ผลของรูปแบบการปรับเปลี่ยนพฤติกรรมสุขภาพแบบทฤษฎีผสมต่อการรับรู้ความสามารถในจัดการตนเอง และการลดภาวะเสี่ยงต่อการเกิดโรคเรื้อรังในอาจารย์และเจ้าหน้าที่วิทยาลัยพยาบาลพระปกเกล้า จันทบุรี

Abstract

Background: Overweight and beer belly accounted for chronic diseases. Various behavioral modification programs for weight control have been implemented but not been well successful. Unfortunately, most programs focused only on an individual but supportive environment to promote behavioral change.

Objectives: To compare perception toward self-efficacy in self-management, body mass index (BMI), and waistline of nurse lecturers and back-office personnel of Phrapokklao College of Nursing before and after participating in the mixed-theory based model.

Materials and Methods: The samples in this quasi-experimental study were 37 personnel who were at risk of chronic diseases. The mixed-theory based model for behavioral modification developed in regard to 5 health behavioral theories to promote healthy consumption, exercise behaviors and supportive environment was implemented among the samples. Data were collected before and after model implementation using a questionnaire of self-efficacy in self-management, scale, and measuring tape. Descriptive statistics and dependent t-test were used for data analysis.

Results: After implementing the model, the averages of body mass index and waistline were significantly lower than those before implementing the model (t=3.468, p=0.001 and t=6.089, p<0.001, respectively). Yet, the samples’ perceptions toward self-efficacy in food consumption and exercise were not significantly different (t=-1.603, p=0.118 and t=-0.936, p=0.356, respectively).

Conclusion: This mixed-theory based model for behavioral modification could help reduce BMI and waistline of at-risk people. However, it did not affected on perception toward self-efficacy in self-management.