Development, implementation, and process evaluation of a theory-based nutrition education programme for adults living with HIV in Abeokuta, Nigeria

dc.contributor.authorBello, Temitope K.
dc.contributor.authorGericke, Gerda J.
dc.contributor.authorMacIntyre, Una Elizabeth
dc.contributor.emailuna.macIntyre@up.ac.zaen_ZA
dc.date.accessioned2019-08-23T14:53:16Z
dc.date.available2019-08-23T14:53:16Z
dc.date.issued2019-03-12
dc.description.abstractINTRODUCTION : Healthy diets play a role in the management and care for adults living with HIV/AIDS (ALH). Appropriate nutrition education (NE) is necessary to equip ALH with relevant knowledge and skills for healthy eating. A needs assessment identified the need for a nutrition education programme (NEP) as part of the nutrition service for ALH in Abeokuta, Nigeria. The aim of this study was to design a theory-based NEP and to evaluate the implementation process among ALH attending selected federal and state hospitals in Abeokuta as out-patients. MATERIALS AND METHODS : An exploratory descriptive needs assessment in the qualitative and quantitative domains was conducted among a convenient sample of ALH (N = 243) at the selected hospitals. The quantitative needs assessment identified needs for improvement in the primary outcome [quality of life (QoL)] and the secondary outcomes [quality of dietary intake, nutrition knowledge, attitudes, and practice (KAP), and anthropometric status]. Participants’ perceptions of the NEP were obtained using an interviewer administered questionnaire among 70 ALH who attended the implementation of the NEP and process evaluation thereof at the intervention hospital. RESULTS : The qualitative results identified a lack of knowledge on planning varied meals with limited resources. The identified needs, existing guidelines and literature were integrated with appropriate constructs of the Social Cognitive Theory (SCT) and the Health Belief Model (HBM) into the NEP. The NE manual, participant’s work book, flipcharts, and the brochure were tailored to address the identified challenges. DISCUSSION : The process evaluation showed that the NEP was implemented as planned and that the participants’ perceptions were positive. The use of the NE manual, participant’s work book, flipcharts, and brochure demonstrated the practicality of incorporating behavioral theories in NE for ALH.en_ZA
dc.description.departmentHuman Nutritionen_ZA
dc.description.librarianam2019en_ZA
dc.description.sponsorshipThe Department of Research and Innovation (DRI) of the University of Pretoria, Tertiary Education Trust Funds (TET Funds), and Red Cross International Lagos.en_ZA
dc.description.urihttps://www.frontiersin.org/journals/public-health#en_ZA
dc.identifier.citationBello TK, Gericke GJ and MacIntyre UE (2019) Development, Implementation, and Process Evaluation of a Theory-Based Nutrition Education Programme for Adults Living With HIV in Abeokuta, Nigeria. Front. Public Health 7:30. doi: Bello TK, Gericke GJ and MacIntyre UE (2019) Development, Implementation, and Process Evaluation of a Theory-Based Nutrition Education Programme for Adults Living With HIV in Abeokuta, Nigeria. Front. Public Health 7:30. DOI: 10.3389/fpubh.2019.00030.en_ZA
dc.identifier.issn2296-2565 (online)
dc.identifier.other10.3389/fpubh.2019.00030
dc.identifier.urihttp://hdl.handle.net/2263/71198
dc.language.isoenen_ZA
dc.publisherFrontiers Mediaen_ZA
dc.rights© 2019 Authors. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).en_ZA
dc.subjectProgram developmenten_ZA
dc.subjectHuman immunodeficiency virus (HIV)en_ZA
dc.subjectNutrition education (NE)en_ZA
dc.subjectQuality of life (QoL)en_ZA
dc.subjectNutrition education resourcesen_ZA
dc.subjectBehavioral theoriesen_ZA
dc.subjectBehavioren_ZA
dc.subjectFruiten_ZA
dc.subjectInterventionen_ZA
dc.subjectVegetable consumptionen_ZA
dc.subjectAdults living with HIV/AIDS (ALH)en_ZA
dc.subjectKnowledge, attitudes and practices (KAP)en_ZA
dc.subject.otherHealth sciences articles SDG-03
dc.subject.otherSDG-03: Good health and well-being
dc.subject.otherHealth sciences articles SDG-04
dc.subject.otherSDG-04: Quality education
dc.titleDevelopment, implementation, and process evaluation of a theory-based nutrition education programme for adults living with HIV in Abeokuta, Nigeriaen_ZA
dc.typeArticleen_ZA

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