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IRCT20200717048124N1 IRCT 2020-08-05 Tehran University of Medical Sciences The effect of motivation on physical activity The effect of motivational intervention on promoting physical activity in middle-aged Iranian women 2018-09-22 anticipated 80 Complete https://irct.ir/trial/49771 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Other, Purpose: Education/Guidance. N/A physical inactivity. Intervention 1: Intervention group: A number of behavioral change models, including trans-theoretical model (TTM), precede-proceed model (PPM), health belief model (HBM), beliefs, attitudes, subjective norms and enabling factors (BASNEF) model, and health promotion model (HPM), were considered to evaluate the best PA-promoting model after the literature review and unstructured face-to-face interview with the panel of experts. They included twenty specialists (sports medicine, community medicine, psychiatrists, health education, and genetics) with long-term executive backgrounds in the field of health system management and program directors. Before conducting the interview, the interview purpose and content as well as how to record and collect information were first examined. With open questions, the experts were then asked to comment on the different PA behavior change models, the most important factors hindering PA in IMGW, and possible ways to improve their PA level. The interviewees were completely free to express their views. All the recorded and written data were consequently summarized without any individual judgment. Results of the experts' comments showed that the HBM was the best initial model to improve PA in IMGW. Accordingly, individuals in the intervention group completed the HBM-based questionnaire to find the most important solutions in promoting IMGW' PA. The intervention was both face-to-face and virtual. Face-to-face interventions were fulfilled once a month for 90 days and each time for an hour and a half. Aerobics video tutorial for women with useful knowledge for 80 min was provided to all members of the intervention group in the first face-to-face session. In this DVD, aerobic movements using stretch band, cardio fit ball, and 1-2 kg dumbbells from beginner to advanced were trained to strengthen muscles and keep the body in shape. A social group called “Success” was made by registering all individuals in the intervention group and followed by the virtual intervention for three months. In the first and second months of the intervention, the voice book of "goals! how to get everything you want faster than you ever thought possible" written by Brian Tracy, and the voice file of “unlimited power: the new science of personal achievement” from Anthony Robbins were respectively presented. After highlighting the key points of these books, an algorithm including the following steps was designed in the intervention group: (i) inspire change and motivate excellence, (ii) decisive decision-making, (iii) write goals clearly, (iv) focus on the goal, and (v) plan to achieve the goal. Finally, the practical program to achieve the goal was implemented based on comprehensive studies of the health system and available resources. Intervention 2: Control group: only some brochures and routine recommendations of healthcare centers on PA were presented to the control group. Yes - There is a plan to make this available What will be shared: data of primary and secondary outcome is available. When: 6 month after pablication To whom: Academic researchers Conditions: Formal request for statistical analysis only Where to obtain: corresponding author: f-khatamik@tums.ac.ir How to obtain: Request from corresponding author, decision in the council of the research team - if agreed, the data will be send Comments:
public Farnaz Khatami
Kargar Ave., Poursina Ave., Tehran University of Medical Education
Tehran Iran (Islamic Republic of) 1447935575 +98 21 8896 2357 f-khatamik@tums.ac.ir Tehran University of Medical Sciences scientific Farnaz Khatami
Kargar Ave., Poursina Ave., Tehran University of Medical Education
Tehran Iran (Islamic Republic of) 1447935575 +98 21 8896 2357 f-khatamik@tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) middle-age group (30-59 years) having a middle-school literacy level or above having an inactive lifestyle (less than 90 min of moderate-intensity PA (brisk walking, jogging) per week according to the instructions of the PA promotion program of Iran Package of Essential Non-communicable Disease completing the consent form to participate in the study 30 years 59 years Female having some serious diseases such as CVDs, uncontrolled diabetes and hypertension, as well as chronic kidney disease Lifestyle Lifestyle Intervention group: A number of behavioral change models, including trans-theoretical model (TTM), precede-proceed model (PPM), health belief model (HBM), beliefs, attitudes, subjective norms and enabling factors (BASNEF) model, and health promotion model (HPM), were considered to evaluate the best PA-promoting model after the literature review and unstructured face-to-face interview with the panel of experts. They included twenty specialists (sports medicine, community medicine, psychiatrists, health education, and genetics) with long-term executive backgrounds in the field of health system management and program directors. Before conducting the interview, the interview purpose and content as well as how to record and collect information were first examined. With open questions, the experts were then asked to comment on the different PA behavior change models, the most important factors hindering PA in IMGW, and possible ways to improve their PA level. The interviewees were completely free to express their views. All the recorded and written data were consequently summarized without any individual judgment. Results of the experts' comments showed that the HBM was the best initial model to improve PA in IMGW. Accordingly, individuals in the intervention group completed the HBM-based questionnaire to find the most important solutions in promoting IMGW' PA. The intervention was both face-to-face and virtual. Face-to-face interventions were fulfilled once a month for 90 days and each time for an hour and a half. Aerobics video tutorial for women with useful knowledge for 80 min was provided to all members of the intervention group in the first face-to-face session. In this DVD, aerobic movements using stretch band, cardio fit ball, and 1-2 kg dumbbells from beginner to advanced were trained to strengthen muscles and keep the body in shape. A social group called “Success” was made by registering all individuals in the intervention group and followed by the virtual intervention for three months. In the first and second months of the intervention, the voice book of "goals! how to get everything you want faster than you ever thought possible" written by Brian Tracy, and the voice file of “unlimited power: the new science of personal achievement” from Anthony Robbins were respectively presented. After highlighting the key points of these books, an algorithm including the following steps was designed in the intervention group: (i) inspire change and motivate excellence, (ii) decisive decision-making, (iii) write goals clearly, (iv) focus on the goal, and (v) plan to achieve the goal. Finally, the practical program to achieve the goal was implemented based on comprehensive studies of the health system and available resources Control group: only some brochures and routine recommendations of healthcare centers on PA were presented to the control group. Physical activity. Timepoint: before and 3 month after. Method of measurement: four-question form of PA vital sign according to the IraPEN instruction. Body Mass Index. Timepoint: before and 3 month after intervention. Method of measurement: height with stadiometer , weight with SECA 768611 balance scale. Tehran University of Medical Sciences Approved 2017-10-08 Ethics Committee of Tehran University of Medical Sciences Community medicine department, medical school of ums, Kargar Ave., Tehran, Iran Tehran Tehran Iran (Islamic Republic of)