TMU
Owner
Tarbiat Modares University (TMU) is the owner of HEHP.
0.8
Cite Score 2025
Volume 13, Issue 4 (2025)
Health Educ Health Promot 2025, 13(4): 751-757 |
Back to browse issues page
Article Type:
History
Received: 2025/12/14 | Accepted: 2025/12/24 | Published: 2025/11/19
Received: 2025/12/14 | Accepted: 2025/12/24 | Published: 2025/11/19
How to cite this article
Mohammadi M, Mohammadnabizadeh S. Health Education and Promotion Intervention to Improve Students’ Health-Promoting Lifestyle, Attitudes, and Diabetes-Prevention Knowledge. Health Educ Health Promot 2025; 13 (4) :751-757
URL: http://hehp.daneshafarand.org/article-4-83040-en.html
URL: http://hehp.daneshafarand.org/article-4-83040-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Rights and permissions
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Abstract (571 Views)
Aims: The systematic comprehensive health education and promotion model (SHEP), which is rooted in the theory of Knowledge Management, is an innovative tool within the education and health promotion system. The purpose of this study was to investigate the effects of an educational intervention utilizing the SHEP model on students' health-promoting lifestyle, attitude, and knowledge regarding diabetes prevention.
Methods: This study was quasi-experimental study involving 120 middle-aged women (divided into experimental and control groups). The data collection tools were knowledge, attitudes, and health-promoting lifestyle behaviours questionnaires. Experimental group received training based on the SHEP model by student trainers. Analysis was done using SPSS.
Findings: There were significant interaction effects between time and group for all variables. Additionally, the results revealed significantly different changes between follow-up and baseline in the intervention group for knowledge, attitude, and HPLP.
Conclusions: The SHEP model's approach of matching coaches to specific audiences, promoting open discussions, and tailoring education to local culture has proven effective in enhancing attitudes, values, and knowledge. The application of this model in diabetes prevention training among university students shows promise for future research and development using this learning approach.
Methods: This study was quasi-experimental study involving 120 middle-aged women (divided into experimental and control groups). The data collection tools were knowledge, attitudes, and health-promoting lifestyle behaviours questionnaires. Experimental group received training based on the SHEP model by student trainers. Analysis was done using SPSS.
Findings: There were significant interaction effects between time and group for all variables. Additionally, the results revealed significantly different changes between follow-up and baseline in the intervention group for knowledge, attitude, and HPLP.
Conclusions: The SHEP model's approach of matching coaches to specific audiences, promoting open discussions, and tailoring education to local culture has proven effective in enhancing attitudes, values, and knowledge. The application of this model in diabetes prevention training among university students shows promise for future research and development using this learning approach.
| | Full-Text (HTML) (39 Views)
References
1. McGill RL, Bragg-Gresham JL, He K, Lacson EK Jr, Miskulin DC, Saran R. Chronic disease burdens of incident U.S. dialysis patients, 1996-2015. Clin Nephrol. 2020;93(1):1-8. [Link] [DOI:10.5414/CN109745]
2. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103(2):137-49. [Link] [DOI:10.1016/j.diabres.2013.11.002]
3. Fan W. Epidemiology in diabetes mellitus and cardiovascular disease. Cardiovasc Endocrinol. 2017;6(1):8-16. [Link] [DOI:10.1097/XCE.0000000000000116]
