The outcome of Health Behaviors Development in the Health Personnel with Metabolic syndrome, Fort Prachaksinlapakom Hospital, Udonthani Province: The Mixed-Methodology Design

Abstract

       This mixed-methodology and Explanatory research design aimed to study the outcome, key success and failure factors of health behaviors development in health personnel with metabolic syndrome in Fort Prachaksinlapakom hospital, Udonthani Province. The participants were 6 activities leaders and 47 Health Personnel with metabolic syndrome. Data were collected using in-depth interviews, group discussions, body weight and waistline measurement and non-participative observation which were approved by the experts. Descriptive statistics, paired t-test and   Wilcoxon signed-rank test were employed to analyze the Quantitative data and using content analysis to analyze the qualitative data.

      The results found 8.51% of the studied group  achieved their goal (weight decrease ≥ 6 kilograms in 6 month) with an average weight decreased 8.41 kilograms and waistline circumference average decreased 10.75 centimeters from the beginning. 91.49% did not reach the goal with the average weight increased 0.40 kilograms. However, there was a decrease in average waistline circumference of 2.43 cm.   A comparison of weight and waistline measurements prior to and after the study did not reveal a significant difference in the successful group, but waistline circumference was significant in the unsuccessful group (α = 0.15). Factors that influenced the success were clear agency policy, decisive goals and intentions of the participants, adherence to the practice of the three E’s (eat, exercise, and emotion), support from colleagues, a positive environment accessible to exercise, low calorie food service, social media and regular evaluation. Failure factors originated from participant’s social and environmental elements. It is recommended that agencies organize activities to develop healthy behaviors and strive to keep constant monitoring.