The effectiveness of educational intervention based on PRECEDE model on the level of stress among the elderly at elderly clubs
نویسندگان
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2 Department of Public Health, Faculty of Health, Shahid Beheshti University of Medical Sciences, Tehran
3 Department of Health Education and promotion, Faculty of Health, International Campus of Tehran University of Medical Sciences, Tehran, Iran
4 Department of Biostatistics, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran
doi
چکیده
Introduction: The elderly are vulnerable to negative effects of stress factors; so, the presentstudy was conducted to determine the effect of educational intervention based on the PRECEDEmodel on stress level of the elderly and to control stress factors. Materials and Methods: Inthis quasi-experimental study, 94 elderly people from the clubs for the elderly in Tehran wererandomly divided into case and control groups in 2008–2009. Planning for the educationalprogram was done according to the PRECEDE model. Before implementing the program,valid and reliable depression, anxiety, and stress questionnaires (DASS 21) were completedfor both groups. The experimental group received the educational intervention based on thePRECEDE model (eight sessions, one session per week), and both groups were followed uptwo months after the intervention (the previous questionnaires were filled again). DASS 21Scoring and Interpretation Generator was used for calculating scores of the questionnaires.Finally, the data obtained were analyzed by the SPSS 15 software using t-test, paired t-test, andMann-Whitney test at a significant level of P≤0.05. Results: The findings showed significantdifferences between the experimental group and control group in terms of predisposingfactors of knowledge (P≤0.001) and attitude (P≤0.001), enabling factors (P≤0.001), reinforcingfactors (P≤0.001), and functioning especially in deep breathing and relaxation techniques(P≤0.001). Mean scores and severity of stress were significant after the intervention (P≤0.001).Conclusion: The findings of the present study confirmed the effectiveness of the PRECEDEmodel-based educational program on preventing or reducing stress level in the elderly.