4. Salehi M, Mesgarani A, Karimipour S, Pasha SZ, Kashi Z, Abedian S, et al. Comparison of salivary cortisol level in type 2 diabetic patients and pre-diabetics with healthy people. Open Access Maced J Med Sci. 2019;7(14):2321-7. [Link] [DOI:10.3889/oamjms.2019.340]
5. Larijani B, Abolhasani F, Mohajeri-Tehrani MR, Tabtabaie O. Prevalence of diabetes mellitus in Iran in 2000. Iran J Diabetes Metab. 2005;4(3):75-83. [Persian] [Link]
6. Rockette-Wagner B, Edelstein S, Venditti EM, Reddy D, Bray GA, Carrion-Petersen ML, et al. The impact of lifestyle intervention on sedentary time in individuals at high risk of diabetes. Diabetologia. 2015;58(6):1198-202. [Link] [DOI:10.1007/s00125-015-3565-0]
7. Mohammad Nabizadeh S. Examining the impact of an educational intervention on enhancing different aspects of health-promoting behaviors: Using the BAZNEF model. Health Educ. 2025;125(5):553-61. [Link] [DOI:10.1108/HE-09-2024-0110]
8. Li G, Zhang P, Wang J, Gregg EW, Yang W, Gong Q, et al. The long-term effect of lifestyle interventions to prevent diabetes in the China Da Qing diabetes prevention study: A 20-year follow-up study. Lancet. 2008;371(9626):1783-9. [Link] [DOI:10.1016/S0140-6736(08)60766-7]
9. Ramachandran A, Snehalatha C, Mary S, Mukesh B, Bhaskar AD, Vijay V, et al. The Indian diabetes prevention programme shows that lifestyle modification and metformin prevent type 2 diabetes in Asian Indian subjects with impaired glucose tolerance (IDPP-1). Diabetologia. 2006;49(2):289-97. [Link] [DOI:10.1007/s00125-005-0097-z]
10. Yoon U, Kwok LL, Magkidis A. Efficacy of lifestyle interventions in reducing diabetes incidence in patients with impaired glucose tolerance: A systematic review of randomized controlled trials. BMC Proc. 2012;6(3):P28. [Link] [DOI:10.1186/1753-6561-6-S3-P28]
11. Schapira M, Swartz S, Ganschow P, Jacobs E, Neuner J, Walker C, et al. Tailoring educational and behavioral interventions to level of health literacy: A systematic review. MDM Policy Pract. 2017;2(1):238146831771447. [Link] [DOI:10.1177/2381468317714474]
12. Mohammadnabizadeh S, Najafpoor AA, Ghavami V. Effect of health education on COVID-19 preventive behaviors in oil industry workers: An application of health belief model. J Res Health. 2023;13(5):343-50. [Link] [DOI:10.32598/JRH.13.5.2135.1]
13. Iquize R, Theodoro F, Andrea K, Oliveira M, Barros J, Silva A. Educational practices in diabetic patient and perspective of health professional: A systematic review. J Braz Soc Nephrol. 2017;39(2):196-204. [Link] [DOI:10.5935/0101-2800.20170034]
14. Mohammad Nabizadeh S, Taymoori P, Hazhir MS, Roshani D. Educational intervention based on protection motivation theory to improve vitamin E and C consumption among Iranian factory workers. J Clin Diagn Res. 2018;12(10):JC01-6. [Link] [DOI:10.7860/JCDR/2018/37056.12079]
15. Mohammadnabizadeh S, Mohammadi M. Predicting mammography behaviour based on the integrated model of the theory of planned behaviour and the health belief model among Iranian women in the pre-menopausal stage. Int J Health Promot Educ. 2025. [Link] [DOI:10.1080/14635240.2025.2489377]
16. Nabizadeh SM, Taymoori P, Shahmoradi B, Roshani D. Effects of face-to-face education on vitamins consumption using protection motivation theory. J Biochem Tech. 2018;9(2):145-52. [Link]
17. Mirzaii K, Nesari Ashkezari S, Khadivzadeh T, Shakeri Mt. The effect of education based on systematic comprehensive health education and promotion model to health volunteers on their female clients' knowledge regarding breast cancer screening. J Midwifery Reprod Health. 2017;5(3):998-1007. [Link]
18. Mirzaii K, Nessari Ashkezari S, Khadivzadeh T, Shakeri MT. Evaluation of the effects of breast cancer screening training based on the systematic comprehensive health education and promotion model on the attitudes and breast self-examination skills of women. Evid Based Care J. 2016;6(3):7-18. [Link]
