@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2014;1(2):1-9
ISSN: 2383-2150 Journal of Education and Community Health 2014;1(2):1-9
Effect of an Educational Intervention According to the PRECEDE Model to Promote Elderly Quality of Life
ARTICLE INFO
Article Type
Original ResearchAuthors
Doshmangir P. (1)Shirzadi Sh. (1)
Tagdisi M.H. (2)
Doshmangir L. (3*)
(1) Department of Health Education, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran
(2) Department of Health Education and Promotion, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
(3*) Department of Health Services Management and Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
Correspondence
Article History
Received: September 20, 2014Accepted: November 16, 2014
ePublished: December 10, 2014
ABSTRACT
Aims
Increasing elderly population has increased attention to improve quality of life in elderly people. This paper aimed to study the effect of educational intervention based on the PRECEDE model to promote quality of life in elderly.
Materials & Methods In this experimental study, 80 elderly people were randomly divided into two intervention and control groups. Planning of educational program was performed according to the PRECEDE model. Before implementing the program, Quality of life questionnaire and a self-designed and standard questionnaire according to the PRECEDE Model were filled in both groups. Both groups were followed up one month after the intervention and previous questionnaires were filled again. Collected data was analyzed using paired T-test, independent sample T-test, one way ANOVA, Chi-square and ANCOVA by SPSS-21 software.
Findings Through health promotion intervention, the mean score of quality of life increased from 76.77±13.23 to 82.87±12.25. There was a significant difference between the total score of quality of life of intervention and control groups (P=0.031). In addition, findings showed a significant difference in physical, mental, environmental and social dimensions before and after the intervention (P<0.05).
Conclusion Using the PRECEDE model could help to identify influential factors on quality of life in elderly and developing effective educational programs.
Materials & Methods In this experimental study, 80 elderly people were randomly divided into two intervention and control groups. Planning of educational program was performed according to the PRECEDE model. Before implementing the program, Quality of life questionnaire and a self-designed and standard questionnaire according to the PRECEDE Model were filled in both groups. Both groups were followed up one month after the intervention and previous questionnaires were filled again. Collected data was analyzed using paired T-test, independent sample T-test, one way ANOVA, Chi-square and ANCOVA by SPSS-21 software.
Findings Through health promotion intervention, the mean score of quality of life increased from 76.77±13.23 to 82.87±12.25. There was a significant difference between the total score of quality of life of intervention and control groups (P=0.031). In addition, findings showed a significant difference in physical, mental, environmental and social dimensions before and after the intervention (P<0.05).
Conclusion Using the PRECEDE model could help to identify influential factors on quality of life in elderly and developing effective educational programs.
CITATION LINKS
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[16]Dehdari T, Heydarnia A, Ramezankhani A, Sadeghiyan s, Ghofranipoor F, Etemadi S. [Planning and evaluation of an educational intervention programme to improve life quality in patients after coronary artery bypass graft-surgery according to PRECEDE-PROCEED model]. Journal of Birjand Medical Science.2009; 15(4):27-37. (Persian)
[17]Afkari ME, Solhi M, Matin H, Hoseini F, Mansoorian M. [The efficiency of educational intervention based on PRECEDE educational method in the promotion of life quality of the aged under the coverage of Tehran Cultural House of Aged People 2009]. Iranian Journal of Ageing.2011; 5(4):37-45. (Persian)
[18]Li Y, Cao J, Lin H, Li D, Wang Y, He J. Community health needs assessment with precede-proceed model: a mixed methods study. BMC Health Serv Res.2009; 9:181.
[19]Salehi L, Haidari F. [Efficacy of precede model in promoting nutritional behaviors in a rural society]. Iranian Journal of Epidemiology.2011; 6(4):21-7. (Persian)
[20]Ransdell RB. Using the PRECEDE-PROCEED model to increase productivity in health education faculty. International Electronic Journal of Health Education.2001; 4:276-82.
[21]Jimba M, Joshi DD, Joshi AB, Wakai S. Health promotion approach for control of Taenia solium infection in Nepal. Lancet.2003; 362(9393):1420.
[22]Speck BJ, Harrell JS. Maintaining regular physical activity in women: evidence to date. J Cardiovasc Nurs.2003; 18(4):282-91.
