PMID- 37033040
OWN - NLM
STAT- MEDLINE
DCOM- 20230411
LR  - 20231102
IS  - 2296-2565 (Electronic)
IS  - 2296-2565 (Linking)
VI  - 11
DP  - 2023
TI  - Impact of a nutrition education intervention on nutrition-related self-efficacy 
      and locus of control among women in Lesotho.
PG  - 1060119
LID - 10.3389/fpubh.2023.1060119 [doi]
LID - 1060119
AB  - INTRODUCTION: Lesotho is one of the poorest countries in the world with high 
      levels of food insecurity and malnutrition. The aim was to evaluate the impact of 
      a nutrition education intervention informed by self-efficacy and locus of control 
      theories among women in Lesotho. METHODS: A randomized pre-test-post-test design 
      was adopted to implement a systematically designed nutrition education 
      intervention in women from Maseru and Berea districts in Lesotho. Women from 
      selected villages were randomly assigned to comparison and intervention groups. 
      Baseline and post assessments were conducted before, and 6 months after the 
      intervention. Nutrition-related self-efficacy and locus of control were assessed 
      using a semi-structured knowledge, attitudes, beliefs, and practices (KABP) 
      questionnaire. RESULTS: At baseline, 444 women aged 19-60 years were included. 
      After the intervention, 259 women in the comparison (n = 105) and intervention 
      groups (n = 154) were interviewed. Self-efficacy beliefs that improved 
      significantly in the intervention group but not in the comparison group included 
      increased confidence that they could eat a healthy diet every day [95% CI for the 
      percentage difference (61.5; 76.7)]; an improved ability to secure several 
      healthy foods in the home; increased confidence in engaging in physical activity 
      [95% CI (29.5; 46.6)]; reducing the amount of salt they used in food [95% CI 
      (2.1; 14.0)]; and compiling a budget for food purchases [95% CI (56.1; 72.1)]. 
      Regarding locus of control, the belief in a personal capacity to take charge of 
      one's health through the production and consumption of healthy food improved in 
      the intervention group [95% CI (12.4; 25.0)] but not in the comparison group [95% 
      CI (15.9; 0.4)]. At follow-up, a significantly larger percentage of participants 
      in the intervention group also believed that they could take control of their 
      health and that they could prevent some illnesses by the food they eat. 
      CONCLUSION: A nutrition education intervention that is systematically planned and 
      framed on selected theories of health behavior improved nutrition-related beliefs 
      in self-efficacy and locus of control.
CI  - Copyright (c) 2023 Ranneileng, Nel and Walsh.
FAU - Ranneileng, Mamotsamai
AU  - Ranneileng M
AD  - Department of Nutrition and Dietetics, University of the Free State, 
      Bloemfontein, South Africa.
FAU - Nel, Mariette
AU  - Nel M
AD  - Department of Biostatistics, University of the Free State, Bloemfontein, South 
      Africa.
FAU - Walsh, Corinna May
AU  - Walsh CM
AD  - Department of Nutrition and Dietetics, University of the Free State, 
      Bloemfontein, South Africa.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20230323
PL  - Switzerland
TA  - Front Public Health
JT  - Frontiers in public health
JID - 101616579
SB  - IM
MH  - Humans
MH  - Female
MH  - *Self Efficacy
MH  - Lesotho
MH  - *Internal-External Control
MH  - Health Education
MH  - Nutritional Status
PMC - PMC10076845
OTO - NOTNLM
OT  - Lesotho
OT  - locus of control
OT  - nutrition education
OT  - self-efficacy
OT  - women
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2023/04/11 06:00
MHDA- 2023/04/11 06:42
PMCR- 2023/03/23
CRDT- 2023/04/10 03:48
PHST- 2022/10/02 00:00 [received]
PHST- 2023/01/16 00:00 [accepted]
PHST- 2023/04/11 06:42 [medline]
PHST- 2023/04/10 03:48 [entrez]
PHST- 2023/04/11 06:00 [pubmed]
PHST- 2023/03/23 00:00 [pmc-release]
AID - 10.3389/fpubh.2023.1060119 [doi]
PST - epublish
SO  - Front Public Health. 2023 Mar 23;11:1060119. doi: 10.3389/fpubh.2023.1060119. 
      eCollection 2023.