An Evaluation of Community Health Workers’ Knowledge, Attitude and Personal Lifestyle Behaviour in Non-Communicable Disease Health Promotion and Their Association with Self-Efficacy and NCD-Risk Perception
Article
Yenit, Melaku Kindie, Kolbe-Alexander, Tracy L., Gelaye, Kassahun Alemu, Gezie, Lemma Derseh, Tesema, Getayeneh Antehunegn, Abebe, Solomon Mekonnen, Azale, Telake, Shitu, Kegnie and Gyawali, Prajwal. 2023. "An Evaluation of Community Health Workers’ Knowledge, Attitude and Personal Lifestyle Behaviour in Non-Communicable Disease Health Promotion and Their Association with Self-Efficacy and NCD-Risk Perception." International Journal of Environmental Research and Public Health. 20 (9). https://doi.org/10.3390/ijerph20095642
| Article Title | An Evaluation of Community Health Workers’ Knowledge, Attitude and Personal Lifestyle Behaviour in Non-Communicable Disease Health Promotion and Their Association with Self-Efficacy and NCD-Risk Perception |
|---|---|
| ERA Journal ID | 44293 |
| Article Category | Article |
| Authors | Yenit, Melaku Kindie, Kolbe-Alexander, Tracy L., Gelaye, Kassahun Alemu, Gezie, Lemma Derseh, Tesema, Getayeneh Antehunegn, Abebe, Solomon Mekonnen, Azale, Telake, Shitu, Kegnie and Gyawali, Prajwal |
| Journal Title | International Journal of Environmental Research and Public Health |
| Journal Citation | 20 (9) |
| Article Number | 5642 |
| Number of Pages | 17 |
| Year | 2023 |
| Publisher | MDPI AG |
| Place of Publication | Switzerland |
| ISSN | 1660-4601 |
| 1661-7827 | |
| Digital Object Identifier (DOI) | https://doi.org/10.3390/ijerph20095642 |
| Web Address (URL) | https://www.mdpi.com/1660-4601/20/9/5642 |
| Abstract | Community health workers, also known as health extension workers (HEWs), play an important role in health promotion. This study evaluates HEWs’ knowledge, attitude, and self-efficacy for non-communicable diseases (NCD) health promotion. HEWs (n = 203) completed a structured questionnaire on knowledge, attitude, behaviour, self-efficacy and NCD risk perception. Regression analysis was used to determine the association between self-efficacy and NCD risk perception with knowledge (high, medium, low), attitude (favourable/unfavourable) and physical activity (sufficient/insufficient). HEWs with higher self-efficacy were more likely to have high NCD knowledge (AOR: 2.21; 95% CI: 1.21. 4.07), favourable attitude towards NCD health promotion (AOR: 6.27; 95% CI: 3.11. 12.61) and were more physically active (AOR: 2.27; 95% CI: 1.08. 4.74) than those with lower self-efficacy. HEWs with higher NCD susceptibility (AOR: 1.89; 95% CI: 1.04. 3.47) and perceived severity (AOR: 2.69; 95% CI: 1.46, 4.93) had higher odds of NCD knowledge than their counterparts. Moreover, sufficient physical activity was influenced by HEWs’ perceived NCD susceptibility and perceived benefits of lifestyle change. Therefore, HEWs need to adopt healthy lifestyle choices to become effective role models for the community. Our findings highlight the need to include a healthy lifestyle when training HEWs, which might increase self-efficacy for NCD health promotion. © 2023 by the authors. |
| Keywords | non-communicable disease; attitude; knowledge; attitude; lifestyle; community health workers; Ethiopia |
| Article Publishing Charge (APC) Funding | Other |
| Contains Sensitive Content | Does not contain sensitive content |
| ANZSRC Field of Research 2020 | 420603. Health promotion |
| Byline Affiliations | School of Health and Medical Sciences |
| University of Gondar, Ethiopia | |
| University of Cape Town, South Africa | |
| Centre for Health Research |
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