جستجوی مقالات مرتبط با کلیدواژه "مدل فرانظری" در نشریات گروه "پزشکی"

Hypertension is one of the most important public health challenges in the world, and self-care is an essential part of hypertension treatment. The present study aimed to investigate the effectiveness of a blood pressure management protocol based on the transtheoretical model on improving self-care, self-efficacy, and health-related quality of life in patients with hypertension.

This mixed-methods study consisted of two stages that were conducted in Tabriz Health centers in 2022-2023. The first stage was concerned with designing a blood pressure management protocol based on the transtheoretical model. The second stage was centered on a randomized controlled trial (RCT) to evaluate the effectiveness of the designed protocol on increasing self-care, self-efficacy, and health-related quality of life. Thus, 60 people with hypertension were included in the study and were randomly divided into two experimental and control groups. Data was collected via relevant questionnaires in the pre-test stage, immediately after the training (baseline), 2 months after the training in the post-test stage, and 4 months after the training in the follow-up stage. ANCOVA (repeated measures) statistical test was used to evaluate the effect of the intervention at different times.

In the patients of the experimental group, the designed protocol sustainably increased the dimensions of self-care over time (P<0.001). Also, this protocol was effective in increasing self-efficacy and health-related quality of life dimensions in the patients of the experimental group (P<0.001). This increase was not observed for the variables of self-efficacy, self-care, and quality of life in the control group (P>0.05).

The greatest effect of training based on the transtheoretical model was on the patients’ self-care. Furthermore, with the passage of time in the presentation of education, the effect of the intervention decreased. Therefore, it can be concluded that holding short training sessions continuously to stabilize the behavior change of patients with hypertension is necessary.

Reducing salt consumption in population is one of the easiest, most efficient and cost-effective ways to reduce the burden of cardiovascular diseases. The present study was conducted with the aim of investigating the factors related to the reduction of salt consumption using transtheoretical model among women in southern Iran.

This was a cross-sectional study (descriptive-analytical) conducted from November 2022 to February 2023 on women of 18-59 who visited comprehensive health centers in Bastak city. A total number of 452 subjects were selected using convenient sampling method. Data were collected using a questionnaire   with three sections: demographic information, a researcher-made questionnaire based on transtheoretical model constructs, and salt consumption reduction questionnaire. Data were analyzed using Kruskal-Wallis tests, Pearson's correlation and regression analysis with SPSS software (v. 22).

The results showed that participants were between 18 and52 with a mean of 35/51±10/13. 23/5% of the participants were in pre-contemplation stage, 21/7% in the contemplation stage, 20/8% in preparation stage, 11/3% in action stage, and 22/8% in maintenance stage.  Pearson correlation analysis results indicated that there were significant positive relationships between cognitive processes (r= 0/44, p<0/01), behavioral processes (r= 0/54, p<0/01), self-efficacy (r=0/43, p<0/01) , decision balance (r= 0/37, p<0/01), and salt consumption reduction behavior; but, there was a significant negative correlation between temptation and salt consumption reduction behavior (r=-0.34, p<0/01). Moreover, regression analysis results revealed that age, counter conditioning, self-efficacy, raising awareness, decision balance, helping relationships, and temptation can predict 38/1% of the total variance in salt consumption reduction behavior (p<0/05).

According to the findings, self-efficacy, temptation, cognitive and behavioral change processes, and advantages and disadvantages of salt reduction play a major role in salt consumption reduction behavior. It is suggested that these variables be taken into account in developing and implementing educational interventions.

Hypertension is one of the most common and preventable diseases worldwide. The most effective way to control blood pressure is the patient's adaptation to self-care behaviors. In this regard, teaching the principles of self-care without considering the challenges of behavior change cannot be effective enough. Considering that most previous studies have been limited to self-care education, ignoring effective psychological approaches in behavior change, this study aims to design a blood pressure management protocol based on transtheoretical model and determine its effectiveness in patients with high blood pressure.

This study will be conducted in two stages. In the first stage, the management protocol of blood pressure will be designed based on the transtheoretical model using the literature review and expert panel opinions. Then the content of the educational package will be compiled. The second stage will include the intervention and evaluation of the effectiveness of the self-care protocol, self-efficacy, and health-related quality of life in patients with hypertension, which will be conducted through including two intervention and control groups. The information will be collected using questionnaires related to self-care, stages of change, quality of life, and self-efficacy. Data will be analyzed using SPSS version 22 software.

