Interventions in Health Promotion and Prevention in Public Spaces
Transcripción
Interventions in Health Promotion and Prevention in Public Spaces
Interventions in Health Promotion and Prevention in Public Spaces on Campus: The Experience of the Catholic University of Chile Healthy Campus Program 2015 Goals Interventions in health promotion and prevention are set up in the courtyards of the University about hydration, sodium intake and cardiovascular risk. promote daily water intake amount according to WHO promote the reduction of daily sodium intake raise awareness of coronary risk Promote healthy lifestyles among members of the university community through the incorporation of healthy practices Hydration campaign: “You are Water Drink Water” Methodology: Social Marketing E-health, by e-mail, 38.000 50% read Methodology: Wallpaper 900 computers Methodology: Flyers Delivery 3.000 Methodology intervention "Water Tour”: Health Cart placed in campus courtyard • 11:00am-3:00pm, 2 days per Campus, once a year (March-April) • Nurses and student peer health educators. • Spontaneous consultation • Intervention • Applies hydration instrument Methodology intervention "Water Tour”: • • • • • Psycho-education in situ Hydration habits survey information flyers are handed out and explained Questions are answered A year later survey hydration habits are reapplied Methodology intervention "Water Tour”: Counseling and water intake level calculation (stages of change model and motivational interviewing elements) NURSE OR PEER HEALTH EDUCATORS (PES) • Invitation to participate in the campaign • Weight, height, physical activity, age, sex is taken • Want to know your level of water intake? Online • Results optimal/real level and feedback • Do you think you could increase your intake? • Log to plan change • Information flyers are reinforced by the 4 times • At 3 months they are contacted via email to know their current habit http://www.h4hinitiative.com/ Intervention "Water Tour”: Results Intervention 2013 2014 2015 Total Application of hydration habits survey and psycho-education 985 919 - 1904 Psycho-education 985 2281 462 3728 - - 462 462 Calculation hydration level and brief counseling (EM) Results: Hydration habits survey, two samples Topic 2013 2014 Drink10 glasses of liquids or less per day. 90.4% 88.1% Drink 10 glasses of wáter or less per day. 98.2% 97.1% Drink no water per day 7.4% 5.1% Appropriate or sufficient hydration habits 66.4% 70% Resultados: Encuesta post intervención 2015 (medición nivel de hidratación) n=112 2.- Posterior a la intervención, tu consumo de agua ha: 1.- Según el resultado del test de hidratación, ¿cómo era tu ingesta de líquidos? Aumentado 3% 45% Disminuido 51% Suficiente 1% 55% 44% Insuficiente No recuerdo 1% Se mantiene igual Campaign sodium intake and cardiovascular risk: “I don’t want Na + (No more)” Methodology: Social Marketing: E-health, by e-mail 38.000 50% read Wallpaper, 900 computers Methodology: • • • • • Health cart placed in campus courtyard. 12:00 and 4:00pm, 2 days per Campus, once a year (July) Nurses, nutritionists and Student Peer Educators Make appointment online Counseler in yard (Domo) Intervention • • • • • Blood pressure taken Cholesterol tested Calculating body mass index Calculation of coronary risk Brief counseling with elements EM Number of interventions 608 In 2014 Result: Intervención/Screening 6 months post intervention Cambios en la alimentación: Data sheet High BP 71,2% Overweight or obese 62,5% High CC Men Disminución del consumo de grasas 58,1% 26,8% Disminuir el consumo de azúcar 61,3% High CC Women 43% Disminuir el consumo de sal 77,4% Sedentary 70,3% Disminuir el consumo de pan 41,9% Family History CVD 60,9% Aumentar el consumo de verduras 61,3% Tomar desayuno todos los días 45,2% Respetar horario de las comidas 35,5% No ha realizado cambios 3,2% Conclusions: Among the participants of interventions in the campus courtyards, a high percentage of unhealthy habits were observed. Such activities capture a significant number of people who do not consult spontaneously (asymptomatic and unaware of their consumption habits). Awareness coupled with a brief intervention, may provoke the acquiring of new habits and behavior change in the future. GRACIAS………….