Health-Promoting Lifestyle Profile Research Articles

The Relationship Between Self-care Ability and Health-Promoting Behaviors of Patients with Multiple Sclerosis

Background: Multiple sclerosis (MS) is a chronic disease. Familiarity and awareness of self-care conditions and health-promoting behaviors contribute to patients’ self-efficacy. Objectives: This study examines the relationship between self-care ability and health-promoting behaviors in patients with Multiple Sclerosis. Methods: This descriptive-analytical study involved 112 MS patients from the MS Society of Khuzestan province, selected through convenience sampling. Data were collected using a demographic form, Weaver’s Self-Care Inventory (SCI), and Walker’s Health-Promoting Lifestyle Profile (HPLP), then analyzed with SPSS software at a significance level of 0.05. Results: The mean self-care ability score was 104.49 ± 12.72 (range 40 - 240), and the mean health-promoting behavior score was 132.52 ± 12.72 (range 50 - 208), indicating overall poor health-promoting behaviors. Self-care ability was significantly related to health-promoting behaviors in MS patients (P < 0.01). Age (P = 0.001), education (P = 0.002), and job type (P = 0.017) showed significant relationships with self-care ability. However, there was no significant relationship between demographic variables and health-promoting behaviors (P < 0.05). Conclusions: Multiple sclerosis patients exhibit poor health-promoting behaviors and self-care ability. Improving self-care ability and health-promoting behaviors requires ongoing education and culturalization. The MS Society can design and implement structured training programs by understanding the self-efficacy needs and abilities of patients and collaborating with other therapy group members.

Relationships among health promotion behaviors, patient engagement, and the nurse practitioner-patient partnership.

Individuals adopting health promotion behaviors benefit from improved health and reduced risk of chronic diseases. Patient engagement and a strong provider-patient partnership may play a role in health promotion. This study examined the relationships between patient engagement, the nurse practitioner-patient partnership and health promotion behaviors among adults in a primary care setting. A descriptive correlational study using convenience sampling to recruit 85 participants from a nurse practitioner primary care practice. Participants completed questionnaires measuring health promotion behaviors (Health Promoting Lifestyle Profile II), the quality of the nurse practitioner-patient partnership (Patient Reactions Assessment), and a person's capacity to engage in their health care (Person Engagement Index). Moderate to strong correlations were found among the main study variables. Multiple regression analysis found a person's capacity to engage in health care significantly predicted health promotion behaviors (R2 = 0.362, p < .001) and explained 36.2% of the variance in health promotion behaviors. Patient engagement is a significant predictor of health promotion behaviors. The interactive care model can serve as a framework for nurse practitioners to build partnerships and facilitate patient engagement. Nurse practitioners can serve as a coach, navigator, collaborator, and trusted health care partner with their patients. Nurse practitioners in primary care may need to restructure the health care encounter to allow for adequate time to communicate, listen, educate, and enlist patients in the shared decision-making process. Nurse practitioners can provide the support patients need to engage in their health care as they accept greater responsibility for their health.

Does health-related college major have an effect on health-promoting behaviors? Evidence from Iranian‘s staff

BackgroundHealth-promoting behaviors and lifestyle changes can reduce the cost of health services, stress, and disease complications. This study examined the status of health-promoting behaviors and its influencing factors. MethodsThis cross-sectional study was conducted on 171 staff members of Zanjan University of Medical Sciences, Iran, in 2023. The Persian version of the health-promoting lifestyle profile II questionnaire was used. Analyzes were performed in R 4.3.2 software. ResultsMean ± SD age was 37.67 ± 7.58 years. 83 % had the low levels of health-promoting behaviors, while 17.0 % had moderate levels. The physical activity and interpersonal relation had the lowest and highest scores. The most significant strong and weekly correlations was between health responsibility and physical activity with total score of health-promoting behavior scores (r = 0.81, r = 0.66). Staff with health-related college major performed better in the areas of nutrition, stress management, spiritual growth. ConclusionHealth-related college major is the most important factor affecting health-promoting behaviors. Also, health responsibility is most related to these behaviors. Educational interventions should be done at the community level, regardless of people’s field of study, to increase people’s knowledge and awareness about risk factors and improve the level of health.

Health-Promoting Lifestyle and Its Predictors in Renal Transplant Recipients in Hunan, China: A Cross-Sectional Study.

