Effect of the PakCat program on nutrition status, dietary pattern and nutrition knowledge and skills of Pakistani women living in Catalonia evaluated by a mixed-method randomized control trial (RCT)

Background: Pakistani women are among the most affected groups by obesity and heart failure in Catalonia. Due to cultural and linguistic barriers, their participation in standard health promotion programs is limited. To address this issue, we implemented a culturally and linguistically appropriate f...

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Detalles Bibliográficos
Autores: Mohamed Bibi, Saba, Ribot, Blanca, Vaqué Crusellas, Cristina
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:UVic-UCC
Repositorio:RiUVic. Repositori institucional de la UVic-UCC
OAI Identifier:oai:dnet:riuvic______::d0f1fe635787ed2679bb5a575013599a
Acceso en línea:https://hdl.handle.net/10854/181051
https://doi.org/10.1371/journal.pone.0316803
Access Level:acceso abierto
Palabra clave:Pakistanesos
Dones
Dieta
Obesitat
Insuficiència cardíaca
Alimentació saludable
Hàbits alimentaris
Nutrició -- Ensenyament
613
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spelling Effect of the PakCat program on nutrition status, dietary pattern and nutrition knowledge and skills of Pakistani women living in Catalonia evaluated by a mixed-method randomized control trial (RCT)Mohamed Bibi, SabaRibot, BlancaVaqué Crusellas, CristinaPakistanesosDonesDietaObesitatInsuficiència cardíacaAlimentació saludableHàbits alimentarisNutrició -- Ensenyament613Background: Pakistani women are among the most affected groups by obesity and heart failure in Catalonia. Due to cultural and linguistic barriers, their participation in standard health promotion programs is limited. To address this issue, we implemented a culturally and linguistically appropriate food education program called the PakCat Program. Methods: The study employed a community-based participatory research (CBPR) design, utilizing a two-arm, cluster-assignment, non-blinded mixed-method randomized control trial (RCT) implemented in Badalona and Santa Coloma de Gramenet, two neighboring municipalities with a substantial Pakistani population. Participants were randomly assigned to the control group (n = 67) and the intervention group (n = 70). The intervention group received ten weekly culturally and linguistically appropriate food education sessions over ten weeks, while the control group attended three general sessions. The main outcome measures included nutritional status, nutrition knowledge and skills, dietary patterns, and satisfaction with the intervention, which were assessed pre-and post-intervention combining quantitative methods based on a survey and qualitative approaches consisting of conducting focus group discussions (FGDs). Results: The quantitative analysis conducted through a two-factor analysis of variance (ANOVA) for repeated measures indicated a significant improvement in the study variables across the entire sample (p < 0.001 within group), with the intervention group experiencing greater improvements in nutrition knowledge and skills and dietary pattern (p <0.001 for interaction and between groups). These findings were corroborated by thematically analyzed qualitative data confirming a more pronounced improvement in the study outcomes of the intervention group. Furthermore, both groups reported a high level of satisfaction with the intervention. Conclusions: The PakCat Program effectively improved the nutrition knowledge, skills, and dietary patterns of immigrant women of Pakistani origin residing in Catalonia. However, future research involving a larger sample size and combining the behavioral and clinical parameters is needed to enhance the generalizability of the results.info:eu-repo/semantics/publishedVersionPublic Library of ScienceUniversitat de Vic - Universitat Central de Catalunya. Facultat de Ciències de la Salut i el BenestarUniversitat de Vic - Universitat Central de Catalunya. Grup de Recerca Methodology, methods, models and outcomes of health and social sciences (M3O)2026202620252025info:eu-repo/semantics/article18 p.application/pdfhttps://hdl.handle.net/10854/181051https://doi.org/10.1371/journal.pone.0316803reponame:RiUVic. Repositori institucional de la UVic-UCCinstname:UVic-UCCInglésPLOS One, 20(1), e0316803Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:dnet:riuvic______::d0f1fe635787ed2679bb5a575013599a2026-06-07T19:15:21Z
dc.title.none.fl_str_mv Effect of the PakCat program on nutrition status, dietary pattern and nutrition knowledge and skills of Pakistani women living in Catalonia evaluated by a mixed-method randomized control trial (RCT)
title Effect of the PakCat program on nutrition status, dietary pattern and nutrition knowledge and skills of Pakistani women living in Catalonia evaluated by a mixed-method randomized control trial (RCT)
spellingShingle Effect of the PakCat program on nutrition status, dietary pattern and nutrition knowledge and skills of Pakistani women living in Catalonia evaluated by a mixed-method randomized control trial (RCT)