In Iranian society, adherence to treatment in patients with hypertension is low. Thus, implementing a self-care protocol based on the comprehensive theory of changing behavior such as transtheoretical model can be effective in improving self-efficacy, self-care, and quality of life in patients with hypertension.

Cardiovascular diseases are the most common cause of death in most countries of the world, hypertension being the most important cause of disability. The aim of this study conducted in 2020-2021 was to determine the effect of educational intervention on the nutritional knowledge, illness perception and dietary adherence in hypertensive middle aged women based on the transtheoretical model (TTM).

This was a quasi-experimental study on middle-aged women (30-59 years old) suffering from hypertension referred to the  health centers and health bases in the 21st district of Tehran in 2020-2021. A total of 164 subjects were randomly assigned to the intervention (n=82) or control (n=82) group by randomized quadruple blocks. A multifaceted questionnaire was completed for both the control and intervention groups and their blood pressure measured. This was followed by  a one-month virtual education for the intervention group in the form of a WhatsApp group and designing and developing fifty-six podcasts and educational clips with a maximum duration of four minutes based on the transtheoretical model constructs. After a lapse of one and six months both groups completed the questionnaire again and their blood pressure was measured. Descriptive statistics and general linear model were used for data analysis using the SPSS version 25 (p<0.05).

Before the intervention the mean age of the subjects was 50.16 years and their systolic and diastolic blood pressures were 1.35 and 1.84 mmHg, respectively, and there were no statistically significantly differences between the two groups as regards contextual variables, constructs of nutritional awareness, disease perception, diet adherence, systolic and diastolic blood pressures and body mass index (as an ananthropometric index) and transtheoretical model constructs. Data one month after the intervention revealed significant differences (p<0/001) between the two groups (p <0/001) as regards the constructs of nutritional awareness, disease perception, self-sufficiency construct of the transtheoretical model and systolic blood pressure. Six months after the intervention significant differences were observed between the two groups as regatds  nutritional awareness constructs, disease perception (p<0.007), diet adherence (p<0.001), stages of change constructs (p<0.001) and self-sufficiency (p<0.001) of the transtheoretical model.

The results of this study show that educational intervention based on the transtheoretical model in middle-aged women with hypertension can increase their nutritional knowledge, illness perception, self-sufficiency, self-adequacy and diet adherence.

The practice of breastfeeding among mothers is affected by their knowledge of, and attitude to, it. Therefore, this study aimed to determine the effect of intervention, using the transtheoretical model (TTM), on the knowledge, attitude and practice of exclusive breastfeeding among pregnant women in the third trimester referred to Golestan University of Medical Sciences in hospitals in 2021.

This quasi-experimental intervention was conducted on 120 pregnant women in the third trimester of pregnancy randomly assigned to an intervention (n = 60) or a control (n = 60) group using the permuted block randomization. The data collection tools were a two-part questionnaire to collect data on demographic and obstetric characteristics and a researcher-made questionnaire based on the TTM. Due to the coronavirus Epidemic the education was conducted partly face-to face in five 30-minute sessions three times a week observing the health protocols and partly virtually via WhatsApp and Telegram messenger (audio file, video tutorial, electronic pamphlets and posters). The data collected one and six months after the intervention were analyzed using the SPSS software version 16, the tests being descriptive and inferential tests.

The mean scores of knowledge, attitude, practice and the TTM constructs were not statistically significant between the intervention and control groups before the education intervention. One and six months after the intervention the mean scores of knowledge, attitude and practice and the TTM constructs, as well as perceived barriers and benefits in decision-making and self-efficacy were found to be significantly different between the intervention and control groups (p< 0.001).

Based on the findings it seems that breastfeeding education of pregnant women based on the transtheoretical model can improve their knowledge, attitude and practice as regards exclusive breastfeeding.

Cervical cancer is a preventable cancer. Pap smear test is one of the screening methods for cervical cancer. The aim of this study was to investigate the effect of educational intervention based on Trans-theoretical model on participation in Pap Smear test.

This quasi-experimental study was performed in 2016 on 70 eligible women in Chatroud who were assigned to the intervention and control groups by simple random sampling. The data collection tool was a confirmed researcher-made questionnaire which was completed before and two weeks after the educational intervention. The training program was performed in 8 sessions in the form of lectures, questions and answers, group discussions, and Showing videoes for the intervention group. Data were analyzed using chi-square, paired t-test, and independent t-test in SPSS software version 16.

