@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(1):37-43
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(1):37-43
Predicting the Determinants of Nutritional Behaviors among High School Female Students: The Application of Extended Theory of Reasoned Action
ARTICLE INFO
Article Type
Original ResearchAuthors
Baji Z. (1)Shakerinejad Gh. (*1)
Tehrani M. (1)
Jarvandi F. (1)
Haji Najaf S. (1)
(*1) Health Education Research Group, Academic Center for Education, Culture and Research (ACECR)-Khuzestan, Ahvaz, Khuzestan, Iran
(1) Health Education Research Group, Academic Center for Education, Culture and Research (ACECR)-Khuzestan, Ahvaz, Khuzestan, Iran
(1) Health Education Research Group, Academic Center for Education, Culture and Research (ACECR)-Khuzestan, Ahvaz, Khuzestan, Iran
(1) Health Education Research Group, Academic Center for Education, Culture and Research (ACECR)-Khuzestan, Ahvaz, Khuzestan, Iran
(1) Health Education Research Group, Academic Center for Education, Culture and Research (ACECR)-Khuzestan, Ahvaz, Khuzestan, Iran
Correspondence
Address: Health Education Research Group, Academic Center for Education, Culture and Research (ACECR)-Khuzestan, Ahvaz, IranPhone: +98 (61) 33330023
Fax:
shakerinejad@yahoo.com
Article History
Received: June 18, 2019Accepted: September 18, 2019
ePublished: March 18, 2020
ABSTRACT
Aims
Unhealthy nutrition is the cause of 35% of death due to cancer. Modification of dietary patterns from childhood and beginning adulthood and having good nutritional behaviors is very important to prevent diseases. The aim of this study was to determine the predictive factors of nutritional behaviors based on the extended theory of reasoned action among high school female students.
Materials & Methods In this cross-sectional descriptive-analytical study, 173 high school female students were selected by simple random sampling method from two girls' government schools in Ahvaz city in academic year 2018-2019. Data were collected using a questionnaire including demographic characteristics, extended theory of reasoned action and nutritional behaviors questions. Data analysis was performed using structural equation modeling and independent t-test, chi square test and Pearson correlation coefficient in SPSS 23 and AMOS 22 softwares.
Findings The amount of expression of behavioral intention variance was 28% for attitude, 15% for subjective norms, and 49% for self-efficacy and self-efficacy and subjective norms were the most powerful and weakest predictor of behavioral intention respectively. Also 56% of behavioral intention changes and 24% of nutritional behavior changes of students were predicted by this extended model. The fitting indexes of the model showed that the model is goodness.
Conclusion The extended theory of reasoned action with the self-efficacy construct is a suitable theory for predicting nutritional behaviors of female students.
Materials & Methods In this cross-sectional descriptive-analytical study, 173 high school female students were selected by simple random sampling method from two girls' government schools in Ahvaz city in academic year 2018-2019. Data were collected using a questionnaire including demographic characteristics, extended theory of reasoned action and nutritional behaviors questions. Data analysis was performed using structural equation modeling and independent t-test, chi square test and Pearson correlation coefficient in SPSS 23 and AMOS 22 softwares.
Findings The amount of expression of behavioral intention variance was 28% for attitude, 15% for subjective norms, and 49% for self-efficacy and self-efficacy and subjective norms were the most powerful and weakest predictor of behavioral intention respectively. Also 56% of behavioral intention changes and 24% of nutritional behavior changes of students were predicted by this extended model. The fitting indexes of the model showed that the model is goodness.
Conclusion The extended theory of reasoned action with the self-efficacy construct is a suitable theory for predicting nutritional behaviors of female students.
CITATION LINKS
[1] Moradi G, Rahimzadeh A, Amani S, Yousefi J, Rahmani K, Bagheri S. Barriers and strategies of fruit and vegetable consumption in high school students in Sanandaj. J Educ Community Health. 2018;5(2):18-25. [Persian]
[2]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. [Persian]
[3]Baranadishe naghibi M. The study of nutrition education in presence and non- presence method on knowledge, attitude and practice of primary school girls about in take of breakfast in Ahvaz city in 2013 [Dissertation]. Ahvaz: Jundishapur University of Medical Sciences; 2015. [Persian]
[4]Moradi S. Comparison between pamphlets and SMS on patterns of breakfast and between meal based on the health belief model among girl students of high schools in Sheiban city during academic year 2015-2016. [Dissertation]. Ahvaz: Jundishapur University of Medical Sciences; 2016. [Persian]
[5] 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. [Persian]
[6] Khajehlandi K, Babaei Heydarabadi A, Araban M, Haghighizadeh M. Effect of targeted educational program based on the transtheoretical model in promoting healthy nutrition behaviors in middle-aged women in Dehdez, Iran. J Educ Community Health. 2019;6(1):25-31. [Persian]
[7]Karimi H, ShirinkamF, Sajjadi P, Sharifi M, Bayandari M. Dietary pattern, breakfast and snack consumption among middle school students. J Holist Nurs Midwifery.2015;25(2):73-83. [Persian]
[8] Hosseini Kia R, Ghahramani L, Salehi M, Oubari F, Hosseini Kia M, Kaveh MS. Effect of a healthy nutrition education program on self-efficacy in dietary behavior among female students of guidance school in Shiraz, Iran: application of PRECEDE model. J Health. 2017;7(5):499-509. [Persian]
[9]Schmidt RL. Impact of nutrition education on dietary habits of female high school students. [Dissertation]. Ypsilanti, Michigan: Eastern Michigan University; 2010.
