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Physical activity and nutrition program for adults with metabolic syndrome: Process evaluation
Institution:1. Department of Community Health and Network Coordination, National Institute of Hygiene and Epidemiology, No. 1, Yersin Street, Hanoi, Vietnam;2. School of Public Health, Curtin University, GPO Box U1987, Perth, WA 6845, Australia;3. Collaboration for Evidence, Research and Impact in Public Health, GPO Box U1987, Perth, WA 6845, Australia;4. Curtin Health Innovation Research Institute, Curtin University, GPO Box U1987, Perth, WA 6845, Australia;1. Department of Philosophy, Sociology, Education and Applied Psychology, University of Padova, Via Venezia 8, Padova, Italy;2. Social Service Melzo and Liscate,Via Vittorio Emanuele, Melzo (Mi), 20066, Italy;1. University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX75390-9066, USA;2. Harold C. Simmons Comprehensive Cancer Center, 2201 Inwood Road, Dallas, TX 75390, USA;3. Moncrief Cancer Institute, 400 W. Magnolia Ave, Fort Worth, TX 76104, USA;1. Department of Rural Development Management, Faculty of Agriculture, Yasouj University, Yasouj, Iran;2. Department of Agricultural Extension and Education, College of Agriculture, Shiraz University, Shiraz, Iran;1. University of North Texas Health Science Center, School of Public Health, Department of Behavioral and Community Health, Fort Worth, TX, USA;2. George Mason University, Department of Criminology, Law and Society, Fairfax, VA, USA
Abstract:IntroductionThe Vietnam Physical Activity and Nutrition (VPAN) program aimed to improve physical activity and nutrition for adults aged 50–65 years with Metabolic Syndrome in Vietnam. The VPAN program consisted of a range of resources and strategies, including an information booklet, resistance band, face-to-face education sessions, and walking groups. This process evaluation assessed the participation, fidelity, satisfaction, and reasons for completing and not-completing the VPAN.MethodsData were collected by mixed-methods from a sample of 214 intervention participants. Quantitative data were collected via surveys (n = 163); qualitative data via face-to-face exit interviews with intervention program completers (n = 10) and non-completers (n = 10), and brief post education session discussions.ResultsMost participants (87%–96%) reported the program resources and strategies useful, assisting them to increase their physical activity level and improving their diet. The education sessions were the most preferred strategy (97%) with high attendance (>78% of participants). The main reasons for withdrawal were work commitments and being too busy.ConclusionThe evaluation indicated that the program reached and engaged the majority of participants throughout the six-month intervention. The combination of printed resources and face-to-face intervention components was a suitable approach to support lifestyle behavioural change in the Vietnamese population.
Keywords:Health promotion  Process evaluation  Physical activity  Dietary behaviours  Lifestyle  Metabolic syndrome
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