Health-promoting Lifestyle Behaviors Research Articles

Determinants of Health Promoting Lifestyle Behaviors in Hospital Staff of Guilan University of Medical Sciences

Determinants of Health Promoting Lifestyle Behaviors in Hospital Staff of Guilan University of Medical Sciences

Health-life agreement: Conceptualization of a new construct and measurement

Health-life agreement (HLA) is the ability to meet demands in three life domains (i.e. work, family, and self) to the level of personal satisfaction without experiencing emotions that can affect the self or the others negatively. In this study, the authors developed a scale to measure the construct of HLA. The results of the k-means cluster analysis revealed four different profiles of HLA (i.e. harmonious, carefree, exhausted, and nonharmonious). The authors found that harmonious people scored highest in positive outcomes (i.e. health-promoting lifestyle behaviors and life satisfaction) and nonharmonious group scored highest in negative outcomes (i.e. turnover intention and aggression in relationships).

Health-Promoting Lifestyle Behaviours Among Primary Healthcare Professional Nurses in Eastern Cape Province, South Africa

Nurses play significant roles in health promotion and health education about healthy lifestyle practices and are considered role models of healthy lifestyle behaviours. It is unclear if their knowledge of healthy lifestyle choices translate to practice. This study assessed the lifestyle behaviours of primary healthcare professional nurses in the Eastern Cape Province, South Africa. This descriptive, cross-sectional study involved 203 purposively selected primary healthcare nurses in Eastern Cape Province, South Africa. We utilised the WHO STEPwise questionnaire to assess the lifestyle behaviour (smoking, alcohol use and physical activity) of the nurses. Descriptive and inferential statistics were carried out at a significance level of p<0.05. The participants’ mean age was 45.17 (Standard Deviation±11.26) years. Of all the participants, 27% had ever taken alcohol, and 18% currently use alcohol. Only 8% had ever smoked and of these, 3% currently smoke. Of all the participants, 33% do not engage in physical activities, and only 29% of them met the WHO recommendation for being active. Most of them were aware of the benefits of physical activities. Majority of the participants cited lack of time (74%) and lack of commitment (63%) as barriers to physical activity and few of them cited health challenges (3.9%). Among the primary health care professional nurses in this setting, we found a high prevalence of alcohol use and low prevalence of smoking and physical activity among primary health care nurses in this setting. There is a need to implement effective workplace strategies and wellness programmes that will foster healthy lifestyle practices among the nurses.

Relationships Among Fatigue, Anxiety, Depression, and Pain and Health-Promoting Lifestyle Behaviors in Women With Early-Stage Breast Cancer.

With a nearly 89% 5-year survival rate for women with early-stage breast cancer, symptoms are a priority. Healthy lifestyle behaviors may be temporally associated with symptoms; however, evidence is lacking. This research examined temporal relationships among healthy lifestyle behaviors and symptoms in women diagnosed with breast cancer receiving chemotherapy. This research was part of a study (R01NR012667) approved by the institutional review board. Women (n = 76) providing written informed consent participated in this longitudinal study examining health-promoting lifestyle behaviors and symptoms (fatigue, anxiety, depression, and pain). Participants completed well-validated self-report questionnaires primarily at a clinic visit. Statistical methods included descriptive statistics, linear mixed-effects models, and pairwise comparisons using SAS 9.4; α was set at .05. Lowest healthy lifestyle behavior scores for physical activity and highest scores for spiritual growth were reported. Significant changes in physical activity and stress management were noted. Fatigued patients had lower physical activity and nutrition scores than did patients without fatigue. Patients with anxiety had lower spiritual growth and interpersonal relation scores than did patients without anxiety. Relationships demonstrated temporal differences. Breast cancer survivors did not routinely engage in healthy lifestyle behaviors. Significant temporal changes in healthy lifestyle behaviors and symptoms and significant associations among healthy lifestyle behaviors, symptoms, and demographic and clinical factors were noted in this study. Knowing the temporal relationships among these variables provides insight that could be useful for nurses so they can encourage healthy lifestyle behaviors to mitigate symptoms throughout the cancer trajectory.