[23]Chamroonsawasdi K, Phoolphoklang S, Nanthamongkolchai S, Munsawaengsub C. Factors Influencing Health Pro-moting Behaviors among the Elderly Under the Universal Coverage Program, Buriram Province, Thailand. Asia J Public Health.2010; 1(1):15-19.
[24]Chong AML, Ng SH, Woo J, Kwan AYH. Positive ageing: the views of middle-aged and older adults in Hong Kong. Ageing Soc.2006; 26(2):243-66.
[25]Henderson KA, Ainsworth BE. A synthesis of perceptions about physical activity among older African American and American Indian women. Am J Public Health.2003; 93(2):313-7.
[26]Zimmerman RK, Nowalk MP, Bardella IJ, Fine MJ, Janosky JE, Santibanez TA, et al. Physician practice factors related to influenza vaccination among the elderly. Am J Prev Med.2004; 26(1):1-10.
[27]Chiou CJ, Wu CM, Wang RH, Lee ST. Utilizing the PRECEDE model to predict health examination behavior of the elderly. Kaohsiung J Med Sci.1999; 15(6):348-58.
[28]Yates P, Edwards H, Nash R, Aranda S, Purdie D, Najman J, et al. A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings. Patient Educ Couns.2004; 53(2):227-37.
[29]Park ES, Kim SJ, Kim SI, Chun YJ, Lee PS, Kim HJ, et al. A study of factors influencing health promoting behavior and quality of life in the elderly. J Korean Acad Nurs.1998; 28(3):638-49.
[30]Song KJ. The effects of self-efficacy promoting cardiac rehabilitation program on self-efficacy, health behavior, and quality of life. Taehan Kanho Hakhoe Chi.2003; 33(4):510-8.
[31]Brach JS, Simonsick EM, Kritchevsky S, Yaffe K, Newman AB. The association between physical function and lifestyle activity and exercise in the health, aging and body composition study. J Am Geriatr Soc.2004; 52(4):502-9.
[2]Kinsella K, Phillips DR. Global aging: The challenge of success. Population Bulletin (Population Reference Bu-reau).2005; 60(1): 4-7.
[3]White SA. Increasing longevity: the challenges of aging and caregiving. J Vasc Nurs.2008; 26(4):96-9.
[4]Xavier FM, Ferraz MP, Marc N, Escosteguy NU, Moriguchi EH. Elderly people’s definition of quality of life. Rev Bras Psiquiatr.2003; 25(1):31-9.
[5]. Thongsomboon J. Health promoting behavior and quality of life among the elderly in Srisamrong District, Sukhothai Province [MSc Thesis]. Bangkok: Chulalongkorn University; 2005.
[6]Alipour F, Saggadi H, Frozan A, Beglaran A, Jaliliyan A. [Elderly Quality of Life in Tehran]. Iranian Journal of Age-ing.2008; 3(9):75-83. (Persian)
[7]Rana AK, Wahlin A, Lundborg CS, Kabir ZN. Impact of health education on health-relatedquality of life among elder-ly persons: results from a community-based intervention study in rural Bangladesh. Health Promot Int.2009; 24(1):36-45.
[8]Davies N. Promoting healthy ageing: the importance of lifestyle. Nurs Stand.2011; 25(19):43-9.
[9]National programme of preparation for aging for 2008-2012. Quality of life in old age. Ministry of Labour and Social Affairs of the Czech Republic Web Site; 2014 [updated 5 June, 2014; cited 27 November, 2014]; Available from: http://www.mpsv.cz/files/clanky/5606/starnuti_en_web.pdf
[10]DeBarr KA. A review of current health education theories. Calif J Health Promot.2004; 2(1):74-87.
[11]Benson RA, Taub DE. Using the precede-proceed model for causal analysis of bulimic tendencies among elite swimmers. J Health Educ.1993; 24(6):360-8.
[12]Lee TW, Ko IS, Lee KJ. Health promotion behaviors and quality of life among community-dwelling elderly in Korea: A cross-sectional survey. Int J Nurs Stud.2006; 43(3):293-300.
