Community capacity building on promoting behavioral change against overweight and obesity in community using a community-based participation approach

Main Article Content

Pennapa Pisaipan
Daravan Rongmuang
Cuttaliya Vasuthada
Pornruedee Nitirat
Suchitra prayoonyoung

Abstract

Background: Obesity is a risk factor for non-communicable diseases. Sustainable obesity resolution should involve community participation.


Objectives: To develop and study the effect of the competency development model for health behavior modification regarding consumption and exercise behaviors in order to resolve overweight and obesity in the community.


Methods: The study design was the Community-Based Participation Research (CBPR). The samples included community leaders and community members who were at risk of non-communicable chronic diseases. Research tools were composed of the consumption and exercise behaviors questionnaire, the health behavior modification competencies questionnaire, and the research competencies questionnaire. The content validities of the questionnaires were .83-1.00, and the validities were .76-.96. Data were analyzed using descriptive statistics, paired t-test, and The Wilcoxon signed-ranks test.


Results: The competency development model for health behavior modification should involve community networks in all behavior modification processes. The behavioral modification should be implemented at the individual, interpersonal, and community levels; and After implementing the competency development model: the at-risk samples were statistically significantly lower in the BMI mean and waistline mean (t(29)= 8.00,p<.001 and t(29)= 6.27, p<.001, respectively) and the mean score of exercise behavior was statistically significantly increasing (z=-3.09, p<.001). The mean score of consumption behavior was not statistically different, and  the community leaders were statistically significantly lower in the BMI and waistline means (z=-2.59, p<.01 and z=-2.04, p<.04, respectively) and the mean score of exercise behavior was also statistically significantly increasing (z=-2.03, p<.04) However, the mean scores of consumption behavior, behavior modification competency, and research competency were not statistically different. 


Conclusions: The competency development model for health behavior modification can reduce BMI and waistline of people in the community.

Downloads

Download data is not yet available.

Article Details

How to Cite
Pisaipan, P., Rongmuang, D., Vasuthada, C., Nitirat, P., & prayoonyoung, S. (2020). Community capacity building on promoting behavioral change against overweight and obesity in community using a community-based participation approach. JOURNAL OF HEALTH SCIENCE RESEARCH, 14(2), 125-137. Retrieved from https://he01.tci-thaijo.org/index.php/JHR/article/view/239847
Section
นิพนธ์ต้นฉบับ (Original Articles)

References

1.Hruby A, Hu FB. The epidemiology of obesity: a big picture. Pharmacoeconomics. 2015;33(7):673–89.

2. Krisorakun T, Polamaung W, Poonawagul U. Prevalence of overweight, obesity and co-morbidities among adults aged over 20 years in Tambon Chantanimit Amphur Muang Chanthaburi Province. The Journal of Prapokklao Hospital Clinical Medical Education Center. 2007;24(2):89-98. (in Thai).

3. Institute for Population and Social Research, Mahidol University. Thai Health 2018: religion and health. Bangkok: Amarin Printing and Publishing Public; 2018. (in Thai).

4. Pitayatienanan P, Butchon R, Yothasamut J, Aekplakorn W, Teerawattananon Y, Suksomboon N, et al. Economic costs of obesity in Thailand: A retrospective cost-of-illness study. BMC Health Services Research. 2014;14:146-53. (in Thai).

5. Kuanra-ngub S. Behavior modification program for weight control of payap university personnel. Nursing Journal. 2014;41(1):85-95. (in Thai).

6. Ponghan P. Effects of health promotion program on metabolic syndrome preventive behaviors among health volunteers. Journal of Nursing and Health Sciences. 2011;5(3): 54-63. (in Thai).

7. Nilkumhaeng A, Pimpan C. Effects of health promotion programs on behavioral change to reduce cholesterol levels in blood of Chainat hospital staff. Social Sciences Research and Academic Journal. 2008; 3(6):127-38. (in Thai).

8. Poompukaew W, Dungsong R. The effectiveness of application by self-regulation theory and transtheoritical theory for behavior development on weight reduction among government officers in Nahaeo District, Loei Province. KKU Journal for Public Health Research. 2009; 2(1):77-87.(in Thai).

9. Polikandrioti M, Dokoutsidou H. The role of exercise and nutrition in type II diabetes mellitus management. Health Sci J. 2009; 3(4):216-21.

10. Schulz AJ, Israel BA, Coombe CM, Gaines C, Reyes AG, Rowe Z, et al. A community-based participatory planning process and multilevel intervention design: toward eliminating cardiovascular health inequities. Health Promot Pract. 2011;12(6):900-11.

11. Chidnayee S, Kaewcharoenta P, Wuttijureepan A, Kuariyakul A. The competencies development of health promotion leaders at primary care. Journal of Nursing Education. 2016;9(2):40-54. (in Thai).

12. Johnson CE, Ali SA, Shipp MP. Building community-based participatory research partnerships with a Somali refugee community. Am J Prev Med. 2009;37(6):S230-36.

13. Pannasil B,Pansila W,Bootsankom R. Development of operations management to reduce for obesity people in community Nong Sang Sub-District,Wapi Prathum District, Mahasarakham Province. Journal of Science and Technology, Ubon Ratchathani University. 2017;19(2):108-23. (in Thai).

14. Balagopal P, Kamalamma N, Patel TG, Misra R. A community-based participatory diabetes prevention andmanagement intervention in rural India using community health workers. Diabetes Educ. 2012;38(6):822-34.

15. Pannasil B, Pansila W, Bootsankom R. Development of operations management to
reduce obese people in the community, Nong Sang sub-distict, Wapi Prathum district, Mahasarakham province. Journal of Science and Technology, Ubon Ratchathani University. 2017;19:108-23. (in Thai).

16. Poonperm R. Food consumption behaviors of family in the community of Phramongkutklao Hospital personnel’s Residence. Journal of The Royal Thai Army Nurses. 2016;17(2):78-88. (in Thai).

17. Sriareporn P, Prommachote M. Competency development of women leaders for promoting health in women of reproductive age. Journal of Thailand Nursing and Midwifery Council. 2011;26(special issue): 70-80. (in Thai).