Effects of the program applying the theory of PRECEDE-PROCEED model to health behavior change among overweight employees in factory, Rayong province
Main Article Content
Abstract
This Quasi-experimental research aimed to study the effectiveness of the program which applies the theory of PRECEDE-PROCEED model to change health behavior among private overweight employees in Rayong province. Total sample was 62 employees working in a private company in Rayong province. The sample was divided into two groups: 31 experimental group and 31 comparison group. The health promotion program for the experimental group included predisposing factors which were health education programs providing continuous knowledge and advice through the application LINE; enabling factors which were the improvement of the fitness room, the medias about health behavior change, the arrangement of healthy food and drink menu, giving out the pedometers; reinforcing factors which were the personal health record books, weekly weighing to assess health status, collecting health behavior scores, compliments, contest and award. The comparison group was trained according to the program provided by the company. The period for the test was 13 weeks. Data was collected using questionnaires. The result was measured before and after the experiment. Descriptive statistics was used to analyze general data. Paired sample t-test was used for comparative analysis and Independent sample t-test at the 0.05 level of significance.
The results showed that after the implementation, the experimental group’s average score in the aspects of attitude towards health behavior change, environment which supports health behavior change, positive reinforcement in health behavior change, health behavior in diet control and exercise behaviors was higher than before the test and higher than the comparison group with statistically significant (p<0.05). Body index mass was more reduced than before the test and higher than the comparison group with statistically significant (p<0.05). The programs can then be adapted to everyday life of employees in the workplaces, suitable for society and culture in the organization resulting in continuity and sustainability, which is a primary prevention of chronic non-communicable diseases.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Miranda, H. and et al. Health behavior and overweight in nursing home employees: contribution of workplace stressors and implications for worksite health promotion.[Scientific World Journal]. 2015. [cited 2019 Jan 25]. Available from: http://dx.doi.org/10.1155/2015 /915359. Accessed 25 January 2019.
Prasittipath, T. and et al. Lesson learned from applying the eastern philosophical idea of DaoDe XinXi technique for health behavior modification among employees in the enterprises. The Public Health Journal of Burapha University. 2019;14: 63-77. Thai.
Phanwattana, P. Food consumption behavior of working age people in Bangkok. The Office of Disease Prevention and Control 7 Khon Kaen. 2019;26: 93-103. Thai.
Kaewklin, S. and Prabpai, S. Association between Bio-social factors and health behaviors with dyslipidemia among employ -yees of Thai Nam Thip company at Changwat Pathum Thani. Journal of the Royal Thai Army Nurses. 2017;18: 56-63. Thai.
Kamonpornmongkol, P. and et al. The confirmatory factor analysis of health promo -tion in exercise for employees in the work places. Journal of Nursing and Education. 2017;10: 16-33.
Ministry of Public Health. Annual report 2016. The War Veterans Organization of Thailand Press. Bangkok; 2016. Thai.
National statistical Office Ministry of Digital Economy and Society. Statistical Yearbook Thailand 2017. Ministry of Interior (Department of Provincial Administration). Bangkok: Bangkok Block Ltd., Part. 2017. Thai.
Arora, D. and et al. Cross sectional survey on association between alcohol, Betel-Nut, cigarette consumption and health promoting behavior of industrial worker in Ghaziabad. Asian Pacific Journal of Cancer Prevention. 2015; 6: 139-144.
Ministry of Public Health. Guidelines for the practice of prevention and care for obesity. Institute of Medicine Research and Technology Assessment. Bangkok. The Agricul- tural Co-operative Federation of Thailand Press. Bangkok; 2010. Thai.
Bhunthuwate, N. and Absuwan, A. Campaign on chronic non-communicable diseases. [ Internet] 2009. [cited 2019 Feb 2]. Available from: http://203.157.184.6/Newaumpher/ fileupload/1892ncd2552.pdf. Thai.
Goetzel, R. Z. and et al. (2009). First-year results of an obesity prevention program at The Dow Chemical Company. Journal of occupational and environmental medicine/American College of Occupational and Environmental Medicine. 2009;51(2): 125.
Intarakamhang, U. and Netthip, W. Causal relation model of person and job environment factors to service behavirors in health promotion and disease prevention among health care providers. Journal of Behavioral Science. 2012;18: 33-46. Thai.
Klein, S. and et al. Waist circumference and cardiometabolic risk: a consensus statement from shaping America's health: Association for Weight Management and Obesity Prevention; NAASO, the Obesity Society; the American Society for Nutrition; and the American Diabetes Association. Obesity. 2007;15(5): 1061-1067.
Green, L.W. and Kreuter, M.W. Health promotion planning an education and ecological approach. 4th edition. Mountain View, CA : Mayfield. 2005.
Salinero-Fort, MA. and et al. Effectiveness of PRECEDE model for health education on changes and level of control of HbA1C, blood pressure, lipids, and body mass index in patients with type 2 diabetes mellitus. BMC Public Health. 2011;11: 267-276.
Powwattana, P. and et al. Health promotion and disease prevention in community: an application of concepts and theories to practice. 3 rd ed. Khon Kaen. Klungnana Vitthaya Press. 2013. Thai
Ua-Kit, N. and Pensri, L. Utilization of the PRECEDE MODEL in health promotion. Thai Red Cross Nursing Journal. 2019;12: 38-48. Thai.
Legyam, S. and et al. Knowledge, Attitude, Consumption behavior and nutritional condi -tion of overweight people participating in a counseling programme for nutrition and community relation: a follow-up study. Thai Journal of Nursing Council. 2017;32: 126-137. Thai.
Ponghan, P. and et al. Effects of health promotion on metabolic syndrome preventive behaviors among health volunteers. Journal of Nursing and Health Sciences. 2011;5: 54-64.
Suthirit, S., Pinchaleaw, D. and Keskomon, T. The effectiveness of self-regulation program with line application among overweight health volunteers, Tharongchang district, Surat Thani Province. JOPN. 2018;10: 330-339. Thai.
Noofong, Y. and Ayae, M. The effects of dietary and exercise self-regulation program on dietary and exercise behavior and body weight of obese students. Songklanagarind Journal of Nursing. 2016;36: 78-92. Thai.
Ruangsongkram, J., Tiamjan, R., and Sirisawang, W. Factors related health promoting behavior of public health volunteers in Faham subdistrict, Muang Chaingmai district, Chaing Mai Province. Journal of Graduate Research. 2015; 6: 172-183. Thai.