Health-Promoting Lifestyle: A Considerable Contributing Factor to Quality of Life in Patients With Hypertension.

Aim: Investigating the relationship between health promoting behaviors and quality of life in patients with hypertension. Methods: In this cross-sectional study, health-promoting behaviors and quality of life in patients with hypertension were assessed in a cardiology clinic of a university hospital in an urban area of Iran. The sample consisted of 93 patients with hypertension who were recruited using a convenience sampling method. Demographic data, Health Promoting Lifestyle Behaviors Profile (HPLP II) and World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaires were used to gather data. Data were analyzed using SPSS software version 21. Results: The mean score of health promoting behaviors was moderate (2.51 ± 0.47) with highest and lowest scores in nutritional (2.80 ± 0.52) and physical activity (1.78 ± 0.62) dimension, respectively. There was a statistically significant relationship between health-promoting behaviors and quality of life. The relationship between health-promoting behaviors and quality of life had the highest power in psychological health dimension (β = 5.353, P < .001) and lowest power in the environmental dimension (β = 0.365, P < .001). Conclusion: Improving quality of life of patients requires paying attention to educational interventions for creating changes in the lifestyle to improve all aspects of quality of life.

The Association Between Perceived Stress and Quality of Life in University Students: The Parallel Mediating Role of Depressive Symptoms and Health-Promoting Behaviors

PurposeThis study examined whether depressive symptoms and health-promoting lifestyle behaviors mediate the association between perceived stress and quality of life (QoL) in university students. MethodsUsing a cross-sectional survey, Korean university students (N = 187, Mage = 23.97 years; 54.0% Woman) completed structured questionnaires with psychometric adequacy. A parallel multiple mediation model was used to test the mediating effect of depressive symptoms and health-promoting lifestyle behaviors on the relationship between perceived stress and QoL. ResultsTotal effect of perceived stress, depressive symptoms, and health-promoting lifestyle behaviors on QoL was −.55. Of these, total indirect mediating effect was −.50, whereas direct effect was only −.05 in the parallel mediation model. In particular, depressive symptoms (indirect effect = −.32) and health-promoting lifestyle behaviors (indirect effect = −.18) completely mediated the relationship between perceived stress and QoL. ConclusionThe results suggest that effective strategies primarily focusing on improving depressive symptoms along with health behaviors are needed to decrease the negative effect of perceived stress on QoL.

Self-compassion and health-promoting lifestyle behaviors in college students

ABSTRACTLifestyle choices play a major role in health outcomes. Hence, examination of factors associated with a healthy lifestyle is important for health promotion. Self-compassion is related to health behaviors but research on the role of self-compassion facets (self-kindness vs. self-judgment, common humanity vs. isolation, mindfulness vs. over-identification) on health behaviors is scarce. A total of 423 Turkish undergraduates completed Self-Compassion Scale and Health-Promoting Lifestyle Profile II. Health behaviors positively correlated with self-kindness, common humanity, mindfulness, and total self-compassion but not with self-judgment, isolation, and over-identification. Hierarchical multiple regression analysis showed that mindfulness, self-kindness, and self-judgment were significant predictors of health behaviors. Results may guide clinicians about which components to focus on in self-compassion interventions designed for health promotion.

Health-promoting Lifestyles of Nurses and Its Association with Musculoskeletal Disorders: A Cross-Sectional Study.

