Stages of Behavior Change for Physical Activity in Airport Staff: a quasi-experimental study

  • Khalil Mahmoudi M.Sc. Student. Department of Health Education and Health Promotion, Mashhad University of Medical Sciences, Mashhad, Iran. Email:
  • Ali Taghipoor Associate Professor, Epidemiology, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Email:
  • Hadi Tehrani Assistant professor of Health Education and Health Promotion, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Email:
  • Hadi Zomorodi Niat M.Sc. Department of Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Email:
  • Mohammad Vahedian-Shahroodi Associated Professor of Health Education and Health Promotion, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. (Corresponding author) Email:
Keywords: Health education, exercise, airports, control groups, surveys and questionnaires, models, theoretical.


Objective. This work sought to determine the effect of an educational intervention based on the stages of change in promoting physical activity in employees in the Mashhad airport in Iran.

Methods. This was a quasi-experimental study conducted with the participation of 60 volunteers (30 in the intervention group and 30 in the control group) who were in the stages of contemplating or preparing for change in physical activity. The intervention consisted in educational activities provided during home visits, telephone calls, group training sessions, and delivery of printed material. To gather the information, the study used five questions on the stage in which they were for behavioral change in physical activity, according to the Theoretical Model by Marcus et al., (1. pre-contemplation, 2. contemplation, 3. preparation, 4. action, and 5. maintenance), and the International Questionnaire on Physical Activity. Changes in the stages were evaluated during three moments: upon entering the study, at the end of the intervention (8th month), and two months after the second evaluation (10th month).

Results. During the 10th month evaluation, it was noted that 26.7% of the subjects from the intervention group versus 3.3% from the control group improved their physical activity and were in the action stage (p<0.01).

Conclusion. Theeducational intervention based on stages of change is effective in promoting physical activity in the participants and may be used in educational programs that seek to improve physical activity in the employees studied.

How to cite this article: Mahmoudi K, Taghipoor A, Tehrani H, Zomorodi Niat H, Vahedian-Shahroodi M. Stages of Behavior Change for Physical Activity in Airport Staff: a quasi-experimental study. Invest. Educ. Enferm. 2020; 38(1):e02

= 119 veces | PDF
= 101 veces| VIDEO
= 0 veces|


Download data is not yet available.


(1) Antognoli EL, Seeholzer EL, Gullett H, Jackson B, Smith S, Flocke SA. Primary care resident training for obesity, nutrition, and physical activity counseling: a mixed-methods study. Health Promot. Pract. 2017; 18(5):672-80.

(2) Tehrani H, Majlessi F, Shojaeizadeh D, Sadeghi R, Kabootarkhani MH. Applying socioecological model to improve women’s physical activity: a randomized control trial. Iranian Red Crescent Med. J. 2016; 18(3):e21072.

(3) NCD Countdown 2030. Worldwide trends in non-communicable disease mortality and progress toward Sustainable Development Goal target 3.4. Lancet. 2018; 392(10152):1072-88.

(4) World Health Organization. Improving the quality and use of birth, death and cause-of-death information: guidance for a standards-based review of country practices [Internet]. Geneve: WHO; 2010 [Cited Nov 1, 2019]. Available from:

(5) Izadi A, Bahadori M, Tofighi S, Ebraze A, Yaghoubi M, Teymourzadeh E. Challenges of Iranian national health scientific map. J. Educ. Promot. 2019; 8:46.

(6) Akindutire IO, Olanipekun JA. Sedentary Life-Style as Inhibition to Good Quality of Life and Longevity. J. Educ. Pract. 2017; 8(13):39-43.

(7) Rostami S, Fallahi A, Pashaei T, Roshani D. Association of Trans-theoretical Model (TTM) based Exercise Behavior Change with Body Image Evaluation among Female Iranian Students. Int. J. Pediatr. 2017; 5(3):4613-23.

