@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2015;2(2):56-65
ISSN: 2383-2150 Journal of Education and Community Health 2015;2(2):56-65
Effectiveness of Educational Intervention Based on Theory of Planned Behavior for Increasing Breakfast Consumption among High School Students in Hamadan
ARTICLE INFO
Article Type
Original ResearchAuthors
Mohammadimanesh A. (1)Rakhshani F. (2*)
Eivazi R. (3)
Farhadian M. (4)
(1) Student Counseling Center, Hamadan University of Medical Sciences, Hamadan, Iran
(2*) Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
(3) Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
(4) Modeling of Noncommunicable Diseases Research Center, Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
Correspondence
Address: School of Public Health, Shahid Fahmidef Ave., Hamadan, IranPhone: +9838380090
Fax:
s.rakhshani@yahoo.com
Article History
Received: March 30, 2015Accepted: September 16, 2015
ePublished: September 28, 2015
ABSTRACT
Aims
Breakfast, the first meal of the day, provides children and adolescents with adequate nutri-ents. The purpose of this study was to investigate the effectiveness of an educational interven-tion to increase breakfast consumption among high school students in Hamadan based on the Theory of Planned Behavior (TPB).
Materials & Methods This quasi-experimental study was performed on 140 high school students (70 in the interven-tion group, 63 in the control group), selected by random sampling method. Data were collect-ed using a self-report questionnaire containing items on demographic characteristics, and con-structs of the TPB. In both groups, the questionnaires were filled out through interviews be-fore and two months after the intervention. Participants in the intervention group received 8 sessions of training based on the constructs of the TPB. Data were analyzed in SPSS-19 using inferential statistics, such as the independent t-test, paired t-test and chi-square test.
Findings The findings showed that the mean score of the constructs of the TPB (attitude toward the behavior, perceived behavior control and behavioral intention) in the intervention group did not significantly change after the intervention (P<0.05).
Conclusion Based on the results of this study, it is necessary that training programs for increasing break-fast consumption be conducted for longer periods and using other theories.
Materials & Methods This quasi-experimental study was performed on 140 high school students (70 in the interven-tion group, 63 in the control group), selected by random sampling method. Data were collect-ed using a self-report questionnaire containing items on demographic characteristics, and con-structs of the TPB. In both groups, the questionnaires were filled out through interviews be-fore and two months after the intervention. Participants in the intervention group received 8 sessions of training based on the constructs of the TPB. Data were analyzed in SPSS-19 using inferential statistics, such as the independent t-test, paired t-test and chi-square test.
Findings The findings showed that the mean score of the constructs of the TPB (attitude toward the behavior, perceived behavior control and behavioral intention) in the intervention group did not significantly change after the intervention (P<0.05).
Conclusion Based on the results of this study, it is necessary that training programs for increasing break-fast consumption be conducted for longer periods and using other theories.
CITATION LINKS
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[27]Karimi-Shahanjarinin A, Shojaezade D, Majdzade SR, Rashidian A, Omidvar N. Application of an integrative approach to identify determinants of junk food consumption among female adolescents. Iran J Nutr Sci Food Technol.2009; 4(2):61-70. (Persian)
[28]Barati M, Yarmohammadi A, Mostafaei S, Gholi Z, Razani S, MiryHazave SS. Evaluating the relationship between attitudes and beliefs, influencing fast-food eating among students of Hamadan university of medical sciences. Journal of Health System Research.2014; 10(3):500-8. (Persian)
[29]Wallace LS, Buckworth J, Kirby ET, Shermna WM. Characteristics of exercise behavior among college student: application of social cognitive theory to predicting stage of change. Prev Med.2000; 31(5):494-505.
[30]Salehi M, Kimiagar SM, Shahbazi M, Mehrabi Y, Kolahi AA. Assessing the impact of nutrition on growth indicate of Iranian nomadic children: an application of modified beliefs, attitudes, subjective norms and enabling factor model. Br J Nutr.2004; 91(5):779-87.
