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Faculty Service-Learning Students as Home-Visitors: Outcomes of a Lifestyle Modification Program for Vulnerable Families With Residents in Rural Indonesian Communities

机译:教师服务学习学生作为家庭访客:弱势家庭的生活方式修改计划的结果,居民在印度尼西亚农村社区

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摘要

Background: Risks attributed to chronic diseases, cancer, musculoskeletal discomfort, and infectious diseases among Indonesians were found to be associated with lifestyle behaviors, particularly in rural areas. The aim of this study was to examine the outcomes of a home-visiting lifestyle modification program on improving health risk behaviors among Indonesians living in rural areas.Methods: A total of 160 Indonesians living in rural hamlets in the Yogyakarta Region of Indonesia participated in the program in the period of June 21 to July 21, 2019. In the pre-intervention home interview, learning needs of diet, exercise, hand hygiene, and substance use were identified by using structured assessment tools. In the next home visit, the visitors provided health education and facilitated lifestyle planning based on the related affective and cognitive domains of learning. Subsequent follow-up interviews were conducted 3 weeks after intervention.Results: The results showed that the self-reported intake of vegetables, fruits, meat and salt, cooking with less oil, hand hygiene before eating, number of cigarettes smoked, and symptoms of muscle stiffness significantly improved after the intervention. The lifestyle modification program consisted of the affective and cognitive domains of learning, and could lead to the target behavioral changes in self-reported and observable measures over 1 month.Conclusions: The findings contributed to the framework of community-based health education for health risk reduction and behavioral modification in developing rural communities where health care resources were limited. Further studies with control groups and vigorous objective measures were recommended to elucidate its long-term impacts. The factors leading to its sustainability concerning collaborative care partnerships between community residents and faculty resources are worthy of continued exploration.
机译:发现归因于慢性疾病,癌症,肌肉骨骼不适,和印尼之间的感染性疾病的风险要与生活行为相关的,尤其是在农村地区:背景。这项研究的目的是审查在提高印尼生活在农村areas.Methods之间的健康危险行为的一个家访生活方式调整计划的成果:共160名印尼居住在农村村庄在印度尼西亚日惹地区参加方案6月21日的期间2019年7月21日,在干预前入户访谈,学习饮食,运动,手部卫生和物质使用的需求,通过采用结构化的评估工具识别。在接下来的家访,游客提供健康教育和基于学习的有关情感和认知领域易化生活的规划。随后跟进采访intervention.Results 3周后进行:研究结果表明,蔬菜,水果,肉,盐,食用前用更少的油,手部卫生做饭自我报告的摄入,抽香烟数量,和症状干预后肌肉僵硬显著改善。生活方式改变计划包括学习的情感和认知领域,并可能导致自我报告和观察的措施在1 month.Conclusions目标行为的变化:调查结果促成了以社区为基础的健康教育对健康风险的框架减少和发展农村社区,医疗卫生资源有限行为矫正。被推荐与对照组和有力的客观指标作进一步研究来阐明其长期影响。导致其关于社区居民和教师资源之间的合作伙伴关系,关心可持续发展的因素是值得继续探索。

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