ABSTRACT
INTRODUCTION: This study measured the impact and outcome of an inter-professional community nutritionprogram labeled as "NUTRI-CHIKA: Usapan Tungkol at para sa Nutrisyon." The program was a multidisciplinaryapproach towards the attainment of proper nutrition for identified malnourished preschoolage children in Barangay San Isidro, Rodriguez, Rizal.METHODS: This was a mixed quantitative-qualitative program evaluation. The quantitative part consistedof a longitudinal observational study design, which reviewed the data of the children who received thenutritional intervention. The qualitative study was done with a phenomenological approach, using athematic analysis for the process and impact evaluation by means of a focus group discussion and keyinformant interview processes.RESULTS There was a statistically significant increase in weight (2.32 kg) and height (3.04 cm) in terms ofZ-scores. A total of 29 out of 30 malnourished children graduated with 1 to 3 degrees of improvement intheir Z-scores. The program impact showed 1) overall improvement of the state of health of the children;2) inculcation of family values, which emphasized the giving of more quality time of parents to theirchildren, and teaching them to socialize and be courteous; and 3) better orientation of the childrentowards more nutritious food choices. The process evaluation focused on the positive disposition of theinter-professional collaboration and brought out transference of this attitude to the children and parents.CONCLUSION "NUTRI-CHIKA: Usapan Tungkol at Para sa Nutrisyon" achieved its program objectives andimpacted on the family and community, improving the overall state of health of the children and providingpositive disposition and family values to the participants.
Subject(s)
Humans , Health EducationABSTRACT
Introduction @#Home exercise programs are part of home-based rehabilitation or self-management for chronic conditions and are typically unsupervised by health professionals. This paper aimed to identify the most common factors affecting compliance to a home exercise program among patients of a community-based rehabilitation.@*Methods @#This study correlated age, gender, civil status and educational background with perceived factors affecting compliance among patients undergoing community-based rehabilitation. A self-generated questionnaire with a 5-point Likert-type scale was used to measure the patient-related, therapy-related and health care factors affecting compliance. Correlation of the demographic characteristics listed with factors affecting compliance was determined using Person's r and Spearman rho.@*Results @#Around 90-95% of respondents agreed or strongly agreed with the patient-related, therapy-related and health care system factors listed. Correlating with age, pain was a barrier in achieving goals (r=-0.383). Willingness to do exercises had some correlation with doing the home exercises (r=0.366). Pain was a barrier in doing the exercises among married patients (r = -0.485). Willingness to do exercises at home was weakly negatively correlated with a low educational attainment (r = -0.287). All the correlations were not significant.@*Conclusion @#Compliance to a home exercise program are inluenced by the patient's motivation, pain as a barrier in achieving goals, and accommodating staff. Female gender and single status correlated with better compliance but the correlation was not significant.