هاشم محمدیان

Logbook is an important tool for learning, monitoring and evaluating students' periodic activities during their internship. According to the revised curriculum of the master's degree in health education and health promotion, the present study was conducted with the aim of development an educational logbook.
According to the revision of the curriculum of the master's degree in health education and health promotion, the present study was conducted to design an educational logbook for the internship course of the master's degree in health education and health promotion.

This developmental study was conducted using the Delphi technique from 2018 to 2022 in the form of 10 face-to-face and 3 virtual meetings. In this research, the participation of specialized board members, heads of department, faculty members and students of medical sciences universities of the country was used with the convenience sampling method. At first, the chapters of internships were extracted according to the curriculum of the master's degree in health education and health promotion and analyzed based on Bloom's classification in three cognitive, attitudinal, and behavioral domains, and then the intended activities were designed.

In this research, 39 activities in the 5 fields (according to the approved curriculum) were compiled as activities needed by students in the form of a log book. 11 activities were determined for comprehensive health service centers, 10 activities for media, 7 activities for workplaces, 7 activities for community and 4 activities in the areas of needs assessment, development, implementation and evaluation.

According to the designed log book, it is expected the end of internship, the students will learn the different stages of an educational intervention, including needs assessment; Practice design, implementation or evaluation according to any internship environment or field and improve their abilities.

Accountability and social commitment is one of the philosophical approaches of universities, which focuses more on the responsibility of universities in serving the society. The purpose of this research is to identify the skills expected by the society from the graduates of the master's degree in health education and health promotion in order to increase the level of social accountability. 

This qualitative study was conducted with the quantitative content analysis method at Ahvaz University of Medical Sciences. The statistical population of this research was all the students and graduates of the master's degree in health and the staff in charge of the health education unit in the sub-category of health department, who were invited to the study by available sampling method. The data collection method was a structured interview.

This research was conducted with the participation of 19 health education graduates and experts with an average age of 39 years and an average work experience of 14 years. 105 needs and skills of a health education and health promotion expert in the form of four main categories including; The required skills of a health education and health promotion expert in the workplace, useful skills for the workplace that are taught in the university, skills expected in the workplace and expectations from the educational system to increase responsiveness to the needs of society were presented.

There is a gap between the skills taught at the university level and the job needs of graduates of this field, and most of this difference is estimated for practical skills. Also, in order to improve responsiveness to the needs of employees and ultimately the needs of the society, the scientific and practical support of health education experts is needed for the workers in the work environment, which requires close interaction of the health department with the health faculty.

Diabetes and its chronic complications is one of the major public health issues worldwide. The present study aimed to use photovoice in pre-diabetic people to design health promoting lifestyle educational content. :.

This community-based participatory research was performed on 40 pre-diabetic participants in Hoveizeh health centers, Khozestan Province, Iran in 2018. Photovoice was used to better understand pre-diabetic adults about their experiences. Focus groups and semi-structured interviews were used for data collection. All data were recorded and analyzed through content analysis based on narratives.

Data analysis revealed four main themes including daily living needs, neglect of the disease, education and provision of health care, lack of support to adapt physical environment.

In designing educational content, it is necessary to place more emphasis on the four main themes extracted from the experiences of pre-diabetic people in order to provide more comprehensive services by health care personnel.

Assessment of acadimicinas' activities is needed to ensure education development. The purpose of this study was to assess Development of a measure to assess the content of course plan, PowerPoint Slides and final semester exam of academicians in Ahvaz Jundishapur University of Medical Sciences. The methode of research, qualitative and sterategy used was Grounded theory (systematic scheme). The statical population included all the scientific talents of public universities throughout the contry. For sampling, targeted sampling, theoretical and snowball were used and then 20 scientific talents were selected and participated in the semi- structured interview. Considering the results obtained from interviews, factors to attract, develop and retain scientific talent in the higher education system were identified and also three phases of open coding, axial and selective coding model in six categories were presented as causative conditions, axial phenomena, action/intraction, context, interventional conditions and outcomes of talent management system of higher education. According to the results, the establishment of a talent management system in Iran's higher education was based on individual, managerial, and dynamic adaptation factors. Furthuremore, it was constructed on the strategic focus, strategic alignment and the adoption of effective strategies for attracting, developing and maintaining. The context providing strategies included organizational factors, job-related factors and extra-organizational conditions thatin interaction with the context and interfere factors, it contained attitudinal, behavioral, and organizational implications.

