COMMUNITY MOBILIZATION FOR THE PREVENTION AND CONTROL OF CARDIOVASCULAR DISEASES AMONG OLDER PERSONS IN SAN PABLO CITY
BY: AGAPITO JD. xxxvi; 313 LEAVES. [DISSERTATION (DrPH)--UNIVERSITY OF THE PHILIPPINES] TH A348 2006.
THE STUDY WAS UNDERTAKEN IN CONSIDERATION OF THE GROWING NUMBER OF ELDERLY PEOPLE WHO ARE VULNERABLE TO CHRONIC DISEASES, SPECIFICALLY CARDIOVASCULAR DISEASES (CVD). THE PRIMARY OBJECTIVE OF THIS STUDY WAS TO DETERMINE THE EFFECTIVENESS OF COMMUNITY MOBILIZATION IN THE PREVENTION AND CONTROL OF CVD AMONG THE ELDERLY IN SAN PABLO, LAGUNA. A QUASI-EXPERIMENTAL DESIGN, WITH BASELINE AND POST INTERVENTION SURVEYS USING INDEPENDENT SAMPLES WAS EMPLOYED. EIGHT SELECTED BARANGAYS IN SAN PABLO CITY AND ANOTHER EIGHT IN LUCENA CITY SERVED AS THE EXPERIMENTAL AND CONTROL GROUP RESPECTIVELY. THERE WAS A TOTAL OF 528 OLDER PERSONS FROM THE TWO GROUPS WHO PARTICIPATED IN THE BASELINE DATA SURVEY. AN EQUIVALENT NUMBER OF OLDER PERSONS PARTICIPATED IN THE POST INTERVENTION SURVEY AFTER NINE MONTHS. DESCRIPTIVE ANALYSIS (E.G. MEANS FOR CONTINUOUS VARIABLES AND FREQUENCIES FRO NOMINAL VARIABLES) WAS USED TO DESCRIBE THE DATA. THE UNIVARIATE GENERAL LINEAR MODEL WAS USED TO TEST FRO SIGNIFICANT CHANGES IN THE KNOWLEDGE, BELIEFS AND ATTITUDES, AND PRACTICES (KBAP) SCORES. FOR QUALITATIVE DATA, KEY INFORMANT INTERVIEWS, FOCUS GROUP DISCUSSIONS, OBSERVATIONS, AND RECORD REVIEWS WERE USED IN THE IMPACT OF THE INTERVENTION AT THE COMMUNITY LEVEL. THE KBAP OF THE RESPONDENTS IN THE EXPERIMENTAL POST-INTERVENTION SURVEY HAD MINIMAL CHANGES WITH RESPECT TO THE KBAPs OF THOSE IN THE CONTROL AND EXPERIMENTAL BASELINE SURVEYS. THE BELIEFS AND ATTITUDES OF THOSE WHO PARTICIPATED IN THE POST INTERVENTION SURVEY WERE BETTER THAN THOSE IN THE TWO BASELINES THOUGH. THE SAME MINIMAL RESULTS WERE SEEN IN ALL OF THE BEHAVIORS STUDIED EXCEPT FOR DIET AND ALCOHOL CONSUMPTION. FOR DIET, THERE WAS A MARKED INCREASE IN THE MEAN SCORE FOR THE EXPERIMENTAL GROUP WHO PARTICIPATED IN THE POST-INTERVENTION SURVEY. THIS MEANT THAT THEIR HAS IMPROVED. THERE WAS AN INCREASE IN THE PROPORTION OF THOSE WHO DO NOT DRINK ALCOHOL IN THE EXPERIMENTAL POST-INTERVENTION GROUP. AT THE COMMUNITY LEVEL, THERE WAS AN INCREASE IN THE AVAILABILITY LEVEL OF HEALTH SERVICES, ADDITION OF MEMBER TO THE SENIOR CITIZENS ORGANIZATION THAT PARTICIPATED IN THE INTERVENTION, AND THE ESTABLISHMENT OF A PEOPLE'S ORGANIZATION THAT WOULD FOSTER IMPROVEMENTS IN THE HEALTH AND WELFARE OF THE COMMUNITY AMONG OTHERS.
