title: Physical activity and nutrition program for adults with metabolic syndrome: Process evaluation.
abstract: The Vietnam Physical Activity and Nutrition (VPAN) program aimed to improve physical activity and nutrition for adults aged 50-65 years with Metabolic Syndrome in Vietnam. The VPAN program consisted of a range of resources and strategies, including an information booklet, resistance band, face-to-face education sessions, and walking groups. This process evaluation assessed the participation, fidelity, satisfaction, and reasons for completing and not-completing the VPAN.
  
  
  
  Data were collected by mixed-methods from a sample of 214 intervention participants. Quantitative data were collected via surveys (n=163); qualitative data via face-to-face exit interviews with intervention program completers (n=10) and non-completers (n=10), and brief post education session discussions.
  
  
  
  Most participants (87%-96%) reported the program resources and strategies useful, assisting them to increase their physical activity level and improving their diet. The education sessions were the most preferred strategy (97%) with high attendance (>78% of participants). The main reasons for withdrawal were work commitments and being too busy.
  
  
  
  The evaluation indicated that the program reached and engaged the majority of participants throughout the six-month intervention. The combination of printed resources and face-to-face intervention components was a suitable approach to support lifestyle behavioural change in the Vietnamese population.
authors.affiliation: Department of Community Health and Network Coordination, National Institute of Hygiene and Epidemiology, No. 1, Yersin Street, Hanoi, Vietnam; School of Public Health, Curtin University, GPO Box U1987, Perth, WA 6845, Australia. Electronic address: tranvandinhnihe@gmail.com.
authors.forename: Van Dinh
authors.initials: VD
authors.lastname: Tran
authors.affiliation: School of Public Health, Curtin University, GPO Box U1987, Perth, WA 6845, Australia; Collaboration for Evidence, Research and Impact in Public Health, GPO Box U1987, Perth, WA 6845, Australia. Electronic address: J.Jancey@curtin.edu.au.
authors.forename: Jonine
authors.initials: J
authors.lastname: Jancey
authors.affiliation: School of Public Health, Curtin University, GPO Box U1987, Perth, WA 6845, Australia. Electronic address: Andy.Lee@curtin.edu.au.
authors.forename: Andy
authors.initials: A
authors.lastname: Lee
authors.affiliation: School of Public Health, Curtin University, GPO Box U1987, Perth, WA 6845, Australia; Curtin Health Innovation Research Institute, Curtin University, GPO Box U1987, Perth, WA 6845, Australia. Electronic address: T.P.James@curtin.edu.au.
authors.forename: Anthony
authors.initials: A
authors.lastname: James
authors.affiliation: School of Public Health, Curtin University, GPO Box U1987, Perth, WA 6845, Australia; Collaboration for Evidence, Research and Impact in Public Health, GPO Box U1987, Perth, WA 6845, Australia. Electronic address: P.Howat@curtin.edu.au.
authors.forename: Peter
authors.initials: P
authors.lastname: Howat
authors.affiliation: Department of Community Health and Network Coordination, National Institute of Hygiene and Epidemiology, No. 1, Yersin Street, Hanoi, Vietnam. Electronic address: lepmai@yahoo.com.
authors.forename: Le
authors.initials: L
authors.lastname: Thi Phuong Mai
mesh_terms: D000368:Aged; D004032:Diet; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008019:Life Style; D008297:Male; D024821:Metabolic Syndrome / Q000628:therapy*; D008875:Middle Aged; D017060:Patient Satisfaction; D015397:Program Evaluation; D014744:Vietnam
keywords: Dietary behaviours; Health promotion; Lifestyle; Metabolic syndrome; Physical activity; Process evaluation