Effectiveness of health promotion regarding diet and physical activity among Nepalese mothers and their young children: The Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) trial
Background: Nepal, like many low- and middle-income countries, exhibits rising burden of cardiovascular diseases. Misconceptions, poor behavior, and a high prevalence of risk factors contribute to this development. Health promotion efforts along with primary prevention strategies, including risk fac...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2019-01-01
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| Series: | Global Health Action |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/16549716.2019.1670033 |
| _version_ | 1818209997367017472 |
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| author | Natalia Oli Abhinav Vaidya Gabriele Eiben Alexandra Krettek |
| author_facet | Natalia Oli Abhinav Vaidya Gabriele Eiben Alexandra Krettek |
| author_sort | Natalia Oli |
| collection | DOAJ |
| description | Background: Nepal, like many low- and middle-income countries, exhibits rising burden of cardiovascular diseases. Misconceptions, poor behavior, and a high prevalence of risk factors contribute to this development. Health promotion efforts along with primary prevention strategies, including risk factor reduction in both adults and children, are therefore critical. Objectives: This study assessed the effectiveness of a health promotion intervention on mothers’ knowledge, attitude and practice (KAP) and their children’s behavior regarding diet and physical activity. Methods: The Heart-health Associated Research, Dissemination and Intervention in the Community (HARDIC), a community-based trial, used peer education to target mothers with 1–9-year-old children in the peri-urban Jhaukhel–Duwakot Health Demographic Surveillance Site, Nepal, during August–November 2016. In the intervention area, 47 peer mothers were trained to conduct four education classes for about 10 fellow mothers (N = 391). After 3 months, all eligible mothers in the intervention and control areas were interviewed and the results were compared with the KAP of all eligible mothers at baseline. Results: Post-intervention, mothers’ KAP median scores had improved regarding heart-healthy diet and physical activity. More mothers had ‘good’ KAP (>75% of maximum possible scores), and mothers with ‘good’ knowledge increased from 50% to 81%. Corresponding control values increased only from 58% to 63%. Mothers’ attitude and practice improved. Additionally, mothers in the intervention area reported improvement in their children’s diet and physical activity behavior. Moreover, Difference in Differences analysis showed that the HARDIC intervention significantly increased mothers’ KAP scores and children’s behavior scores in the intervention area compared to the control area. Conclusions: Our intervention improves KAP scores regarding diet and physical activity and shows potential for expansion via community health workers, volunteers, and/or local women. Moreover, HARDIC can contribute to Nepal’s Package of Essential Noncommunicable Diseases Initiative, which currently lacks a specific package for health promotion. |
| first_indexed | 2024-12-12T05:09:36Z |
| format | Article |
| id | doaj.art-247efa602549492c816921e6c4a7af43 |
| institution | Directory Open Access Journal |
| issn | 1654-9880 |
| language | English |
| last_indexed | 2024-12-12T05:09:36Z |
| publishDate | 2019-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj.art-247efa602549492c816921e6c4a7af432022-12-22T00:36:58ZengTaylor & Francis GroupGlobal Health Action1654-98802019-01-0112110.1080/16549716.2019.16700331670033Effectiveness of health promotion regarding diet and physical activity among Nepalese mothers and their young children: The Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) trialNatalia Oli0Abhinav Vaidya1Gabriele Eiben2Alexandra Krettek3Sahlgrenska Academy at University of GothenburgKathmandu Medical CollegeUniversity of SkövdeSahlgrenska Academy at University of GothenburgBackground: Nepal, like many low- and middle-income countries, exhibits rising burden of cardiovascular diseases. Misconceptions, poor behavior, and a high prevalence of risk factors contribute to this development. Health promotion efforts along with primary prevention strategies, including risk factor reduction in both adults and children, are therefore critical. Objectives: This study assessed the effectiveness of a health promotion intervention on mothers’ knowledge, attitude and practice (KAP) and their children’s behavior regarding diet and physical activity. Methods: The Heart-health Associated Research, Dissemination and Intervention in the Community (HARDIC), a community-based trial, used peer education to target mothers with 1–9-year-old children in the peri-urban Jhaukhel–Duwakot Health Demographic Surveillance Site, Nepal, during August–November 2016. In the intervention area, 47 peer mothers were trained to conduct four education classes for about 10 fellow mothers (N = 391). After 3 months, all eligible mothers in the intervention and control areas were interviewed and the results were compared with the KAP of all eligible mothers at baseline. Results: Post-intervention, mothers’ KAP median scores had improved regarding heart-healthy diet and physical activity. More mothers had ‘good’ KAP (>75% of maximum possible scores), and mothers with ‘good’ knowledge increased from 50% to 81%. Corresponding control values increased only from 58% to 63%. Mothers’ attitude and practice improved. Additionally, mothers in the intervention area reported improvement in their children’s diet and physical activity behavior. Moreover, Difference in Differences analysis showed that the HARDIC intervention significantly increased mothers’ KAP scores and children’s behavior scores in the intervention area compared to the control area. Conclusions: Our intervention improves KAP scores regarding diet and physical activity and shows potential for expansion via community health workers, volunteers, and/or local women. Moreover, HARDIC can contribute to Nepal’s Package of Essential Noncommunicable Diseases Initiative, which currently lacks a specific package for health promotion.http://dx.doi.org/10.1080/16549716.2019.1670033diethealth promotionmothersphysical activityyoung children |
| spellingShingle | Natalia Oli Abhinav Vaidya Gabriele Eiben Alexandra Krettek Effectiveness of health promotion regarding diet and physical activity among Nepalese mothers and their young children: The Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) trial Global Health Action diet health promotion mothers physical activity young children |
| title | Effectiveness of health promotion regarding diet and physical activity among Nepalese mothers and their young children: The Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) trial |
| title_full | Effectiveness of health promotion regarding diet and physical activity among Nepalese mothers and their young children: The Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) trial |
| title_fullStr | Effectiveness of health promotion regarding diet and physical activity among Nepalese mothers and their young children: The Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) trial |
| title_full_unstemmed | Effectiveness of health promotion regarding diet and physical activity among Nepalese mothers and their young children: The Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) trial |
| title_short | Effectiveness of health promotion regarding diet and physical activity among Nepalese mothers and their young children: The Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) trial |
| title_sort | effectiveness of health promotion regarding diet and physical activity among nepalese mothers and their young children the heart health associated research dissemination and intervention in the community hardic trial |
| topic | diet health promotion mothers physical activity young children |
| url | http://dx.doi.org/10.1080/16549716.2019.1670033 |
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