title: Internal motivations and barriers effective on the healthy lifestyle of middle-aged women: A qualitative approach.
abstract: BACKGROUND
  A healthy lifestyle is one of the basic health-promotion strategies. Several factors are involved in shaping health-promotion behaviors. The internal barriers are the opinion and feelings that surround the individual and are the reasons that complicate the change of behavior. The aim of this study was to identify internal motivations and barriers effective on the healthy lifestyle in middle-aged Iranian women.
  
  
  METHODS
  This was a qualitative study based on content analysis of in-depth semi-structured interviews with 21 middle-aged women in the city of Yazd, who were selected using purposeful sampling approach. The interviews continued until data saturation was reached; and the interviews were audio-recorded and transcribed exactly. The transcripts were analyzed.
  
  
  RESULTS
  FIVE MAIN THEMES EMERGED FROM THE ANALYSIS OF THE INTERVIEWS: Women's knowledge of health-promoting behaviors, importance of health and healthy behavior of women, affliction or fear of affliction to chronic disease and its consequences, responsibilities of women in the family and society, and skills of life management in women.
  
  
  CONCLUSIONS
  The findings suggest that empowering individual participants in health promotion is the most important factor determining their health. Thus, designing appropriate programs for education and empowerment of people is essential to promoting health. Health policy makers, with knowledge of these factors, can design comprehensive, socialization programs to promote women's health.
authors.affiliation: Faculty of Nursing & Midwifery, Isfahan university of medical sciences, Isfahan, and Faculty of Nursing & Midwifery Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors.forename: Behnaz
authors.initials: B
authors.lastname: Enjezab
authors.forename: Ziba
authors.initials: Z
authors.lastname: Farajzadegan
authors.forename: Fariba
authors.initials: F
authors.lastname: Taleghani
authors.forename: Abbas
authors.initials: A
authors.lastname: Aflatoonian
keywords: Health promotion; Iran; motivation; qualitative research; women’s health