Publication: The Heart-health Associated Research, Dissemination and Intervention in the Community (HARDIC) Trial for Nepalese Mothers regarding Diet and Physical Activity: A Process Evaluation
Date
2017
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Mothers with young children in the peri-urban Jhaukhel-Duwakot Health
Demographic Surveillance site of Bhaktapur district have misconceptions and poor
behavioural practice regarding diet and physical activity. We developed the Heart-
health Associated Research, Dissemination and Intervention in the Community trial
- a health promotion intervention for mothers.
Objective
The objective of this study was to evaluate the intervention’s feasibility, acceptability,
potential for transferability and scaling up, and to determine its immediate outcome.
Method
Duwakot and Jhaukhel were randomly selected as the intervention and control
communities, respectively. We trained 47 peer mothers from Duwakot, each of whom
gave classes with 10 fellow mothers of their neighbourhood. The process evaluation
was carried out on a continuous basis at different points of the intervention held
from August to November 2016.
Result
In round one, the participation and completion rates were both > 90% for peer
mothers; and 85% and 70%, respectively, for the fellow mothers. However, the
participation rates fell in the round two of the intervention. On the whole, the
mothers expressed satisfaction and acceptance of the course content and training
modality. Immediate evaluation of the intervention showed improvement of
knowledge, attitude and practice of diet and physical activity among both groups of
mothers.
Conclusion
The successful implementation of the intervention targeting diet and physical activity
clearly demonstrates the feasibility of health promotional activities in the Nepalese
community for improvement of cardiovascular health.
KEY WORDS
Diet, health promotion, mothers, physical activity, process evaluation
Description
Vaidya A,1† Oli N,1,2† Eiben G,3,4 Krettek A2,3,5
1Department of Community Medicine,
Kathmandu Medical College Teaching Hospital,
Sinamangal, Kathmandu, Nepal.
2Department of Internal Medicine and Clinical Nutrition
Institute of Medicine, Sahlgrenska Academy at
University of Gothenburg, Gothenburg, Sweden.
3Department of Biomedicine and Public Health,
School of Health and Education,
University of Skövde, Skövde, Sweden.
4Department of Public Health and Community Medicine,
University of Gothenburg, Gothenburg, Sweden.
5Department of Community Medicine,
Faculty of Health Sciences, UiT The Arctic University
of Norway, Tromsø, Norway
Keywords
Diet, health promotion, mothers, physical activity, process evaluation