Kidney transplantation is a critical treatment for end-stage renal disease (ESRD), with health-promoting lifestyle (HPL) significantly impacting patient outcomes. HPL involves behaviors like regular exercise, balanced nutrition, stress management, and habit modification. However, few studies have analyzed the HPL of renal transplant recipients, addressing a significant gap in current research. This study aimed to determine the predictors of HPL in renal transplant recipients using the Chinese Health Promoting Lifestyle Profile (HPLP). This cross-sectional study enrolled renal transplant recipients completing the revised Chinese HPLP at organ transplant center in a tertiary hospital in Hunan Province of China between May 2022 and July 2022. A total of 450 patients were included, comprising 256 males (56.9%), with a mean age of 44.85 ± 10.57 years. The mean score of self-actualization, health responsibility, interpersonal support, physical activity, stress management, nutrition, and overall HPLP were 15.27 ± 5.03 (possible range: 0-24), 11.41 ± 4.18 (possible range: 0-24), 11.61 ± 3.13 (possible range: 0-18), 7.53 ± 3.79 (possible range: 0-18), 12.68 ± 3.61 (possible range: 0-21), 11.17 ± 2.41 (possible range: 0-15), and 69.66 ± 16.98 (possible range: 0-120), respectively. Multivariate logistic regression analysis showed that urban residence (OR = 2.061, 95% CI: 1.350-3.148, P = 0.001), non-smoking after transplantation (OR = 2.010, 95% CI: 1.123-3.600, P = 0.019) and two post-transplant complications (OR=0.387, 95% CI: 0.218-0.689, P = 0.001). Although renal transplant recipients exhibit a moderate level of HPL, targeted interventions are essential to improve these behaviors. These interventions should focus especially on individuals from rural households, post-transplant smokers, and those experiencing post-transplant complications, to enhance their quality of life and clinical outcomes.

Repercussions of Perceptions and Attitudes Related the COVID-19 on Healthy Lifestyle Behaviors in Young Adults

Objective: This study was conducted to determine the effects of young adult individuals’ perception of disease (PD), perception of causes (PC), perception of control (PCL), and avoidance behaviors (AB) related to the COVID-19 pandemic on their healthy lifestyle behaviors. Methods: The study was carried out with a cross-sectional, correlational design at a university in the south of Turkey. The research was conducted online and completed with 786 young adults aged 18-24. The study data were collected using a socio-demographic form, the Scale for Evaluating Perceptions and Attitudes towards the COVID-19 Pandemic, and the Health Promoting Lifestyle Profile (HPLP). Results: A moderate positive correlation was found between the mean HPLP total scores of the young adults and their mean scores for PC-Environmental, PCL, and PCL-Individual (p

Do health-promoting lifestyle approaches manage mental health among adolescent/young college students?

College students are often still relatively young, making their mental health more likely to be overlooked. A healthy lifestyle is considered the key to preventing and controlling mental health problems nowadays. This study aimed to investigate whether health-promoting lifestyle approaches manage mental health among adolescent/young college students. This cross-sectional study was conducted on 187 adolescent/young college students at Babol Medical Science University, Babol, Iran. Characteristic demographics, health-promoting lifestyle profile (HPLP), and general health questionnaire-28(GHQ-28) were filled out by students. The data were analyzed using correlation coefficient and simple and multiple linear regressions. The majority of participants were adolescents (66.8%), single (97.9%), and bachelor's students (70.1%). The mean of the HPLP and GHQ scores was 125.09±18.12, and 33.58±10.50, respectively. HPLP was a negative significant predictor of mental health (β = -.261, P= .0001). There was a negative significant association between HPLP dimensions (except physical activity) and mental health. After adjusting for other variables, there was a significant relationship between HPLP with mother occupation (β =.186, P=.038), and mother education (β = -.219, P= .034). Furthermore, gender (β = .175, P= .031), and occupation (β =-.157, P= .040) were predictors of GHQ in adolescent/young college students. Regarding the health-promoting lifestyle situation among students and its relation with the better mental health, the design and implementation of HPLP education programs is recommended.

Exploring the relationship between contextual factors and health-promoting lifestyle profile (HPLP) among medical students: A cross-sectional study.