[13]Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh SR. [The World Health Organization quality of life (WHOQOL-BREF) questionnaire: translation and validation study of the Iranian version]. Journal of School of Pub-lic Health and Institute of Public Health Research.2006; 4(4):1-12. (Persian)
[14]Salehi L, Eftekhar H, Mohammad K, Taghdisi MH, Shojaeizadeh D. Physical Activity among a sample of Iranians aged over 60 years: an application of the transtheoretical model. Arch Iran Med.2010; 13(6):528-36.
[15]Gahramani L. Integrating readiness steps model and theory of planned behavior for developing physical activities in Tehran Kahrizak elderly people [PhD thesis]. Tehran: Tarbiat Moderes University, 2009. (Persian)
[16]Dehdari T, Heydarnia A, Ramezankhani A, Sadeghiyan s, Ghofranipoor F, Etemadi S. [Planning and evaluation of an educational intervention programme to improve life quality in patients after coronary artery bypass graft-surgery according to PRECEDE-PROCEED model]. Journal of Birjand Medical Science.2009; 15(4):27-37. (Persian)
[17]Afkari ME, Solhi M, Matin H, Hoseini F, Mansoorian M. [The efficiency of educational intervention based on PRECEDE educational method in the promotion of life quality of the aged under the coverage of Tehran Cultural House of Aged People 2009]. Iranian Journal of Ageing.2011; 5(4):37-45. (Persian)
[18]Li Y, Cao J, Lin H, Li D, Wang Y, He J. Community health needs assessment with precede-proceed model: a mixed methods study. BMC Health Serv Res.2009; 9:181.
[19]Salehi L, Haidari F. [Efficacy of precede model in promoting nutritional behaviors in a rural society]. Iranian Journal of Epidemiology.2011; 6(4):21-7. (Persian)
[20]Ransdell RB. Using the PRECEDE-PROCEED model to increase productivity in health education faculty. International Electronic Journal of Health Education.2001; 4:276-82.
[21]Jimba M, Joshi DD, Joshi AB, Wakai S. Health promotion approach for control of Taenia solium infection in Nepal. Lancet.2003; 362(9393):1420.
[22]Speck BJ, Harrell JS. Maintaining regular physical activity in women: evidence to date. J Cardiovasc Nurs.2003; 18(4):282-91.
[23]Chamroonsawasdi K, Phoolphoklang S, Nanthamongkolchai S, Munsawaengsub C. Factors Influencing Health Pro-moting Behaviors among the Elderly Under the Universal Coverage Program, Buriram Province, Thailand. Asia J Public Health.2010; 1(1):15-19.
[24]Chong AML, Ng SH, Woo J, Kwan AYH. Positive ageing: the views of middle-aged and older adults in Hong Kong. Ageing Soc.2006; 26(2):243-66.
[25]Henderson KA, Ainsworth BE. A synthesis of perceptions about physical activity among older African American and American Indian women. Am J Public Health.2003; 93(2):313-7.
[26]Zimmerman RK, Nowalk MP, Bardella IJ, Fine MJ, Janosky JE, Santibanez TA, et al. Physician practice factors related to influenza vaccination among the elderly. Am J Prev Med.2004; 26(1):1-10.
[27]Chiou CJ, Wu CM, Wang RH, Lee ST. Utilizing the PRECEDE model to predict health examination behavior of the elderly. Kaohsiung J Med Sci.1999; 15(6):348-58.
[28]Yates P, Edwards H, Nash R, Aranda S, Purdie D, Najman J, et al. A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings. Patient Educ Couns.2004; 53(2):227-37.
[29]Park ES, Kim SJ, Kim SI, Chun YJ, Lee PS, Kim HJ, et al. A study of factors influencing health promoting behavior and quality of life in the elderly. J Korean Acad Nurs.1998; 28(3):638-49.
[30]Song KJ. The effects of self-efficacy promoting cardiac rehabilitation program on self-efficacy, health behavior, and quality of life. Taehan Kanho Hakhoe Chi.2003; 33(4):510-8.
[31]Brach JS, Simonsick EM, Kritchevsky S, Yaffe K, Newman AB. The association between physical function and lifestyle activity and exercise in the health, aging and body composition study. J Am Geriatr Soc.2004; 52(4):502-9.