Effect of lifestyle education based on Pender model on health-promoting behaviors in HIV positive individuals: A randomized clinical trial study
,
Abstract
Background & Aim: Human Immunodeficiency Virus (HIV) prevalence is increasing, and this disease has become a crisis for the modern world. Today, the survival of patients has been increased, such that HIV is considered a chronic disease. So, Paying attention to health-promoting intervention is necessary. Thus, the current study aims to determine the effect of educating lifestyle based on the Pender model on health-promoting behaviors in HIV patients.
Methods & Materials: In this randomized clinical trial study, 70 HIV patients who had inclusion criteria were selected and then divided into intervention and control groups randomly. The intervention group received 6 one-hour education sessions weekly based on Pender lifestyle (nutrition, physical activity, stress management, spiritual growth, interpersonal relationships, and health responsibility). A demographic questionnaire and HPLP2 were used, which were completed by both groups before the intervention and 8 weeks after the intervention. Chi-Square, Fisher, Independent t, and ANCOVA statistical tests and SPSS 16 software were used to analyze data.
Results: results showed that there was no significant difference in various dimensions of health-promoting lifestyle between two groups before intervention. However, intervention group scores for nutrition (28.08±6.23 vs. 23.58±6.04), physical activity (22.26±6.46 vs. 16.39±6.09), stress management (25.03±5.14 vs. 19.96±6.41), spiritual growth (29.49±6.11 vs. 25.45±8.54), interpersonal relationships (29.17±6.14 vs. 23.11±7.45) and health responsibility (28.36±6.06 vs. 23.89±5.74) were significantly higher than control group 8 weeks after intervention. Moreover, the total score of health-promoting behaviors had a significant difference in the intervention group compared to the control group (166.7±28.43 vs. 134.5±35.68, p<0.001).
Conclusion: Based on the findings, it can be said that educating lifestyle based on the Pender model causes HIV patients to use health-promoting behaviors, which are recommended as a useful theory-based program for managers and providers of health services.
2. Shamsipour M, Khajehkazemi R, Haghdoost AA, Setayesh H, KarimanMajd S, Mostafavi E. Knowledge, attitude, and practice of clerical students with respect to HIV/AIDS in Iran, 2011. Journal of religion and health. 2016 Feb 1;55(1):26-37.
3. A series of health reports in the Islamic Republic of Iran Report actions, achievements and challenges. Available at: http://aids.behdasht.gov.ir/uploads/dastavardha.pdf
4. Iran AIDS progress report. Available at: http://www.who.int/hiv/data/epi_core_july2015.png. Accessed July 21, 2015.
5. The epidemiology of AIDS in Iran. Available at:http://www.who.int/gho/hiv/epidemic_status/cases_all_text/en/.
6. The latest HIV statistics in Iran. Available at: http://behdasht.gov.ir/?siteid=1&pageid=1508&newsview=169553
7. The latest statistics of AIDS. Available at:
http://behdasht.gov.ir/?siteid=1&pageid=1508&newsview=129360
8. Zhang C, Li X, Liu Y, Zhou Y, Shen Z, Chen Y. Impacts of HIV stigma on psychosocial well-being and substance use behaviors among people living with HIV/AIDS in China: Across the life span. AIDS Education and Prevention. 2018 Apr;30(2):108-19.
9. Wiersema JJ, Santella AJ, Dansby A, Jordan AO. Adaptation of an Evidence-Based Intervention to Reduce HIV Risk in an Underserved Population: Young Minority Men in New York City Jails. AIDS Education and Prevention. 2019 Apr;31(2):163-78.
10. Walker LO, Avant KC. Strategies for theory construction in nursing. 4th Edition. USA: Pearson Prentice Hall; 2011
11. Nies MA, McEwen M. Community/Public Health Nursing-E-Book: Promoting the Health of Populations. Elsevier Health Sciences; 2014
12. Shaahmadi F, Shojaeizadeh D, Sadeghi R, Arefi Z. Factors Influencing Health Promoting Behaviours in Women of Reproductive Age in Iran: Based on Pender’s Health Promotion Model. Open access Macedonian journal of medical sciences. 2019 Jul 30;7(14):2360.
13. Pender NJ, Murdaugh CL, Parsons MA. The health promotion model. Health promotion in nursing practice. 2002;4:59-79.
14. Bhandari P, Kim M. Predictors of the health-promoting behaviors of Nepalese migrant workers. Journal of Nursing Research. 2016 Sep 1;24(3):232-9.