The present study was conducted with the aim of investigating the relationship between health-promoting lifestyle profile (HPLP) among medical students and contextual factors such as gender, age, field of study, academic level, marital status, history of physical and mental illnesses, and smoking. The present research was conducted in a cross-sectional method in 2021 on 500 students of Shiraz University of Medical Students. An e-questionnaire link was sent to them via email. The research tool was the HPLP questionnaire consisting of 52 questions in six domains in a 4-point Likert scale. Data were analyzed using SPSS software version 24 with one-sample t-test, independent t-test, analysis of variance, and Tukey's post hoc test. A total of 500 students fully answered the questions completely. All components of a healthy lifestyle-except for exercise-obtained a score higher than the cut-off point. The component of Self-Actualization (spiritual growth) (3.035 ± 0.68) had the highest score, while the lowest score was related to exercise and physical activity (2.126 ± 0.60). Married individuals had a better average health score compared to singles (p = 0.047). The average health score did not have a significant relationship with gender, but significantly related to age, field of study (p < 0.001), history of mental illnesses (p < 0.001) and Smoking (p < 0.001). It seems that university officials should pay more attention to the health domain of students' lifestyles, such as nutrition, the development of exercise and physical activities, and the management of stress and mental health. Additionally, providing necessary awareness and considering training courses, as well as developing sports and recreational facilities, can be effective in creating a better environment for the growth and development of students and ensuring their well-being.

Dimensionality and internal consistency of the Health-Promoting Lifestyle Profile (HPLP-II) in university students

Introducción: los estilos de vida hacen alusión a las conductas habituales que presenta y caracteriza a cada persona en función a su salud. Sin embargo, se desconoce las características psicométricas del Perfil de Estilo de Vida que Promueve la Salud (Health-Promoting Lifestyle Profile, HPLP-II). Objetivo: evaluar la dimensionalidad y la confiabilidad del HPLP-II en estudiantes universitarios colombianos. Método: se realizó un estudio psicométrico con la participación de 293 universitarios, mayores de 18 años que diligenciaron el HPLP-II. Se realizó análisis factorial exploratorio por el método de componentes principales. Se estimó la confiabilidad con el coeficiente de alfa de Cronbach. Resultados: se identificaron cinco factores que explicaban el 63,6 % de la varianza. Los coeficientes factoriales de los ítems se observaron entre 0,44 y 0,78. La consistencia interna fue adecuada por factor con valores de alfa de Cronbach entre de 0,82 y 0,91. Conclusión: las propiedades psicométricas del cuestionario muestran valores adecuados en la mayoría de índices de ajustes, pero no en todos, por lo cual se deben realizar nuevas aplicaciones que confirmen la idoneidad del instrumento para medir estilos de vida en población colombiana.

Health Promoting Lifestyle among Nurses in Indonesia

Background: Nurses are expected to be role models for the surrounding environment, both patients and families, particularly in clean and healthy living behaviours that can reduce the occurrence of obesity. The purpose of this study is to determine the prevalence of obesity and a healthy lifestyle among nurses at the Surabaya Islamic Hospital. Method: a cross-sectional study method with 406 nurses at Surabaya Islamic Hospital recruited by convenience sampling using questionnaires distributed via an online survey. The Health Promoting Lifestyle Profile II (HLP-II) questionnaire was used to collect data from December 2022 to February 2023. Results: According to the findings, 191 nurses (47.04%) were obese. A healthy lifestyle has a total score of 129.77 ± 17.89. Spiritual development received the highest score with 25.39±3.76, interpersonal relationship 23.90 ± 3.60, nutritional 20.98± 3.57, health responsibility 20.34 ±3.93, stress management 19.57 ±3.42, and physical activity 18.04 ±4.27. According to the findings of the Pearson analysis, there was a weak relationship between body mass index and physical activity (r=0.106, p-value = 0.033), as well as body mass index and interpersonal relationships (r=0.120, p-value 0.015). Conclusion: Nurses obesity is a public health issue because nurses are not only self-sufficient individuals, but also role models for those around them. As a result, hospital and government policies to increase awareness of how dangers of obesity are required.

Lifestyle Profiles of Italian Oncology Nurses according to Sex, Work Experience and Shift: An Exploratory Study.