[31]Hatefnia E, Niknami SH, Mahmudi M, Lamyian M. The Effects of “Theory of Planned Behavior” based education on the promotion of mammography performance in employed women. Journal of Birjand University of Medical Sciences.2010; 17(1):50-8. (Persian)
[32]Mazloomy-Mahmoodabad SS, Mehri A, Morovati-SharifAbad M, Fallahzadeh H. Application of extended model of planned behavior in predicting helmet wearing among motorcyclist clerks in Yazd (2006). Journal of Birjand University of Medical Sciences.2007; 14(4):9-15. (Persian)
[33]Jalily M, Barati M, Bashirian S. Using social cognitive theory to determine factors predicting nutritional behaviors in pregnant women visiting health centers in Tabriz, Iran. Journal of Education and Community Health.2015; 1(4):11-21. (Persian)
[34]Van Cauwenberghe E, Maes L, Spittaels H, van Lenthe FJ, Brug J, Oppert JM, et al. Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: systematic review of published and 'grey' literature. Br J Nutr.2010; 103(6):781-97.
[2]Mahoney CR, Taylor HA, Kanarek RB, Samuel P. Effect of breakfast composition on cognitive processes in elementary school children. Physiol Behav.2005; 85(5):635-45.
[3]Pollitt E. Does breakfast make a difference in school?. J Am Diet Assoc.1995; 95(10):1134-9.
[4]Murata M. Secular trends in growth and changes in eating patterns of Japanese children. Am J Clin Nutr.2000; 72(5): 1379-83.
[5]Herbold NH, Ferate SE. Update of nutrition guidelines for teen: trends and concerns. Curr Opin Pediatr.2000; 12(4):303-9.
[6]Delva J, O'Malley PM, Johnston LD. Racial/ethnic and socioeconomic status differences in overweight and health related behaviors among American students: National trends 1986-2003. J Adolesc Health.2006; 39(4):536-45.
[7]Pearson N, Biddle SJ, Gorely T. Family correlates of breakfast consumption among children and adolescents: A systematic review. Appetite.2009; 52(1):1-7.
[8]Bozorgmehr B. Survey of breakfast consumption and quality among 12-9 years old school student in Tehran [Report of Unpublished Research Project]. Tehran: Shahid Beheshti University of Medical Science; 2000. (Persian)
[9]Nickbin H. The pattern of consumption and food security of middle-school students in Tehran [MSc Thesis]. Tehran: Tehran University of Medical Science; 2000. (Persian)
[10]Alimoradi F, Barikani A, Mohammadpoor-Asl A, Javadi M. Study of not eating breakfast and some related demographic factors in 14-18 years old adolescents of Sanandaj in 2013. J Neyshabur Univ Med Sci.2015; 2(5):57-64. (Persian)
[11]Rezakhani H, Soheiliazad A, Razaghi M, Nemati A. Pattern of breakfast and snack consumption and their effective factors among primary school students, Qazvin. Journal of Health.2012; 2(4):57-63. (Persian)
[12]Gleason PM, Dodd AH. School breakfast program but not school lunch program participation is associated with lower body mass index. J Am Diet Assoc.2009; 109(2):118-28.
[13]Szajewska H, Ruszczynski M. Systematic review demonstrating that breakfast consumption influences body weight outcomes in children and adolescents in Europe. Crit Rev Food Sci Nutr.2010; 50(2):113-9.
[14]Rampersau GC, Pereira MA, Girard BL, Adams J, Metzl JD. Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. J Am Diet Assoc.2005; 105(5):743-60.
[15]Mahan LK, Raymond JL, Escott-Stump S. Krause's Food & the Nutrition Care Process.13thed. USA: Saunders Company; 2012.
[16]Wyon DP, Abrahamsson L, Jartelius M, Fletcher RJ. An experimental study of the effects of energy intake at breakfast on the test performance of 10-year-old children in school. Int J Food Sci Nutr.1997; 48(1):5-12.
[17]Moeini B, Taheri M, Roshanaei G, Vahidinia AA, Rostami-moez M. High school girl's adherence to 5-a-day serving's fruits and vegetables: an application theory of planned behavior. Journal of Education and Community Health.2014; 1(2):10-19. (Persian)
[18]Sweeney NM, Horishita N. The breakfast-eating habits of inner city high school students. J Sch Nurs.2005; 21(2):100-5.