Children belong to the most vulnerable social group. Thus, children’s issues address a substantial part of the security in each community. It was necessary to develop an instrument to screen the children at risk of child abuse.

This survey was conducted on 200 elementary students of the Ahwaz City, Iran, using a self-report questionnaire. A multi-stage sampling method was used for selecting the samples. The average variances were extracted, and composite reliability along with Cronbach’s alpha coefficient was performed by LISREL for Exploratory Structural Equation Modeling (ESEM) and Confirmatory Factor Analysis (CFA) approaches.

The ESEM results revealed the 8-factor structure that explained 59.47% of the total variance in the child abuse questionnaire. Findings suggested that scaring children address the most factor load (0.97), and the destruction of self-esteem addresses the lowest factor load (0.37) in child abuse. 

The Persian version of the 8-factor child abuse tool indicated acceptable psychometric properties. The Persian version of the 8-factor child abuse questionnaire should be considered in developing a research agenda for child maltreatment future studies.

 The World Health Organization (WHO) has selected reducing the prevalence of sedentary behavior as its top priority by 2025. One of the holistic models of lifestyle modification is Pender's Health Promotion Model. The purpose of this study is to determine the effective components to perform and maintain physical activity in middle-aged women.

 This was a cross-sectional study of the variance-covariance matrix. The data were collected from health centers in the west of Ahvaz on different days in 2018 based on a structural equation modeling approach. This data included demographic characteristics, commitment to do and maintain physical activity, social support, perceived barriers, self-efficacy, and perceived enjoyment. The average variance extracted index (AVE) and Fornell-Larker criterion were used to assess convergent and divergent validity, and Cronbach's alpha coefficients and composite reliability were used to assess internal consistency. 

 The mean and standard deviation of the age was 38/22 ± 6/72 years. Controllable barriers had the highest (0.265) and uncontrollable barriers the least (0.152) effect on the commitment to do and maintain physical activity. Also, composite reliability coefficients of controllable (0.75) and uncontrollable (0.79) barriers were found to be favorable.

 The proposed model had a sufficient fit to determine the main components' commitment to do and maintain physical activity in middle-aged women. It is recommended to pay particular attention to the role of controllable and uncontrollable barriers along with the perceived pleasure in commitment to do and maintain physical activity in middle-aged women.

Teachers 'educational behavior is one of the most important factors influencing students' teaching and learning process and its continuous evaluation ensures improvement of the quality of teachers' performance and educational activities. This study aimed to design an Instrument for evaluation of teaching quality of teachers based on classroom-made videos. This study is a mixed method research which was conducted to design and validate an Instrument for evaluation of teaching quality of teachers at Ahvaz University of Medical Sciences from 2018 to 2019. Participants included teachers, students, and medical education professionals. After reviewing literature and relevant questionnaires and as well as receiving expert opinions, 36 questions were designed in the form of a preliminary questionnaire. In order to determine the content and face validity, the preliminary questionnaire was reviewed and approved in four sessions of group discussion by 14 specialists of medical education, health education and promotion, nursing, midwifery, health information technology and psychiatry.
Initial questions about teaching quality assessment included 36 questions. Finally, 24 questions were presented in four domains including non-verbal communication (9 questions), verbal communication (4 questions), interacting with students (6 questions) and classroom management (5 questions). At the validation stage, all 24 questions had acceptable content validity (0.7 to 1.0). The reliability of the instrument was confirmed by the Kappa coefficient (0/8). The Instrument designed to evaluate the quality of teaching based on film, has acceptable validity and reliability.

 Motorcyclists are vulnerable to traffic accidents. The purpose of this research was to evaluate the psychometric properties of the Persian version of Brief Scale of Unsafe Behaviors of motorcyclists.

This was a cross sectional study of 110 motorcyclists referred to the Persian Gulf clearance headquarters Tehran, Iran in year 2017. Demographics and Persian version of the motorcycle unsafe behavior data was used from Zamani F., et al. studies. The exploratory factor analysis and Cronbach's alpha coefficient were used to assess the validity and reliability using SPSS 25 software.

The result of KMO test after deleting 4 out of 11 questions indicated the adequacy of sample size (0.824). The results of Bartlett's test of sphericity showed that the data were appropriate (p <0.001). In tall, the questions explained about 59% of variance observed in motorcyclists’ unsafe behaviors. Items on eating, drinking, and driving in the opposite direction of the street showed the most factor loading, respectively. The Cronbach's alpha coefficient was 0.83 indicating a desirable value.

