@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2019;6(2):63-69
ISSN: 2383-2150 Journal of Education and Community Health 2019;6(2):63-69
Mediating Role of Health Promoting Behaviors on the Relationship between Self-Efficacy and Mental Health in Adolescent
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Majidi Yaychi N. (1)Hasanzadeh R. (*2 )
Faramarzi M. (3)
Homayouni A.R. (4)
(*2 ) Psychology Department, Humanities Faculty, Islamic Azad University, Sari, Iran
(1) Psychology Department, Humanities Faculty, Islamic Azad University, Babol, Iran
(3) “Social Determinants of Health Research Center” and “Psychology Department, Medicine Faculty, Babol University of Medical Sciences, Babol, Iran
(4) Psychology Department, Humanities Faculty, Islamic Azad University, Bandar Gaz, Iran
Correspondence
Article History
Received: October 8, 2018Accepted: April 6, 2019
ePublished: June 20, 2019
ABSTRACT
Aims
The role of self-efficacy in the life of individuals has been identified as an important factor in the emergence and maintenance of symptoms and health promotion behaviors. Therefore, considering that today mental health plays a fundamental role in the personality evolution, this study aimed to modeling the relationship between self-efficacy and the mediating of health promotion behaviors in students.
Instrument & Methods This descriptive-correlational study was carried out on 260 people, who were the students in the secondary level of middle school in Sari city in the period of 2017-18. The subjects were selected by multi-stage cluster sampling method. Data were collected by Sherer self-efficacy scale, mental health scale, and Pender's health promotion behaviors questionnaire. Data were analyzed by SPSS 24 and Amos 23 software using the Pearson correlation coefficient and structural equation modeling.
Findings There was a significant relationship between all variables of the research (p<0.01). Based on investigating the indexes of the goodness of fit, the model has good fitness. Self-efficacy ways and health promotion behaviors have a direct and significant effect on the mental health, as well as, self-efficacy with mediating of health-promoting behaviors has an indirect and significant effect on the mental health (p<0.05). Based on the final model, self-efficacy with mediating of health-promoting behaviors has an indirect effect on mental health (R2= 0.06).
Conclusion Self-efficacy directly and through the mediation of health promotion behaviors is effective on the mental health of students.
Instrument & Methods This descriptive-correlational study was carried out on 260 people, who were the students in the secondary level of middle school in Sari city in the period of 2017-18. The subjects were selected by multi-stage cluster sampling method. Data were collected by Sherer self-efficacy scale, mental health scale, and Pender's health promotion behaviors questionnaire. Data were analyzed by SPSS 24 and Amos 23 software using the Pearson correlation coefficient and structural equation modeling.
Findings There was a significant relationship between all variables of the research (p<0.01). Based on investigating the indexes of the goodness of fit, the model has good fitness. Self-efficacy ways and health promotion behaviors have a direct and significant effect on the mental health, as well as, self-efficacy with mediating of health-promoting behaviors has an indirect and significant effect on the mental health (p<0.05). Based on the final model, self-efficacy with mediating of health-promoting behaviors has an indirect effect on mental health (R2= 0.06).
Conclusion Self-efficacy directly and through the mediation of health promotion behaviors is effective on the mental health of students.
CITATION LINKS
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[15]Askarizadeh Mahani M, Soleimani L, Zafarnia N, Miri S. Correlation of self–efficacy and mental health with academic achievement of students in Bam nursing school . J Res Dev Nurs Midwifery. 2015;12(2):29-37. [Persian]
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[18]Geboers B, de Winter AF, Luten KA, Jansen CJ, Reijneveld SA. The association of health literacy with physical activity and nutritional behavior in older adults, and its social cognitive mediators. J Health Commun. 2014;19 Suppl 2:61-76.
[19]Robinson CH, Thomas SP. The interaction model of client health behavior as a conceptual guide in the explanation of children's health behaviors. Public Health Nurs. 2004;21(1):73-84.
[20]Noorbala AA, Bagheri yazdi SA, Mohammad K. The validation of general health questionnaire- 28 as a psychiatric screening tool. Hakim Health Syst Res J. 2009;11(4):47-53. [Persian]
[21]Abdel-Khalek AM, Lester D. The association between religiosity, generalized self-efficacy, mental health, and happiness in Arab college students. Pers Individ Differ. 2017;109:12-6.
