Effects of the Health Promotion Program on Health Literacy, Physical and Mental Health Status, and Quality of Life of Community Residents in Selected Districts of Gandaki Province, Nepal
Effects of the Health Promotion Program on Health Literacy, Physical and Mental Health Status, and Quality of Life of Community Residents in Selected Districts of Gandaki Province, Nepal
This study aims to evaluate the physical and mental health status, prevalence of chronic diseases, health literacy, and health behaviors of residents in Gandaki Province, Nepal, and to assess the effectiveness of a community-based health promotion program integrating health education, exercise, and auricular acupressure. The intervention is designed to improve quality of life, health literacy, and chronic disease management among rural populations with limited healthcare access.
This is a prospective interventional cohort study conducted over seven years (2025-2031) in two rural villages of Pokhara, Gandaki Province: Belchautara (experimental) and Rupakot (control). A total of 400 residents aged 19 years and older will be screened and enrolled (200 per village). Participants will be recruited through local nursing colleges and health centers.
Year 1 involves mixed methods research (descriptive-correlational and qualitative) to identify community health needs.
Years 2-7 will employ a quasi-experimental design with annual interventions and follow-up evaluations.
Interventions
Health Education Program:
Frequency: 12 weekly sessions (1 hour each), repeated three times per year. Content: hygiene, nutrition, stress management, lifestyle modification. Measures: health literacy, blood pressure, glucose, cholesterol, anthropometry, quality of life, and PHQ-9.
Exercise Program:
Frequency: 8 weekly sessions (1 hour each), repeated three times per year. Activities: muscle stretching, sit-ups, push-ups, sit-to-stand, and grip strength training.
Measures: Sit and Reach Test, push-up and sit-up counts, grip strength.
Auricular Acupressure:
Indications: back pain, dysmenorrhea, or perimenopausal symptoms. Frequency: once per week for 2 weeks. Measures: Numeric Rating Scale (NRS), Oswestry Disability Index, Menstrual Distress Questionnaire, and Perimenopause Symptom Scale.
Exclusion: pregnancy, metal allergy, or ear disease.
Data will be collected at baseline and post-intervention through structured questionnaires and physical measurements.
[Health Screen]:
Inclusion Criteria:
people who
Exclusion Criteria:
people who are not able to read and respond to the questionnaire
[Health Education]
Inclusion Criteria:
people who
Exclusion Criteria:
people who are not able to read and respond to the questionnaire
[Auricular Acupressure]
Inclusion Criteria:
adults ls who reported a pain score of 3 or higher on the Numeric Rating Scale for symptoms (NRS) will be asked about their willingness to participate.
Exclusion Criteria:
[Exercise]
Inclusion Criteria:
Residents aged 19 and older who are able to read and respond to the questionnaire will be recruited for health screenings and surveys.
Exclusion criteria: Individuals with medical conditions that contraindicate participation in exercise