1 Effect of Health-Promoting Lifestyle Education Based on Health Belief Model for Women of Reproductive Age: A Randomized Controlled Trial https://brieflands.com/journals/cphh/articles/170328 10.69107/cphh-170328 1 Background :Women of reproductive age play a central role in maintaining family health through their influence on pregnancy outcomes, child health, family nutrition, and health-related decision-making. Therefore, promoting healthy lifestyles among these women is essential for improving both individual and family health. Objectives :This study aimed to evaluate the effect of Health Belief Model-based education on health-promoting lifestyles among women of reproductive age. Methods :This randomized controlled trial was conducted among women of reproductive age attending urban and rural comprehensive health centers in Buin-Zahra, Iran. In total, 132 women were assessed for eligibility; 32 were excluded because they did not meet the inclusion criteria. The remaining 100 eligible participants were recruited from the selected health centers and allocated to the intervention (n = 50) and control (n = 50) groups using stratified randomization by place of residence (urban/rural). The intervention group received four Health Belief Model-based educational sessions, whereas the control group received routine care. Health-promoting lifestyle and Health Belief Model constructs were assessed at baseline and eight weeks after the intervention using the Health-Promoting Lifestyle Profile and a researcher-developed questionnaire. During follow-up, three participants in the control group were lost, and data from 97 participants were included in the final analysis. Statistical analyses were performed using the chi-square test, independent-samples t-test, paired-samples t-test, and analysis of covariance (ANCOVA), with P < 0.05 considered statistically significant. Results :Before the intervention, the mean scores for lifestyle behaviors and HBM constructs did not differ significantly between the two groups (P > 0.05). After the intervention, compared with the control group, the experimental group showed significant improvements in knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to action (P < 0.05). The mean scores for the overall health-promoting lifestyle and its dimensions also increased significantly in the experimental group (P < 0.05). Conclusions :HBM-based education is effective in improving health-promoting lifestyle behaviors. Integrating Health Belief Model-based educational programs into routine primary healthcare services may be an effective strategy for promoting healthy lifestyle behaviors among women of reproductive age and improving family health. 1 11 Fateme Maddahi Department of Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran Iran fateme.13631390@gmail.com Kazem Hosseinzadeh Department of Nursing, Zeyinab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran Iran kazemhosseinzadeh@gmail.com Mehdi Ranjbaran Non-communicable Diseases Research Center, Research Institute for Prevention of Non-communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran Iran mehdiranjbaran90@yahoo.com Afsaneh Yakhforoshha Department of Medical Education, Qazvin University of Medical Sciences, Qazvin, Iran Iran star2000_y@yahoo.com Maryam Taherpour Department of Midwifery, Social Determinants of Health Research Center, Research Institute for Prevention of Non-communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran Iran mrtaherpour@gmail.com No Keyword 1.pdf [0]Roosta F, Ahmadi A.Self-efficacy and health-promoting behaviors among women of reproductive ages in Shiraz during 2013. journal of ilam university of medical sciences. 2016;24(2):90-100. doi: 10.18869/acadpub.sjimu.24.2.90.##[1]Beyrami M, Amiri S.Healthy Lifestyle and Its Relationship with Health-Related Quality of Life in Cardiovascular Patients: A Cross-Sectional Study. 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