The Effect of Educational Intervention on Health Literacy and Nutritional Performance of Female High School Students in Zahedan

Document Type : Original Article

Authors

1 Public Health Expert, Member of Student Research Committee, Zahedan University of Medical Sciences, Zahedan, Iran

2 Professor of Epidemiology, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

3 . Master of Biostatistics - School of Health, Zahedan University of Medical Sciences, Zahedan, Iran

4 Assistant Professor, Department of Health Education and Health Promotion, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

Abstract

Background and Objective: Adolescence is a complex, sensitive and multidimensional period in the human development process. Nutrition quality is the main factors that have an essential role in the growth and maturity of adolescents. Adolescent’s health literacy is an importance because individuals with high levels of health literacy have better health outcomes than individuals with limited health literacy.

Materials and Methods: The present study is an experimental intervention that was conducted on 15-18 years old female adolescents studying in high schools of Zahedan, Iran. The data collection tools in this study consisted of three questionnaires. Health literacy data were collected by HELMA questionnaire and its validity has been proven by Cronbach's alpha coefficient of 0. 95. Educational posters, booklets (designed by the researcher) and PowerPoint were used to conduct training programs during 3 sessions of 45 to 60 minutes. A post-test was carried out in the control and intervention groups One month after the last session. The SPSS software version 26 was used to analyze the data.

 Results: The results showed a significant difference between health literacy and nutritional performance of students in the intervention and control groups after the intervention (P-value <0.001), therefore; that educational intervention increased the health literacy and nutritional performance in students. A significant and positive relationship was found between students' health literacy and nutritional performance (P-value <0.05).

Conclusion: According to the results of the present study, it is necessary for policymakers and planners to improve the health literacy of adolescents and students through intervention programs to promote health literacy, awareness, attitude, and nutritional behaviors in adolescent’s population.

Keywords


1. Brizio A, Gabbatore I, Tirassa M, Bosco FM. "No more a child, not yet an adult": studying social cognition in adolescence. Frontiers in psychology. 2015;6:1011.
https://doi.org/10.3389/fpsyg.2015.01011
PMid:26347664 PMCid:PMC4543799
 
2. Kheyrkhah M, Mokarie H, Neisani L, Hoseini F. The impact of puberty health education on self concept of adolescents. Iranian Journal of Nursing Research. 2013;8(3):47-57.
 
3. Eslamimehr F, Rakhshani F, Ramezankhani A, Khodakarim S. Assessment of an educational intervention effectiveness on promoting menstrual knowledge and related health behaviors in female high school students in Khamir city in 2015-2016. Journal of Health in the Field. 2017;5(1).
 
4. Edelman CL, Mandle CL, Kudzma EC. Health promotion throughout the life span-e-book: Elsevier Health Sciences; 2017.
 
5. Ghoreishi M-S, Vahedian-Shahroodi M, Jafari A, Tehranid H. Self-care behaviors in patients with type 2 diabetes: Education intervention base on social cognitive theory. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2019;13(3):2049-56.
https://doi.org/10.1016/j.dsx.2019.04.045
PMid:31235135
 
6. Rojo-Moreno L, Arribas P, Plumed J, Gimeno N, García-Blanco A, Vaz-Leal F, et al. Prevalence and comorbidity of eating disorders among a community sample of adolescents: 2-year follow-up. Psychiatry Research. 2015;227(1):52-7.
https://doi.org/10.1016/j.psychres.2015.02.015
PMid:25771751
 
7. Annesi JJ, Vaughn LL. Directionality in the relationship of self-regulation, self-efficacy, and mood changes in facilitating improved physical activity and nutrition behaviors: Extending behavioral theory to improve weight-loss treatment effects. Journal of nutrition education and behavior. 2017;49(6):505-12. e1.
https://doi.org/10.1016/j.jneb.2017.03.004
PMid:28601168
 
8. Sanchez A, Norman GJ, Sallis JF, Calfas KJ, Cella J, Patrick K. Patterns and correlates of physical activity and nutrition behaviors in adolescents. American journal of preventive medicine. 2007;32(2):124-30.
https://doi.org/10.1016/j.amepre.2006.10.012
PMid:17197153 PMCid:PMC1913476
 
9. Driskell M-M, Dyment S, Mauriello L, Castle P, Sherman K. Relationships among multiple behaviors for childhood and adolescent obesity prevention. Preventive medicine. 2008;46(3):209-15.
https://doi.org/10.1016/j.ypmed.2007.07.028
PMid:17714771
 
10. Suleimani n, Khani S. The Impact of Early Eating on Synergistic Performance and Educational Achievement of Fourth-Grade High School Students in Garmsar Public Schools in ACADEMIC Knowledge and research in educational sciences - curriculum planning. 2010- 2011;11(13):139-50.
 
