دورية أكاديمية
Efficacy of a Community Health Worker-Based Intervention in Improving Dietary Habits among Community-Dwelling Older People: A Controlled, Crossover Trial in Japan
| العنوان: | Efficacy of a Community Health Worker-Based Intervention in Improving Dietary Habits among Community-Dwelling Older People: A Controlled, Crossover Trial in Japan |
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| اللغة: | English |
| المؤلفون: | Murayama, Hiroshi (ORCID |
| المصدر: | Health Education & Behavior. Feb 2020 47(1):47-56. |
| الإتاحة: | SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com |
| Peer Reviewed: | Y |
| Page Count: | 10 |
| تاريخ النشر: | 2020 |
| نوع الوثيقة: | Journal Articles Reports - Research |
| Descriptors: | Foreign Countries, Community Health Services, Health Personnel, Intervention, Dietetics, Eating Habits, Health Promotion, Older Adults, Scores, Program Effectiveness, Helping Relationship |
| مصطلحات جغرافية: | Japan |
| DOI: | 10.1177/1090198119891975 |
| تدمد: | 1090-1981 |
| مستخلص: | Background: Community health workers (CHWs), often called "health promotion volunteers" in Japan, are individuals who act as a natural helping resource in the community. Aim: This study tested the efficacy of a CHW-based intervention to improve dietary habits among community-dwelling older people in Japan, using a controlled, crossover design. Method: Seventy-eight people aged 65 to 74 years with poor dietary variety living in four administrative districts in Hikone City (Shiga Prefecture, Japan) were nonrandomly allocated to an immediate-intervened group (IIG; n = 41) or a delayed-intervened group (DIG; n = 37). Participants joined a biweekly, four-session program (120 minutes/session), comprising "CHW drama-style lectures," "group discussion among participants and CHWs," "tasting of dishes," and "take-home practical activities." For the initial 2-month period, the IIG received the intervention and the DIG did not. The groups were crossed over for the subsequent 2-month period. The primary outcome measure was participants' dietary variety score (score range: 0-10). Results: The dietary variety score in the IIG significantly increased in the initial 2-month period compared with the DIG (effect size 1.60 points; 95% confidence interval: 0.75, 2.45). The intervention had a similar effect in the DIG in the subsequent 2-month period. Moreover, an analysis within the IIG showed that the intervention effects persisted for at least 2 months after the intervention. Conclusions: The CHW-based intervention improved dietary habits among older people. Our findings provide evidence that a CHW-based natural helping approach is a possible solution to promote healthy aging in the community. |
| Abstractor: | As Provided |
| Entry Date: | 2020 |
| رقم الأكسشن: | EJ1240120 |
| قاعدة البيانات: | ERIC |
Full Text Finder | تدمد: | 1090-1981 |
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| DOI: | 10.1177/1090198119891975 |