Electronic ISSN 2287-0237

VOLUME

USING THE PROMISE MODEL FOR HEALTH BEHAVIOR CHANGES OF PARTICIPANTS IN WEIGHT AND DISEASE REDUCTION PROGRAMS

FEBRUARY 2012 - VOL.3 | ORIGINAL ARTICLE
OBJECTIVE.

  1. To study the benefits of using the PROMISe model to work towards sustainable “3-Self” Health behavior changes (selfefficacy, self-regulation and self-care) in a Weight and Disease Reduction program conducted at Lerdsin Hospital.
  2. To study the relationship between the 6 factors of the PROMISe model (P = Positive reinforcement, R = Results based management, O = Optimism, M = Motivation, I = Individual or Client Centered and Se = Self-esteem) and the 3-Self Health Behaviors Changes in 3 areas, namely Dieting, Exercising, and Emotional control.

MATERIALS AND METHODS.

This was a Cross-sectional study. The research was divided into two parts. Total of 302 people participated in the first part of this research and 173 people participated in the second part. The data used for descriptive statistical analysis came from program evaluations, health examination reports, and questionnaires completed by all participants in both phases.

RESULTS.

The results showed the relationship between the 3-Self health behaviors, BMI value and satisfaction after finishing the program and 6 months later. The PROMISe model did indeed influence the sustainability of the 3-Health Behavior changes, and subsequent weight loss. The most influential factors of the PROMISe model were result-based management, positive reinforcement, and optimism.

CONCLUSION.

Using the PROMISe model to design and manage activities leading to health behavior changes definitely influenced and increased the sustainability of the changes.

Keywords:

Metabolic Disease, PROMISe Model, 3-Self Health Behavior Changes, Self-efficacy, Self-regulation, Self-care, Result-based management, Positive reinforcement, Optimism.

MEDIA
Table 1:
The differences in the averages of the 3-Self health behaviors, Body Mass Index (BMI) value and satisfaction (SAT) with the program, before and after the program. (n = 302)
Table 2:
The differences in the averages of the 3-Self health behaviors, Body Mass Index (BMI) value and the participants’ satisfaction (SAT) with the program at completion and 6 months later. (n=173)
Table 3:
The differences in averages of the 3-Self health behaviors to the ability of the participants to lose weight or not. (n=173)
Table 4:
The relationship between the average value of 6 factors of PROMISe model and 3-Self health behavior change and participants’ satisfaction with the program 6 months after finishing program. (n=173)
Table 5:
The relationship between the average value of 6 factors of PROMISe model and the sustainability of health behavior change in 3 areas of the participants. (n=173)
Table 6:
The relationship of the average value of 6 factors of PROMISe model and the participant’s ability to lose weight. (n=173)
Program Participant
Thank you Mrs. S for the permission to print your pictures.
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