en <span style=font-size:11pt><span style=line-height:normal><span style=font-family:Calibri,sans-serif><b><span style=font-size:10.0pt><span cambria= style=font-family:><span style=color:#4472c4>Aims:</span></span></span></b><span style=font-size:10.0pt><span cambria= style=font-family:><span style=color:black> 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.</span></span></span></span></span></span><br> <span style=font-size:11pt><span style=line-height:normal><span style=font-family:Calibri,sans-serif><b><span style=font-size:10.0pt><span cambria= style=font-family:><span style=color:#4472c4>Materials & Methods:</span></span></span></b><span style=font-size:10.0pt><span cambria= style=font-family:><span style=color:black> 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. </span></span></span></span></span></span><br> <span style=font-size:11pt><span style=line-height:normal><span style=font-family:Calibri,sans-serif><b><span style=font-size:10.0pt><span cambria= style=font-family:><span style=color:#4472c4>Findings:</span></span></span></b> <span style=font-size:10.0pt><span cambria= style=font-family:><span style=color:black>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. </span></span></span></span></span></span><br> <span style=font-size:11pt><span style=line-height:normal><span style=font-family:Calibri,sans-serif><b><span style=font-size:10.0pt><span cambria= style=font-family:><span style=color:#4472c4>Conclusion:</span></span></span></b> <span style=font-size:10.0pt><span cambria= style=font-family:><span style=color:black>CP2HL can significantly promote a healthy lifestyle among farmers after the intervention.</span></span></span></span></span></span> Farmers,Healthy Lifestyle,Organophosphates,Pesticides, 447 454 http://hehp.modares.ac.ir/browse.php?a_code=A-10-76130-1&slc_lang=en&sid=4 R.A. Yunanto 1003194753284600309329 0000000196688046 Yes Department of Emergency and Critical Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia T. Susanto 1003194753284600309330 0000000296859869 No Department of Community, Family & Geriatric Nursing, Faculty of Nursing, University Jember, Jember, Indonesia H. Hairrudin 1003194753284600309331 0000000216285376 No Department of Biochemistry, Faculty of Medicine, University Jember, Jember, Indonesia T. Indriana 1003194753284600309332 0000000322636053 No Department of Biomedicine, Faculty of Dentistry, University Jember, Jember, Indonesia I. Rahmawati 1003194753284600309333 0000000204771713 No Departement of Maternal and Pediatric Nursing, Faculty of Nursing, University Jember, Jember, Indonesia A. Nistiandani 1003194753284600309334 1003194753284600309334 No Department of Medical and Surgical Nursing, Faculty of Nursing, University Jember, Jember, Indonesia