A Community-based Lifestyle Education Program Addressing Non-communicable Diseases in Low-literacy Areas of the South Pacific: A Pilot Control Cohort Study

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avondale-bepress-to-dspace.facultyNursing
avondale-bepress-to-dspace.licensehttp://creativecommons.org/licenses/by/4.0/
avondale-bepress-to-dspace.peer_review_statusPeer reviewed before publication
avondale-bepress.abstract<p>Lifestyle interventions can effectively reduce chronic disease risk factors. This study examined the effectiveness of an established lifestyle intervention contextualized for low-literacy communities in Fiji. Ninety-six adults from four villages, with waist circumference (WC) indicative of risk of chronic disease, were randomly selected to an intervention or control group. Process evaluation indicated one intervention and one control village fulfilled the study protocol. There were no differences between intervention and control for body mass index BMI (P = 0.696), WC (P = 0.662), total cholesterol (TC) (P = 0.386), and TC:high-density lipoprotein (HDL) ratio (P = 0.485). The intervention village achieved greater reductions than the control village at 30 and 90 days for systolic blood pressure (30 days: −11.1% vs. −2.5%, P = 0.006; 90 days: −14.5% vs. −6.7%, P = 0.019); pulse rate (30 days: −7.0% vs. −1.1%, P = 0.866; 90 days: −7.1% vs. 4.3%, P = 0.027), and HDL (30 days: −13.9% vs. 1.7%, P = 0.206; 90 days: −18.9% vs. 2.2%, P = 0.001); at 90 days only for diastolic blood pressure (−14.4% vs. −0.2%, P = 0.010); at 30 days only for low-density lipoprotein (−11.6% vs. 8.0%, P = 0.009); and fasting plasma glucose (−10.2% vs. 4.3%, P = 0.032). However, for triglycerides, the control achieved greater reductions than the intervention village at 30 days (35.4% vs. −12.3%, P = 0.008; marginal at 90 days 16.4% vs. −23.5%, P = 0.054). This study provides preliminary evidence of the feasibility and potential effectiveness of the intervention to lower several risk factors for chronic disease over 30 days in rural settings in Fiji and supports consideration of larger studies.</p>
avondale-bepress.articleid1204
avondale-bepress.authorsLillian Kent
avondale-bepress.authorsPia Reierson
avondale-bepress.authorsDarren Morton
avondale-bepress.authorsKesaia Vasutoga
avondale-bepress.authorsPaul Rankin
avondale-bepress.context-key19133969
avondale-bepress.coverpage-urlhttps://research.avondale.edu.au/nh_papers/200
avondale-bepress.document-typearticle
avondale-bepress.field.author_faculty_disciplineNursing
avondale-bepress.field.comments<p>Used by permission: the Author(s)</p>
avondale-bepress.field.custom_citation<p>Kent, L., Reierson, P., Morton, D., Vasutoga, K., & Rankin, P. (2020). A Community-based Lifestyle Education Program Addressing Non-communicable Diseases in Low-literacy Areas of the South Pacific: A Pilot Control Cohort Study. <em>Asian Pacific Journal of Health Sciences</em>, <em>7</em>(3), 5-10. doi: 10.21276/apjhs.2020.7.3.2</p>
avondale-bepress.field.distribution_licensehttp://creativecommons.org/licenses/by/4.0/
avondale-bepress.field.doihttps://doi.org/10.21276/apjhs.2020.7.3.2
avondale-bepress.field.embargo_date2020-08-25T00:00:00Z
avondale-bepress.field.field_of_education06 Health
avondale-bepress.field.for111104 Public Nutrition Intervention
avondale-bepress.field.issn2349-0659
avondale-bepress.field.issue_number3
avondale-bepress.field.journalAsian Pacific Journal of Health Sciences
avondale-bepress.field.page_numbers5-10
avondale-bepress.field.peer_reviewBefore publication
avondale-bepress.field.publication_date2020-08-05T00:00:00Z
avondale-bepress.field.reportable_itemsC1
avondale-bepress.field.research_centreLifestyle and Health Research Centre
avondale-bepress.field.staff_classificationPermanent
avondale-bepress.field.volume_number7
avondale-bepress.fulltext-urlhttps://research.avondale.edu.au/cgi/viewcontent.cgi?article=1204&amp;context=nh_papers&amp;unstamped=1
avondale-bepress.keywordsComplete Health Improvement Program