BackgroundWork-related musculoskeletal disorders are a significant concern for public health, leading to temporary and permanent disability. Health care workers, including nurses, are at high risk for these disorders. This study aimed to assess the health-promoting lifestyles of nurses and their association with musculoskeletal disorders and symptoms.MethodsThis study explored health-promoting lifestyles and their association with musculoskeletal symptoms in nurses. In this cross-sectional study, a total of 300 nurses working in the teaching hospitals affiliated with Shiraz University of Medical Sciences (SUMS), were selected using systematic random sampling. Data were collected by two questionnaires, the Health-promoting Lifestyle Profile (HPLP) and the Nordic Musculoskeletal Questionnaire (NMQ).ResultsStudy findings showed that 47% of the study participants had a moderate level lifestyle. In terms of musculoskeletal symptoms, the most prevalent were reported in the back (88.33%), knees (83.33%), and thighs (71%). Moreover, Pearson correlation analysis revealed significant negative correlations between eating habits and musculoskeletal symptoms and interpersonal relations, while a significant positive correlation was found between nutrition and stress management with musculoskeletal symptoms.ConclusionLifestyle variables are a good predictor for nurses’ musculoskeletal symptoms. Therefore, knowledge of health-promoting lifestyle behaviors and practice of these behaviors are necessary to reduce musculoskeletal disorders among nurses.

Effect of Training Based on Choice Theory on Health-Promoting Lifestyle Behaviors among Menopausal Women

Background & aim: Menopause is considered as a stage of life that is often encountered by all women with symptoms as hot flashes, sweating, palpitations, sleep disorders, and urinary tract problems. The improvement of health-promoting lifestyle behaviors is one of the effective measures to moderate these symptoms by facilitating the women to enhance their lifestyle behaviors through making proper choices. The aim of this study was to measure the effect of training based on choice theory on health-promoting lifestyle behaviors in menopausal women. Methods: This two-group pretest-posttest design was conducted on 40 menopausal women within the age range of 45-55 years, referring to healthcare centers in Mashhad, Iran, in 2016. The subjects were randomly assigned into intervention and control groups using simple random sampling method. The data collection instruments included a demographic questionnaire, a menopause knowledge/attitude questionnaire, as well as Health-Promoting Lifestyle Profile II (HPLPII), which consisted of six dimensions of nutrition, physical activity, responsibility for health, stress management, interpersonal relationships, and spiritual growth. The intervention group received training in seven 90-minute sessions based on choice theory. The data were analyzed in SPSS software using descriptive statistics, Mann-Whitney U test, independent t-test, paired sample t-test, and Friedman test. Results: According to the results, after the intervention, the mean scores of total health-promoting lifestyle behaviors (p <0.03) and responsibility for health (P=0.005) showed a significant increase in the intervention group, compared to those in the control group. Conclusion: As the findings of this study indicated, the midwives could play an effective role in the moderation of menopausal side effects using choice theory. In this regard, the needs of the menopausal women in terms of boosting their awareness and practicing health-promoting lifestyle behaviors should be identified to deal with menopausal problems.

Health-Promoting Behavior and Influencing Factors in Young North Korean Refugees (NKRs) Living in South Korea

The number of young North Korean refugees (NKRs) entering South Korea to escape famine and poverty and improve their quality of life is drastically increasing. The aims of this study were to identify and compare health promoting lifestyle behaviors (HPLBs) of young NKRs, compared to South Koreans, and to investigate influencing factors related to HPLBs in young NKRs. Data were obtained from 150 NKRs residing in South Korea and 161 South Koreans. Respondents provided their psychological status (depression, stress, and life satisfaction) and HPLBs. The NKRs reported lower interpersonal relations scores and higher spiritual growth scores compared to the control group. Attendance in religious services, stress, and life satisfaction were significantly associated with HPLBs in young NKRs. Health education and/or promotion programs focusing interpersonal relations and spiritual growth may be beneficial. In addition, regular psychological health screening is proposed as part of health-checkup programs, potentially improving adjustment to South Korean society.

Assessment of health-promoting lifestyle behaviors of adults living in the semi-rural area.