[19]Vanelli M, Iovane B, Bernardini A, Chiari G, Errico MK, Gelmetti C, et al. Breakfast habits of 1,202 northern Italian children admitted to a summer sport school. Breakfast skipping is associated with overweight and obesity. Acta Biomed.2005; 76(2):79-85.
[20]Franko DL, Thompson D, Bauserman R, Affenito SG, Striegel-Moore RH. What’s love got to do with it? Family cohesion and healthy eating behaviors in adolescent girls. Int J Eat Disord.2008; 41(4):360-7.
[21]Zoghi T, Fathalian GH, Aminpoor A. Evaluation of the impact of health education in changing nutrition beliefs and behaviors of elementary school students in Ilam. The 8rd Iranian congress of Nutrition; 7-10 September; Tehran: Iran University of Medical Sciences, 2005. (Persian)
[22]Sadrzadeh-Yeganeh H, Angoorany P, Keshavarz SA, Rahimi A, Ahmady B. Comparison of two methods of nutrition education techniques on breakfast-eating practice in primary school girls, Tehran. Journal of School of Public Health and Institute of Public Health Research.2006; 4(1):65-72. (Persian)
[23]Barati M, Niknami S, Hidarnia A, Allahverdipour H. Predictors of tobacco smoking in male adolescents in Hamadan based on the theory of planned behavior. Journal of Education and Community Health.2014; 1(3):28-37. (Persian)
[24]Glanz K, Rimer BK, Viswanath K. Health Behavior and Health Education: Theory, Research and Practice. 4thed. San Francisco: Jossey-Bass Publication; 2008.
[25]Mohammadi-Zeidi I, Pakpour A. Effectiveness of educational intervention based on theory of planned behavior for promoting breakfast and healthy snack eating among elementary school students. Razi Journal of Medical Sciences.2013; 20(112):67-78. (Persian)
[26]Gheysvandi E, Eftekhar-Ardebili H, Azam K, Vafa MR, Azadbakht M, Babazadeh T, et al. Effect of an educational intervention based on the theory of planned behavior on milk and dairy products consumption by girl-pupils. Journal of School of Public Health and Institute of Public Health Research.2015; 13(2):45-54. (Persian(
[27]Karimi-Shahanjarinin A, Shojaezade D, Majdzade SR, Rashidian A, Omidvar N. Application of an integrative approach to identify determinants of junk food consumption among female adolescents. Iran J Nutr Sci Food Technol.2009; 4(2):61-70. (Persian)
[28]Barati M, Yarmohammadi A, Mostafaei S, Gholi Z, Razani S, MiryHazave SS. Evaluating the relationship between attitudes and beliefs, influencing fast-food eating among students of Hamadan university of medical sciences. Journal of Health System Research.2014; 10(3):500-8. (Persian)
[29]Wallace LS, Buckworth J, Kirby ET, Shermna WM. Characteristics of exercise behavior among college student: application of social cognitive theory to predicting stage of change. Prev Med.2000; 31(5):494-505.
[30]Salehi M, Kimiagar SM, Shahbazi M, Mehrabi Y, Kolahi AA. Assessing the impact of nutrition on growth indicate of Iranian nomadic children: an application of modified beliefs, attitudes, subjective norms and enabling factor model. Br J Nutr.2004; 91(5):779-87.
[31]Hatefnia E, Niknami SH, Mahmudi M, Lamyian M. The Effects of “Theory of Planned Behavior” based education on the promotion of mammography performance in employed women. Journal of Birjand University of Medical Sciences.2010; 17(1):50-8. (Persian)
[32]Mazloomy-Mahmoodabad SS, Mehri A, Morovati-SharifAbad M, Fallahzadeh H. Application of extended model of planned behavior in predicting helmet wearing among motorcyclist clerks in Yazd (2006). Journal of Birjand University of Medical Sciences.2007; 14(4):9-15. (Persian)
[33]Jalily M, Barati M, Bashirian S. Using social cognitive theory to determine factors predicting nutritional behaviors in pregnant women visiting health centers in Tabriz, Iran. Journal of Education and Community Health.2015; 1(4):11-21. (Persian)
[34]Van Cauwenberghe E, Maes L, Spittaels H, van Lenthe FJ, Brug J, Oppert JM, et al. Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: systematic review of published and 'grey' literature. Br J Nutr.2010; 103(6):781-97.