Comparative Effectiveness of Transactional Analysis Group Therapy and Protection Motivation Theory on Health-Promoting Lifestyles in Middle-Aged Women
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Objective: This study compared the effectiveness of Transactional Analysis (TA) group therapy and Protection Motivation Theory (PMT)-based intervention on improving health-promoting lifestyle behaviors in this population.
Methods and Materials: A quasi-experimental design with pre-test, post-test, and three-month follow-up was conducted among 47 middle-aged women in Tehran. Participants were randomly assigned to one of three groups: TA (8 sessions), PMT (6 sessions), or a control group. The Health-Promoting Lifestyle Profile (HPLP) was used to assess outcomes. Data were analyzed using repeated-measures ANOVA and Bonferroni post hoc tests.
Findings: Both interventions resulted in significant improvements in health-promoting behaviors compared to the control group (p < 0.05). The TA group exhibited greater gains, particularly in stress management, interpersonal support, and self-actualization. These improvements were maintained at follow-up.
Conclusion: Transactional Analysis group therapy was more effective than PMT-based intervention in enhancing key aspects of a health-promoting lifestyle among middle-aged women. TA’s focus on communication and self-awareness makes it a promising approach for lifestyle interventions targeting this population.
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