11. McNaughton SA, Ball K, Mishra GD, Crawford DA. Dietary patterns of adolescents and risk of obesity and hypertension. The Journal of nutrition. 2008;138(2):364-70.
https://doi.org/10.1093/jn/138.2.364
PMid:18203905
 
12. Li J, Wang Y. Tracking of dietary intake patterns is associated with baseline characteristics of urban low-income African-American adolescents. The Journal of nutrition. 2008;138(1):94-100.
https://doi.org/10.1093/jn/138.1.94
PMid:18156410
 
13. Samadbeik M, Saremian M, Sohrabizadeh M, Birjandi M, Garavand S. Evaluation of E-health literacy in Paramedicine and Health Nutrition students of Lorestan University of Medical Sciences. Journal of Health Literacy. 2020;5(1):12-22.
https://doi.org/10.22038/jhl.2020.45969.1095
 
14. Saeedy Golluche F, Jalili Z, Tavakoli R. The study of relationship between health literacy and nutritional practice in high school adolescents in Tehran. Iranian Journal of Health Education and Health Promotion. 2017;5(3):224-30.
https://doi.org/10.30699/acadpub.ijhehp.5.3.224
 
15. Chang LC. Health literacy, self‐reported status and health promoting behaviours for adolescents in Taiwan. Journal of Clinical Nursing. 2011;20(1‐2):190-6.
https://doi.org/10.1111/j.1365-2702.2009.03181.x
PMid:20629822
 
16. Olyani S, Tehrani H, Esmaily H, Rezaii MM, Vahedian-Shahroodi M. Assessment of health literacy with the Newest Vital Sign and its correlation with body mass index in female adolescent students. International Journal of Adolescent Medicine and Health. 2020;32(2).
https://doi.org/10.1515/ijamh-2017-0103
 
17. Khakpour S, Tavafian S, Niknami S, Mohammadi S. Effect of combined education on promoting nutritional behaviors of female students. J Educ Community Health. 2016;3(2):41-6.
https://doi.org/10.21859/jech-03026
 
18. Ghanbari S, Ramezankhani A, Mehrabi Y, Montazeri A. The health literacy measure for adolescents (HELMA): development and psychometric evaluation. Payesh (Health Monitor). 2016;15(4):404-10.
https://doi.org/10.1037/t52460-000
 
19. Linnebur LA, Linnebur SA. Self-administered assessment of health literacy in adolescents using the newest vital sign. Health promotion practice. 2018;19(1):119-24.
https://doi.org/10.1177/1524839916677729
PMid:27866161
 
20. Motamedi M, al e. The effect of education based on self-efficacy theory on health literacy, self-efficacy of regular eating habits and regular physical activity in female students aged 18-18 in Chenaran. Scientific-Research Journal of Sabzevar University of Medical Sciences 2020;27(2):304-11.
 
21. Peyman N, Abdollahi M. The relationship between health literacy and self-efficacy physical activity in postpartum women. Journal of Health Literacy. 2016;1(1):5-12..
https://doi.org/10.22038/literacy.2016.10850  
22. Hejazi S, Peyman N, Tajfard M, Esmaily H. The impact of education based on self-efficacy theory on health literacy, self-efficacy and self-care behaviors in patients with type 2 diabetes. Iranian Journal of Health Education and Health Promotion. 2017;5(4):296-303.
https://doi.org/10.30699/acadpub.ijhehp.5.4.296
 
23. Schulz PJ, Nakamoto K. Health literacy and patient empowerment in health communication: the importance of separating conjoined twins. Patient education and counseling. 2013;90(1):4-11.
https://doi.org/10.1016/j.pec.2012.09.006
PMid:23063359
 
24. Ebrahimi S, Ghofranipour F, Tavousi M. The effect of educational intervention on promoting healthy eating behaviors among primary school students in Kermanshah City, Iran. J Educ Community Health. 2016;3(3):17-23.
https://doi.org/10.21859/jech-03033