The Persian version of brief scale of motorcyclists’ unsafe behaviors had acceptable validity and reliability.

 Many cancer cases are diagnosed in late stages. This study aimed to develop and evaluate the colorectal cancer screening scale in people under 50 years old. A sample of male and females selected by randomized blocking method and completed the screening questionnaire. For reliability and validity, the Cronbach's alpha, composite reliability, Fornell-Larker matrix and second-order confirmatory factor analysis were using Smart-PLS (Partial least squares) software were used. In all 160 people aged 30 to 50 years old completed the questionnaire. The mean age of the participants was 37.56 ± 5.67 years. The majority 101 were female, most (88.1%) were married and only 46 had a university education. By eliminating 15 questions from 37 colorectal cancer screening questions, the model was fitted appropriately. Also, the divergent and convergent validity of the model was confirmed. Response efficiency and perceived self-efficacy had maximum and minimum factor loading respectively (0.35 and 0.19). The total Cronbach’s alpha coefficient was 0.86 and the composite reliability coefficients were higher than 0.7 and were at the optimum level. The results shown that the colorectal cancer screening scale with 22 items had acceptable validity and reliability. The scale allows us to have a better perception of the factors affecting colorectal cancer screening.

Delays in childbearing, in addition to creating health risks for the mother and the child, may lead to permanent parental bereavement. The purpose of this study was psychometric assessment of the validity and reliability of the Iranian version of attitude toward reproductive and childbearing inventory (ATRCI) in women without a history of pregnancy. This study was done on 235 women without a history of pregnancy selected by multi-stage sampling in the South of Iran. They completed a fertility and childbearing attitude questionnaire. The validity and reliabilty of the ATRCI were determined using SPSS-16 software, the statitical tests being Cronbach's alpha coefficient and exploratory factor analysis. The mean age of the women was 24.47 ± 4.1 years, and the Cronbach's alpha total coefficient was 0.888. The KMO and Bartlett's test of sphericity value (0.890) was  significant.
In this study, in addition to the main components of the questionnaire, the childbirth postponement component was also extracted; they explained  63.01% of the total variance related the attitude toward fertility and childbearing.    The 4-component Iranian version of the attitude toward fertility and childbearing inventory was found to have acceptable psychometric validity and reliability. It is recommended that in the future studies this inventory be used in intervantional studies and heath and demographic programs for women without a history of pregnancy.

  High blood pressure as a silent killer can endanger the health of the aged people. The purpose of this study was to assess the effect of motivational interviewing based on the health belief model on hypertension, self-care, and quality of life of rural aged people. This semi-experimental study without a control group, was carried out on 120 rural aged people over 60 years of age, who were covered by city health centers of Ramhormoz in 2017. The subjects were selected through the multistage random sampling method. The aged people participated in the motivational interviewing classes for 1 month each week, 2 sessions in 30-45 minutes. Data were collected using social support, perceived barriers, self-efficacy, self-care, and quality of life questionnaires, before and after the educational intervention. The data were analyzed using the Wilcoxon signed-rank test, Pearson and Filon's z test and path analysis through LISREL 8.5 and  SPSS 22 software. After the educational intervention, the mean of systolic, diastolic blood pressure, and the average scores of social support, perceived barriers, self-efficacy, self-care and quality of life was improved significantly (p<0.001). Also, after the educational intervention, the variance of self-care and quality of life increased from %13 and %8 to %40 and %31, respectively. Motivational interviewing has led to a better explanation of the health belief model in self-care and the quality of life by modifying the mental beliefs of aged people.

Traffic accidents on Iran’s roads cause thousands of deaths and injuries every year. Because traffic behaviors vary in different sociocultural settings. It is useful to explore factors that facilitate risk-taking behaviors among motorcyclists within their own sociocultural settings. Therefore, the purpose of the present study appraisal of social factors affecting to exacerbation and modification of motorcyclist's risky driving behavior. This cross-sectional's descriptive-analytic study was performed from December 2016 to February 2017 using simple random sampling on 138 motorcyclist referred to the Tehran's Committee discharge that their motorcycle was impounded because of a traffic violation. Data were gathered from the questionnaire that has been extracted from previous surveys. To analyze the data, the chi-square test was used in SPSS Software Version 16. The mean age of participants was 26/35 ± 7/5 years with an age range of 16–56 years. 63/4% of them were single and all were male. The 40/3% of them were high school graduates. Chi-square test showed that between police behavior and reduce risky behavior among motorcyclist was a significant relationship. But In association with the friends and family was not a significant relationship. Since, The participants was believed that social factors had an effective role in exacerbation and modification the risky driving. Hence, By intervening in these elements can reduce motorcyclist's risky driving.