[22]Hosseini Z, dadipoor S, Aghamolaei T, Safari Moradabadi A, Ghanbarnezhad A. Investigating the correlation between self-efficacy and mental health of nurses and head nurses. J Urmia Nurs Midwifery Fac. 2018;15(12):921-30. [Persian]
[23]Nabavi SS, Sohrabi F, Afrooz G, Delavar A, Hosseinian S. Relationship between self-efficacy and mental health among teachers: the role of perceived social support. J Res Psychol Health. 2017;11(2):50-68. [Persian
[24]Mohammadi Zeidi I, Pakpour Hajiagha A, Mohamamadi Zeidi B. Reliability and validity of Persian version of the health-promoting lifestyle profile. J Mazandaran Univ Med Sci. 2012;21(1):102-13. [Persian]
[25]Chiou ST, Chiang JH, Huang N, Chien LY. Health behaviors and participation in health promotion activities among hospital staff: which occupational group performs better? BMC Health Serv Res. 2014;14(1):474.
[26]Adrian M, Charlesworth-Attie S, Vander Stoep A, McCauley E, Becker L . Health promotion behaviors in adolescents: prevalence and association with mental health status in a statewide sample. J Behav Health Serv Res. 2014;41(2):140-52.
[27]Verhaeghe N, De Maeseneer J, Maes L, Van Heeringen C, Bogaert V, Clays E, et al. Health promotion intervention in mental health care: design and baseline findings of a cluster preference randomized controlled trial. BMC Public Health 2012;12:431.
[28]Huang HC, Lin KC, Wu CS, Miao NF, Chen MY. Health-promoting behaviors benefit the mental health of cirrhotic outpatients. Qual Life Res. 2018;27(6):1521-32.
[29]Cheung S-K, Sun SYK. Effects of self-efficacy and social support on the mental health conditions of mutual-aid organization members. Soc Behav Pers. 2000;28(5):413-22.
[30]Van Droogenbroeck F, Spruyt B. Do teachers have worse mental health? Review of the existing comparative research and result from the Belgian health interview survey. Teach Teach Educ. 2015;51:88-100.
[2]Neville K, Cole D. The relationships among health promotion behaviors, compassion fatigue, burnout, and compassion satisfaction in nurses practicing in a community medical center. J Nurs Adm. 2013;43(6):348-54.
[3]Cheng YR. Investigation and countermeasures on the health-promoting lifestyle of the disabled elderly in a rural area. Chin Nurs Res. 2015;2(4):107-9
[4]Mo PKH, Winnie WSM. The influence of health promoting practices on the quality of life of community adults in Hong Kong. Soc Indic Res. 2010;95(3):503-17.
[5]Kanani S, Allahverdipour H. Self-efficacy of choosing delivery method and labor among pregnant women in Pars-Abad City. J Educ Community Health. 2014;1(2):39-47. [Persian]
[6]Ravanipour M, Ahmadian A, Yazdanpanah A, Soltanian AR. Assessing the relationship between self-efficacy and clinical decision-making in hospital nurse. Avicenna J Nurs Midwifery care. 2015;23(4):77-86. [Persian]
[7]Kim YH. Correlation of mental health problems with psychological constructs in adolescence: final results from a 2-year study. Int J Nurs Stud. 2003;40(2):115-24.
[8]Raggi A, Leonardi M, Mantegazza R, Casale S, Fioravanti G. Social support and self-efficacy in patients with Myasthenia Gravis: a common pathway towards positive health outcomes. Neurol Sci. 2010:31(2):231-5.
[9]Jain S, Dowson M. Mathematics anxiety as a function of multidimensional self-regulation and self-efficacy. Contemp Educ Psychol. 2009;34(3):240-9.
[10]Gholami Borang F, Moghadari M, Adelpour Z. The role of emotional intelligence and self- efficacy in prediction of mental health among students of Birjand Medical Science University. J Sabzevar Univ Med Sci. 2015;22(1):160-8. [Persian]
[11]Baljani E, Rahimi J, Amanpour E, Salimi S, Parkhashjoo M. Effects of a nursing intervention on improving self-efficacy and reducing cardiovascular risk factors in patients with cardiovascular diseases. J Hayat. 2011;17(1):45-54. [Persian]
[12]Safavi M, Yahyavi SH, Pourrahimi M. Impact of dietary behaviors and exercise activities education on the self-efficacy of middle school students. Med Sci J Islamic Azad Univ. 2012;22(2):143-51. [Persian]
[13] Pender NJ, Murdaugh CL, Parsons MA. Health Promotion in Nursing Practice. 7th Edition. London: Pearson Education; 2014.
