The Model Development of Social Ecology of Health Promotion to Control Overnutrition of Personnel In Regional Health Promotion Center 11 Nakhon Si Thammarat
Keywords:
Model development, Health Promotion, Social Ecology, OvernutritionAbstract
This research aimed to investigate factors associated with overnutrition, formulate a social ecology health promotion model for overnutrition control, and assess the model’s effectiveness among personnel at Regional Health Promotion Center 11, Nakhon Si Thammarat. This mixed-method study comprised a survey involving 61 participants with overnutrition, and a research and development phase that included a program with 20 participants. The analysis encompassed descriptive statistics, paired sample t-tests, and Spearman’s correlation coefficient.
The findings indicated that gender, religion, awareness levels, and lifestyle behaviors were significantly correlated with overnutrition (p<0.05). The development of the experimental program unfolded in three phases: Phase 1 involved model development, data collection, analysis, activity planning, and the creation of health materials and knowledge resources. Phase 2 involved the application of the model within the experimental program, with regular program monitoring. Phase 3 encompassed model evaluation.
Post-program results revealed a mean body mass index improvement (X=25.82, SD =3.59) compared to pre-program values (X=26.32, SD =3.46). Notably, 50.0% of participants showed enhanced nutritional status. The post-test outcomes were significantly better than the pre-test results (p<0.05), with model effectiveness evaluation scoring at a high level (X=4.36, SD = 0.14).
Recommendations emerging from this research advocate for policy formulation, goal-setting, planning, monitoring, and evaluation of health promotion initiatives. Additionally, there is a need for supporting suitable activities, empowering individuals, fostering motivation for health behavior change, utilizing communication and technology, and implementing the program in organizations, communities, or non-communicable disease (NCD) clinics.
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