KESIHATAN MASYARAKAT

NNNH6613
Prepared for:
Pn Hapsah Dusa
Prepared by:
Nor Ezra Hipni Sharifah Nurul Izzah Khairul Nazreen

BACKGROUND OF STUDY
HDHK: helps overweight fathers to
loose weight and positively influence the
health behaviors of their children

AIMS
to evaluate the previously
establish program in a community
setting, in a large effectiveness trial

METHODS / DESIGN
Stage 1
Program
refinement and
resource
development

Stage 2
Community
randomized
controlled trial

Stage 3
Community
effectiveness trial

Program evaluated in
Local
Government Areas (LGA)

METHODS/DESIGN
1
Exclusion
criteria:
body mass
index < 25
kg/m2
lack of
doctors
approval

2
Measures
collected at
baseline:
3-, 6- and 12months

3
Involves fathers
attending 7
face-to-face
group sessions
(3 with
children) over
3- months

OUTCOME

1. Waist
circumference
Fathers
2. Blood pressure
weight
3. Resting heart
rate
4. Physical activity
5. Sedentary
behaviorsdose
Process evaluation determine the fidelity,
Dietary intake.
(delivered & received),6.reach,

ABOUT HDHK
PROGRAM

1Help men achieve their

OBJECTIVE
OF THE
PROGRAM

weight loss
@ management goals

2Improve physical activity

& healthy eating in
families

APPLICATION OF THEORY
Social
Cognit
ive
Theory
Targeted and
operationalized : Self
efficacy, goals/intention,
outcome expectation,
perceived facilitators &
barriers changes & social

Fami
ly
Syst
em
Suggests
that individuals
Theo
cannot be understood in
ry from one
isolation
another, but rather as a
part of their family, as
the family is an

SIMILAR PROGRAM IN MALAYSIA

OBESI
TY

Astro Bella Jom Kurus

Cabaran 30 Hari
Jom Kurus
1Malaysia
-cabaranjomkuru
s.com
The Biggest Loser
Asia

HEALT
HY
EATIN
G
Nutrition Month Eat
Right, Move More:
Prevent Diabetes
from Young
Nestle Healthy
Kids
Programmes
EZ Diet
www.ezdiet.

PHYSI
CAL
ACTIVI
TY

Kempen Nak
Sihat www.1naksihat
.my
Kempen
Berjalan 10k
Langkah
Kem I Want
Teach your kid how to
swim

ACHIEVEMENTS
540
Families

6
Communiti
es

960
Children

Significant improvements in dads behavioral & health

outcomes at 12-month follow up
Children showed significant improvements in levels of
physical activity,
fitness, weight status & food intake
children also benefit from positive educational & social
outcomes

IMPLEMENTATION OF HDHK
PROGRAM IN MALAYSIA

47.7 % (Malaysian
population is 31.0
mil)
Malaysian
are obese
&
overweight
& highest
in Asean
(Non
Communic
able
Disease
Country
Profile
2015)

17.7 % ( 0.26
mil population)

OBESITY
ADULT
(NHMS,
2015)

7.0 % ( 0.10
mil population)

OBESITY
CHILDREN
12
YEARS
(NHMS,
2015)

92.5%

(16.4 million) of adults

18
years & above consumed less than
5
servings fruits and/or vegetables
per day
Source:(NHMS 2015)

Fathers play
a significant role in
fostering socialemotional,
cognitive, language,
& motor
development in the
lives of their young
children & take an
active role early &
often in the lives of
their children. (Scott
W. 2011)

The reasons
of Malaysian adolescents to
trust their father are
related to the role of father,
father-child relationship,
fathers characteristics,
fathers nurturing nature &
fathers attitude & behavior
(Jasmine et al. 2012)

IN COMMUNITY SETTING
Pusat
Perkhidmatan
Kesihatan
Komuniti
(PPKK)

Komuniti Sihat
Perkasa
Negara (KOSPEN)

Interactive and individually tailored intervention

programmes in community setting for behavioural
health risks lead to higher levels of sustained
behaviour change (Swerissen & Crisp, 2004)

IN SCHOOL BASED SETTINGS.

School-based
programs are effective in

intervention

prevention

of

childhood overweight, obesity problem and child health

in general.
(Mahmood et al. 2014)

PARTICIPANTS ELIGIBILITY.

MALE
21 60 years
A parent/guardian/grandfather

5 - 12

of child age

INELIGIBLE IF,

history of major medical

problems in the last 5 years that would
be a barrier to physical activity
Have a

ticipants over the age of 40 will be instructed they need to receive a

doctors clearance before enrolling in this program.

FEATURES OF PROGRAM
2 fathers
information sessions
on weight
management,
nutrition and
8
physical activity
physical activity.
sessions.

10 x 90 minutes
sessions

Mums & partners also can

join the sessions to learn
healthy eating strategies
for the family & to join in
the physical activities &
games.

SESSIONS AND PROGRAM CONTENT.

Weight loss for

men
(Dads)

Ready to rumble
with dad
(Dads and Kids)

Sustaining healthy
lifestyle
(Dads)

Raising active
children in
inactive world
(Dads)

Weight control is a
journey not a
destination
(Dads and Kids)

Fitness, fun and

fundamental
movement skills
(FMS).
(Dads and Kids)

Healthy eating in
families Dads
matters
(Dads)

Based on Kelman
Process of Change
Theory
Compliance,
Identification &
Internalization

Intelligent color
dress
Your Body , proud
of it!
Discovery your
real manly type
Appearance with
age

Lets Grooming
Daddy and
Kids!

Improvement

SESSIONS AND PROGRAM CONTENT.

PROGRAM RESOURCES
Dads :

Manuals for
Dads, Logbook,
Calorie King
Website Guide,
Pedometer, TShirt

Mums /
Partner
s : Manuals
for mums

Kids :
Kids Handbook,
Spinner game,
FMS activity,
Cards, T-Shirt

Training
Materials
: Community
Implementation
Manual,
Facilitators
Manuals.

PROGRAM EVALUATION
PROCESS EVALUATION:
Fidelity, Dose Delivered,
Reach and Recruitment

OUTCOME EVALUATION :
Dose Received and Context

IMPACT EVALUATION :
Total Kg Loss and Practice
Healthy Diet

PROGRAM RECOGNITION

Certificates

Medals /
Awards

Discoun
t
Voucher
s

CHALLENGES

REFERENCES
Clinical Practice Guidelines on Management of Obesity. (2004). Malaysian Association for
the Study of Obesity, Ministry of Health.
Mahmood, S., Perveen, T., Dino, A., Ibrahim, F., & Mehraj, J. (2014). Effectiveness of
School-Based Intervention Programs in Reducing Prevalence of Overweight.
Indian Journal of Community Medicine : Official Publication of Indian Association
of
Preventive
&
Social
Medicine,
39(2),
8793.
http://doi.org/10.4103/0970-0218.132724
The National Health and Morbidity Survey 2006 (NHMS). (2006). Kuala Lumpur, Malaysia:
Institute for Public Health, National Institutes of Health, Ministry of Health
Malaysia.
The National Health and Morbidity Survey 2011 (NHMS). (2011). Kuala Lumpur, Malaysia:
Institute for Public Health, National Institutes of Health, Ministry of Health
Malaysia; 188p.
World Health Organization (WHO). (2011). Non-Communicable Disease Country Profiles.
Geneva, Switzerland.