OBJECTIVE:The aim of the present study was to determine the level of healthy lifestyle behaviors and related factors in the individuals who applied to the primary health-care center.METHODS:The study is a cross-sectional study of adults aged 18 years and over who applied to the primary health-care center. The sample size of the study was calculated as 992 people and 995 participants were accessible. The health-promoting behaviors of the individuals were assessed by the Health-Promoting Lifestyle Profile II (HPLP-II). In the analysis of the data, Mann–Whitney U-test, Kruskal–Wallis tests, and multiple linear regression analysis were used to determine effective variables on scale score.RESULTS:The mean age of the participants was 43.8±17.1. Of the total participants, 45.7% (n=455) of them were female. The median score obtained from the HPLP-II was 132. Health responsibility, nutrition, and interpersonal relations subscale scores of male were lower than female patients, while physical activity subscale scores were higher in male patients. In participants under the age of 48 years in the study, health responsibility, nutrition, interpersonal relations, and stress management subscale scores were higher. The scores of the married participants were higher than the areas out of the stress management subdimension. Stress management subscale scores were higher in individuals with primary and lower education levels in terms of health care, nutrition, and interpersonal relations. Those who had good family income status and health perception scores also received higher scores in terms of all subscale scores.CONCLUSION:Gender, age group, marital status, education level, income level, physician-diagnosed chronic disease history, and perceived health status were found to be related to health-promoting behaviors. Educational programs should be prepared in these issues by determining the issues that individuals are lacking in protecting and developing their health and social needs should be taken into consideration when these programs are being prepared.

Health-promoting Lifestyle in Patients after Percutaneous Coronary Intervention.

Background and ObjectivesThe purpose of this study was to determine the status of health-promoting behaviors in patients after percutaneous coronary intervention (PCI) and explore what factors affect healthy lifestyle behaviors.MethodsA total of 120 patients with coronary artery disease after PCI was included in this study. The Health Promoting Lifestyle Profile (HPLP) II was used to assess health-promoting lifestyle behavior. Data analysis was performed by t-test, analysis of variance, and multiple linear stepwise regression analyses.ResultsThe average age of the participants was 60.10±9.84 (range, 37–81) years old. Among the participants, 86.7% were men and 13.3% were women. In all, 24.2% of the patients had an excellent level of health-promoting lifestyle and 74.2% had a moderate level of health-promoting lifestyle. The spiritual growth scores were the highest, while stress management and physical activity scores were the lowest. The level of health-promoting lifestyle was higher for people with higher income and a diagnosis of stable angina.ConclusionsHealthcare providers should focus on promoting physical exercise and stress management for patients after PCI. It is also necessary to keep an eye out for patients with low income and severe illness to encourage a health-promoting lifestyle in these subsets of patients.

The validity and reliability of the type 2 diabetes and health promotion scale Turkish version: a methodological study.

A healthy promotion is important for maintaining health and preventing complications in patients with type 2 diabetes. The aim of the present study was to examine the psychometrics of a recently developed tool that can be used to screen for a health-promoting lifestyle in patients with type 2 diabetes. Data were collected from outpatients attending diabetes clinics. The Type 2 Diabetes and Health Promotion Scale (T2DHPS) and a demographic questionnaire were administered to 295 participants. Forward-backward translation of the original English version was used to develop a Turkish version. Internal consistency of the scale was assessed by Cronbach's alpha. An explanatory factor analysis and confirmatory factor analysis used validity of the Type 2 Diabetes and Health Promotion Scale - Turkish version. Kaiser-Meyer-Olkin (KMO) and Bartlett's sphericity tests showed that the sample met the criteria required for factor analysis. The reliability coefficient for the total scale was 0.84, and alpha coefficients for the subscales ranged from 0.57 to 0.92. A six-factor solution was obtained that explained 59.3% of the total variance. The ratio of chi-square statistics to degrees of freedom (χ2 /df) 3.30 (χ2 = 1157.48/SD = 350); error of root mean square approximation (RMSEA) 0.061; GFI value of 0.91 and comparative fit index (CFI) value was obtained as 0.91. Turkish version of The T2DHPS is a valid and reliable tool that can be used to assess patients' health-promoting lifestyle behaviours. Validity and reliability studies in different cultures and regions are recommended.