The results showed that the difference between intervention and control groups was not statistically significant in terms of demographic variables. Before the educational intervention, there was no statistically significant difference between the stages of change (P-Value=0.094) and the score of perceived barriers (P-Value=0.23) between the intervention and control groups, but after the educational intervention this difference was significant (P-Value<0.001). Paired t-test also showed a significant difference between the scores of perceived barriers and benefits and self-efficacy before and after the educational intervention in the intervention group (P-Value<0.001). Howevere, in the control group this difference was not significant. Prior to the educational intervention, only 9 Pap Smears were performed in the intervention group, which increased to 25 after the intervention. There was a statistically significant difference between the behavior of performing Pap Smear test (P-Value=0.002) in the two groups.

The results of this study showed the significant effect of educational intervention on the stages of behavior change, decision balance, self-efficacy, and behavior based on Tran’s theoretical model constructs and promotion of performing Pap Smear test behavior.

Patient education is an essential component of diabetes control, and increasing the health knowledge of diabetic patients based on suitable educational theories is crucial. This study aimed to determine the effect of educational intervention using the Transtheoretical Model (TTM) on improving the nutritional habits among patients with type-2 diabetes mellitus in Maragheh city, Iran during 2017-2018.

This study was a randomized controlled trial conducted on 136 diabetic patients under coverage of Maragheh health centers, Maragheh city, Iran, randomly divided into two groups of intervention and control (68 participants in each group). The data collection tool was a three-part questionnaire with questions/items related to demographic characteristics and nutritional habits, as well as constructs of TTM and HbA1c based on the TTM. The educational program included four weekly sessions of 45-60 minutes each. The data were analyzed using the SPSS16 software, the statistical tests being descriptive and inferential tests such as ANCOVA; the significance level was set as a p-value < 0.05.

Before the intervention, the comparison and control groups did not differ significantly as regards demographic variables, HbA1c, TTM constructs and nutritional habits (p<0.05). After the educational intervention, the mean scores of nutritional habits, constructs of TTM and HbA1c were statistically significant in patients with type 2 diabetes (p <0.01).

The study results reveal that the application of transtheorical model can improve the nutritional habits of diabetic patients.

Breast cancer is the second leading cause of death from cancer among women. Monthly breast Self-Examination is an important screening strategy for early detection of breast cancer, but few women do this. The purpose of this study was to determine predictors of breast self-examination behavior in housewives based on the trans-theoretical model. This descriptive-analytic study was incorporated 450 housewives aged between 20 to 40 years old referring to health centers in Birjand. Sampling was through the Stratified Sampling method. Data collection was carried out through a researcher-made questionnaire including demographic information and dimensions of the meta-theory model and knowledge questions whose validity and reliability were confirmed. The data were analyzed by SPSS 19 software and analyzed by multivariate logistic regression and Pearson correlation coefficient test. Mean age of the housewives was 30.75±5.24 years. As regarding the stages of transition in breast self-examination (BSE) behavior, 32.9% were in the pre-contemplation stage, 19.6% in contemplation, 23.3% in preparedness, 18.2% in action, and 6% in maintenance stages. Regression analysis showed that self-efficacy, knowledge, and education level were predictors of BSE. The findings of the study showed that self-efficacy and knowledge were predictors of BSE. Therefore, BSE behavior can be reinforced via educational programs that aim at increasing awareness and self-efficacy among women.

Background and Cardiovascular diseases are the leading cause of death in Iran and today these diseases occur at younger ages. The purpose of this study was to assess the effect of educational-based health promotion interventions using the Transtheoretical Model (TTM) on nutritional behaviors (consumption of fruits, vegetables, and fish) in order to reduce the risk factors for cardiovascular disease in high-risk adults.
We conducted a randomized controlled trial in 1230 people aged 30-50 years. Some information including the knowledge, food intake status (fruits, vegetables and fish consumption) and intermediate risk factors such as body mass index, abdominal obesity, blood pressure, blood lipids and blood glucose were recorded. Then 332 high risk participants (intervention group= 164 and control group= 168) were selected via multistage sampling. The interventions was carried out through training classes, brochures and posters, and text messages. Intervention programs were based on individuals’ readiness for behavioral changes.
Significant differences were found between the intervention and control groups in knowledge and consumption of fruits and vegetables (p According to this study, the model-based intervention was found effective in increasing health-oriented behavior. Increasing the intake of fish requires broader interventions and changes in anthropometric indexes and LDL demands more time.

