A Health Promotion Program for Improving Weights, Body Mass Indexes, and Body Compositions among Individuals with Non-communicable Diseases in Thailand: RE-AIM Model and Financial Feasibility Study

Utoomporn Wongsin; Kwanpracha Chiangchaisakulthai; Warisa Suppradist; Numporn Samiphuk; Dichapong Pongpattrachai; Arnat Wannasri; Jiraluck Nontarak; Tuo-Yu Chen

Authors

Utoomporn Wongsin PhD Program in Global Health & Health Security Department, College of Public Health, Taipei Medical University, Taipei, Taiwan
Kwanpracha Chiangchaisakulthai International Health Policy Program (IHPP), Thailand
Warisa Suppradist International Health Policy Program (IHPP), Thailand
Numporn Samiphuk International Health Policy Program (IHPP), Thailand
Dichapong Pongpattrachai Thammasat Business School, Thailand
Arnat Wannasri National Yang Ming Chiao Tung University (NYCU), Taiwan; Nopparat Rajathanee Hospital, Department of Medical Services, Thailand
Jiraluck Nontarak Department of Epidemiology, Faculty of Public Health, Mahidol University, Thailand
Tuo-Yu Chen PhD Program in Global Health & Health Security Department, College of Public Health, Taipei Medical University, Taipei, Taiwan

Keywords:

health promotion program, body mass index, body compositions, RE-AIM, financial feasibility study

Abstract

Background: Non-communicable diseases (NCDs) are serious health issues in many countries. This paper aimed to evaluate a wellness center or health promotion program using the reach, effectiveness, adoption, implementation and maintenance (RE-AIM) framework and to investigate financial feasibility of NCDs prevention and promotion program in Thailand. Methodology: A retrospective plus interview study was used in this paper. Data were obtained from two wellness centers in public hospitals, Thailand. RE-AIM model was used to evaluate the program. Financial feasibility was performed with the home exercise and fitness center models based on financial and service assumptions. Results: A total of 217 participants were included in this study. After attending the prevention and promotion program for more than two months, the participants’ body weights and body mass indexes reduced significantly. Regarding the RE-AIM framework, the wellness centers reached target groups and continued providing services in the public hospitals. In terms of a financial feasibility study, the model could break-even in the first year (0.36 year for home exercise, while a fitness center model was 5.44 years with a fee of 4,500 THB per person). For the internal rate of return (IRR), both models showed positive investment. Discussion: RE-AIM model indicated that the wellness centers successfully reached its target groups. The findings provided a positive outcome and positive investment by financial feasibility study despite small sample size. Further studies are recommended to involve more hospitals to improve the generalizability of our findings.

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