(1) Background: Several researchers have highlighted a higher incidence of overweight and obesity among nurses, and others have analyzed the quality of nurses' eating habits and their related physical activity levels. The present study assessed the differences in personal habits among Italian oncology nurses according to sex, work experience and shift. (2) Methods: A cross-sectional study was performed during September-October 2023. A Google Moduli questionnaire was created and divulgated through Facebook and Instagram "Nurseallface" social pages. (3) Results: A total of 306 Italian oncology nurses agreed to participate in this study. Significant differences were reported between sex and the nutrition dimension (p = 0.018); male nurses reported higher levels in this dimension (2.69 ± 0.43) than females (2.56 ± 0.49). By considering the role of work experience in the health-promoting lifestyle profile, significant differences were recorded in the physical activity sub-dimension (p < 0.001), especially among nurses employed for more than 30 years who reported higher levels of physical activity (5.25 ± 0.23) than the other groups. By considering the shift role in the health-promoting lifestyle profile, significant differences were recorded with a health-promoting lifestyle general score (p = 0.046), especially among nurses employed only during the morning shift who recorded higher levels in health-promoting lifestyle than the others (one shift: 2.49 ± 0.29 vs. two shifts: 2.47 ± 0.24 vs. three shifts: 2.41 ± 0.25). Additionally, significant differences were reported in the physical activity dimension (p = 0.017), since nurses employed only during the morning shift recorded higher levels of physical activity than the others (one shift: 2.96 ± 1.28 vs. two shifts: 2.55 ± 0.94 vs. three shifts: 2.48 ± 1.20). Finally, a significant difference was recorded in the nutrition dimension (p = 0.017), since nurses employed during the morning and the afternoon shifts recorded higher levels of nutrition than the others (two shifts: 2.73 ± 0.39 vs. one shift: 2.63 ± 0.43 vs. three shifts: 2.56 ± 0.51). (4) Conclusions: Nurses represent the motive of healthcare organizations. Promoting healthy lifestyles among nurses would help healthcare organizations to have a healthy workforce, and nurses themselves can be advocates for policies to improve patient lifestyles and improve chronic disease prevention.

Health-promoting behaviours and psychological distress in breast cancer with endocrine therapy: Mediating roles of menopausal symptoms and social support.

To investigate the relationship between health-promotion behaviour and psychological distress and whether menopausal symptoms and social support mediate these relationships in patients with breast cancer receiving endocrine therapy. This was a cross-sectional study involving convenience sampling that involved 226 patients with breast cancer. Participants were investigated by self-reporting questionnaires that included demographic and clinical information, the Kessler psychological distress scale, the Health-Promoting Lifestyle Profile Ⅱ, the Menopause Rating Scale, and the Perceived Social Support Survey to measure psychological distress, health-promoting behaviour, menopausal symptoms, and social support, respectively. Mediation analyses were conducted with the bootstrapping method to test for mediating factors. In total, 78.7% patients reported that they were suffering from psychological distress. Their health-promoting behaviours were directly and negatively associated with psychological distress. In addition, health-promoting behaviour had a significant indirect effect on psychological distress through menopausal symptoms and social support. Mediating effects accounted for 34.8% and 27.6% of the total effect, respectively. There was a high prevalence of psychological distress in patients with breast cancer receiving endocrine therapy. Menopausal symptoms and social support mediated the association between health-promoting behaviour and psychological distress. Health professionals should evaluate menopausal symptoms and health lifestyles, and provide professional interventions to increase health-promoting behaviours and manage unpleasant somatic symptoms for patients and their caregivers; these actions may improve their psychological distress.

The Relationship between Lifestyle and The Incidence of Disrupted Fasting Blood Sugar

Background: This hybrid education forces us to become sedentary, but there is a difference between the time before and during the pandemic. This sedentary life event raises the possibility of an increase in fasting blood sugar even at a young age, so that it can lead to insulin resistance earlier. Lifestyle patterns are one of the risk factors often abused by the community for impaired fasting blood sugar, which also has the potential to become diabetes mellitus. Every year the prevalence of impaired fasting blood sugar incidence increases worldwide, and it is estimated that there will be 470 million people diagnosed with impaired fasting blood sugar by 2030Objective: This study aims to determine the relationship between lifestyle and the incidence of impaired fasting blood sugar in students of the Faculty of Medicine, University of Muhammadiyah Surabaya.Method: The study was conducted using an observational analytical method with a cross-sectional study type. A minimum sample of 79 respondents with simple random sampling. Instrument to assess lifestyle using Health Promoting Lifestyle Profile II questionnaire, for fasting blood sugar using glucometer.Results: The results showed a lifestyle relationship to impaired fasting blood sugar incidence with a significance value of 0.000 and a correlation value of 0.621. This value interprets a strong positive relationship where lifestyle has a unidirectional relationship with fasting blood sugar values.Conclusion: Based on these data, it is concluded that there is a significant unidirectional relationship between lifestyle and the incidence of impaired fasting blood sugar.