Considering the lack of attention to the health promotion of adolescents due to their perception of being healthy in most countries of the world, we aimed to evaluate the predictors of adolescent health promoting lifestyle through path analysis based on IMB model.
This is a descriptive-analytic study on 400 high school students in Andimeshk city in two urban and rural areas. The sample size was obtained using the Cochran formula.They were selected by classified random sampling. In this study, demographic data, information about IMB model structures and student adherence to healthy lifestyle were collected in four areas nutrition, physical activity, stress control and responsibility. Correlation between total structures was analyzed using SPSS-23 software. Lisrel 8.5 software. Meanwhile, the relationships between variables were analyzed using Path analysis to fit and approve model fit model using LISREL8.8 software.
All structures of IMB model had a Significant relationship with adolescent healthy lifestyle. Self-efficacy structure had the most predictive power. In general, self-efficacy variables, 75%, motivation 66%, and 50% knowledge had a positive and significant effect on behavior. This model was able to explain 71% of the variance in adolescent lifestyle behavior. Also, in this model, the level of self-efficacy variance (behavioral skills), 52%,, And motivation variance was explained 57%. Motivation and knowledge indirectly influenced the lifestyle behavior (behavior) by 55% and 50%, respectively.
The findings of this study showed that the IMB model has a good application for explaining and predicting the healthy lifestyle of adolescents. Accordingly, it is recommended that health planners apply the IMB model in order to promote adolescent lifestyle in this population.

The prevalence of chronic diseases can be reduced by correcting people's food habits. Therefore, the purpose of this study was to assess the explanatory power of the Expectation-Confirmation Model for the intention to continue fruit and vegetable consumption.
This descriptive-analytic study included 332 elderly people with a history of receiving health care services from 8 rural health centers and 40 health houses in Abadan city, Iran in the second half of 2015. Data were analyzed by path analysis and the multicolinearity test using LISREL8.8 and SPSS16 software, respectively.
Less than half (48%) of the subjects consumed 1 to 3 servings of fruit and vegetable daily. The model used could explain 79% of the intention to continue fruit and vegetable consumption. Analysis of the data also showed positive associations between the intention to continue fruit and vegetable consumption and the following variables: self-efficacy (β = 0.09, P The model used in this study is suitable for explaining the elderly people’s intention to continue fruit and vegetable consumption. It is recommended that policy-makers use appropriate strategies to increase the understanding of the benefits of eating fruits and vegetables by the elderly and, thus, sensitize them to increase their consumption through public campaigns and communication with the relevant organizations, families, etc.

Promoting mental health is a global priority. Therefore, this study aimed to evaluate the relationship between behaviors related to healthy lifestyle with the psychological distress of adults based on stages of change construct.
This descriptive-study was conducted on 261 adults admitted to the health centers of Ahwaz, Iran. Stratified random sampling was employed. Data was collected by a questionnaire. Health promoting lifestyle was measured in five subscales (anthropometric status, food groups, dietary habits, physical activity, and substance and drug abuse). Psychological distress was measured based on the Kessler's scale. The stages of change construct also were recorded. The data were analyzed using independent t-test and one-way analysis of variance.
The findings indicated that the mean scores of psychological distress in women versus men, employed versus unemployed, those who do daily walking versus not walking individuals, salt users versus not using salt, dairy products users versus not using dairy products, daily fruit consumers versus not using daily fruit, and those who were in different stages of lifestyle was significantly higher. (P The findings indicated that there were relationship between healthy life style and psychological well-being.

Children are one of the most vulnerable groups in the population. Child abuse is a complex phenomenon with multiple causes. The purpose of this study was to do a confirmatory factor analysis of child abuse potential inventory among Ahvazi children in Ahvaz, Iran.
This was a descriptive-analytical study, including all Ahvazi primary school pupils aged 8-13 years in the academic year 2015-2016.
The sample size for confirmatory factor analysis was determined based on the number of questions per parameter.The variance was extracted on the basis of mean scores and
composite reliability for structural equation modeling was determined based on the first-order and second-order confirmatory factor analysisusing the LISREL software.
Confirmatory factor analysis revealed a short form of the child abuse's original 3-actor structure, including the psychological, physical and neglect scales. The outcomes indicated that the firstorder model was a better fit for the data than the second.
It can be concluded that the Ahvazi version of the child abuse potential inventory questionnaire is acceptable from a psychometric point of view. We think it is essential to take into consideration the diversity of perspectives between parents and children in future research in this area.