(8) Tierney DW, McCabe MP. The utility of the trans-theoretical model of behavior change in the treatment of sex offenders. Sex. Abuse. 2005; 17(2):153-70.

(9) Romain AJ, Abdel-Baki A. Using the transtheoretical model to predict physical activity level of overweight adults with serious mental illness. Psychiatry Res. 2017; 258:476-80.

(10) Prochaska JO. Decision making in the transtheoretical model of behavior change. Med. Decis. Mak. 2008; 28(6):845-49.

(11) Kotecki JE, Clayton BD. Educating Pharmacy Students about Nutrition and Physical Activity Counseling. Am. J. Health Educ. 2003; 34(1):34-40.

(12) Scruggs S, Mama SK, Carmack CL, Douglas T, Diamond P, Basen-Engquist K. Randomized Trial of a Lifestyle Physical Activity Intervention for Breast Cancer Survivors: Effects on Transtheoretical Model Variables. Health Promot. Pract. 2018; 19(1):133-44.

(13) Coelho FG, Gobbi S, Andreatto CAA, Corazza DI, Pedroso RV, Santos-Galduróz RF. Physical exercise modulates peripheral levels of brain-derived neurotrophic factor (BDNF): a systematic review of experimental studies in the elderly. Arch. Gerontol. Geriatric. 2013; 56(1):10-5.

(14) Marcus BH, Selby VC, Niaura RS, Rossi JS. Self-efficacy and the stages of exercise behavior change. Res. Q. Exerc. Sport. 1992; 63(1):60-6.

(15) Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med. Sci. Sports Exerc. 2003; 35(8):1381-95.

(16) Karimzadeh Shirazi K. A Home-Based, transtheoretical change model designed strength training intervention to increase exercise to prevent osteoporosis in Iranian women aged 40-65: a randomized controlled trial. Health Educ. Res. 2007; 22(3):305-17.

(17) Jacobson DM, Strohecker L, Compton MT, Katz DL. Physical activity counseling in the adult primary care setting: position statement of the American College of Preventive Medicine. Am. J. Prev. Med. 2005; 29(2):158-62.

(18) Farmanbar PP, Niknami SH, Heydarnia A, Hajizadeh E. Predicting Exercise Behavior among Iranian College Students Using the Trans-theoretical Model and Structural Equation Modeling. Eur. J. Sci. Res. 2009; 31(3):355- 65.

(19) Spencer L, Adams TB, Malone S, Roy L, Yost E. Applying the transtheoretical model to exercise: a systematicand comprehensive review of the literature. Health Promot. Pract. 2006; 7(4):428-443.

(20) Herrick AB, Stone WJ, Mettler MM. Stages of change, decisional balance, and self-efficacy across four health behaviors in a worksite environment. Am. J. Health Promot. 1997;12(1):49-56.

(21) Tehrani H, gholian avval M, Hasani Kabootarkhani M, Peyman N, Vahedian-Shahroodi M. The impact of new communications technology on promoting women’s physical activity. Payesh. 2016; 15(3):293-300.

(22) VafaiNajar A, VahedianShahroodi M, Tehrani H, Dogonchi M, Laelmonfared E. The effectiveness of physical activity training on depersonalization of employees. Iran. J. Health Educ. Health Promot. 2015; 3(2):116-24.

(23) Mardani Hamule M, Shahraky Vahed A, Moshtagh Eshgh Z. Assessment of the Effect of Educational Program Based on Trans Theoretical Model (TTM) on Physical Activity in Patients with Inflammatory Bowel Diseases. Avicenna J. Clin. Med. 2010; 17(1):39-45.

How to Cite
Mahmoudi, K., Taghipoor, A., Tehrani, H., Zomorodi Niat, H., & Vahedian-Shahroodi, M. (2020). Stages of Behavior Change for Physical Activity in Airport Staff: a quasi-experimental study. Investigación Y Educación En Enfermería, 38(1).