Mohamed Bibi, Saba
Pakistanesos
Dones
Dieta
Obesitat
Insuficiència cardíaca
Alimentació saludable
Hàbits alimentaris
Nutrició -- Ensenyament
613
title_short Effect of the PakCat program on nutrition status, dietary pattern and nutrition knowledge and skills of Pakistani women living in Catalonia evaluated by a mixed-method randomized control trial (RCT)
title_full Effect of the PakCat program on nutrition status, dietary pattern and nutrition knowledge and skills of Pakistani women living in Catalonia evaluated by a mixed-method randomized control trial (RCT)
title_fullStr Effect of the PakCat program on nutrition status, dietary pattern and nutrition knowledge and skills of Pakistani women living in Catalonia evaluated by a mixed-method randomized control trial (RCT)
title_full_unstemmed Effect of the PakCat program on nutrition status, dietary pattern and nutrition knowledge and skills of Pakistani women living in Catalonia evaluated by a mixed-method randomized control trial (RCT)
title_sort Effect of the PakCat program on nutrition status, dietary pattern and nutrition knowledge and skills of Pakistani women living in Catalonia evaluated by a mixed-method randomized control trial (RCT)
dc.creator.none.fl_str_mv Mohamed Bibi, Saba
Ribot, Blanca
Vaqué Crusellas, Cristina
author Mohamed Bibi, Saba
author_facet Mohamed Bibi, Saba
Ribot, Blanca
Vaqué Crusellas, Cristina
author_role author
author2 Ribot, Blanca
Vaqué Crusellas, Cristina
author2_role author
author
dc.contributor.none.fl_str_mv Universitat de Vic - Universitat Central de Catalunya. Facultat de Ciències de la Salut i el Benestar
Universitat de Vic - Universitat Central de Catalunya. Grup de Recerca Methodology, methods, models and outcomes of health and social sciences (M3O)
dc.subject.none.fl_str_mv Pakistanesos
Dones
Dieta
Obesitat
Insuficiència cardíaca
Alimentació saludable
Hàbits alimentaris
Nutrició -- Ensenyament
613
topic Pakistanesos
Dones
Dieta
Obesitat
Insuficiència cardíaca
Alimentació saludable
Hàbits alimentaris
Nutrició -- Ensenyament
613
description Background: Pakistani women are among the most affected groups by obesity and heart failure in Catalonia. Due to cultural and linguistic barriers, their participation in standard health promotion programs is limited. To address this issue, we implemented a culturally and linguistically appropriate food education program called the PakCat Program. Methods: The study employed a community-based participatory research (CBPR) design, utilizing a two-arm, cluster-assignment, non-blinded mixed-method randomized control trial (RCT) implemented in Badalona and Santa Coloma de Gramenet, two neighboring municipalities with a substantial Pakistani population. Participants were randomly assigned to the control group (n = 67) and the intervention group (n = 70). The intervention group received ten weekly culturally and linguistically appropriate food education sessions over ten weeks, while the control group attended three general sessions. The main outcome measures included nutritional status, nutrition knowledge and skills, dietary patterns, and satisfaction with the intervention, which were assessed pre-and post-intervention combining quantitative methods based on a survey and qualitative approaches consisting of conducting focus group discussions (FGDs). Results: The quantitative analysis conducted through a two-factor analysis of variance (ANOVA) for repeated measures indicated a significant improvement in the study variables across the entire sample (p < 0.001 within group), with the intervention group experiencing greater improvements in nutrition knowledge and skills and dietary pattern (p <0.001 for interaction and between groups). These findings were corroborated by thematically analyzed qualitative data confirming a more pronounced improvement in the study outcomes of the intervention group. Furthermore, both groups reported a high level of satisfaction with the intervention. Conclusions: The PakCat Program effectively improved the nutrition knowledge, skills, and dietary patterns of immigrant women of Pakistani origin residing in Catalonia. However, future research involving a larger sample size and combining the behavioral and clinical parameters is needed to enhance the generalizability of the results.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10854/181051
https://doi.org/10.1371/journal.pone.0316803
url https://hdl.handle.net/10854/181051
https://doi.org/10.1371/journal.pone.0316803
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv PLOS One, 20(1), e0316803
dc.rights.none.fl_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 18 p.
application/pdf
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:RiUVic. Repositori institucional de la UVic-UCC
instname:UVic-UCC
instname_str UVic-UCC
reponame_str RiUVic. Repositori institucional de la UVic-UCC
collection RiUVic. Repositori institucional de la UVic-UCC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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