Evaluation of the effect of chain training methods on improvement of household awareness and attitude toward healthy nutrition
DOI:
https://doi.org/10.22122/cdj.v3i1.73Keywords:
Training, Knowledge, Behavior, NutritionAbstract
BACKGROUND: Cardiovascular diseases (CVD) are one of the major causative factors of morbidity and mortality in the world which can be easily prevented through lifestyle changes. The aim of this study was to evaluate the effect of chain training methods on increasing household awareness on and attitude toward healthy nutrition in order to prevent CVD.
METHODS: This study was performed as a community trial. For the purpose of this study, 4 areas were selected and 4 educational methods were conducted in these areas. The participants were told to share their information with their neighbors and relatives in that area (chain training). Primary knowledge of the residents of these areas before and after the intervention were evaluated in a randomly selected sample (n = 400). Data were analyzed using independent t-test, chi-square, and Fisher’s exact test.
RESULTS: Pre-intervention and post-intervention mean of knowledge were 16.42 (± 3.5) and 16.4 (± 3.6), respectively (P = 0.025). Pre-intervention and post-intervention mean of knowledge did not differ in area 1, 2, and 4. A statistically significant increase in knowledge was only observed in area 3 (P < 0.001).
CONCLUSIONS: The use of chain training method by non-governmental organization (NGOs) may not be effective in increasing awareness on healthy lifestyle. Therefore, training through public classes and direct education by health personnel is recommended.
References
Sarafino EP. Health Psychology: Biopsychosocial Interactions. 4th ed. New Jersey, NJ: Wiley; 2001.
Dostkam H, Hosseinian J, Fatehi GH. The prevalence of myocardial infarction without ST segment in patients with primary diagnosis of unstable angina in the Ardabil Bouali hospital. J Ardabil Univ Med Sci 2006; 6(1): 37-43. [In Persian].
Aggarwal BB, Harikumar KB. Potential therapeutic effects of curcumin, the anti-inflammatory agent, against neurodegenerative, cardiovascular, pulmonary, metabolic, autoimmune and neoplastic diseases. Int J Biochem Cell Biol 2009; 41(1): 40-59.
Zulli A, Lau E, Wijaya BP, Jin X, Sutarga K, Schwartz GD, et al. High dietary taurine reduces apoptosis and atherosclerosis in the left main coronary artery: association with reduced CCAAT/enhancer binding protein homologous protein and total plasma homocysteine but not lipidemia. Hypertension 2009; 53(6): 1017-22.
Sanchez-Villegas A, Delgado-Rodriguez M, Martinez-Gonzalez MA, De Irala-Estevez J. Gender, age, socio-demographic and lifestyle factors associated with major dietary patterns in the Spanish Project SUN (Seguimiento Universidad de Navarra). Eur J Clin Nutr 2003; 57(2): 285-92.
Brenn T, Njolstad I. Coronary heart disease risk factors in subjects whose brothers, sisters or husbands developed premature myocardial infarction during 12 years of follow-up. The Finnmark Study (1977-1989). J Cardiovasc Risk 1998; 5(5-6): 325-30.
Uddin SN, Begum F, Malik F, Rahman S. Coronary artery disease in young patients: clinical review and risk factor analysis. Mymensingh Med J 2003; 12(1): 3-7.
Sheikhtaheri A, Moghaddasi H. Information Managers: The Powerful Strategists of Health care Organizations in Future. Health Inf Manage 2008; 5(1): 83-93. [In Persian].
Alm-Roijer C, Stagmo M, Uden G, Erhardt L. Better knowledge improves adherence to lifestyle changes and medication in patients with coronary heart disease. Eur J Cardiovasc Nurs 2004; 3(4): 321-30.
Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL. Conceptual model of health-related quality of life. J Nurs Scholarsh 2005; 37(4): 336-42.
Cottrell RR, Girvan JT, McKenzie JF. Principles and Foundations of Health Promotion and Education. San Francisco, CA: Benjamin Cummings; 2006.
Alavi SH, Ebrahimzadeh IS, Karimzadegan Moghadam D, Ataran M, Mehrdad R, Golestan B. An evaluation of a new rapid e-learning approach for staff in-service training at the tums. Iranian of Higher Education 2010; 2(3): 67-88. [In Persian].
Kafeshani O, Sarrafzadegan N, Nouri F, Mohammadifard N. Major dietary patterns in Iranian adolescents: Isfahan Healthy Heart Program, Iran. ARYA Atheroscler 2015; 11(Special 1); 61-8.
Heshmat R, Keshtkar A, Sheykh-ol-Eslam R, Bagheri M, Nadim A. Knowledge, Attitude and practice of households and health care staff towards nutrition and micronutrients (NUT-KAP) in provinces under the pilot study on flour fortification with Iron: study design and sampling method. Iran J Epidemiol 2005; 1(1): 9-16.
Green LW, Richard L. The need to combine health education and health promotion: the case of cardiovascular disease prevention. Promot Educ 1993; Spec No: 11-8.
Hashemyan M. Health education and relationship. Tehran, Iran: Andishe Rafeea Publication p. 39-50; 2007.
Turnin MC, Tauber MT, Couvaras O, Jouret B, Bolzonella C, Bourgeois O, et al. Evaluation of microcomputer nutritional teaching games in 1,876 children at school. Diabetes Metab 2001; 27(4 Pt 1): 459-64.
Buzzard IM, Asp EH, Chlebowski RT, Boyar AP, Jeffery RW, Nixon DW, et al. Diet intervention methods to reduce fat intake: nutrient and food group composition of self-selected low-fat diets. J Am Diet Assoc 1990; 90(1): 42-50, 53.
Tsorbatzoudis H. Evaluation of a planned behavior theory-based intervention programme to promote healthy eating. Percept Mot Skills 2005; 101(2): 587-604.
Tepper BJ, Choi YS, Nayga Jr RM. Understanding food choice in adult men: Influence of nutrition knowledge, food beliefs and dietary restraint. Food Quality and Preference 1997; 8(4): 307-17.
Nordevang E, Callmer E, Marmur A, Holm LE. Dietary intervention in breast cancer patients: effects on food choice. Eur J Clin Nutr 1992; 46(6): 387-96.
Shepherd R. Influences on food choice and dietary behavior. Forum Nutr 2005; (57): 36-43.
Lanza E, Schatzkin A, Ballard-Barbash R, Corle D, Clifford C, Paskett E, et al. The polyp prevention trial II: dietary intervention program and participant baseline dietary characteristics. Cancer Epidemiol Biomarkers Prev 1996; 5(5): 385-92.
Kim JM, Koh KW, Oak CH, Jung WH, Kim SH, Park DH. Assessment of village health worker training program in Tuguegarao, Philippine. J Prev Med Public Health 2009; 42(6): 377-85.
Zare H, Shojaiezadeh D. Evaluation of educationefficacy on proper nutrition knowledge and irondeficiency anemia in Mehriz city [Msc Thesis]. Tehran, Iran: Tehran University of Medical Sciences; 2001. [In Persian].
Jazayeri A, Pour Moghim M, Dorosti Motlagh AR. Evaluation and Comparison of food safety and micronutrient intake in high school girls in North and South of Tehran. Iran J Public Health 1999; 28(4): 1-10.
Newman VA, Thomson CA, Rock CL, Flatt SW, Kealey S, Bardwell WA, et al. Achieving substantial changes in eating behavior among women previously treated for breast cancer-an overview of the intervention. J Am Diet Assoc 2005; 105(3): 382-91.
