ผลของโปรแกรมการสร้างเสริมสุขภาพร่วมกับการใช้กลุ่มช่วยเหลือตนเองต่อพฤติกรรม การป้องกันภาวะน้ำหนักเกินของอาสาสมัครสาธารณสุขประจำหมู่บ้าน ในอำเภอเลิงนกทา จังหวัดยโสธร The Effects of Health Promotion Program and Self-help Group on Preventive Overweight Behaviors among Village Health Volunteers in Loei Nok Tha District, Yasothon Province

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จิตร มงคลมะไฟ
นพรัตน์ ส่งเสริม
เกศรา แสนศิริทวีสุข
วราทิพย์ แก่นการ

Abstract

Overweight one of the factors that affect the occurrence of chronic disease, premature death and it affects both the social and economic world because of the incidence and rising trend. Village health volunteers act as leaders in changing health behaviors and improving the quality of life in the community. Health promotion for village health volunteers has a prevalence of overweight.


                This experimental study was designed to study the effect of health promotion program and self-help group on overweight prevention behaviors of village health volunteers in Loei Nok Tha District, Yasothon province. The sample was 100 village health volunteers were randomly assigned to each intervention and control group. The intervention group received a health promotion program and the use of self-help groups to prevent overweight. The control group received regular health promotion from district health promotion hospital. Data were collected during March 2017 to August 2017 by using a questionnaire; Food consumption, exercise and emotional management. The content validity index was 0.97 and Cronbach's alpha coefficient was 0.84. Data were analyzed using descriptive statistics, chi-square, and independent t-test.


                At the end of the program, there were 95 participants. The experimental group was 48 (96.00%). The control group was 47 (94.00%). The mean age was 47 years, mostly female, 89%, agricultural occupation 83%. Baseline between experimental group and control group were not statistically significant differences at the 0.05 level. After using health promotion program with self-help group, Exercise and emotional management behavior improved more in the study group than before the experiment and the control group at the 0.05 level. The intervention group had mean waist circumference and body mass index were lower than before the experiment and the control group at the 0.05 level. However, Food consumption was not significant difference between the control and intervention group.


Conclusion and recommendation: Health promotion programs with self-help groups affect body mass index, waist circumference and overweight prevention behaviors among village health volunteers. Food consumption should be adjusted in the context of the community and focused on food that is easily available locally.

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