avondale-bepress.keywordsLifestyle education program
avondale-bepress.keywordsLow literacy
avondale-bepress.keywordsNon-communicable disease
avondale-bepress.keywordsRegenerated Freirean Literacy through Empowering Community Techniques
avondale-bepress.keywordsSouth Pacific
avondale-bepress.label200
avondale-bepress.publication-date2020-08-05T00:00:00Z
avondale-bepress.publication-titleNursing and Health Papers and Journal Articles
avondale-bepress.statepublished
avondale-bepress.submission-date2020-08-25T20:48:59Z
avondale-bepress.submission-pathnh_papers/200
avondale-bepress.titleA Community-based Lifestyle Education Program Addressing Non-communicable Diseases in Low-literacy Areas of the South Pacific: A Pilot Control Cohort Study
avondale-bepress.typearticle
dc.contributor.authorRankin, Paul
dc.contributor.authorVasutoga, Kesaia
dc.contributor.authorMorton, Darren
dc.contributor.authorReierson, Pia
dc.contributor.authorKent, Lillian
dc.date.accessioned2023-11-01T00:30:41Z
dc.date.available2023-11-01T00:30:41Z
dc.date.issued2020-08-05
dc.date.submitted2020-08-25T20:48:59Z
dc.description.abstract<p>Lifestyle interventions can effectively reduce chronic disease risk factors. This study examined the effectiveness of an established lifestyle intervention contextualized for low-literacy communities in Fiji. Ninety-six adults from four villages, with waist circumference (WC) indicative of risk of chronic disease, were randomly selected to an intervention or control group. Process evaluation indicated one intervention and one control village fulfilled the study protocol. There were no differences between intervention and control for body mass index BMI (P = 0.696), WC (P = 0.662), total cholesterol (TC) (P = 0.386), and TC:high-density lipoprotein (HDL) ratio (P = 0.485). The intervention village achieved greater reductions than the control village at 30 and 90 days for systolic blood pressure (30 days: −11.1% vs. −2.5%, P = 0.006; 90 days: −14.5% vs. −6.7%, P = 0.019); pulse rate (30 days: −7.0% vs. −1.1%, P = 0.866; 90 days: −7.1% vs. 4.3%, P = 0.027), and HDL (30 days: −13.9% vs. 1.7%, P = 0.206; 90 days: −18.9% vs. 2.2%, P = 0.001); at 90 days only for diastolic blood pressure (−14.4% vs. −0.2%, P = 0.010); at 30 days only for low-density lipoprotein (−11.6% vs. 8.0%, P = 0.009); and fasting plasma glucose (−10.2% vs. 4.3%, P = 0.032). However, for triglycerides, the control achieved greater reductions than the intervention village at 30 days (35.4% vs. −12.3%, P = 0.008; marginal at 90 days 16.4% vs. −23.5%, P = 0.054). This study provides preliminary evidence of the feasibility and potential effectiveness of the intervention to lower several risk factors for chronic disease over 30 days in rural settings in Fiji and supports consideration of larger studies.</p>
dc.description.versionBefore publication
dc.identifier.citation<p>Kent, L., Reierson, P., Morton, D., Vasutoga, K., & Rankin, P. (2020). A Community-based Lifestyle Education Program Addressing Non-communicable Diseases in Low-literacy Areas of the South Pacific: A Pilot Control Cohort Study. <em>Asian Pacific Journal of Health Sciences</em>, <em>7</em>(3), 5-10. doi: 10.21276/apjhs.2020.7.3.2</p>
dc.identifier.doihttps://doi.org/10.21276/apjhs.2020.7.3.2
dc.identifier.issn2349-0659
dc.identifier.urihttps://research.avondale.edu.au/handle/123456789/19133969
dc.language.isoen_us
dc.rights<p>Used by permission: the Author(s)</p>
dc.rights.licensehttp://creativecommons.org/licenses/by/4.0/
dc.subjectComplete Health Improvement Program
dc.subjectLifestyle education program
dc.subjectLow literacy
dc.subjectNon-communicable disease
dc.subjectRegenerated Freirean Literacy through Empowering Community Techniques
dc.subjectSouth Pacific
dc.titleA Community-based Lifestyle Education Program Addressing Non-communicable Diseases in Low-literacy Areas of the South Pacific: A Pilot Control Cohort Study
dc.typeJournal Article
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