Health Scope

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Physical Activity and Healthy Eating Promotion among Adults with Cardiovascular Metabolic Risk Factors: An Application of Intervention Mapping Framework

Leila Sabzmakan 1 , * , Mohammad Asghari Jafarabadi 2 , Andrew Springer 3 , Mohammad Ali Morowatisharifabad 4 and Eesa Mohammadi 5
Authors Information
1 Department of Health Education and Promotion, School of Health, Alborz University of Medical Sciences, Karaj, IR Iran
2 Road Traffic Injury Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran
3 Division of Health Promotion and Behavioral Sciences, University of Texas School of Public Health-Austin Regional Campus, Austin, Texas, U.S.
4 Department of Health Education and Promotion School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran
5 Department of Nursing, School of Medicine, Tarbiat Modares University, Tehran, IR Iran
Article information
  • Health Scope: August 2017, 6 (3); e15167
  • Published Online: June 19, 2017
  • Article Type: Research Article
  • Received: August 30, 2016
  • Revised: November 11, 2016
  • Accepted: December 6, 2016
  • DOI: 10.5812/jhealthscope.15167

To Cite: Sabzmakan L, Asghari Jafarabadi M, Springer A, Morowatisharifabad M A, Mohammadi E. Physical Activity and Healthy Eating Promotion among Adults with Cardiovascular Metabolic Risk Factors: An Application of Intervention Mapping Framework, Health Scope. 2017 ; 6(3):e15167. doi: 10.5812/jhealthscope.15167.