Introduction and Despite the wide range of health benefits of physical activity, many people have a sedentary life style. Thus, it is necessary to conduct some interventions to promote physical activity. One of the most widely applied models in the field of exercise behavior is the Transtheoretical Model. In this study, we aimed to determine the effectiveness of an educational program based on the Transtheoretical model (TTM) to increase use of the processes of change for physical activity among the employees of Birjand universities.
This quasi-experimental study was conducted on 76 employees of Birjand universities, who were divided into two groups of intervention and control. The data collection tool was a valid and reliable questionnaire including items on demographic variables, as well as stages and processes of change. The intervention group received three sessions of TTM-based intervention. The questionnaires were completed before, just after, and three months postintervention for the two groups. The data were analyzed by SPSS, version 16.
Immediately after the intervention, there was a significant difference between the case and control groups in terms of the mean scores of cognitive processes (i.e., dramatic relief, self-reevaluation, consciousness-raising, and environmental reevaluation) and behavioral processes (i.e., counterconditioning, stimulus control, and self-liberation). Furthermore, three months after the intervention, a significant increase was noted in the intervention group compared to the control group with respect to mean scores of cognitive processes (i.e., dramatic relief, consciousness-raising, environmental reevaluation, and self-reevaluation) and behavioral processes (helping relationships, contingency management, stimulus control, and self-liberation).
Considering our results, TTM-based interventions targeting the processes of change can be effective in promoting physical activity behavior among employees.

Long-term work with computer can lead to damage of vision and musculoskeletal disorder on the computer users. The aim of this study was to determine the predictors of ergonomic computer users based on the Trans theoretical model of computer users working in Baqiyatallah hospital (Aj) in Tehran.
Material and This descriptive study - an analysis on 102 computer users with up to 20-hour work per week was done with computer. To collect demographic questions and questions valid and reliable questionnaire was used the Trans theoretical model. The data descriptive and analytical statistics were spss software at a significance level 0/05.
The mean stage of change the samples studied was 2.7. And the Trans theoretical model structures efficacy was good and 50% of the balance in the decision making process change and change process in the moderate and low.
Educational interventions based on the Trans theoretical model structures can improve ergonomic knowledge for computer users.

Improvement of nutrition like fish and sea products is influential in preventing from non-contagious diseases. The transtheoretical model is one of the models for effective investigation on nutrition behaviors. This study was done with the aim of investigating fish consumption among women 30 to 50 years old based on the transtheoretical model.
This study was an analytical and cross sectional analysis which was conducted in 2014 on 360 women 30 to 50 years in Arak city. The data have been collected by using researcher-made questionnaires which its validity and reliability was assessed in accordance to the transtheoretical model were obtained by visiting houses. Then the collected data were analyzed by pearson correlation test.
The average age of the respondents was 39.34±7.5. The average of fish consumption was 0.62 ±0.83 times a week. 64 % of people in consumption of at least two servings of fish a week were in the two first stages of change (pre-contemplation and contemplation).The average score of self-efficacy in fish consumption was a total of 10.58 ±3.12 out of 15 and the average score of cons of fish was 26.35 ±4.78 and the average score of pros of fish was 21.6 ±2.67 out of 25. Pearson correlation indicates that the amount of fish consumption with constructs of the self-efficacy, stages of change and pros of fish had respectively the most positive correlation (p≤0.05). Fish consumption had no significant difference with age, education, Body Mass Index, occupation, monthly income and marital status.
Fish consumption despite its high level of perceived benefits is really low and to eliminate these barriers, education and cultural-building especially in women who are influential people in family nutrition is necessary.

this study was to determine the effect of educational intervention on the Trans-theoretical Model in the promotion of physical activity in older men. This study was a clinical trial on 140 elderly retired member of the Association of Qom، a random selection of properties in the control and intervention groups. Trans-theoretical Model model-based tools used questionnaires and physical activity questionnaire was aged Champs. To analyze the results of chi - square and analysis of variance with repeated data in SPSS version 18 is used. This study was approved by the site IRCT number IRCT201407208742N5. Before the intervention and control groups in terms of demographic variables and physical activity showed no significant difference (p<0/05). Average score for the elderly physical activity intervention group before training، after training for one month and six months after training were significantly different (p<0/001). The mean score on the questionnaire structure-based model of education in this group had no significant difference (p˂0/05). Control group، a significant difference in the mean score of physical activity questionnaire structures there. Based on the findings of research conducted on the Trans-theoretical Model in promoting physical activity intervention is effective and valid، and the Trans-theoretical Model can be useful in this context. With the application of this model and identify the barriers and facilitators of physical activity in the elderly can be effective steps taken to promote regular physical activity.

