J Agric Med Community Health.  2022 Sep;47(3):166-180. 10.5393/JAMCH.2022.47.3.166.

Development and Assessment of a Non-face-to-face Obesity-Management Program During the Pandemic

Affiliations
  • 1Department of Public Health, Graduate School of Kyungpook National University, Daegu Korea
  • 2Department of Preventive Medicine, College of Medicine, Yeungnam University, Daegu Korea
  • 3Department of Preventive Medicine, School of Medicine, Keimyung University, Daegu Korea
  • 4Department of Preventive Medicine, School of Medicine, Kyungpook National University, Daegu Korea

Abstract


Objective
This study evaluated the effects of a non-face-to-face obesity management program, implemented during the pandemic.
Methods
The non-face-to-face obesity management program used the Intervention mapping protocol (IMP). The program was put into effect over the course of eight weeks, from September 14 to November 13, 2020 in 48 overweight and obese adults, who applied to participate through the Daegu Citizen Health Support Center.
Results
IMP was first a needs assessment was conducted; second, goal setting for behavior change was established; third, evidence-based selection of arbitration method and performance strategy was performed; fourth, program design and validation; fifth, the program was run; and sixth, the results were evaluated. The average weight after participation in the program was reduced by 1.2kg, average WC decreased by 3cm, and average BMI decreased by 0.8kg/m 2 (p<0.05). The results of the health behavior survey showed a positive improvement in lifestyle factors, including average daily intake calories, fruit intake, and time spent in walking exercise before and after participation in the program. A statistically significant difference was seen (p<0.05). The satisfaction level for program process evaluation was high, at 4.57±0.63 point.
Conclusion
The non-face-to-face obesity management program was useful for obesity management for adults in communities, as it enables individual counseling by experts and active participation through self-body measurement and recording without restriction by time and place. However, the program had some restrictions on participation that may relate to the age of the subject, such as skill and comfort in using a mobile app.

Keyword

Obesity management program; Intervention mapping protocol; Pandemic; Non-face-to-face
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