The Effects of a Health Literacy Promotion Program on Abdominal Obesity Management Among Individuals with Abdominal Obesity in Kaeng Khro District, Chaiyaphum
Keywords:
Health literacy, Abdominal obesity management, Health promotion program, Clinical outcomesAbstract
Abdominal obesity increases the risk of diabetes, chronic kidney disease, and cardiovascular disease. Promoting health literacy is, therefore, essential for changing health behaviors to reduce body mass index and waist circumference, and prevent complications from abdominal obesity. This two-group quasi-experimental research aimed to investigate the effects of a health literacy promotion program on abdominal obesity management among individuals with abdominal obesity in Kaeng Khro district, Chaiyaphum. The 60 participants were divided into a control group and an experimental group, each with 30 participants selected by simple random sampling. The research instruments were 1) a health literacy promotion program on abdominal obesity management, 2) a tool to measure clinical outcomes, and 3) a data collection tool, including a personal infor- mation questionnaire, a health literacy on abdominal obesity management questionnaire, and an abdominal obesity reduction behaviors questionnaire. The reliability coefficients were reported as 0.81 and 0.85, respectively. Data were analyzed by descriptive statistics, paired t-test, and independent t-test.
The results showed that after participating in the program, the experimental group demonstrated significantly better outcomes compared to their baseline measurements and those of the control group. Specifically, they showed higher scores in health literacy and obesity reduction behaviors, while also achieving greater improvements in clinical measures. Their body mass index and waist circumference decreased with statistical significance compared to their pre-program measurements and the control group's measurements (p < .05).
The findings support integrating health literacy interventions into abdominal obesity management programs. Further research should investigate long-term outcomes and implement-tation strategies.
References
Aekplakorn, W., Puckcharern, H., & Satheannoppakao, W. (2021). The 6th Thai people's health survey by physical examination, 2019-2020. Aksorn graphicand design. (in Thai)
Alnuaimi, A., Rawaf, S., Hassounah, S., & Chehab, M. (2019). Use of mobile applications in the management of overweight and obesity in primary and secondary care. JRSM Open, 10(3), 2054270419843826. https://doi.org/10.1177/2054270419843826
Best, J. W. (1977). Research in education (3rd ed.). Prentice-Hall.
Chrissini, M. K., & Panagiotakos, D. B. (2021). Health literacy as a determinant of childhood and adult obesity: A systematic review. International Journal ofAdolescent Medicine and Health, 33(3), 9–39. https://doi.org/10.1515/IJAMH-2020-0275
Department of Health, Ministry of Public Health of Thailand. (2020). Health literacy school: HLS. War Veterans Organization of Thailand Office of Printing Mill. (in Thai)
Department of Health Service Support, Ministry of Public Health of Thailand. (2018). Assessment Tools and Programs for HL and HB. https://hed.hss.moph.go.th/tool-hlhb/# (in Thai)
Department of Health Service Support, Ministry of Public Health of Thailand. (2023). Health literacy and health behavior assessment form to prevent important infectious and noninfectious diseases of the elderly population in the village, change health behavior. https://hss.moph.go.th/HssDepartment/file_reference/202204211825159352.pdf (in Thai)
Geboers, B., Reijneveld, S. A., Jansen, C. J. M., & de Winter, A. F. (2016). Health literacy is associated with health behaviors and social factors among older adults: Results from the lifelines cohort study. Journal of Health Communication, 21(Sup2), 45–53. https://doi.org/10.1080/10810730.2016.1201174
Health Data Center, Ministry of Public Health of Thailand. (2023). Prevalence of obesity and/or metabolic syndrome, 2023. Health Data Center. (in Thai)
Hongron, A. (2020). The development of health program to reduce obesity of personnel at the office of disease prevention and control, Region 4 Saraburi. Journal of Medical and Public Health Region 4, 10(2), 34-47. (in Thai)
Kaeodumkoeng, K. (2018). Health literacy: Access, understand and application. Amarin print. (in Thai)
Khamchata, L., Dumrongpakapakorn, P., & Theeranut, A. (2018). Metabolic syndrome: Dangerous signs required management. Srinagarind Medical Journal, 33(4), 386-395. (in Thai)
Lalam, P., Chaimai, A., & Fukfon, K. (2022). Metabolic syndrome in older persons: Impacts and nursing roles. Journal of Nursing and Health Research, 23(2), 13-27. (in Thai)
Michou, M., Panagiotakos, D. B., & Costarelli, V. (2018). Low health literacy and excess body weight: A systematic review. Central European Journal of Public Health, 26(3), 234–241. https://doi.org/10.21101/CEJPH.A5172
Namuang, A., & Banchonhattakit, P. (2020). Effects of health literacy program with social media for obesity prevention among overweight in personnel health promoting center 7th Khon Kaen. KKU Journal for Public Health Research, 13(3), 78-89. (in Thai)
Pengjuntr, W. (2017). Health Literacy. Department of Health, Ministry of Public Health of Thailand. (in Thai)
Sanitlou, N., Sartphet, W., & Naphaarrak, Y. (2019). Sample size calculation using G*Power program. Journal of Suvarnabhumi Institute of Technology (Humanities and Social Sciences), 5(1), 496-507. (in Thai)
Sommang, K. (2020). Effects of health literacy promoting program among risk group of government officials in Lop Buri province. Singburi Hospital Journal, 29(2), 87-98. (in Thai)
Sonart, B. (2019). A health literacy guideline on health promotion behaviors for working age populations in Bangkok and metropolitan region. http://ithesis-ir.su.ac.th/dspace/bitstream/123456789/2756/1/61260304.pdf (in Thai)
Srimueng, K. (2020). Relationship between health literacy and 3E-2s health behavior or of medical personnel in Walailak University Hospital [Master’s independent study, Sukhothai Thammathirat Open University]. https://ir.stou.ac.th/handle/123456789/10988 (in Thai)
Thipkratok, S., & Phatisena, T. (2020). Effects of self-management program for health behavior modification, body mass index and waist circumference among Village Health Volunteers with abdominal obesity, Regional Health Promotion Center 9, 14(34), 210-223. (in Thai)
Wanprasert, S., Moolsart, S., & Jantacumma, N. (2019). The effectiveness of a health literacy developmental program in a pre-hypertension group with overweight. Journal of Nursing, Public Health, and Education, 20(2), 92-104. (in Thai)
World Health Organization. (2024). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
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