The Relation Between Adverse Childhood Experiences and Health Behaviors in Adult Women.

This study aims to identify whether adverse childhood experiences (ACEs) influence health lifestyles throughout adulthood and examine how ACEs influence dimensions of health lifestyles. The data was collected cross-sectionally through an online questionnaire. Individuals were invited to participate in an online survey for a larger brain health study as a pre-screening measure. Women in the Midwest between 18-25 and 65-85 who reported either no ACEs or 3 or more ACEs completed the survey, with 233 women answering all questionnaires. Demographic indicators, the 10-item ACEs questionnaire, and the Health Promoting Lifestyle Profile (HPLP-II). Independent sample t-tests revealed significantly lower scores for ACEs group on the HPLP-II and the 6 subcategories (heath responsibility, interpersonal relationships, nutrition, physical activity, spiritual growth, and stress management). A structural equation model using the 3 ACE categories (abuse, neglect, and household dysfunction) and 6 health domains showed substantial differences in the variance captured for each health behavior. Findings indicate that abuse predicts physical activity, stress management, and spiritual growth (β = -.21, -.23, -.20); neglect predicts interpersonal relationships and spiritual growth (β = -.17, -.18); and household dysfunction predicts health responsibility, nutrition, stress management, and interpersonal relations (β = -.20, -.22, -.10, -.17). The present investigation extends research in displaying that ACEs play a significant role in future health behaviors, with household dysfunction being the greatest predictor.

Effects of Continuous Nursing Care on Hemodialysis Patients' Quality of Life and Lifestyle: An Application of the Information, Knowledge, Attitude, and Practice Theory

Background: Patients undergoing hemodialysis often experience a low quality of life, which can significantly impact their lifestyle. Despite various proposed solutions, these patients continue to face ongoing challenges. Objectives: This research aimed to investigate the effects of continuous nursing care, based on the Information, Knowledge, Attitude, and Practice (IKAP) theory, on the quality of life and lifestyle of patients undergoing hemodialysis. Methods: Sixty-eight patients receiving hemodialysis treatment at 2 university hospitals in Ahvaz met the inclusion criteria for this experimental research. With the simple random method, the participants were divided into 2 equal groups: The experimental group and the control group. In addition to routine care, the experimental group received 20 to 30 minutes of continuous nursing care based on the IKAP theory every 2 weeks, while the control group received only routine care. Three questionnaires were administered: A Demographic Information Questionnaire, a Health Promoting Lifestyle Profile, and a Kidney Disease Quality of Life Questionnaire-Short Form (KDQOL-SF), which were completed before the intervention, 1 month after, and 3 months after by both groups. Data analysis employed independent samples t-tests, chi-square tests, and repeated measures analysis of variance (ANOVA). Results: The nursing intervention based on the IKAP model had a significant impact on the quality of life and lifestyle of patients undergoing hemodialysis. In the experimental group, the mean score for overall quality of life before and after the intervention showed a statistically significant difference (P &lt; 0.001), while in the control group, this difference was not significant (P = 0.807). Similarly, the mean score for lifestyle in the experimental group before and after the intervention was statistically significant (P &lt; 0.001), whereas there was no significant difference in the control group (P = 0.991). Conclusions: Nursing intervention based on the IKAP model has a positive effect on improving the quality of life and lifestyle of patients undergoing hemodialysis. Therefore, it is important to inform health care providers and policymakers about this model, which can serve as a reference for health education in hospitals and other health care centers.

Factors Associated with Lifestyle Behaviors among University Students-A Cross-Sectional Study.