Copyright © 2017, Journal of Health Scope. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Cardiovascular diseases (CVDs). Fact Sheet No. 317. 2011;
  • 2. Carabello BA. Modern management of mitral stenosis. Circulation. 2005; 112(3): 432-7[DOI][PubMed]
  • 3. Painter JE, Borba CP, Hynes M, Mays D, Glanz K. The use of theory in health behavior research from 2000 to 2005: a systematic review. Ann Behav Med. 2008; 35(3): 358-62[DOI][PubMed]
  • 4. Curry SJ, Fitzgibbon ML. Theories of prevention. The Handbook of health behavior Change. 2009;
  • 5. Physical activity guidelines advisory committee report, 2008. 2008;
  • 6. Esposito K, Marfella R, Ciotola M, Di Palo C, Giugliano F, Giugliano G, et al. Effect of a mediterranean-style diet on endothelial dysfunction and markers of vascular inflammation in the metabolic syndrome: a randomized trial. JAMA. 2004; 292(12): 1440-6[DOI][PubMed]
  • 7. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004; 364(9438): 937-52[DOI][PubMed]
  • 8. Noncommunicable Diseases (NCD) Country Profiles . 2014;
  • 9. Esteghamati A, Khalilzadeh O, Rashidi A, Kamgar M, Meysamie A, Abbasi M. Physical activity in Iran: results of the third national surveillance of risk factors of non-communicable diseases (SuRFNCD-2007). J Phys Act Health. 2011; 8(1): 27-35[PubMed]
  • 10. Bartholomew LK, Mullen PD. Five roles for using theory and evidence in the design and testing of behavior change interventions. J Public Health Dent. 2011; 71 Suppl 1-33[PubMed]
  • 11. Kamrani A. The effect of educational diet on nutrition type2 diabetes based on Health Belief Model. 2006;
  • 12. Cerin E, Leslie E, Owen N. Explaining socio-economic status differences in walking for transport: an ecological analysis of individual, social and environmental factors. Soc Sci Med. 2009; 68(6): 1013-20[DOI][PubMed]
  • 13. Olander EK, Fletcher H, Williams S, Atkinson L, Turner A, French DP. What are the most effective techniques in changing obese individuals' physical activity self-efficacy and behaviour: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2013; 10: 29[DOI][PubMed]
  • 14. Eldredge LKB, Markham CM, Ruiter RAC, Kok G, Parcel GS. Planning health promotion programs: an intervention mapping approach. 2016;
  • 15. Creswell JW, Klassen AC, Plano Clark VL, Smith KC. Best practices for mixed methods research in the health sciences. Bethesda (Maryland): National Institutes of Health. 2011; : 2094-103
  • 16. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9): 1277-88[DOI][PubMed]
  • 17. Sabzmakan L. Desiging of cardiovascular metabolic risk factors'management program using Intervention Mapping in primary health care services. 2013;
  • 18. Bentler PM, Chou CP. Practical issues in structural modeling. Sociol Methods Res. 1987; 16(1): 78-117
  • 19. Evaluation of knowledge, attitude and performance of society about cardiovascular disease and its related risk factors. National Plan of Isfahan Heart Program. 2006;
  • 20. Koohpayezadeh J, Askari F, Azimi S, Rafeie ASB. Non-Communicable Disease Risk Factor Surveillance System. 2011;
  • 21. Sabzmakan L, Morowatisharifabad MA, Mohammadi E, Mazloomy-Mahmoodabad SS, Rabiei K, Naseri MH, et al. Behavioral determinants of cardiovascular diseases risk factors: A qualitative directed content analysis. ARYA Atheroscler. 2014; 10(2): 71-81[PubMed]
  • 22. Sabzmakan L, Mohammadi E, Morowatisharifabad MA, Afaghi A, Naseri MH, Mirzaei M. Environmental determinants of cardiovascular diseases risk factors: a qualitative directed content analysis. Iran Red Crescent Med J. 2014; 16(5)[DOI][PubMed]
  • 23. Krichbaum K, Aarestad V, Buethe M. Exploring the connection between self-efficacy and effective diabetes self-management. Diabetes Educ. 2003; 29(4): 653-62[DOI][PubMed]
  • 24. Nakkash R, Afifi Soweid RA, Nehlawi MT, Shediac-Rizkallah MC, Hajjar TA, Khogali M. The development of a feasible community-specific cardiovascular disease prevention program: triangulation of methods and sources. Health Educ Behav. 2003; 30(6): 723-39[DOI][PubMed]
  • 25. Story M, Kaphingst KM, Robinson-O'Brien R, Glanz K. Creating healthy food and eating environments: policy and environmental approaches. Annu Rev Public Health. 2008; 29: 253-72[DOI][PubMed]
  • 26. Chow CK, Lock K, Teo K, Subramanian SV, McKee M, Yusuf S. Environmental and societal influences acting on cardiovascular risk factors and disease at a population level: a review. Int J Epidemiol. 2009; 38(6): 1580-94[DOI][PubMed]
  • 27. Kok G, Schaalma H, Ruiter RA, van Empelen P, Brug J. Intervention mapping: protocol for applying health psychology theory to prevention programmes. J Health Psychol. 2004; 9(1): 85-98[DOI][PubMed]
  • 28. Brug J, Oenema A, Ferreira I. Theory, evidence and Intervention Mapping to improve behavior nutrition and physical activity interventions. Int J Behav Nutr Phys Act. 2005; 2(1): 2[DOI][PubMed]
  • 29. Aljasem LI, Peyrot M, Wissow L, Rubin RR. The impact of barriers and self-efficacy on self-care behaviors in type 2 diabetes. Diabetes Educ. 2001; 27(3): 393-404[DOI][PubMed]
  • 30. Barg CJ, Latimer AE, Pomery EA, Rivers SE, Rench TA, Prapavessis H, et al. Examining predictors of physical activity among inactive middle-aged women: An application of the health action process approach. Psychol health. 2012; 27(7): 829-45
  • 31. Bayat F, Shojaeezadeh D, Baikpour M, Heshmat R, Baikpour M, Hosseini M. The effects of education based on extended health belief model in type 2 diabetic patients: a randomized controlled trial. J Diabetes Metab Disord. 2013; 12(1): 45[DOI][PubMed]
  • 32. Gamboa Moreno E, Sanchez Perez A, Vrotsou K, Arbonies Ortiz JC, Del Campo Pena E, Ochoa de Retana Garcia L, et al. Impact of a self-care education programme on patients with type 2 diabetes in primary care in the Basque Country. BMC Public Health. 2013; 13: 521[DOI][PubMed]
  • 33. Fanaian M, Laws RA, Passey M, McKenzie S, Wan Q, Davies GP, et al. Health improvement and prevention study (HIPS) - evaluation of an intervention to prevent vascular disease in general practice. BMC Fam Pract. 2010; 11: 57[DOI][PubMed]
  • 34. Broekhuizen K, van Poppel MN, Koppes LL, Brug J, van Mechelen W. A tailored lifestyle intervention to reduce the cardiovascular disease risk of individuals with Familial Hypercholesterolemia (FH): design of the PRO-FIT randomised controlled trial. BMC Public Health. 2010; 10: 69[DOI][PubMed]
  • 35. Artinian NT, Fletcher GF, Mozaffarian D, Kris-Etherton P, Van Horn L, Lichtenstein AH, et al. Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults: a scientific statement from the American Heart Association. Circulation. 2010; 122(4): 406-41[DOI][PubMed]
  • 36. Morgenstern LB, Staub L, Chan W, Wein TH, Bartholomew LK, King M, et al. Improving delivery of acute stroke therapy: The TLL Temple Foundation Stroke Project. Stroke. 2002; 33(1): 160-6[PubMed]
  • 37. van Genugten L, van Empelen P, Flink I, Oenema A. Systematic development of a self-regulation weight-management intervention for overweight adults. BMC Public Health. 2010; 10: 649[DOI][PubMed]
  • 38. Detaille SI, van der Gulden JW, Engels JA, Heerkens YF, van Dijk FJ. Using intervention mapping (IM) to develop a self-management programme for employees with a chronic disease in the Netherlands. BMC Public Health. 2010; 10: 353[DOI][PubMed]
  • 39. Verweij LM, Proper KI, Weel AN, Hulshof CT, van Mechelen W. Design of the Balance@Work project: systematic development, evaluation and implementation of an occupational health guideline aimed at the prevention of weight gain among employees. BMC Public Health. 2009; 9: 461[DOI][PubMed]
  • 40. Cornelio ME, Godin G, Rodrigues R, Agondi R, Spana T, Gallani MC. Development of the SALdavel programme to reduce salt intake among hypertensive Brazilian women: an intervention mapping approach. Eur J Cardiovasc Nurs. 2013; 12(4): 385-92[DOI][PubMed]
  • 41. Michie S, Johnston M, Francis J, Hardeman W, Eccles M. From Theory to Intervention: Mapping Theoretically Derived Behavioural Determinants to Behaviour Change Techniques. Appl Psychol. 2008; 57(4): 660-80[DOI]
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