The Model Development of Health Literacy Community to Control Overnutrition for Working Age Group in Regional Health 11

Abstract

The objectives of this research and development project were to examine factors affecting health behavior, to develop a health literate community and to evaluate the developed model of health literate community to control overnutrition among working age group in region health 11. The research consisted of 1) a survey using a questionnaire with 369 samples analyzed with descriptive, t-test one-way ANOVA and 2) qualitative and quasi-experimental research with 2 groups: group 1 with 20 community leaders using focus groups discussions and group 2 with 30 samples participating a 12-week program analyzed with paired sample t-test.

Results showed that the model development of health literacy community to control overnutrition among working age group was divided into 3 phases: phase 1-the study of factors significantly affecting health behavior to control overnutrition for working age group included older age group, sleep duration, and knowledge on overnutrition at p<0.05; phase 2-developing a health literate community to control overnutrition consisting of 4 steps: step 1-participation in decision making, step 2-participation in operations, step 3-participation in benefits, and step 4-participation in evaluation; phase 3-evaluation of model for health literate community to control overnutrition for working age group. It was found that community leaders (group 1) had significant higher health literacy and community participation at p=0.001 and participants attending a 12-week program (an experimental group) had significantly higher health literacy and health behaviors with significant reduction of body mass index at p=0.001.