Lifestyle behaviors are daily habits influenced by social and environmental factors. This study examined lifestyle behaviors and their associations with sociodemographics, comorbidities, and pain in Saudi university students during the academic year 2021 and 2022. All students received the study invitation via university emails to complete an online questionnaire. The questionnaire included four sections (sociodemographics, health-related information, desired health promotion activities, and a lifestyle behavior assessment) via Health-Promoting Lifestyle Profile II (HPLP-II). The associations between study variables were assessed using Pearson's correlation and multiple linear regression. The study questionnaire was completed by 1112 students. No correlation was found between sociodemographics and lifestyle-behavior-related factors except for students in the College of Science who appeared to have good lifestyle behaviors (an increase in HPLP II total scores of 3.69). Students with mental health issues have poorer lifestyle behaviors and spend more time sitting (p < 0.00). Students without disabilities have lower scores in health responsibility, physical activity, nutrition, and stress management, while auditory disability specifically lowers health responsibility (p < 0.00). Pain was not associated with any assessed lifestyle behaviors. This study identified several significant correlations and differences between variables such as age, sedentary behavior, sleep duration, disability status, college major, and lifestyle behaviors among PNU students. These findings provide insights into the factors that influence students' health-promoting behaviors and can help guide interventions for promoting healthier lifestyles on campus. Targeted health promotion strategies at an early age could help in decreasing overall noncommunicable disease incidents later in life. The study results should be interpreted taking into consideration that the collected data were cross-sectional and self-reported. In conclusion, the findings of this study clearly demonstrate the need for specific lifestyle and health-promoting programs that are directed toward university students.

Assessment of Relationship between Lifestyle Behaviors and Severity of Perimenopausal Symptoms among Women

Menopause is a stage of transition from a reproductive to a non-reproductive state in the life of a woman. The perimenopause transition is defined as the period immediately before the menopause. The most common symptoms of menopause can be broken down into vasomotor, physical, emotional, or sexual complaints. Lifestyle behaviors play a significant role in women's experiencing menopausal symptoms during the perimenopause. Aims:It aims to assess the relationship between women's lifestyle behaviors and the severity of perimenopausal symptoms. Methods:Adescriptive correlational study of 120 perimenopausal women using a purposive sample was conducted at gynecology outpatient clinics and general medicine outpatient clinics at Assuit University hospitals from the first of January to the end of June 2023. Three tools were used for this study: a structured interview questionnaire, a modified menopausal rating scale, and a health promotion lifestyle profile. Results:This study reveals that 85.8% of perimenopausal women's lifestyle was poor. Also, 31.6% of perimenopausal women reported moderate perimenopausal symptoms. Somatic symptoms were the most prevalent symptoms on the menopausal rating scale, followed by psychological symptoms and, lastly, urogenital symptoms. There has been a highly statistically significant difference as regards the relationship between the severity of perimenopausal symptoms and women's lifestyle behaviors (p&gt;0.001). Conclusion:There has been an intense negative correlation between women's lifestyle behaviors and the severity of perimenopausal symptoms. So, women need to get health education from the nurse specialists during perimenopause and nurses should plan and implement educational programs for the perimenopausal women about the healthy life style behaviors to reduce and manage their menopausal symptoms. Recommendation: Plan and implement a necessary educational program for perimenopausal women about healthy lifestyle behaviors to manage menopausal symptoms.

The Mediating Role of Psychological Well-being in Explaining the Effect of a Health-Promoting Lifestyle on Death Anxiety in Seniors with COVID-19 Experience

The coronavirus and its variants continue to threaten the physical and mental health of many individuals, particularly those among the elderly infected with COVID-19. The purpose of this study was to examine the mediating role of psychological well-being in explaining the impact of a health-promoting lifestyle on death anxiety among seniors with COVID-19 experience in Tehran. This descriptive, correlational study involved a population of home-dwelling men and women aged 65 to 75 years in Tehran in 2023, who had experienced COVID-19 in the past six months. A targeted sample of 400 individuals responded to the Death Anxiety Scale (Templer, 1970), the Health-Promoting Lifestyle Profile (Walker et al., 1987), and the Psychological Well-being Scale (Ryff, 1989). Structural equation modeling was employed for data analysis. The findings, obtained using confirmatory factor analysis and AMOS 24 software, indicated a good fit between the structural model and the collected data. A positive and significant relationship was found between a health-promoting lifestyle and psychological well-being, and a negative and significant relationship between a health-promoting lifestyle and death anxiety, as well as between psychological well-being and death anxiety. Indirect pathways between death anxiety, a health-promoting lifestyle, and death anxiety were also confirmed (p = .001). Based on the results of this study, it can be stated that a health-promoting lifestyle influences the death anxiety of seniors with COVID-19 experience through psychological well-being. The findings of this study can be useful for counselors, psychologists, and health professionals.

The effects of web-based education on health-promoting behaviors of first-year medical sciences students: A quasi-experimental study.

