Development of a Health Behavior Modification Model at Risk Personnel to the Clinical Outcome Component of Metabolic Syndrome

Abstract

Purposes : To study problem situations and health care behaviors, create a model, test and evaluate a health behavior modification model at risk personnel.

Study design : Participatory Action Research; PAR.

Materials and Methods : Forty-five of target risks group were at risk of metabolic syndrome. Three phases an implementation were divided into: preparation phase, Implementation phase and evaluation and reflection phase. The research was conducted from January to March 2021. Data were collected using a questionnaire, guidelines for group discussion and data recording. Data were analyzed using frequency, percentage, mean, standard deviation and percentage difference.

Main findings : 1) Problems of situations, and health behaviors; Forty-five of all risk groups, the most of them were women (57.80%), mean age 45.75 years, mean weight 69.49 kilograms, mean waist circumference 88.80 centimeters, and non-smokers (86.80%). The knowledge and attitude about eating food were moderate, eating behavior, exercise and stress management were at appropriate levels. 2) the health behavior modification model consists of educational activities, teaching and practicing exercise skills, setting goals, joining groups to exchange experiences, repeat knowledge in parts that were lacking, prototypes, follow up online or by phone, and physical activity continued and evaluated. 3) And after intervention, it were found that the metabolic syndrome risk group were increase 15.23% of increase in eating behavior, 12.55% of increase in knowledge about food consumption, a 4.76% of increase in stress management, 2.95% of increase in exercise, and 2.76% of increase in food intake attitude, and 4.76% of decrease in waist circumference and 11.35% of decrease in triglyceride value, 6.73% of decrease in blood sugar levels (FBS) and 3.05% of decrease in systolic blood pressure, 3.12% of diastolic blood pressure decreased and 8.61% of increase HDL cholesterol.

Conclusion and recommendations : The research resulted in improved health behaviors and clinical outcomes.