Investigating the Effect of an Educational Intervention Based on the Transtheoretical Model on Smoking Behavior Among Men Attending Comprehensive Health Service Centers in Qom
Background and purpose: Smokers and their readiness to change behaviour varies accordingly. This study aimed to determine the effect of an educational intervention based on the Transtheoretical Model on smoking behaviour among male smokers in Qom. Materials and methods: This interventional study was...
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Mazandaran University of Medical Sciences
2025-05-01
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| Series: | Journal of Mazandaran University of Medical Sciences |
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| Online Access: | http://jmums.mazums.ac.ir/article-1-21540-en.pdf |
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| author | Taher Oroji Ehsan Vesali-Monfared Bahram Mohagheg Mohammad Ebrahim Ghafari Mohammad Aligol |
| author_facet | Taher Oroji Ehsan Vesali-Monfared Bahram Mohagheg Mohammad Ebrahim Ghafari Mohammad Aligol |
| author_sort | Taher Oroji |
| collection | DOAJ |
| description | Background and purpose: Smokers and their readiness to change behaviour varies accordingly. This study aimed to determine the effect of an educational intervention based on the Transtheoretical Model on smoking behaviour among male smokers in Qom.
Materials and methods: This interventional study was conducted among male smokers aged 30 to 60 years who attended comprehensive health service centers in Qom in 2023. Sampling was performed using the convenience sampling method. Considering a 10% dropout rate, a sample size of 55 participants was allocated to each of the intervention and control groups. Participants were randomly assigned to the two groups using permuted block randomization with a block size of 4. After completing the pre-test questionnaires, six 45-minute educational sessions were delivered using lecture, question-and-answer, and brainstorming methods. The post-test phase was conducted two months after the educational intervention. For quantitative data analysis, descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential tests (chi-square test, independent t-test, and paired t-test) were used. A p-value of less than 0.05 was considered statistically significant.
Results: The average age of participants was 39.6 ± 7.6 years. After the educational intervention, the mean score of smoking behaviour in the intervention group decreased significantly compared to before the intervention (P<0.001; before:9.4 ±1.9, after:8.04 ±1.3). The mean scores of the Stages of Change and Processes of Change constructs in the intervention group increased significantly after the training compared to baseline (P<0.001; after:73.05±7.3). The mean score of the Temptation construct also showed a statistically significant decrease after the intervention in the intervention group (P<0.001; after: 2.5±1.29).
Conclusion: Educational interventions based on the Transtheoretical Model, combined with coping skills training and individual counselling, can be effective in improving stages of change, decision-making, temptation management, and promoting smoking cessation. |
| format | Article |
| id | doaj-art-20c197da860441b2ba57d4ea9d19f149 |
| institution | OA Journals |
| issn | 1735-9260 1735-9279 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Mazandaran University of Medical Sciences |
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| series | Journal of Mazandaran University of Medical Sciences |
| spelling | doaj-art-20c197da860441b2ba57d4ea9d19f1492025-08-20T02:10:25ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792025-05-01352453043Investigating the Effect of an Educational Intervention Based on the Transtheoretical Model on Smoking Behavior Among Men Attending Comprehensive Health Service Centers in QomTaher Oroji0Ehsan Vesali-Monfared1Bahram Mohagheg2Mohammad Ebrahim Ghafari3Mohammad Aligol4 MSc in Health Education, Faculty of Health, Qom University of Medical Sciences, Qom, Iran Ph.D, Gastrointestinal and Liver Diseases Research Center, Qom University of Medical Sciences, Qom, Iran P.h.D, Department of Health Education and Promotion, Faculty of Health, Qom University of Medical Sciences, Qom, Iran P.h.D,Assistant Professor of Biostatistics, Department of Biostatistics and Epidemiology, School of Health, Qom University of Medical Sciences P.h.D, Department of Health Education and Promotion, Faculty of Health, Qom University of Medical Sciences, Qom, Iran Background and purpose: Smokers and their readiness to change behaviour varies accordingly. This study aimed to determine the effect of an educational intervention based on the Transtheoretical Model on smoking behaviour among male smokers in Qom. Materials and methods: This interventional study was conducted among male smokers aged 30 to 60 years who attended comprehensive health service centers in Qom in 2023. Sampling was performed using the convenience sampling method. Considering a 10% dropout rate, a sample size of 55 participants was allocated to each of the intervention and control groups. Participants were randomly assigned to the two groups using permuted block randomization with a block size of 4. After completing the pre-test questionnaires, six 45-minute educational sessions were delivered using lecture, question-and-answer, and brainstorming methods. The post-test phase was conducted two months after the educational intervention. For quantitative data analysis, descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential tests (chi-square test, independent t-test, and paired t-test) were used. A p-value of less than 0.05 was considered statistically significant. Results: The average age of participants was 39.6 ± 7.6 years. After the educational intervention, the mean score of smoking behaviour in the intervention group decreased significantly compared to before the intervention (P<0.001; before:9.4 ±1.9, after:8.04 ±1.3). The mean scores of the Stages of Change and Processes of Change constructs in the intervention group increased significantly after the training compared to baseline (P<0.001; after:73.05±7.3). The mean score of the Temptation construct also showed a statistically significant decrease after the intervention in the intervention group (P<0.001; after: 2.5±1.29). Conclusion: Educational interventions based on the Transtheoretical Model, combined with coping skills training and individual counselling, can be effective in improving stages of change, decision-making, temptation management, and promoting smoking cessation.http://jmums.mazums.ac.ir/article-1-21540-en.pdfsmoking behaviortranstheoretical modeleducational intervention |
| spellingShingle | Taher Oroji Ehsan Vesali-Monfared Bahram Mohagheg Mohammad Ebrahim Ghafari Mohammad Aligol Investigating the Effect of an Educational Intervention Based on the Transtheoretical Model on Smoking Behavior Among Men Attending Comprehensive Health Service Centers in Qom Journal of Mazandaran University of Medical Sciences smoking behavior transtheoretical model educational intervention |
| title | Investigating the Effect of an Educational Intervention Based on the Transtheoretical Model on Smoking Behavior Among Men Attending Comprehensive Health Service Centers in Qom |
| title_full | Investigating the Effect of an Educational Intervention Based on the Transtheoretical Model on Smoking Behavior Among Men Attending Comprehensive Health Service Centers in Qom |
| title_fullStr | Investigating the Effect of an Educational Intervention Based on the Transtheoretical Model on Smoking Behavior Among Men Attending Comprehensive Health Service Centers in Qom |
| title_full_unstemmed | Investigating the Effect of an Educational Intervention Based on the Transtheoretical Model on Smoking Behavior Among Men Attending Comprehensive Health Service Centers in Qom |
| title_short | Investigating the Effect of an Educational Intervention Based on the Transtheoretical Model on Smoking Behavior Among Men Attending Comprehensive Health Service Centers in Qom |
| title_sort | investigating the effect of an educational intervention based on the transtheoretical model on smoking behavior among men attending comprehensive health service centers in qom |
| topic | smoking behavior transtheoretical model educational intervention |
| url | http://jmums.mazums.ac.ir/article-1-21540-en.pdf |
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