After the determinant analysis we defined change objectives (COs), which are the most direct target behaviors of the intervention.
Target behaviors of the intervention included: 1) Frequent FM; 2) Parent-child shared PA; 3) Elimination of TV during mealtime; 4) Drinking water instead of SSB at mealtime; 5) Including FV in FM; 6) Practicing good manners during FM; 7) Helping parents prepare FM and cleaning up afterwards.
Individuals in these lower risk classes were likely to switch to low-risk behavior regardless of the intervention, with about two-thirds transitioning to the low-risk class.
The behavior change strategy of the intervention presumes that FCHVs are effective at promoting care-seeking and desired household practices and that the booklet will facilitate the communication of messages, reinforce the FCHVs' counseling and stimulate intra-household discussion.
These surveys assessed time trends in HIV prevalence and risk behavior in advance of the intervention, determined comparability and stability of baseline characteristics over time, and explored potential for cross-contamination between beer halls after randomization.
14Compliers in an instrumental variable framework are typically those individuals who change their behavior as a result of the intervention utilized as an IV.
In addition, since the post-intervention survey was conducted 6 weeks after all the intervention, the data may only suggest short-term improvements in health behavior as a result of the intervention.
As it is likely that sustainability of effects somehow depends on continuation of PA behavior after the completion of the intervention, health services and organizations that provide exercise classes for the aged should employ strategies to enhance further participation.
Nevertheless, we cannot exclude the possibility that DMI's campaign itself could have increased overreporting of target behaviors in the intervention clusters, although if reporting bias did occur to an important degree one might have expected to see positive results across a wider range of behaviors.
Secondary aims include examining social cognitive theory mechanisms of physical activity behavior change and health benefits of the intervention.
