INTRODUCTION: Individuals living in rural areas and low-income communities are at an increased risk of nutrient-poor diets and associated metabolic disorders, including obesity, cardiovascular disease, and type 2 diabetes. AIM: This study aimed to enhance the nutritional education process, identify barriers and facilitators to improving compliance, and develop strategies to address areas of non-compliance for villagers in Gotvand, Iran. METHODS: In accordance with the JBI Evidence Implementation Framework, this clinical audit study was conducted in 2023 at a health center in Gotvand, Iran. Forty adult villagers referred to the health center took part in a baseline audit to evaluate compliance with recommended practices. After 1 month, a follow-up audit was conducted, during which 20 villagers were randomly selected and their data analyzed. Data collection methods included direct observation and interviews. RESULTS: The baseline results indicated that face-to-face interviews or experiential learning approaches had the highest compliance rate (70%), followed by other strategies in addition to nutrition education (60%). Training aimed to increase nutritional knowledge recorded a compliance rate of 55%, while self-monitoring to facilitate nutrition education by individuals had the lowest rate at 33%. After the 1-month follow-up, compliance rates improved significantly, revealing audit scores of 100% for Criteria 1-3, and 94.4% for Criterion 4. CONCLUSIONS: The findings suggest that employing local educators, using educational packages (including illustrated pamphlets), and conducting face-to-face sessions are effective strategies for delivering nutritional education in rural areas, taking into account local community knowledge, language differences, and cultural context. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A517.
Talebpour et al. (Thu,) studied this question.
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