The ability to perform a self-assessment as a critical competency of professionalism is considered essential for medical students at the Medical Education Accreditation Council. In this study, interns’ status of readiness to change was investigated in terms of self-assessment of clinical competency in Mashhad University of Medical Sciences using construct of the stages of change of trans-theoretical model. In this descriptive study 127 interns were selected through Morgan table based on convenient sampling in Mashhad University of Medical Sciences in 2013-2014 academic years. The data was collected through a researcher-made questionnaire consisted of three sections: demographic information, background information and questions about the construct of the stages of change. After verifying the validity and reliability, questionnaires were completed through self-administration method. One-way ANOVA, T-test, Kruskal-Wallis and Spearman correlation coefficient were used to analyze the data. More than half of the students (70.48%) were at the early stages of pre-contemplation and contemplation in the Trans-theoretical Model. A Bout (4/9%) of them had passed the pre-contemplation and contemplation and assessed their own clinical competency. Also 15.57% of the students were at the stage that self-assessment of clinical competency was part of their behavior. Results show that most medical students do not assess their clinical performance despite the fact that self-assessment and identification of educational needs are necessary for lifelong learning. It is recommended that self-assessment be used along with other assessment methods.

In developing countries، cervical cancer is the second most common cancer in women and in Iran the third is allocated between common cancers. Therefore، regular screening for the prevention of this disease is of great value. This study done، aimed to determine Pap smear screening behavior in women، according to the Trans-theoretical Model. In this cross-sectional study، selected 800 women referred to urban health centers Gonabad، with quota sampling method. The instrument was a researcher-made questionnaire including: demographic information، knowledge about cervical cancer and stages of change behavior pap smear screening of prochaska''s model. The obtained data were analyzed by SPSS 16. Mean age±SD of women was 36. 76±9. 25 years. The results indicate that 10. 3، 8. 4، 5. 1، 13. 1، 32. 6 and 30. 5 % of the women studied were in the stages of Pre-contemplation، Contemplation، preparation، Action، Maintenance، and Relapse، respectively. While 54. 3 percent of subjects had experienced uterine infection، only 33. 2% were aware of cervical cancer and how to recognize it. The statistical analyses show that there were significant difference between Pap smear screening behavior stage of change and age، marriage age، pregnancy age، pregnancy number، delivery number، child number and education، education and uterine infection background (P<0. 001). This study indicated that 54. 3 % of subjects do not Pap smear screening behavior and 66. 8% haven’t knowledge of cervical cancer and its early detection methods. Therefore، appropriate educational intervention based on stage of change for promotion of Pap smear screening behavior seems to be essential.

Physical activity is an effective health behavior not only to prevent various health problems but also to promote healthy lifestyle. Transtheoretical model (TTM) is one of the models applied to assess physical activity behavior. The aim of the current study was to investigate factors affecting physical activity behavior among employees of Birjand universities, based on the model. This cross-sectional study was conducted on 200 employees in deputies of Research and Education sectors in Birjand universities, who were recruited through Census method. The instrument for data collection was a questionnaire including demographic variables and having the constructs of Transtheoretical model. The questionnaire was completed through self-reported method. Validity of the questionnaire was tested by experts regarding its face and content validity. The questionnaire`s reliability was confirmed using Cronbach's alpha and correlation coefficient through test-retest method. The obtained data was analyzed by one-way ANOVA, Kruscal-Wallis and post hoc Tukey's test using SPSS software (V: 16) and P<0.05 was taken as the significant level. Mean age of the participants was 36.9 ± 8.9 yrs. Out of 200 subjects 90 (45%) were male. Among the participants 14% were in precontemplation stage, 28% in contemplation, 29% in preparation, 7.8% in the action, and 21.2% in maintenance stage of physical activity behavior. ANOVA test revealed a significant difference between the physical activity stage of change and pros, decisional balance, process of change, self-efficacy (p<0.001). Since the majority of employees had a sedentary lifestyle, it is a necessity to conduct some planned interventions in order to promote their physical activity behavior. Regarding this, interventions based on transtheoretical model can be helpful.

