LiveMore Asia Project (LMA)

01 October 2017 to 30 September 2018 * Bakan and Kravanh district district, Pursat Province
* Primary Beneficiaries: 150 Non-Communicable Disease (NCD) risk beneficiaries join
LM sessions (intervention groups) and 100 LM participants complete the research
program and provide feedback (Control groups)
* Budget: TOTAL 61,510 USD
Donor/s: ADRA International and ADRA Australia

The LiveMore Asia project partnership between ADRA Cambodia, Thailand, Nepal and ADRA Australia is demonstrating a sustainable reduction in NCD risks for at-risk participants to key public health stakeholders.  Partners are working together to contextualize the participatory material of the “LiveMore” model which is based on the proven Complete Health Improvement Program (CHIP) and are applying it to rural and peri-urban settings.   Training of health professionals and community members as facilitators is leading to health risk assessment screeding for at least 920 persons with at least 380 at risk community members signing up to a LiveMore behaviour change group.  The project activities in all countries is following approved research protocols with Ethics Committee approval and oversight in each country.  Results and lessons learned are being compiled and plans for future scale-up and expansion will be made based on the results in each case as well as a whole.  The project is communicating with the ADRA Health Technical Working Group (HTWG) and seeks to make positive contributions to the learning and growth of ADRA’s work and collaboration with other Seventh-Day Adventist institutions to promote positive healthy lifestyles.

The project goal is that The LiveMore/REFLECT partnership program demonstrates a sustainable reduction in NCD risks for at-risk participants to key public health stakeholders. The following outcomes and activities lead to gaining sufficient evidence based knowledge to determine future options for scale up within the target countries and ADRA Network.

Outcome 1:  The LiveMore/Reflect model adapted for the Cambodia/Nepal/Thailand (Asian) context

Outcome 2:  LiveMore program participants making significant NCD risk reducing changes in balanced diet, physical activity levels, and consumption of tobacco and or alcohol products and seeing significant improvements in blood glucose, cholesterol, and pressure levels, and reduced Body Mass Index scores.

Outcome 3:  LiveMore NCD behaviour program research results disseminated and plans developed for scale-up purposes.

ADRA Cambodia, Nepal, Thailand and the primary technical partner ADRA Australia continue the collaborative work with Avondale College of Higher Education, Lifestyle Research Centre (LRC) to adapt the CHIP lifestyle health program using the REFLECT participatory facilitation method that is ongoing in the Pacific islands. This started with each country team conducting a comparative study of current national lifestyle health programs including MOH and WHO PEN Disease Interventions.  Lifestyle Medicine Institute (LMI) provided support for the Complete Health Improvement Program (CHIP) component of the program.

LiveMore REFLECT Groups meet over a three month period of time with each session including specific behavioral action steps to be taken. Sessions held by at least two local facilitators use participatory, graphic based, tools and group members will access key materials including locally developed dietary guidelines and cookbooks appropriate for the local context in each country. Sessions include healthy food demonstrations, exercise/activity tips, and other behavioral recommendations.  The facilitator in each intervention community facilitate 18 specialized sessions over the three months with a focus on critical NCD risk factors (ex: diabetes, obesity) and recommendations for behavior change which participants can do themselves. 

The LiveMore model has four key measure points related to the outcome level: at baseline, 30 days: at conclusion of 11 sessions and 3 months (92 days) post the 11 session and post conclusion of remaining 7 sessions. A followup at 12 months from the conclusion of the 30 day measurement, to determine sustainability and internalization is completed after the project if funding permits.

Biometric and behavioral data collection for both research and personal motivation will be collected at 0, 30, and at the end of the 18 sessions which should be at 90 days.   An additional follow up measure is completed 12 months after the baseline to determine the sustainability of lifestyle changes made by the intervention and control participants.

Local partners in Cambdia include the Ministry of Health - NCD Unit, the Pursat Provincial Department of Health – NCD unit, the World Health Organization - NCD Focal Person, the MOH Ethics Committee, SDA Adventist church and leadership and the ADRA CHOICES for Children project team – Pursat.