15. Mohamadian H, Eftekhar H, Rahimi A, Mohamad HT, Shojaiezade D, Montazeri A. Predicting health‐related quality of life by using a health promotion model among Iranian adolescent girls: A structural equation modeling approach. Nursing & Health Sciences. 2011 Jun;13(2):141-8.
16. Cho SH, Choi M, Lee J, Cho H. Relationship between Expectations Regarding Aging and Physical Activity among Middle Aged Adults in Urban Areas: Based on the Pender’s Health Promotion Model. Journal of Korean Academy of Nursing. 2015 Feb 1;45(1).
17. Cho SH, Choi M, Lee J, Cho H. Relationship between Expectations Regarding Aging and Physical Activity among Middle Aged Adults in Urban Areas: Based on the Pender’s Health Promotion Model. Journal of Korean Academy of Nursing. 2015 Feb 1;45(1).
18. Holcomb K. Hypertension: Enhancing Lifestyle Management through Patient Education and Pender’s Health Promotion Model. Doctor of Nursing Practice (DNP) Projects. 98.2017; Retrieved from https://scholarworks.umass.edu/nursing_dnp_capstone/98
19. Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Reliability and validity of Persian version of the health-promoting lifestyle profile. Journal of Mazandaran University of Medical Sciences. 2012 Mar 15;21(1):102-13.
20. Mohammadipour F, Izadi Tameh A, Sepahvand F, Naderifar M. The impact of an educational intervention based on Pender's health promotion model on the lifestyle of patients with type II diabetes. Journal of Diabetes Nursing. 2015 Jan 10;2(4):25-35.
21. Smit E, Wanke C, Dong K, Grotheer A, Hansen S, Skinner S, Tang AM. Frailty, food insecurity, and nutritional status in people living with HIV. The Journal of frailty & aging. 2015 Dec 1;4(4):191.
22. Saghayam S, Wanke C. The impact of nutritional status and nutrition supplementation on outcomes along the HIV treatment cascade in the resource-limited setting. Current Opinion in HIV and AIDS. 2015 Nov 1;10(6):472-6.
23. Khodaveisi M, Omidi A, Farokhi S, Soltanian AR. The effect of Pender’s health promotion model in improving the nutritional behavior of overweight and obese women. International journal of community based nursing and midwifery. 2017 Apr;5(2):165.
24. Noroozi A, Tahmasebi R, Ghofranipour F. Effect of health promotion model (HPM) based education on physical activity in diabetic women. Iranian Journal of Endocrinology and Metabolism. 2011 Nov 15;13(4):361-7.
25. Somarriba G, Neri D, Schaefer N, Miller TL. The effect of aging, nutrition, and exercise during HIV infection. HIV/AIDS (Auckland, NZ). 2010;2:191.
26. Antoni MH, Cruess DG, Klimas N, Carrico AW, Maher K, Cruess S, Lechner SC, Kumar M, Lutgendorf S, Ironson G, Fletcher MA. Increases in a marker of immune system reconstitution are predated by decreases in 24-h urinary cortisol output and depressed mood during a 10-week stress management intervention in symptomatic HIV-infected men. Journal of psychosomatic research. 2005 Jan 1;58(1):3-13.
27. Sabet AH, Khalatbari J, Ghorbani MA, Haghighi M, Ahmadpanah M. Group training of stress management vs. group cognitive-behavioral therapy in reducing depression, anxiety and perceived stress among HIV-positive men. Iranian journal of psychiatry and behavioral sciences. 2013;7(1):4-8.
28. Kaya Y, Beji NK, Aydin Y, Hassa H. The effect of health-promoting lifestyle education on the treatment of unexplained female infertility. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2016 Dec 1;207:109-14.
29. Mabuto T, Charalambous S, Hoffmann CJ. Effective interpersonal health communication for linkage to care after HIV diagnosis in South Africa. Journal of acquired immune deficiency syndromes (1999). 2017 Jan 1;74(Suppl 1):S23.
30. Khosravan S, Alami A, Mansoorian MR, Kamali M. The Effect of Intervention Based on Pender's Model of Health-Promoting Self-Care Behaviors in Women who are the Head of their Household. Nurs Midwifery Stud. 2016;5(4):e37253.
| Files | ||
| Issue | Vol 7 No 1 (2020): Winter | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/npt.v7i1.2299 | |
| Keywords | ||
| lifestyle Pender model health-promoting behavior HIV | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
