KUMJ | VOL. 15 | NO. 2 | ISSUE 58 | APRIL-JUNE 2017
The Heart-health Associated Research, Dissemination and Intervention in the Community (HARDIC) Trial for Nepalese Mothers regarding Diet and Physical Activity: A Process Evaluation
Vaidya A, Oli N, Eiben G, Krettek A
Abstract: Background
Mothers with young children in the peri-urban Jhaukhel-Duwakot Health
Demographic Surveillance site of Bhaktapur district have misconceptions and poor
behavioural practice regarding diet and physical activity. We developed the Hearthealth
Associated
Research,
Dissemination
and
Intervention
in
the
Community
trial
-
a health promotion
intervention
for
mothers.
Objective
The objective of this study was to evaluate the intervention’s feasibility, acceptability,
potential for transferability and scaling up, and to determine its immediate outcome.
Method
Duwakot and Jhaukhel were randomly selected as the intervention and control
communities, respectively. We trained 47 peer mothers from Duwakot, each of whom
gave classes with 10 fellow mothers of their neighbourhood. The process evaluation
was carried out on a continuous basis at different points of the intervention held
from August to November 2016.
Result
In round one, the participation and completion rates were both > 90% for peer
mothers; and 85% and 70%, respectively, for the fellow mothers. However, the
participation rates fell in the round two of the intervention. On the whole, the
mothers expressed satisfaction and acceptance of the course content and training
modality. Immediate evaluation of the intervention showed improvement of
knowledge, attitude and practice of diet and physical activity among both groups of
mothers.
Conclusion
The successful implementation of the intervention targeting diet and physical activity
clearly demonstrates the feasibility of health promotional activities in the Nepalese
community for improvement of cardiovascular health.
Keyword : Diet, health promotion, mothers, physical activity, process evaluation
