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The heart-health associated research, dissemination and intervention in the community (HARDIC) trial for nepalese mothers regarding diet and physical activity: A process evaluation
Department of Community Medicine, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Department of Community Medicine, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Sweden.
University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Public Health and Community Medicine, University of Gothenburg, Sweden. (Individ och samhälle, Individual and Society VIDSOC)ORCID iD: 0000-0002-4397-3721
University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden / Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway. (Individ och samhälle, Individual and Society VIDSOC)ORCID iD: 0000-0002-4583-9315
2017 (English)In: Kathmandu University Medical Journal, ISSN 1812-2027, E-ISSN 1812-2078, Vol. 15, no 58, p. 107-116Article in journal (Refereed) Published
Abstract [en]

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. © 2017, Kathmandu University. All rights reserved.

Place, publisher, year, edition, pages
Kathmandu University , 2017. Vol. 15, no 58, p. 107-116
Keywords [en]
diet, health promotion, mothers, physical activity, process evaluation, adult, article, controlled study, course content, feasibility study, female, heart, human, mother, neighborhood, nepalese, outcome assessment, randomized controlled trial, satisfaction, scale up
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:his:diva-14982Scopus ID: 2-s2.0-85041418152OAI: oai:DiVA.org:his-14982DiVA, id: diva2:1193464
Available from: 2018-03-27 Created: 2018-03-27 Last updated: 2019-06-13Bibliographically approved

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Eiben, GabrieleKrettek, Alexandra

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