Unlike the improvements in BP self-monitoring and stage of
regular physical activity, there was no significant sustained
improvement in healthy diet in the experimental group. Possible
explanations for this result are likely related to cultural aspects of
food intake and dietary habit. In Korea, it is common that meals are
servedwith shared dishes among a group of people, either with the
family, friends, or colleagues. Furthermore, possible gender differ-
ences in eating behavior should be considered; about half of the
participantsweremenwhose traditional gender role in our country
does not encourage active participation in shopping for food or
meal preparation. Therefore, it might be difficult for these in-
dividuals to make dietary changes, even if they wanted to adapt
healthy eating practices. In addition, the measurement of healthy
diet in this study may not have captured eating/diet behavioral
changes specific to stroke prevention among the participants, whowere mostly in their 40s, which may highlight the need for a morerelevant measurement of eating behaviors in this population
Unlike the improvements in BP self-monitoring and stage ofregular physical activity, there was no significant sustainedimprovement in healthy diet in the experimental group. Possibleexplanations for this result are likely related to cultural aspects offood intake and dietary habit. In Korea, it is common that meals areservedwith shared dishes among a group of people, either with thefamily, friends, or colleagues. Furthermore, possible gender differ-ences in eating behavior should be considered; about half of theparticipantsweremenwhose traditional gender role in our countrydoes not encourage active participation in shopping for food ormeal preparation. Therefore, it might be difficult for these in-dividuals to make dietary changes, even if they wanted to adapthealthy eating practices. In addition, the measurement of healthydiet in this study may not have captured eating/diet behavioralchanges specific to stroke prevention among the participants, whowere mostly in their 40s, which may highlight the need for a morerelevant measurement of eating behaviors in this population
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