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Learning Objective 1: The learner will be able to describe the intervention of behavioral modification program for metabolic risk group
Learning Objective 2: The learner will be able to identify the effects of behavioral modification program on self-care behaviors and health outcomes
Methods: A case-control experimental study was used for determining the effects of the behavioral modification program. An intervention for the experimental group was 5 times-half-day sessions in 4-month period, activities focused on small-groups participatory learning to create self-care awareness and skills. Self-care behaviors and health outcomes were measured at the beginning and the finishing of the program.
Results: The total of sample was 632 cases who having metabolic risk factors. There were 330 cases in the experimental group (33.3% of male, 66.7% of female), and 302 cases in the control group (25.5% of male, 74.5% of female). Results from descriptive statistics found the improving of self-care behaviors consisted dietary adherence, regular exercise, stress management, and self-surveillance. Focusing on health outcomes, the average of Body Mass Index (BMI) of the experimental group was decreased from 26.4 (SD=4.4) to 26.0 (SD=4.8) comparing between before and after programmed. It was also found in the control group that BMI decreased from 24.5 (SD=4.1) to 24.3 (SD=4.4). Considering on blood pressure, both of systolic and diastolic blood pressure of the experimental group was decreased from the average of blood pressure at 134.2(SD=17.8)/80.4(SD=11.1) to 125.1(SD=15.7)/77.3(SD=9.3) mmHg, comparing between before and after programmed respectively. While the control group also found some changes in this indicator, the average of blood pressure changed from 127.2(SD=20.6)/78.8(SD=13.5) to 125.5(SD=19.3)/78.1(SD=11.1) mmHg, at before and after programmed respectively. Results from the paired sample t-test analysis found that the implemented program could be encouraged the clients significantly improving of self-care behaviors and health outcomes more than those who did not participated.
Conclusion: This study demonstrates that the intervention has potential of positive impact on self-care behaviors and health outcomes of metabolic risk goup.
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