Students, as a representative of young adults, are at risk for engagement in unhealthy lifestyle behaviors such as unhealthy eating, unhealthy relationships, and drug abuse. Health-promoting lifestyle (HPL) largely depends on adequate knowledge of healthy behaviors and hence, education is a strategy with potential positive effects on lifestyle. This study aimed at evaluating the effects of web-based education (WBE) on HPL among first-year medical sciences students. This quasi-experimental study was conducted in 2020 with a single-group pretest-posttest design. Participants were 185 first-year bachelor's and doctoral medical sciences students selected from Babol University of Medical Sciences, Babol, Iran, through multistage sampling. Study intervention was a three-week web-based educational program on HPL. Educational videos about the different components of HPL were sent to participants through WhatsApp. Data were collected before, one month after, and three months after the study intervention through the Health-Promoting Lifestyle Profile (HPLP2) and the General Health Questionnaire (GHQ). The STATA software (v. 16.0) was used for data analysis. Among 185 participants, 154 (83.69%) participants completed the study. The mean scores of HPL and its health responsibility and stress management subscales significantly increased by 4.58 (95% CI: 0.12, 9.04), 1.77 (95% CI: 0.39, 3.15), and 0.71 (95% CI: 0.13, 1.26), respectively. However, the mean scores of the nutrition, interpersonal relations, physical activity, and self-actualization subscales of HPL and the mean score of general health did not significantly change (P > 0.05). WBE has significant positive effects on HPL and its health responsibility and stress management subscales. Therefore, WBE through social media can be used to improve HPL among young adults, particularly students.

Development of the “Construction of aging strategies” questionnaire

The work describes the development and psychometric evaluation of a tool aimed at assessing the strategies used to promote successful aging. In the context of increasing life expectancy and the number of older people in the general population, the issue of maintaining and improving the quality of life of older people is particularly acute. Science has accumulated a large amount of data on the mechanisms and factors influencing aging. Moreover, these factors can be modeled by the person himself. However, there are no tools that would allow us to assess these mechanisms and the frequency of their use in a one’s life, both current and retrospectively. The study participants included 170 adults aged 40–75 years. Based on theoretical analysis, 22 strategies were formulated, each of which was assessed on a 5-point scale. To check the convergent validity, the Health-Promoting Lifestyle Profile questionnaire, the K.Riff Psychological Well-Being Scale, the Aging Perception Questionnaire, and questions from a demographic survey were used. As a result of exploratory factor analysis, four scales were identified: “Strategies for maintaining health”, “Metacognitive strategies”, “Strategies for self-development” and “Generative strategies”. Scale reliability and confirmatory analysis confirmed the suitability of the resulting instrument as well as its consistency with the empirical data. Analysis of convergent validity showed that the selected scales were associated with indicators of a healthy lifestyle, psychological well-being, positive ideas about aging and the desire to change something in one’s life for the sake of a prosperous old age. The results obtained can be used both for scientific study of the mechanisms of futurization of aging, and for practical work on assessing resources for the formation of aging and building individual aging trajectories.

Adaptation of the Russian version of the Aging Perceptions Questionnaire (APQ)

The work is devoted to the adaptation of the “Perception of Aging” questionnaire based on the English-language Aging Perceptions Questionnaire (APQ). Modern scientific knowledge has a significant amount of data in the field of psychology of aging, interest in which does not fade, and the aging process is studied from various angles. Researchers more often turn to the problem of constructing a productive old age, the planning of which is recommended to begin at earlier stages of life. The results of modern research indicate that a positive perception of aging is a predictor of quality of life in old age and contributes to various aspects of health in old age. In this regard, the question arises about psychodiagnostic tools that allow us to identify the specifics of the perception of aging. Even though that there are currently studies on this problem, there is no version of the questionnaire that will allow assessing the perception of aging in a Russian sample. This study examined the reliability and construct validity of the English version of the APQ Perceptions of Aging Questionnaire. The study involved 229 people aged 29 to 68 years. Reliability was assessed by calculating Cronbach’s α and showed internal consistency both for the entire questionnaire and across gender groups. To test the convergent validity, the Health-Promoting Lifestyle Profile questionnaire, the K. Riff Psychological Well- Being Scale, the Australian Healthy Aging Questionnaire, and the Positive Affect and Negative Affect Scales were used. As a result of exploratory factor analysis, six scales were identified: “Consequences negative”, “Control positive”, “Emotional representation” and “Unstable image of old age” (Timeline (cyclical)), “Consequences positive”, “Control negative”. Analysis of convergent validity showed the connection of the selected scales with indicators of psychological and physical health. The Perceptions of Aging Questionnaire is a simple and flexible method for assessing the image of aging.