Educational intervention instrument for self-care in nutritional health: evaluation in Mayan Mexican communities
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20250295Keywords:
Educational intervention, Health education, Five essential keys for preventing foodborne diseases, Rural communitiesAbstract
Background: In rural communities, foodborne illnesses pose a significant public health challenge due to limited access to education and health resources, which increases the risk of improper food practices. It is crucial to develop and implement targeted educational interventions tailored to the specific needs and characteristics of these areas to effectively prevent these health issues. This study aimed to design and validate an educational intervention instrument adapted to rural communities based on five essential keys to prevent foodborne diseases.
Methods: The study population (n=90) comprised adult from the Mayan communities of Mexico. Participants were stratified into three groups according to their level of academic education: primary (GES), secondary (GHS), and mixed (GM). A pre-and posttest was designed to incorporate 36 variables: knowledge, 25 attitudes, and 26 habits. An inferential Χ2 analysis was performed to reveal the differences between the pretest and posttest.
Results: The intervention registered an advance in knowledge of 13% of the GM, 40% of the GES, and 7% of GHS. Progress was made in attitudes by 79% of GM, 59% of GES, and 80% of GHS. Regarding habits, the association of the term health with behavior was demonstrated, and this was achieved by 82% GM, 66% GES, and 67% GHS.
Conclusions: Participants improved their understanding of the personal and psychological factors related to their lifestyle. However, the instrument should be further adapted for groups with varying levels of initial knowledge. New items should be designed and added to emphasize the importance of adopting healthy attitudes and habits.
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References
Gullian-Klanian M, Durán Casanova JG, Isla Esquivel M, Suárez Wegan E, Alarcón Sánchez A. Study of predisposing factors for acute diarrheal disease in the community of San Simon, Yucatán. Población y Salud en Mesoamérica. 2011;9:1. DOI: https://doi.org/10.15517/psm.v9i1.733
López-Bautista N. Traditional medicine and healing practices of the Maya: A historical and contemporary perspective. 1st edition. Tucson: University of Arizona Press. 2021.
Solis R, Salvatierra B, Nazar A, Torres A. Accessing to education in health and its potential in reducing the impact of diarrhea in children in the coastal village of Yucatan, Mexico. Población y Salud en Mesoamérica. 2015;13(1):99-116.
World Health Organization. Five keys to safer food manual. Nutrition and Food Safety (NFS). 2006 Available at: https://www.who.int/publications/i/ item/9789241594639. Accessed on 18 October 2024.
Liu H, Gan Q, Tan J, Sun X, Liu Y, Wan C. The association between quality of life and subjective wellbeing among older adults based on canonical correlation analysis. Front Public Health. 2023;11:1235276. DOI: https://doi.org/10.3389/fpubh.2023.1235276
Contoyannis P, Jones AM. Socio-economic status, health and lifestyle. J Health Econ. 2004;23(5):965-95. DOI: https://doi.org/10.1016/j.jhealeco.2004.02.001
Ashton LM, Sharkey T, Whatnall MC, Williams RL, Bezzina A, Aguiar EJ, et al. Effectiveness of Interventions and Behaviour Change Techniques for Improving Dietary Intake in Young Adults: A Systematic Review and Meta-Analysis of RCTs. Nutrients. 2019;11(4):825. DOI: https://doi.org/10.3390/nu11040825
Leigh JP, Fries JF. Associations among healthy habits, age, gender, and education in a sample of retirees. Int J Aging Hum Dev. 1992;36(2):139-55. DOI: https://doi.org/10.2190/ELMX-WXGJ-7HQN-AN18
Johansson L, Thelle DS, Solvoll K, Bjørneboe GE, Drevon CA. Healthy dietary habits in relation to social determinants and lifestyle factors. Br J Nutr. 1999;81(3):211-20. DOI: https://doi.org/10.1017/S0007114599000409
Lallukka T, Laaksonen M, Rahkonen O, Roos E, Lahelma E. Multiple socio-economic circumstances and healthy food habits. Eur J Clin Nutr. 2007;61(6):701-10. DOI: https://doi.org/10.1038/sj.ejcn.1602583
García-Gil G, Sosa-Escalante JE, Aguilar-Cordero WdJ, Flores-Guido JS, Fernández Martínez Y. Change of land use in the Zone Subject to Ecological Conservation Cuxtal Reserve, Merida, Yucatan, Mexico. Investigaciones Geograficas. 2020;10:101.
Ortíz-Pech R, Celis-Fajardo H, García-Gil G. Impact of productive activities and urban expansion on an ecological reserve; Cuxtal's case in Yucatan; Mexico. NOESIS-Revista de Ciencias Sociales y Humanidades. 2017;26:52. DOI: https://doi.org/10.20983/noesis.2017.2.1
Official Mexican Standard NOM-051-SCFI/SSA1-2010. General labeling specifications for prepackaged foods and non-alcoholic beverages - Commercial and health information. 2010. Available at: https://www.dof.gob.mx/normasOficiales/4010/ seeco11_C/seeco11_C.htm. Accessed on 18 October 2024.
Mailinda E, Fitrina LR. The relationship between level of knowledge and attitude towards behavior in choosing healthy snacks of 4th and 5th grade students. Enfermería Clínica. 2019;29(1):81-4. DOI: https://doi.org/10.1016/j.enfcli.2018.11.026
Tesser A, Martin L, Mendolia M. The impact of thought on attitude extremity and attitude-behavior consistency. In Petty RE, Krosnick JA, editors. Attitude strength . Psychology Press. 2014;73-92.
Edgerton J, Roberts L, von Below S. Education and quality of life. In Kenneth L, Michalos A, Sirgy J, editors. Handbook of Social Indicators and Quality of Life Research. New York: Springer. 2011. DOI: https://doi.org/10.1007/978-94-007-2421-1_12
Rippe J. Lifestyle medicine: the health promoting power of daily habits and practices. Am J Lifestyle Med. 2018;12(6):499-512. DOI: https://doi.org/10.1177/1559827618785554
Maggino F. Encyclopedia of Quality of Life and Well-Being Research. Springer International Publishing. 2024. DOI: https://doi.org/10.1007/978-3-031-17299-1
Mol A. Proving or improving: On health care research as a form of self-reflection. Qual Health Res. 2006;16(3):405-14. DOI: https://doi.org/10.1177/1049732305285856