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Theory-based lifestyle educational intervention through intensive community leaders’ affects healthy lifestyles adoption of middle-aged Nekemte populations: A quasi-experimental control study

The intensive participation of community leaders in teamwork is essential for healthy lifestyle adoption and lifestyle disease prevention. Adult-centered lifestyle education intervention is a simple method and requires less power. However, the effect of community leaders’ engagement in education on...

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Autores principales: Adeba, Alemu, Dessalegn, Tamiru, Tefera, Belachew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902019/
https://www.ncbi.nlm.nih.gov/pubmed/36749258
http://dx.doi.org/10.1097/MD.0000000000031414
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author Adeba, Alemu
Dessalegn, Tamiru
Tefera, Belachew
author_facet Adeba, Alemu
Dessalegn, Tamiru
Tefera, Belachew
author_sort Adeba, Alemu
collection PubMed
description The intensive participation of community leaders in teamwork is essential for healthy lifestyle adoption and lifestyle disease prevention. Adult-centered lifestyle education intervention is a simple method and requires less power. However, the effect of community leaders’ engagement in education on the effectiveness of intervention, adults’ team performance, and satisfaction was not noticed in west Ethiopia. Therefore, this study aims to evaluate the effect of theory-based education intervention through intensive community leaders on the intervention mapping approach to healthy lifestyle adoption of middle-aged Nekemte dwellers. A pretest-post-assessment quasi-experimental control study was conducted from January to July 2019 and post-data was collected in August 2019. Out of 266 apparently healthy, 253 middle-aged final analyzed. After 3 months of intensive education for the intervention group, weekly 1 session of 30 to 50 minutes was given for the other 3 months and the team was led by community leaders. With SPSS version 24 data analyzed for descriptive statistics, difference-in-differences the mean difference, independent t test, and the correlation between variables were analyzed using Spearman, and significance was considered at P value <.05. At baseline there was no significant difference among the 2 groups. While healthy lifestyle adoption improved, anthropometric measures showed a reduction among the intervention group compared to the control group. This study showed that among the middle-aged in the intervention group compared with the control group, preceding behaviors (P < 0·001), self-efficacy (P < 0·001), affects related behavior (P < .001), interpersonal influences (P < 0·001), perceived benefits (P = 0·001), barriers (P = 0·003) and commitment to action of a plan (P < 0·001) were significantly changed at the end line. The role of the team leader’s effort was 92.19% for successful competition of the intervention and the average scaling rate of team effectiveness is 73.19% and significantly associated with effectiveness (R = 0.82, P < .01), leaders effort (R = 0.73, P < .01), and satisfaction (R = 0.84, P < .01). A community-based team leader has a positive correlation with effectiveness and implementations of lifestyle education intervention. The study revealed that theory-based educational intervention through intensive community leaders is effective in participants’ retention, healthy lifestyle adoption, anthropometric measure reduction, improving adults’ team performance & satisfaction, and rapid implementation of intervention at the community level. Hereby theory-based educational intervention through intensive community leaders is a prominent educational tool to implement lifestyle education, health lifestyle adoption, and prevent chronic diseases. The findings imply the need for targeting the middle-aged in designing healthy lifestyle education interventions.
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spelling pubmed-99020192023-02-09 Theory-based lifestyle educational intervention through intensive community leaders’ affects healthy lifestyles adoption of middle-aged Nekemte populations: A quasi-experimental control study Adeba, Alemu Dessalegn, Tamiru Tefera, Belachew Medicine (Baltimore) 5100 The intensive participation of community leaders in teamwork is essential for healthy lifestyle adoption and lifestyle disease prevention. Adult-centered lifestyle education intervention is a simple method and requires less power. However, the effect of community leaders’ engagement in education on the effectiveness of intervention, adults’ team performance, and satisfaction was not noticed in west Ethiopia. Therefore, this study aims to evaluate the effect of theory-based education intervention through intensive community leaders on the intervention mapping approach to healthy lifestyle adoption of middle-aged Nekemte dwellers. A pretest-post-assessment quasi-experimental control study was conducted from January to July 2019 and post-data was collected in August 2019. Out of 266 apparently healthy, 253 middle-aged final analyzed. After 3 months of intensive education for the intervention group, weekly 1 session of 30 to 50 minutes was given for the other 3 months and the team was led by community leaders. With SPSS version 24 data analyzed for descriptive statistics, difference-in-differences the mean difference, independent t test, and the correlation between variables were analyzed using Spearman, and significance was considered at P value <.05. At baseline there was no significant difference among the 2 groups. While healthy lifestyle adoption improved, anthropometric measures showed a reduction among the intervention group compared to the control group. This study showed that among the middle-aged in the intervention group compared with the control group, preceding behaviors (P < 0·001), self-efficacy (P < 0·001), affects related behavior (P < .001), interpersonal influences (P < 0·001), perceived benefits (P = 0·001), barriers (P = 0·003) and commitment to action of a plan (P < 0·001) were significantly changed at the end line. The role of the team leader’s effort was 92.19% for successful competition of the intervention and the average scaling rate of team effectiveness is 73.19% and significantly associated with effectiveness (R = 0.82, P < .01), leaders effort (R = 0.73, P < .01), and satisfaction (R = 0.84, P < .01). A community-based team leader has a positive correlation with effectiveness and implementations of lifestyle education intervention. The study revealed that theory-based educational intervention through intensive community leaders is effective in participants’ retention, healthy lifestyle adoption, anthropometric measure reduction, improving adults’ team performance & satisfaction, and rapid implementation of intervention at the community level. Hereby theory-based educational intervention through intensive community leaders is a prominent educational tool to implement lifestyle education, health lifestyle adoption, and prevent chronic diseases. The findings imply the need for targeting the middle-aged in designing healthy lifestyle education interventions. Lippincott Williams & Wilkins 2023-02-03 /pmc/articles/PMC9902019/ /pubmed/36749258 http://dx.doi.org/10.1097/MD.0000000000031414 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle 5100
Adeba, Alemu
Dessalegn, Tamiru
Tefera, Belachew
Theory-based lifestyle educational intervention through intensive community leaders’ affects healthy lifestyles adoption of middle-aged Nekemte populations: A quasi-experimental control study
title Theory-based lifestyle educational intervention through intensive community leaders’ affects healthy lifestyles adoption of middle-aged Nekemte populations: A quasi-experimental control study
title_full Theory-based lifestyle educational intervention through intensive community leaders’ affects healthy lifestyles adoption of middle-aged Nekemte populations: A quasi-experimental control study
title_fullStr Theory-based lifestyle educational intervention through intensive community leaders’ affects healthy lifestyles adoption of middle-aged Nekemte populations: A quasi-experimental control study
title_full_unstemmed Theory-based lifestyle educational intervention through intensive community leaders’ affects healthy lifestyles adoption of middle-aged Nekemte populations: A quasi-experimental control study
title_short Theory-based lifestyle educational intervention through intensive community leaders’ affects healthy lifestyles adoption of middle-aged Nekemte populations: A quasi-experimental control study
title_sort theory-based lifestyle educational intervention through intensive community leaders’ affects healthy lifestyles adoption of middle-aged nekemte populations: a quasi-experimental control study
topic 5100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902019/
https://www.ncbi.nlm.nih.gov/pubmed/36749258
http://dx.doi.org/10.1097/MD.0000000000031414
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