Predicting factors affecting the acceptance of information systems using persuasive processes is of the important subjects that has seen little attention. This study aimed to investigate the interrelationships between credibility of message source, argument quality, informational and normative social influence, affective and cognitive responses, self-efficacy, and nurses’ intention with continued use of hospital information systems. To this end, elaboration likelihood, social influence theory, and cognitive response models were applied.
In this applied and cross-sectional study, the data was gathered using a questionnaire with verified reliability and validity based on expert's opinions and computation of Cronbach’s alpha coefficient of 0.91, respectively. The questionnaire was distributed among 600 information-system users in nursing staff of hospitals affiliated to medical universities in Iran who interacted with health information systems in every shift work in 2015. Finally, 531 questionnaires were returned and were useable. For data analysis, the structural equation modeling was used with the help of LISREL8.5 software.
Based on the relationship between models, it was determined that 39% of intention of repeated use could be predicted by using variables (P = 0.01). Regarding direct and indirect effects of independent variables on dependent variables, it was determined that self-efficacy had the most effect on intention of repeated use (0.620).
According to the finding of this study, using persuasive processes along with research models can increase the probability of acceptance of health information system by users.

Childhood obesity and sedentary lifestyle are one of the most serious public health challenges. Physical activity and exercise are an important way to prevent obesity and its consequences. The purpose of this study was to evaluate factors affecting physical activity in female high school students.

The Pender’s health promotion model served as the framework for this cross sectional study، which included a total of 500 female high school students in Kashan، Iran. The data were collected through interviews. The interviewers were conducted based on health promotion model (self efficacy، perceived affect، perceived barriers، perceived social support، selfesteem). The data were explored using path analysis.

All constructs of the health promotion model except perceived barriers were significantly related to the girls’ physical activity. Self-esteem (β=0. 46، p<0/001) had the highest correlation with the girls’ physical activity. All constructs of the health promotion model accounted for 52% of variance for physical activity.

The results of this study demonstrated that the health promotion model predicted variance in physical activity among students. Theory-based interventions focusing on self-esteem and self-efficacy should be implemented to improve physical activity among female students.

It is known that personal behavior influences one’s health. The present study was designed to investigate lifestyle of non-medical students of governmental and private (Azad) universities in Kashan, Iran and factors affecting it. A cross-sectional study was carried out on 520 non-medical students in Kashan, Iran, selected by convenience sampling, in academic year 2013-14. Data on demographic characteristics and health behaviors were collected using standard valid questionnaires, for the latter the questionnaire being the Pender’s Health Promoting Lifestyle Profile II (HPLP II). The data were analyzed using the Kolmogorov-Smirnov test, followed by t-test, and U Mann-Whitney test to compare the means of the two populations. The m ean age of the students was 21.75 ± 2.5 years. Their overall health-promoting lifestyle score was of 2.43 (SD = 0.38). This score, as well as scores for the subcategories ─ nutritional behavior, spiritual development, physical activity, health responsibility, and stress management ─ were lower for the subjects with an experience of stressful events. Further analysis of the data showed that t here were significant differences between boys and girls as regards physical activity (P = 0.000), between single and married students as regards nutritional status (P = 0.032), and between working and non-working students as regards spiritual development (P = 0.014). The findings indicate that experienced stressful events lay the ground for the adoption of risky behaviors in university students. Therefore, universities should design and implement programs aiming at improving lifestyle of the students and promoting their health.

Promotion and improvement of children''s health is a part of the global obje-ctives of primary health care. This study inve-stigated psychometric characteristics of quality of life in elementary students of Kashan city in 2011.

This cross-sectional study was performed on 400 elementary stud-ents (Grades 3 to 5) who were selected through random sampling. Content validity of the Per-sian version of the PedsQL 4. 0 was checked and tested through the process of translating interview with children 9-12 years (N = 30) and their parents (N = 30) in the primary schools of the Kashan city. Construct validity and reliability of the PedsQL on the sample of elementary children in Kashan (N = 400) and their parents (N = 400) were tested. Criterion-related validity (concurrent) was estimated through investigating the correlation between child self-report of quality of life and parent proxy-report of quality of life along with demographic variables. Data were analyzed by using the SPSS V. 18، and LISREL8. 8 soft-wares.