THE STUDY WAS UNDERTAKEN IN CONSIDERATION OF THE GROWING NUMBER OF ELDERLY PEOPLE WHO ARE VULNERABLE TO CHRONIC DISEASES, SPECIFICALLY CARDIOVASCULAR DISEASES (CVD). THE PRIMARY OBJECTIVE OF THIS STUDY WAS TO DETERMINE THE EFFECTIVENESS OF COMMUNITY MOBILIZATION IN THE PREVENTION AND CONTROL OF CVD AMONG THE ELDERLY IN SAN PABLO, LAGUNA. A QUASI-EXPERIMENTAL DESIGN, WITH BASELINE AND POST INTERVENTION SURVEYS USING INDEPENDENT SAMPLES WAS EMPLOYED. EIGHT SELECTED BARANGAYS IN SAN PABLO CITY AND ANOTHER EIGHT IN LUCENA CITY SERVED AS THE EXPERIMENTAL AND CONTROL GROUP RESPECTIVELY. THERE WAS A TOTAL OF 528 OLDER PERSONS FROM THE TWO GROUPS WHO PARTICIPATED IN THE BASELINE DATA SURVEY. AN EQUIVALENT NUMBER OF OLDER PERSONS PARTICIPATED IN THE POST INTERVENTION SURVEY AFTER NINE MONTHS. DESCRIPTIVE ANALYSIS (E.G. MEANS FOR CONTINUOUS VARIABLES AND FREQUENCIES FRO NOMINAL VARIABLES) WAS USED TO DESCRIBE THE DATA. THE UNIVARIATE GENERAL LINEAR MODEL WAS USED TO TEST FRO SIGNIFICANT CHANGES IN THE KNOWLEDGE, BELIEFS AND ATTITUDES, AND PRACTICES (KBAP) SCORES. FOR QUALITATIVE DATA, KEY INFORMANT INTERVIEWS, FOCUS GROUP DISCUSSIONS, OBSERVATIONS, AND RECORD REVIEWS WERE USED IN THE IMPACT OF THE INTERVENTION AT THE COMMUNITY LEVEL. THE KBAP OF THE RESPONDENTS IN THE EXPERIMENTAL POST-INTERVENTION SURVEY HAD MINIMAL CHANGES WITH RESPECT TO THE KBAPs OF THOSE IN THE CONTROL AND EXPERIMENTAL BASELINE SURVEYS. THE BELIEFS AND ATTITUDES OF THOSE WHO PARTICIPATED IN THE POST INTERVENTION SURVEY WERE BETTER THAN THOSE IN THE TWO BASELINES THOUGH. THE SAME MINIMAL RESULTS WERE SEEN IN ALL OF THE BEHAVIORS STUDIED EXCEPT FOR DIET AND ALCOHOL CONSUMPTION. FOR DIET, THERE WAS A MARKED INCREASE IN THE MEAN SCORE FOR THE EXPERIMENTAL GROUP WHO PARTICIPATED IN THE POST-INTERVENTION SURVEY. THIS MEANT THAT THEIR HAS IMPROVED. THERE WAS AN INCREASE IN THE PROPORTION OF THOSE WHO DO NOT DRINK ALCOHOL IN THE EXPERIMENTAL POST-INTERVENTION GROUP. AT THE COMMUNITY LEVEL, THERE WAS AN INCREASE IN THE AVAILABILITY LEVEL OF HEALTH SERVICES, ADDITION OF MEMBER TO THE SENIOR CITIZENS ORGANIZATION THAT PARTICIPATED IN THE INTERVENTION, AND THE ESTABLISHMENT OF A PEOPLE'S ORGANIZATION THAT WOULD FOSTER IMPROVEMENTS IN THE HEALTH AND WELFARE OF THE COMMUNITY AMONG OTHERS.
