as its top priority by 2025. One of the holistic models of lifestyle modification is Pender's Health Promotion Model. The purpose of this study is to determine the effective components to perform and maintain physical activity in middle-aged women.
Materials and Methods: This was a cross-sectional study of the variance-covariance matrix. The data were collected from health centers in the west of Ahvaz on different days in 2018 based on a structural equation modeling approach. This data included demographic characteristics, commitment to do and maintain physical activity, social support, perceived barriers, self-efficacy, and perceived enjoyment. The average variance extracted index (AVE) and Fornell-Larker criterion were used to assess convergent and divergent validity, and Cronbach's alpha coefficients and composite reliability were used to assess internal consistency. 
Results: The mean and standard deviation of the age was 38/22 ± 6/72 years. Controllable barriers had the highest (0.265) and uncontrollable barriers the least (0.152) effect on the commitment to do and maintain physical activity. Also, composite reliability coefficients of controllable (0.75) and uncontrollable (0.79) barriers were found to be favorable.
Conclusion: The proposed model had a sufficient fit to determine the main components' commitment to do and maintain physical activity in middle-aged women. It is recommended to pay particular attention to the role of controllable and uncontrollable barriers along with the perceived pleasure in commitment to do and maintain physical activity in middle-aged women.

کلیدواژه‌ها [English]

  • physical activity
  • middle-aged
  • structural equation modeling
  • Women
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