Electronic Physician (ISSN: 2008-5842) http://www.ephysician.ir
August 2017, Volume: 9, Issue: 8, Pages: 5075-5082, DOI: http://dx.doi.org/10.19082/5075
Corresponding author:
Associate Professor Dr. Roya Sadeghi, Department of Health Promotion and Education, Faculty of Health, Tehran
University of Medical Sciences, Tehran, Iran. Tel: +98.2166954232, Email: sadeghi_roya@yahoo.co.uk
Received: December 09, 2016, Accepted: January 30, 2017, Published: August 2017
iThenticate screening: January 25, 2017, English editing: February 10, 2017, Quality control: April 12, 2017
© 2017 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-
NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is
non-commercial and no modifications or adaptations are made.
Page 5075
Teenage girls’ experience of the determinants of physical activity promotion: A theory-based qualitative
content analysis
Mahboobe Borhani
1
, Roya Sadeghi
2
, Davoud Shojaeizadeh
3
, Tayebeh Fasihi Harandi
4
, Mohammad Ali Vakili
5
1
Ph.D. Candidate of Health Education & Health Promotion, Department of Health Promotion and Education,
Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran
2
Ph.D. of Health Promotion, Associate Professor, Department of Health Promotion and Education, Faculty of
Health, Tehran University of Medical Sciences, Tehran, Iran
3
Ph.D. of Health Education, Professor, Department of Health Promotion and Education, Faculty of Health, Tehran
University of Medical Sciences, Tehran, Iran
4
Ph.D. of Health Promotion, Associate Professor, Social Determinants of Health Research Center, Alborz
University of Medical Sciences, Karaj, Iran
5
Ph.D. of Biostatistics, Associate Professor, Department of Biostatistics, School of Medicine, Golestan University
of Medical Sciences, Gorgan, Iran
Type of article: Original
Abstract
Background: The progress of technology in developed countries has changed lifestyles to sedentary and has
increased non-communicable diseases. Identifying factors affecting patterns of physical activity among
adolescents is valuable and it is important to change these pattern.
Objective: This study aimed to explore teenage girls’ experiences regarding the determinants of physical activity
promotion based on Pender's Health Promotion Model.
Methods: This qualitative study is a content analysis research on the girls of three high schools in Minoodasht
city for six months from September 2015 until the end of February 2016. The data were obtained by focused
group discussions and semi-structured in-depth interviews from 48 girls ranging from 15 to 18 years old and six
teachers. Data analysis was done using theory-driven qualitative content analysis.
Results: Data analysis resulted in a total number of 53 primary codes which were classified in the six
predetermined classifications of Pender's Health Promotion Model (Perceived benefits, perceived barriers,
perceived self-efficacy of physical activity behavior, feelings related to physical activity behavior, interpersonal
and situational influencers). The results showed that two classifications (perceived barriers, and situational
influencers) were considered more important than other classifications in reducing levels of physical activity in
adolescent girls and also high self-efficacy for promoting physical activity in adolescents.
Conclusion: The results obtained from this study specified the determinants affecting the promotion of physical
activity among adolescent girls and can help the planners to choose the most appropriate methods and strategies
in order to promote physical activity among adolescent girls and to prevent chronic non-communicable diseases
in this age group and gender.
Keywords: Pender's Health Promotion Model, Physical activity, Qualitative study, Teenage girls
1. Introduction
Sedentary lifestyle is a major problem in public health. The findings of the World Health Organization show that
sedentary lifestyle is one of the 10 leading causes of death around the world (2). Furthermore, this problem
compromises a large portion of the economic burden of developing countries, so it is suggested that one should do
moderate physical exercise at least 30 minutes a day or preferably 3 days a week (3). Nowadays, one of the most
serious public health challenges among teenagers/adolescents, is obesity and lack of mobility. Lack of physical