Health-promoting lifestyle behaviours of nursing students of a tertiary care institute

Background: In addition, Health promoting behaviours among the nursing students may affect the quality of patient education. Therefore, this study was undertaken to determine the health-promoting lifestyle behaviours of nursing students in a tertiary care institute, Maharashtra.Methods: This cross-sectional study was performed on 124 nursing students. Health Promotion Lifestyle Profile Proforma (HPLP)was prepared which consists of two parts, Part I deals with the sociodemographic characteristics of the participants and Part II of the proforma deals with Health-promoting lifestyle information which was a modified version of Health Promoting Lifestyle Profile II (HPLP II). It consists of 46 items divided into 7 subscales (Health responsibility, Physical activity, Food practices, Spiritual growth, Self-concept, Inter personal relations and Stress management). Internal consistency (Cronbach’s alpha) of this tool was 0.8197. Permission of Institute Ethical Committee was taken. Descriptive statistics were used to describe HPLP. Data was analyzed by using analysis of variance (ANOVA) and Mann Whitney test. Results: Majority 89(71.77%) were have good HPLP score and 29(23.39%) were excellent category. The mean overall (Total) HPLP score was 62.27±9.66 (range 33-87). The highest mean score in the subscale were for self-concept and spiritual growth. The lowest scores were for food practices and physical activity. Highly significant difference (p&lt;0.0001) was found between overall mean HPLP scores among the different age groups.Conclusions: These nursing students had reasonably good orientations towards health behaviours. Attention need to be paid for healthier food choices. Health promotion planning to motivate students for regular physical activity with the purpose of promoting health and preventing diseases is necessary.

Nurses' health promoting lifestyle behaviors in a community hospital

PurposeTo examine nurses' health-promoting lifestyle behaviors, describe their self-reported engagement in employee wellness program benefit options, and explore relationships between nurse demographic factors, health characteristics and lifestyle behaviors. BackgroundNurses adopting unhealthy lifestyle behaviors are at significantly higher risk for developing a number of chronic diseases and are at increased susceptibility to exhaustion, job dissatisfaction and turnover. Strengthening professional nurses' abilities to engage in healthy lifestyle behaviors could serve as a valuable tool in combating negative workplace stress, promote improved work-life balance and personal well-being, and help retain qualified health-care providers. MethodsIn a 187-bed community hospital in the Washington D.C. metropolitan area, we conducted an IRB-approved exploratory descriptive study. We examined 127 nurses' demographic characteristics, self-reported employer wellness program use, and measured their healthy lifestyle behaviors using the 52-item Health-Promoting Lifestyle Profile-II (HPLP-II) survey instrument. Nurse demographic and HPLP-II scores were analyzed in SPSS v20.0. Inferential univariate statistical testing examined relationships between nurse demographic factors, health and job characteristics, and HPLP-II score outcomes. ResultsNurses over 40years old were more likely to report participation in hospital wellness program options. Statistically significant age differences were identified in total HPLP-II score (p=0.005), and two subscale scores—spiritual growth (p=0.002) and interpersonal relations (p=0.000). Post-hoc testing identified nurse participants 40–49years old and ≥50years old experienced slightly lower total HPLP-II score, subscale scores in comparison to younger colleagues. ConclusionsNurses ≥40years old may benefit from additional employer support and guidance to promote and maintain healthy lifestyles, personal well-being, and positive interpersonal relationships.

Relationship Between Adolescents’ Health Promoting Lifestyle Behaviors and Self-Efficacy

Relationship Between Adolescents’ Health Promoting Lifestyle Behaviors and Self-Efficacy

Predictors of the Health-Promoting Behaviors of Nepalese Migrant Workers.

