关键词: Counseling model healthy lifestyle noncommunicable diseases primary health care randomized-controlled trial

来  源:   DOI:10.4103/jehp.jehp_107_22   PDF(Pubmed)

Abstract:
BACKGROUND: Skill Training Intervention Based on the Healthy Lifestyle Counselling Module (5As model) in the Ira PEN Program.
METHODS: This study was a randomized controlled trial in Iran. Participants were 184 health workers and 184 clients (92 in each study group). The training program entailed an online training course, educational video, and clip. The behavior related to a healthy lifestyle in clients was also followed-up 2 months later. Data were analyzed using SPSS 22 software.
RESULTS: Based on the observations, significant improvement in lifestyle counseling skills among health workers in the intervention group compared to the control group in terms of healthy nutrition (P < 0.001), physical activity (P < 0.001), smoking cessation (P = 0.03), and withdrawal of alcohol consumption (P < 0.001) was observed. Also, lifestyle-related behaviors among clients in terms of healthy nutrition (P < 0.001), physical activity (P < 0.001), and withdrawal smoking (P < 0.001) increased significantly. Furthermore, waist circumference (P < 0.024) and BMI (P < 0.001) among clients were significantly reduced.
CONCLUSIONS: The training program for health personnel in healthy lifestyle has a more effective role in changing people\'s behavior and prevention of noncommunicable risk factors. Healthy life style counselling in primary health cares may lead to control risk factors for Noncommunicable disease.
摘要:
背景:IraPEN计划中基于健康生活方式咨询模块(5As模型)的技能训练干预。
方法:本研究是在伊朗进行的一项随机对照试验。参与者包括184名卫生工作者和184名客户(每个研究组92人)。培训计划需要一个在线培训课程,教育视频,和夹子。2个月后,与客户健康生活方式相关的行为也得到了随访。数据采用SPSS22软件进行分析。
结果:根据观察,与对照组相比,干预组卫生工作者在健康营养方面的生活方式咨询技能显着改善(P<0.001),身体活动(P<0.001),戒烟(P=0.03),观察到戒酒(P<0.001)。此外,顾客在健康营养方面的生活方式相关行为(P<0.001),身体活动(P<0.001),戒断吸烟显著增加(P<0.001)。此外,患者腰围(P<0.024)和BMI(P<0.001)显著降低。
结论:卫生人员健康生活方式的培训计划在改变人们的行为和预防非传染性危险因素方面具有更有效的作用。初级卫生保健中的健康生活方式咨询可能导致控制非传染性疾病的危险因素。
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