The Effects of Extended Parallel Process Model on Obese Soldiers’ Knowledge, Attitudes, and Practices about Obesity Management: A Randomized Controlled Clinical Trial

Meysam Hosseini-Amiri, Shahla Aliyari, Armin Zareiyan, Arasb DabbaghMoghadam

Abstract


Background: There are standard guidelines for obesity management, although only few obese people can adhere to these guidelines. This study aimed to assess the effects of Extended Parallel Process Model (EPPM) on obese soldiers’ knowledge, attitudes, and practices (KAPs) about obesity management.

Materials and Methods: This randomized controlled clinical trial was conducted in Yazd, Iran (2016). Two military centers were chosen through simple random sampling. They were randomly assigned to the experimental or the control group. Then, individuals were randomly selected and either received or did not receive high‑risk and efficacy information about obesity. The KAPs of soldiers were measured by researcher made questionnaires before, immediately after, and 1 month after training.

Results: Independent t test showed significant differences in perceived severity susceptibility response efficacy self‑efficacy knowledge and practices between two groups immediately after training (p < 0.001).

Conclusions: It seems that obesity management training according to EPPM is effective to the improvement of soldiers’ KAP during military services.


Keywords


Health education, Iran, military personnel, obesity management

Full Text:

PDF

References


World Health Organization. Obesity and overweight. [Cited]. 2012. Available from: URL: http://www.who.int/mediacentre/ factsheets/fs311/en. [Last accessed on 2016 Apr 27].

World Health Organization. Obesity and overweight. [Online]. 2015. Available from: URL: http://www.who.int/mediacentre/ factsheets/fs311/en/. [Last accessed on 2016 May 03].

Hosseinpanah F, Barzin M, Eskandary PS, Mirmiran P, Azizi F. Trends of obesity and abdominal obesity in Tehranian adults: A cohort study. BMC Public Health 2009;9:426.

Barzin M, Mirmiran P, Ramezankhani A, Hatami H, Azizi F. Prevalence of Obesity in Young Tehranian Males (18‑25y) Entering Military Service (Shahrivar 1386). Iran J Endocrinol Metab 2009;10:606‑13.

Esteghamati A, Meysamie A, Khalilzadeh O, Rashidi A, Haghazali M, Asgari F, et al. Third national Surveillance of Risk Factors of Non‑Communicable Diseases (SuRFNCD‑2007) in Iran: Methods and results on prevalence of diabetes, hypertension, obesity, central obesity, and dyslipidemia. BMC Public Health 2009;9:167.

Oreopoulos A, McAlister FA, Kalantar‑Zadeh K, Padwal R, Ezekowitz JA, Sharma AM, et al. The relationship between body mass index, treatment, and mortality in patients with established coronary artery disease: A report from APPROACH. Eur Heart J 2009;30:2584‑92.

Barengo NC, Hu G, Lakka TA, Pekkarinen H, Nissinen A, Tuomilehto J. Low physical activity as a predictor for total and cardiovascular disease mortality in middle‑aged men and women in Finland. Eur Heart J 2004;25:2204‑11.

Witte K. Fear control and danger control: A test of the extended parallel process model (EPPM). Commun Monogr 1994;61:113‑34.

Witte K. Fear as motivator, fear as inhibitor: Using the extended parallel process model to explain fear appeal successes and failures, In: Andersen PA, Guerrero LK, editors. The Handbook of Communication and Emotion: Research, Theory, Applications, and Contexts. San Diego: Academic Press; 1998. p. 423 50.

Witte K, Cameron KA, McKeon JK, Berkowitz JM. Predicting risk behaviors: Development and validation of a diagnostic scale. J Health Commun 1996;1:317 41.

Hatchell AC, Bassett‑Gunter RL, Clarke M, Kimura S, Latimer‑Cheung AE. Messages for men: The efficacy of EPPM‑based messages targeting men’s physical activity. Health Psychol 2013;32:24‑32.

Gharlipour Z, Hazavehei SMM, Moeini B, Nazari M, Moghim Beigi A, Tavassoli E. The effect of preventive educational program in cigarette smoking: Extended Parallel Process Model. J Educ Health Promot 2015;4:18‑24.

Solhi M, Zadeh DS, Seraj B, Zadeh SF. The application of the health belief model in oral health education. Iran J Public Health 2010;39:114‑9.

Hajian S, Shariati M, Mirzaii Najmabadi K, Yunesian M, Ajami MI. Use of the extended parallel process model (EPPM) to predict Iranian women’s intention for vaginal delivery. J Transcultural Nurs 2015;26:234‑43

Aliyari Sh, Zareiyan A, Dabagh Moghadam A, Hosseini Amiri M. The Survey of Obese Soldiers’ Knowledge, Attitude, and Practice about Obesity Management based on the Extended Parallel Process Model. J Milit Med 2018;19:544‑50.

Ebadi Azar F, Solhi M, Pakpour A, Yekaninejad MR. The impact of health education through Health Belief Model (H.B.M) on mother’s perceptions about obesity children obese male student in elementary schools (17th district, Tehran City). J Health Administration 2006;8:7‑14.

Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health 2007;30:459‑67.

Burns N, Grove SK. The practice of nursing research: Appraisal, synthesis, and generation of evidence. 6th ed. St‑Louis Missouri: Saunders Elsevier; 2009.

Davis SM, Martinelli D, Braxton B, Kutrovac K, Crocco T. The Impact of the Extended Parallel Process Model on Stroke Awareness Pilot Results from a Novel Study. Stroke 2009;40:3857‑63.

Bay A, Heshmati H. Factors Associated with Pesticide Use Behaviors among Farmworkers Based on Health Belief Model. Iran J Public Health 2016;45:276‑7.

Shi JJ, Smith SW. The effects of fear appeal message repetition on perceived threat, perceived efficacy, and behavioral intention in the extended parallel process model. Health Commun 2016;31:275‑86.

Kotowski MR, Smith SW, Johnstone PM, Pritt E. Using the Extended Parallel Process Model to create and evaluate the effectiveness of brochures to reduce the risk for noise‑induced hearing loss in college students. Noise Health 2011;13:261‑71.

Morman MT. The influence of fear appeals, message designs, and masculinity on men’s motivation to perform the testicular self‑exam. J Appl Commun Res 2000;28:91‑116.

So J. A further extension of the Extended Parallel Process Model (E‑EPPM): Implications of cognitive appraisal theory of emotion and dispositional coping style. Health Commun 2013;28:72‑83.


Refbacks

  • There are currently no refbacks.