19. Bahramian Z, Moghimian M, Azarbarzin M. The effect of education based on health belief model on health-promoting the lifestyle of patients with type 2 diabetes. DANESHVAR Med. 2022;30(3):42-51. [Persian] [Link]
20. Ghazanfari Z, Ghofranipour F, Tavafian S, Ahmadi F, Rajab A. Lifestyle education and diabetes mellitus type 2: A non-randomized control trial. Iran J Public Health. 2007;36(2). [Link]
21. Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Reliability and validity of Persian version of the health-promoting lifestyle profile. J Mazandaran Univ Med Sci. 2011;20(1):102-13. [Persian] [Link]
22. Mohammadi M, Mohammadnabizadeh S. Investigating the effect of educational intervention based on the BAZNEF model on the improvement of various dimensions of quality of life in university students. Adv Health Behav. 2025;8(1):312-20. [Link] [DOI:10.25082/AHB.2025.01.001]
23. Safajou S, Rezaeian M, Salim Abadi Y, Mazar L, Nasirzadeh M. The effect of educational intervention on the preventive behaviors of diabetes based on the health belief model among at-risk male students in the second grade of Khash High School in 2019: A quasi-experimental study. J Rafsanjan Univ Med Sci. 2022;21(5):515-32. [Persian] [Link] [DOI:10.52547/jrums.21.5.515]
24. Peyman N, Alipour Anbarani M. The effect of training diabetes prevention behaviors on promotion of knowledge, attitude and practice of students for prevention of diabetes in Mashhad City. J Pediatr Perspect. 2015;3(2.2):501-7. [Link]
25. Akbarzadeh M, Zangiabadi M, Moattari M, Tabatabaei H. Comparing the effect of teaching breast self-examination by peers and health care personnel on students knowledge and attitude. Iran J Med Educ. 2009;8(2):195-203. [Persian] [Link]
26. Malak AT, Dicle A. Assessing the efficacy of a peer education model in teaching breast self-examination to university students. Asian Pac J Cancer Prev. 2007;8(4):481-4. [Link]
27. Peyman N, Amani M, Esmaili H. The relationship between health literacy and constructs of theory of planned behavior and breast cancer screening tests performance among women referred to health care centers in Roshtkhar, 2015. Iran J Breast Dis. 2016;9(3):60-9. [Persian] [Link]
28. Mohammadnabizadeh S, Mohammadi M. Investigating the role of lifestyle, knowledge and health beliefs in performing preventive behaviours against human papilloma virus in married women. Appl Nurs Res. 2025;81:151901. [Link] [DOI:10.1016/j.apnr.2025.151901]
29. Mohammadnabizadeh S. Predicting mammography screening behavior among women employed at university: A theory of planned behavior approach. J Educ Community Health. 2024;11(3):150-5. [Link] [DOI:10.34172/jech.2943]
30. Ebrahimi F, Aghamolaei T, Abedini S, Rafati S. Effect of educational intervention using mobile on life style of women who referred to health centers in Bandar Abbas. Iran J Health Educ Health Promot. 2017;5(2):81-9. [Persian] [Link] [DOI:10.30699/acadpub.ijhehp.5.2.81]
31. Pitel L, Mikušková EB. The irrational health beliefs scale and health behaviors in a non-clinical population. Eur J Health Psychol. 2021;28(3):111-9. [Link] [DOI:10.1027/2512-8442/a000075]
32. Mohammadnabizadeh S, Najafpoor AA, Vahedian-Shahroodi M, Ghavami V. Effects of educational intervention on promoting preventive behaviors of cardiovascular disease using the health belief model in oil regions workers. J Educ Community Health. 2022;9(4):221-7. [Link] [DOI:10.34172/jech.2022.1852]
33. Khani Jeihooni A, Sobhani A, Afzali Harsini P, Amirkhani M. Effect of educational intervention based on PRECEDE model on lifestyle modification, self-management behaviors, and hypertension in diabetic patients. BMC Endocr Disord. 2023;23(1):6. [Link] [DOI:10.1186/s12902-023-01264-y]
34. Sevil U, Atan SU, Kiris H, Tok F, Colak G, Sagit B, et al. Peer education project on breast self-examination in Izmir, Turkey. Asian Pac J Cancer Prev. 2005;6(1):29-32. [Link]
Send email to the article author