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Volume 11, Issue 3 (2023)                   Health Educ Health Promot 2023, 11(3): 447-454 | Back to browse issues page

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Yunanto R, Susanto T, Hairrudin H, Indriana T, Rahmawati I, Nistiandani A. A Community-Based Program for Promoting a Healthy Lifestyle Among Farmers in Indonesia: A Randomized Controlled Trial. Health Educ Health Promot 2023; 11 (3) :447-454
URL: http://hehp.modares.ac.ir/article-4-69120-en.html
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1- Department of Emergency and Critical Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
2- Department of Community, Family & Geriatric Nursing, Faculty of Nursing, University Jember, Jember, Indonesia
3- Department of Biochemistry, Faculty of Medicine, University Jember, Jember, Indonesia
4- Department of Biomedicine, Faculty of Dentistry, University Jember, Jember, Indonesia
5- Departement of Maternal and Pediatric Nursing, Faculty of Nursing, University Jember, Jember, Indonesia
6- Department of Medical and Surgical Nursing, Faculty of Nursing, University Jember, Jember, Indonesia
* Corresponding Author Address: Department of Emergency and Critical Nursing, Faculty of Nursing, University Jember, Jember, Indonesia. Jl Kalimantan 37 Jember, Jawa Timur, Indonesia. Postal Code: 68121 (rismawanadi@unej.ac.id)
Abstract   (2207 Views)
Aims: Due to their jobs, farmers are exposed to a high risk of pesticide and organophosphate exposure, which can lead to chronic diseases. However, such a problem could be overcome by implementing a healthy lifestyle. This study aimed to analyze the effect of the community-based program on promoting a healthy lifestyle (CP2HL) among farmers in Indonesia.
Materials & Methods: A randomized controlled trial was performed among 135 (intervention=68 and control=67) farmers in Indonesia. The CP2HL using transtheoretical model-lead (TTM) lasted for 24 weeks and included education, training, and follow-up sessions for the intervention group. Meanwhile, those in the control group attended a regular program at the local public health center to get their health measured. The modified healthy lifestyle among farmers was measured using six structured questionnaires. The inter- and intra-group differences were evaluated using paired t-test, and analysis of covariance (ANCOVA) was used to assess the effect of intervention.
Findings: There was a significant difference in the modified healthy lifestyle after CP2HL (p<0.05), including in the areas of organophosphate pesticide exposure, farmers’ knowledge, attitudes, and behavior, nutrition knowledge, musculoskeletal symptoms, upper respiratory infection symptoms, and farmer burnout. During the follow-up period, the intervention group showed a healthier lifestyle than the control group.
Conclusion: CP2HL can significantly promote a healthy lifestyle among farmers after the intervention.
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