[14]Sakraida TJ. Health promotion model. In Nursing theorists and their work. Alligood MR, Marriner-Tomey. 7th Edition. Madrid: Mosby/Elsevier; 2010. pp. 434-53.
[15]Askarizadeh Mahani M, Soleimani L, Zafarnia N, Miri S. Correlation of self–efficacy and mental health with academic achievement of students in Bam nursing school . J Res Dev Nurs Midwifery. 2015;12(2):29-37. [Persian]
[16]O’Neil A, Berk M, Davis J, Stafford L. Cardiac-self efficacy predicts adverse outcomes in coronary artery disease (CAD) patients. Health. 2013;5(7):6-14.
[17] Sarkar U, Ali S, Whooley MA. Self-efficacy and health status in patients with coronary heart disease: findings from the heart and soul study. Psychosom Med. 2007;69(4):306-12.
[18]Geboers B, de Winter AF, Luten KA, Jansen CJ, Reijneveld SA. The association of health literacy with physical activity and nutritional behavior in older adults, and its social cognitive mediators. J Health Commun. 2014;19 Suppl 2:61-76.
[19]Robinson CH, Thomas SP. The interaction model of client health behavior as a conceptual guide in the explanation of children's health behaviors. Public Health Nurs. 2004;21(1):73-84.
[20]Noorbala AA, Bagheri yazdi SA, Mohammad K. The validation of general health questionnaire- 28 as a psychiatric screening tool. Hakim Health Syst Res J. 2009;11(4):47-53. [Persian]
[21]Abdel-Khalek AM, Lester D. The association between religiosity, generalized self-efficacy, mental health, and happiness in Arab college students. Pers Individ Differ. 2017;109:12-6.
[22]Hosseini Z, dadipoor S, Aghamolaei T, Safari Moradabadi A, Ghanbarnezhad A. Investigating the correlation between self-efficacy and mental health of nurses and head nurses. J Urmia Nurs Midwifery Fac. 2018;15(12):921-30. [Persian]
[23]Nabavi SS, Sohrabi F, Afrooz G, Delavar A, Hosseinian S. Relationship between self-efficacy and mental health among teachers: the role of perceived social support. J Res Psychol Health. 2017;11(2):50-68. [Persian
[24]Mohammadi Zeidi I, Pakpour Hajiagha A, Mohamamadi Zeidi B. Reliability and validity of Persian version of the health-promoting lifestyle profile. J Mazandaran Univ Med Sci. 2012;21(1):102-13. [Persian]
[25]Chiou ST, Chiang JH, Huang N, Chien LY. Health behaviors and participation in health promotion activities among hospital staff: which occupational group performs better? BMC Health Serv Res. 2014;14(1):474.
[26]Adrian M, Charlesworth-Attie S, Vander Stoep A, McCauley E, Becker L . Health promotion behaviors in adolescents: prevalence and association with mental health status in a statewide sample. J Behav Health Serv Res. 2014;41(2):140-52.
[27]Verhaeghe N, De Maeseneer J, Maes L, Van Heeringen C, Bogaert V, Clays E, et al. Health promotion intervention in mental health care: design and baseline findings of a cluster preference randomized controlled trial. BMC Public Health 2012;12:431.
[28]Huang HC, Lin KC, Wu CS, Miao NF, Chen MY. Health-promoting behaviors benefit the mental health of cirrhotic outpatients. Qual Life Res. 2018;27(6):1521-32.
[29]Cheung S-K, Sun SYK. Effects of self-efficacy and social support on the mental health conditions of mutual-aid organization members. Soc Behav Pers. 2000;28(5):413-22.
[30]Van Droogenbroeck F, Spruyt B. Do teachers have worse mental health? Review of the existing comparative research and result from the Belgian health interview survey. Teach Teach Educ. 2015;51:88-100.