Health-promoting behaviors assist individuals to prevent disease, promote health, increase longevity, and enjoy a better quality of life. A number of interpersonal, social, and environmental factors have been shown to influence health-promoting behaviors. Little empirical evidence exists about the predictors of health-promoting behaviors among migrant workers. This study uses Pender's health promotion model to describe and identify the predictors of health-promoting behaviors in Nepalese migrant workers in Korea. A cross-sectional research design was used. Nepalese migrants who had been working in South Korea (n = 169) for over 6 months were surveyed between July and December 2012. Self-efficacy was measured using the Perceived Health Competence Scale, the Health-Promoting Lifestyle Profile II was used to measure health-promoting lifestyle behaviors, and perceived health status was measured using a single-item question. Descriptive statistics, correlation analysis, and multiple regression analysis were used to analyze data. Spiritual activity was the highest reported health-promoting behavior, whereas physical activity was the least practiced behavior. Self-efficacy was the only significant predictor of health-promoting behavior. The results of this study suggest that future health-promoting interventions should enhance the self-efficacy of target populations for individual health behaviors. Factors such as working conditions, culture, and economic background that may affect the health-promoting behaviors of migrant workers must be considered when planning nursing interventions. Multicultural nursing structures and policies are needed to reach out proactively to all adult migrant groups.

Integrating the Science of Habit: Opportunities for Occupational Therapy.

Chronic diseases are the leading causes of early morbidity and mortality in the United States. Because personal behaviors are the primary risk factors for developing chronic diseases, developing effective strategies to modify personal behaviors remains a national imperative. Occupational therapy can help address this problematic situation through interventions based on an understanding of habit and principles of habit modification. The objective of this paper is to provide an evidence-based argument for occupational therapy research and practice targeting health-promoting lifestyle behaviors as habits. We discuss empirical research conducted over the previous decade with a focus on the role of habit in daily behavior, key evidence-based strategies for changing existing habits and developing new habits, and recent advances in habit measurement in relation to issues of intervention design. Understanding habit development, function, and change offers a novel orientation for occupational therapy toward practice and research on many complex health problems.

Correlates of health-promoting lifestyle behaviors among Vietnamese female immigrants in Taiwan

ABSTRACTImmigration is a demanding and challenging life event that may cause married immigrant women to be likely to adopt unhealthy lifestyle behaviors. The aim of the authors of this study was to assess the prevalence of health-promoting lifestyle behaviors and their correlates among Vietnamese female immigrants in Taiwan. A cross-sectional study was conducted with 140 Vietnamese female immigrants from November 2012 to October 2013. Measures included demographic information, the Chinese Health Questionnaire, the General Functioning Scale of the Family Assessment Device, and a short version of the Chinese Health-Promoting Lifestyle Profile. Data analyses included descriptive statistics, Pearson’s product-moment correlation coefficients, t-tests, one-way analysis of variance, and a hierarchical multiple regression analysis. Vietnamese female immigrants with better individual health status, higher education from their original country, greater communication ability, better health status of the husband, and adaptive family functioning demonstrated greater participation in health-promoting lifestyle behaviors. Particularly, better husband’s health status and family functioning correlated with greater practices of health-promoting lifestyle behaviors after controlling for individual characteristics and experiences, with 38% of the total variance explained. Findings may serve to guide and design culturally specific, family-focused health promotion interventions to assist Vietnamese female immigrants and their families.

Associations Among Health-Promoting Lifestyle Behaviors, Perceived Stress, and Inflammatory Responses of Individuals with Chronic Graft-Versus-Host Disease (cGVHD) Following Allogeneic Blood and Marrow Transplantation

Associations Among Health-Promoting Lifestyle Behaviors, Perceived Stress, and Inflammatory Responses of Individuals with Chronic Graft-Versus-Host Disease (cGVHD) Following Allogeneic Blood and Marrow Transplantation