Teenage girls’ experience of the determinants of physical activity promotion
A theory-based qualitative content analysis
Keywords:
Pender's Health Promotion Model, Physical activity, Qualitative study, Teenage girlsAbstract
Background: The progress of technology in developed countries has changed lifestyles to sedentary and has increased non-communicable diseases. Identifying factors affecting patterns of physical activity among adolescents is valuable and it is important to change these pattern.
Objective: This study aimed to explore teenage girls’ experiences regarding the determinants of physical activity promotion based on Pender's Health Promotion Model.
Methods: This qualitative study is a content analysis research on the girls of three high schools in Minoodasht city for six months from September 2015 until the end of February 2016. The data were obtained by focused group discussions and semi-structured in-depth interviews from 48 girls ranging from 15 to 18 years old and six teachers. Data analysis was done using theory-driven qualitative content analysis.
Results: Data analysis resulted in a total number of 53 primary codes which were classified in the six predetermined classifications of Pender's Health Promotion Model (Perceived benefits, perceived barriers, perceived self-efficacy of physical activity behavior, feelings related to physical activity behavior, interpersonal and situational influencers). The results showed that two classifications (perceived barriers, and situational influencers) were considered more important than other classifications in reducing levels of physical activity in adolescent girls and also high self-efficacy for promoting physical activity in adolescents.
Conclusion: The results obtained from this study specified the determinants affecting the promotion of physical activity among adolescent girls and can help the planners to choose the most appropriate methods and strategies in order to promote physical activity among adolescent girls and to prevent chronic non-communicable diseases in this age group and gender.
References
WHO. Sedentary lifestyle a global public health problem. Geneva: WHO; 2002. Available from:
http://www.who.int/dietphysicalactivity/factsheet_inactivity/en/.
Khang YH, Lynch JW, Kaplan GA. Health inequalities in Korea: age-and sex-specific educational
differences in the 10 leading causes of death. Int J Epidemiol. 2004; 33(2): 299-308. doi:
1093/ije/dyg244. PMID: 15082630.
Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U, et al. Global physical activity levels:
surveillance progress, pitfalls, and prospects. Lancet. 2012; 380(9838): 247-57. doi: 10.1016/S0140- 6736(12)60646-1. PMID: 22818937.
Kohl HW, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, et al. The pandemic of physical
inactivity: global action for public health. Lancet. 2012; 380(9838): 294-305. doi: 10.1016/S0140- 6736(12)60898-8. PMID: 22818941.
Mounesan L, Sepidarkish M, Hosseini H, Ahmadi A, Ardalan G, Kelishadi R, et al. Policy Brief for
Promoting Physical Activity among Iranian Adolescents. Journal of Isfahan Medical School. 2013;
(233): 510-20.
Dastjerdi R, Eftekhar Ardebili H, Poorreza A, Assasi N, Golestan B. Assessment of the stage of change in
physical activity among high school girls. SJSPH. 2004; 2(2): 25-34.
Kelishadi R, Kahbazi M, Rabiei K, Heidari S, Doreh F, Baghaie A. Physical activity level among children
of markazi and Isfahan provinces (2000). AMUJ. 2004: 7(1): 26-33.
Motameni A, Hemmati A. Identifying and prioritizing the barriers for women's sports activities. Journal of
Sport Management Review. 2014; 6(24): 111-30.
Taymoori P, Lubans DR. Mediators of behavior change in two tailored physical activity interventions for
adolescent girls. Psychology of Sport and Exercise. 2008; 9(5): 605-19. doi:
1016/j.psychsport.2007.09.001.
Russell J, Rowan B, Fox KR, Cartwright K, Page AS, Thompson JL. Friendship groups and physical
activity: qualitative findings on how physical activity is initiated and maintained among 10–11 year old
children. International Journal of Behavioral Nutrition and Physical Activity. 2009; 6(1): 1. doi:
1186/1479-5868-6-4.
Thomas J, Silverman S, Nelson J. Research Methods in Physical Activity. 7th Edition. Human kinetics;
Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9):
-88. doi: 10.1177/1049732305276687. PMID: 16204405.
Mehrdad N, Oskouie F, Seyed Fatemi N. Qualitative Content Analysis. Tehran: Boshra; 2013.
Agha Molaei T, Tavafian SAS, Hasani L. Exercise self-efficacy, exercise perceived benefits and barriers
among students in Hormozgan University of Medical Sciences. J Iran epidemiology. 2009; 4(3,4): 9.
Mohebbi S, Azadbakht L, Feyzi A, Sharifirad Gh, Hozoori M. An Assessment of the Correlation between
Nutritional Self-management and Health Promotion Model Constructs in Women with Metabolic
Syndrome, 2012. Qom University of Medical Sciences Journal. 2013; 7(5): 42-52.
Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 4th ed. Prentice Hall: Upper
Saddle River; 2002.
Collette M, Godin G, Bradet R, Gionet NJ. Active living in communities: understanding the intention to
take up physical activity as an everyday way of life. Can J Public Health. 1994; 85(6): 418-21. PMID:
Terry DJ, O'Leary JE. The theory of planned behaviour: The effects of perceived behavioural control and
self‐efficacy. Br J Soc Psychol. 1995; 34(2): 199-220. PMID: 7620846.
Tzormpatzakis N, Sleap M. Participation in physical activity and exercise in Greece: a systematic literature
review. Int J Public Health. 2007; 52(6): 360-71. doi: 10.1007/s00038-007-6118-6. PMID: 18368999.
de Assis MA, de Mello MF, Scorza FA, Cadrobbi MP, Schooedl AF, Gomes da Silva S. Evaluation of
physical activity habits in patients with posttraumatic stress disorder. Clinics. 2008; 63(4): 473-8. doi:
1590/S1807-59322008000400010. PMID: 18719757, PMCID: PMC2664122.
Ball K, Salmon J, Giles-Corti B, Crawford D. How can socio-economic differences in physical activity
among women be explained? A qualitative study. Women & health. 2006; 43(1): 93-113. doi:
1300/J013v43n01_06.
Carron AV, Hausenblas HA, Estabrooks PA. The psychology of physical activity. McGraw-Hill
Companies; 2003.
Downs DS, Hausenblas HA. Elicitation studies and the theory of planned behavior: a systematic review of
exercise beliefs. Psychology of sport and exercise. 2005; 6(1): 1-31. doi: 10.1016/j.psychsport.2003.08.001.
Foley L, Prapavessis H, Maddison R, Burke SH, McGowan E, illanders L. Predicting physical activity
intention and behavior in school-age children. Pediatric Exercise Science. 2008; 20(3): 342-56. doi:
1123/pes.20.3.34.
Tondnevis F. Exercise position in Iranian woman leisure time. Harekat. 2002; 12: 87-104.
Baheiraei A, Hamzehgardeshi Z, Mohammadi MR, Mohammadi E, Vedadhir AA. Expert approaches to
promote adolescent physical activity in iran: development of the promoting strategies using the nominal
group technique meeting. J Phys Act Health. 2014; 11(5). doi: 10.1123/jpah.2012-0032. PMID: 23676297.
Norman P, Boer H, Seydel ER. Protection motivation theory. Practice with Social Cognition Models. Open
University Press. Maidenhead. 2005: 81-126.
Rovniak LS, Anderson ES, Winett RA, Stephens RS. Social cognitive determinants of physical activity in
young adults: a prospective structural equation analysis. Annals of Behavioral Medicine. 2002; 24(2): 149- 56. doi: 10.1207/S15324796ABM2402_12.
Wallace LS, Buckworth J, Kirby TE, Sherman WM. Characteristics of exercise behavior among college
students: application of social cognitive theory to predicting stage of change. Preventive medicine. 2000;
(5): 494-505. doi: 10.1006/pmed.2000.0736.
Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychological review. 1977;
(2): 191.
Dehdari T, Ramezankhani A, Zarghi A. Principles of health promotion. Tehran: Nazari Publication; 2010.
doi: 10.1037/0033-295X.84.2.191.
Arizi F, Vahida F, Parsamehr M. The study of social support effect on females participation at physical
activities. Olympic. 2006; 14(1): 77-86.
Hosseini SV, Anoosheh M, Abbaszadeh A, Ehsani M. female adolescents' and their parents' perception of
family role in Forming girls' physical activity behavior. Develompent and Motor Lerning (Harkat). 2013;
(13): 61-77.
Shabani B, Erfani GR, Eshragi N. Evaluation of the factors affecting the quality of the physical education
in secondary schools From the perspective of sports teachers. Research in sports science. 2008; 1(5): 143- 56.
Robbins LB, Gretebeck KA, Kazanis AS, Pender NJ. Girls on the move program to increase physical
activity participation. Nursing research. 2006; 55(3): 206-16. doi: 10.1097/00006199-200605000-00007.
PMID: 16708045.
Dehdari T, Rahimi T, Aryaeian N, Gohari MR. Effect of nutrition education intervention based on Pender's
Health Promotion Model in improving the frequency and nutrient intake of breakfast consumption among
female Iranian students. Public health nutrition. 2014; 17(03): 657-66. doi: 10.1017/S1368980013000049.
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