Accepted for/Published in: JMIR Research Protocols
Date Submitted: Jul 17, 2022
Date Accepted: Dec 13, 2022
Management of hypertension using a plant-based diet among farmers: A mixed methods study protocol
ABSTRACT
Background:
The prevalence of hypertension in Indonesia is high. Farming communities have an increased risk of hypertension problems. Agronursing treatment can facilitate occupational health and safety among farmers. The amount of natural agricultural resources should be identified as an alternative formulation in the management of hypertension care in farmers. The invention of the basic principles of hypertension treatment among farmers through optimizing the agricultural sector's potential by consuming food sourced from vegetables and fruits (plant-based diet).
Objective:
This study aims to examine the effectiveness of the community-based nursing program for management of hypertension using a plant-based diet among farmers.
Methods:
We will use the exploratory sequential mixed method to answer the research objectives. This method will use four phases: a qualitative study (Phase I), questionnaire development and its validation (Phase II), and a quantitative study (Phase III and Phase IV). We recruited farmers with hypertension who met the criteria to follow this study. We will analyze the data using a thematic framework in Phase I. In Phase II, we will invite expert nurses and nutritionists to follow the face and content validity of the questionnaire using the COSMIN checklist that was developed in an international Delphi study. In Phase III, we will use multiple logistic regression models to estimate the associated factors from the socio-demographic and the level of acceptability of a plant-based diet menu among farmers. In Phase IV, we will use the Man Whitney-U test and the Chi-square test to measure the different baseline characteristic of participants and blood pressure between control and intervention groups.
Results:
A model plant-based diet for management of hypertension is expected to be developed from using local food related agronursing services.
Conclusions:
The resulting plant-based diet models will not be readily available for other agricultural areas since validation of local food variation is required to design the menu. Clinical Trial: 1548/UN25.8/KEPK/DL/2022
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