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dc.contributor.authorOli, Natalia
dc.contributor.authorVaidya, Abhinav
dc.contributor.authorEiben, Gabriele
dc.contributor.authorKrettek, Alexandra
dc.date.accessioned2020-03-05T11:17:59Z
dc.date.available2020-03-05T11:17:59Z
dc.date.issued2019-10-01
dc.description.abstract<i>Background</i>: Nepal, like many low- and middle-income countries, exhibits rising burden of cardiovascular diseases. Misconceptions, poor behavior, and a high prevalence of risk factors contribute to this development. Health promotion efforts along with primary prevention strategies, including risk factor reduction in both adults and children, are therefore critical.<p><p> <i>Objectives</i>: This study assessed the effectiveness of a health promotion intervention on mothers’ knowledge, attitude and practice (KAP) and their children’s behavior regarding diet and physical activity.<p><p> <i>Methods</i>: The Heart-health Associated Research, Dissemination and Intervention in the Community (HARDIC), a community-based trial, used peer education to target mothers with 1–9-year-old children in the peri-urban Jhaukhel–Duwakot Health Demographic Surveillance Site, Nepal, during August–November 2016. In the intervention area, 47 peer mothers were trained to conduct four education classes for about 10 fellow mothers (N = 391). After 3 months, all eligible mothers in the intervention and control areas were interviewed and the results were compared with the KAP of all eligible mothers at baseline.<p><p> <i>Results</i>: Post-intervention, mothers’ KAP median scores had improved regarding heart-healthy diet and physical activity. More mothers had ‘good’ KAP (>75% of maximum possible scores), and mothers with ‘good’ knowledge increased from 50% to 81%. Corresponding control values increased only from 58% to 63%. Mothers’ attitude and practice improved. Additionally, mothers in the intervention area reported improvement in their children’s diet and physical activity behavior. Moreover, Difference in Differences analysis showed that the HARDIC intervention significantly increased mothers’ KAP scores and children’s behavior scores in the intervention area compared to the control area.<p><p> <i>Conclusions</i>: Our intervention improves KAP scores regarding diet and physical activity and shows potential for expansion via community health workers, volunteers, and/or local women. Moreover, HARDIC can contribute to Nepal’s Package of Essential Noncommunicable Diseases Initiative, which currently lacks a specific package for health promotion.en_US
dc.identifier.citationOli N, Vaidya A, Eiben G, Krettek AJ. Effectiveness of health promotion regarding diet and physical activity among Nepalese mothers and their young children: The Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) trial. Global health action. 2019;12(1):1670033en_US
dc.identifier.cristinIDFRIDAID 1739516
dc.identifier.doi10.1080/16549716.2019.1670033
dc.identifier.issn1654-9716
dc.identifier.issn1654-9880
dc.identifier.urihttps://hdl.handle.net/10037/17638
dc.language.isoengen_US
dc.publisherTaylor & Francis Openen_US
dc.relation.journalGlobal health action
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2019 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleEffectiveness of health promotion regarding diet and physical activity among Nepalese mothers and their young children: The Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) trialen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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