Totally، content validity of PedsQL was 0. 84 and of the four subscales، physical، emotional، social، and school performances w-ere 0. 80، 0. 86، 0. 83، and 0. 88، respectively. Construct validity was good. (RMSEA = 0. 047، NFI=0. 99، GFI =1. 00، P =0. 15، df = 2، χ2 =3. 77). All inquiries showed a moderate to higher than 0. 40 loading over for four factors، physical، emotional، social، and school perfo-rmances. The correlation coefficient between the PedsQL and its four subscales were ace-ptable (r>0. 7). The PedsQL had a good internal consistency (α =0. 82). Cronbach alpha coefficients range of different categories of the mentioned tool was from 0. 65 to 0. 77. There was a significant relationship between PedsQL of children and parents and، also the demo-graphic characteristics of the population under study. Discusion &

The findings indic-ated the suitability of psychometric properties of the Persian version of PedsQL to measure the quality of life in elementary students. Sch-ool administrators and health system profess-sionals can use this study to design guidelines for creating a healthy environment and devel-opment of the programs of health-based edu-cation in order to improve the quality of life and health of students

This study aimed gender variations about adolescent's health-related quality of life.

A cross-sectional study was performed on four hundred students selected by a Stratified random sampling. Two-way analysis of variance was used for the analysis of total health-related quality of life scores among boys and girls in terms of demographic factors. Data analysis was conducted with software SPSS 18 and LISREL8.8 programs.

There were important differences in health-related quality of life total score between boys and girls in relevance rank of birth, level of education and BMI. Although, these differences werent statistically significant (p>0.05), Girls’ reports were higher compared to boys except for the emotional functioning subscale.

Teachers and parents should make great efforts for meet the requirements and difficulties of emotional and behavioral in adolescent girls. It is Necessary to execute coping mechanisms by the training consultants to minimize stress and anxiety for the mother to be.

Health-promoting behaviors of individuals are important determinants of health status. The objective of this study was to examine the psychometric properties of the Iranian version of health-promoting lifestyle profile II (HPLP II) among adolescent girls. Pender''s Health Promotion Model was the theoretical framework for this cross-sectional study of a sample of 500 high school girls (grade9-11)، in Kashan، Iran. The HPLP II reliability was estimated using the Cronbach''s alpha coefficient and test-retest. Concurrent validity was estimated by performing Pearson’s correlation between the HPLP II، and the 12-item Short Form Health Survey (SF-12)، perceived self-efficacy. In addition confirmatory factor analysis (CFA) was performed in order to evaluate construct validity. The data were analyzed using SPSS v. 18 and LISREL8. 8 programs. The Cronbach’s α coefficient was 0. 86 for the instrument and for subscales ranged from 0. 70 to 0. 77. The correlation between the HPLP II and the SF-12 and perceived self-efficacy were significant as expected. The confirmatory factor analysis yielded a good estimate of fit (χ2=6. 34، df =2، P = 0. 420،NFI = 0. 99، CFI = 0. 99، RMSEA = 0. 066). The psychometric properties of Iranian version of HPLP II showed satisfactory results and now it can be used in studies of health promotion among young adolescents.

Presently not sufficient attention is paid to adolescent health promotion in many countries, because of the widespread belief that adolescents are generally healthy. The purpose of this study was to evaluate predictors of adolescent girl's quality of life using path analysis based on Pender's health promotion model.

The Pender's health promotion model served as the framework of this cross-sectional study, which included a total of 500 adolescent girls (grades 9-11) selected by stratified random sampling from 20 high schools for girls in 4 districts of Kashan province, Iran. Inclusion criteria were being in grades 9-11 and a written informed consent (from teachers, parents and the girls themselves). Data were collected through interviewing the girls, the interviewers being trained persons, using several standard questionnaires (for perceived self-efficacy, perceived affect, perceived barriers, perceived social support; health promoting lifestyle, and health-related quality of life). Data analysis was done using SPSS18 and LISREL 8.8, the statistical test being path analysis.

All constructs of the health promotion model and health promoting lifestyle were significantly related to adolescent girl's quality of life. Perceived self-efficacy (β=0.70, p<0/01) and perceived affect (β=0.21, p<0/01) had the highest correlation with the quality of life. The model and the health-promoting lifestyle as a mediator accounted for 73% and 39% of variance in adolescent girl's quality of life, respectively.

The findings of this study indicate that the health promotion model can be used to explain and predict the quality of life of adolescent girls. Thus, the Pender's health promotion model is recommended to health planners for promoting the quality of life in this population