Understanding relationships between dietary factors and prevention of diabetes is increasing. Pre-diabetic patients should have an appropriate diet. The overall goal of this project was to investigate the effect of application of Trans-theoretical Model based education on enhancing nutritional behaviors in pre-diabetic individuals in Yazd city. This experimental-trial research with control group was conducted on randomized samples of 220 pre-diabetic patients referred to Yazd city health centers using Trans-theoretical Model to improve nutritional behaviors controlling diabetes. In order to achieve project goals، a multi-dimensional questionnaire was designed based on the model constructs and requirements and filled in a long with 72-hour recall and food frequency forms by participants before and after intervention. Before intervention، measurements of stage of change construct revealed that majority of participants (i. e. 86. 4% of experimental group and 79. 1% of control group) were in the pre-action stages (pre-contemplation، contemplation and preparation) in terms of nutritional behaviors. However، 21. 4% of the experimental group and 73. 4% of the control group were observed in the pre-action stages after the intervention. Type 2 diabetes is a global crisis that threatens health and economy of all nations. Scientific evidence shows that the vast majority of type 2 diabetes can be prevented through improving diet and lifestyle modification in pre-diabetic patients.

According to the statistics of the World Health Organization (WHO) in 2003، sedentary lifestyle has led to 1. 9 million deaths worldwide. Despite many benefits of physical activity، more than 60% of adults worldwide and more than 80% of Iranian adults are inactive in terms of physical activities. Studies in Iran show that women’s health in this domain is at higher risk than men. Trans-theoretical model is a model that is known as a comprehensive model of sport. The aim of this study was to determine the effectiveness of education in physical activity among housewives in Zahedan، Iran. In this case-control study، 220 housewives (aged 19-52 years) living in apartments in Zahedan were studied (110 subjects in intervention group and 110 subjects in control group). Blocks sampling method was simple random sampling، then sequence number، the other blocks were sampled until sampling was completed. A multi-sectional questionnaire containing demographic characteristics، physical activity، stages of change and decisional balance were used. Its validity was determined by content validity and its reliability was determined by Cronbach''s alpha. This study indicated that before training، there was no significant difference between groups in terms of awareness، attitude and structures of trans-theoretical model. However، after the training، a significant increase was observed in the mean scores of awareness، attitudes، and model structures in the intervention group (P < 0. 001). According to the study، educational intervention on physical activity was effective. Corresponding institutions should include universities and other centers to develop and implement physical activity training programs.

Despite importance of physical activity in health، welfare and quality of life، today most people do not have adequate physical activity. The aim of this study was to evaluate the effectiveness of interventional program based on trans-theoretical model to promote regular physical activity in office workers in Ilam University of Medical Sciences. This was a pre and post-interventional study which was conducted on 97 employees in Ilam University of Medical Sciences. First، participants were selected by random sampling and then they completed the trans-theoretical model self-report questionnaire. Participants received educational package including a pamphlet، booklet and physical activity video CD that designed based on trans-theoretical model. After three months to determine the effectiveness of intervention، the trans-theoretical model questionnaire was completed again. The mean age of the participants was 32. 16 ± 6. 7 years. 42% of the study subjects were males and 55% were females. Findings showed that participants were interested in walking (42. 3%)، recreational swimming (52. 6%)، gym sports (3. 1%) and climbing (1. 2 %) as regular physical activities. Comparing the results of physical activity changes showed that the interventional program significantly improved participants'' stage of change (P < 0. 05). In addition، comparing the mean score of decisional balance، process of change and physical activity self-efficacy indicated a significant increase in trans-theoretical construct in post-interventional phase compared with the pre-interventional phase (P < 0. 05). Findings indicate a significant increase in mean score of consciousness raising، dramatic relief، counter condition، stimulus control، supportive relationships، self-liberation after the intervention compared with the post-interventional phase (P < 0. 05). However، increase in mean score of other cognitive and behavioral processes levels was not significant. According to the results، design and implementing of interventional programs based on behavioral change models could improve health-related behaviors.