[10] Kelishadi R, Ardalan G, Gheiratmand R, Sheikholeslami F, Majdzadeh R, Delavari A, et al. Do the dietary habits of our community warrant health of children and adolescents now and in future? Caspian study. Iran J Pediatr. 2005;15(2):97-107. [Persian]
[11]Damari B, Riazi-Isfahani S, Hajian M, Rezazadeh A. Assessment of the situation and the cause of junk food consumption in Iran and recommendation of interventions for reducing its consumption. Community Health. 2015;2(3):193-204. [Persian]
[12]Taghipour A, Moshki M, Mirzaei N. Prediction of self-care behavior using extended theory of reasoned action among women with type 2 diabetes referred to health centers of Mashhad. Iran J Health Educ Health Promot. 2016;4(2):120-9. [Persian]
[13]Tavousi M, Heidarnia AR, Montazeri A, Taremian F, Hajizadeh E, Ghofranipour F. Modification of Reasoned Action Theory and comparison with the original version by path analysis for substance abuse prevention among adolescents. Med J Hormozgan Univ. 2010;14(1):44-54. [Persian]
[14]Didarloo AR, Shojaeizadeh D, Eftekhar Ardebili H, Niknami S, Hajizadeh E, Alizadeh M, et al. Physical activity among women with type 2 diabetes: prediction by the extended theory of reasoned action. Payesh. 2012;11(2):201-11. [Persian]
[15]Shakerinejad G. Design and evaluation of a theory-based educational program for continuing use of oral contraceptive pills with emphasis on control of its side effects in Ahwaz, Iran [Dissertation]. Tehran: Tarbiat Modares University; 2013. [Persian]
[16]Kamalian AR, Baharvand F, Zare Elmi N, Gooran M. Structural equation modeling for the relationship between cultural intelligence and entrepreneurial orientation. Public Manag Res. 2014;7(23):89-106. [Persian]
[17]Didarloo A, Shojaeizadeh D, Eftekhar Ardebili H, Niknami S, Hajizadeh E, Alizadeh M. Assessment of factors affecting self-care behavior among women with type 2 diabetes in Khoy City Diabetes Clinic using the extended theory of reasoned action. J Sch Public Health. 2011;9(2):79-92. [Persian]
[18]Keshavarz Z, Simbar M, Ramazankhani A, Alavi Majd H, Nasiri M. Assessing the relationship between health promoting behaviors and the Integrated Model of Planned Behavior and Self-Efficacy of female workers at reproductive age. Mod Care J. 2015;11(4):293-303. [Persian]
[19]Broadhead-Fearn D, White KM. The role of self-efficacy in predicting rule-following behaviors in shelters for homeless youth: a test of the theory of planned behavior. J Soc Psychol. 2006;146(3):307-25.
[20]Bai Y, Middlestadt SE, Peng CY, Fly AD. Predictors of continuation of exclusive breast feeding for the first six months of life. J Hum Lact. 2010;26(1):26-34.
[21]Basen-Engquist K, Parcel GS. Attitudes, norms and self-efficacy: a model of adolescents' HIV-related sexual risk behavior. Health Educ Q. 1992;19(2):263-77.
[22]Levy AR, Polman RC, Marchant DC. Examining the revised theory of planned behavior for predicting exercise adherence: A preliminary prospective study. Athletic Insight J. 2008;10(3):1-7.
[2]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. [Persian]
[3]Baranadishe naghibi M. The study of nutrition education in presence and non- presence method on knowledge, attitude and practice of primary school girls about in take of breakfast in Ahvaz city in 2013 [Dissertation]. Ahvaz: Jundishapur University of Medical Sciences; 2015. [Persian]
[4]Moradi S. Comparison between pamphlets and SMS on patterns of breakfast and between meal based on the health belief model among girl students of high schools in Sheiban city during academic year 2015-2016. [Dissertation]. Ahvaz: Jundishapur University of Medical Sciences; 2016. [Persian]
[5] 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. [Persian]
[6] Khajehlandi K, Babaei Heydarabadi A, Araban M, Haghighizadeh M. Effect of targeted educational program based on the transtheoretical model in promoting healthy nutrition behaviors in middle-aged women in Dehdez, Iran. J Educ Community Health. 2019;6(1):25-31. [Persian]
[7]Karimi H, ShirinkamF, Sajjadi P, Sharifi M, Bayandari M. Dietary pattern, breakfast and snack consumption among middle school students. J Holist Nurs Midwifery.2015;25(2):73-83. [Persian]
[8] Hosseini Kia R, Ghahramani L, Salehi M, Oubari F, Hosseini Kia M, Kaveh MS. Effect of a healthy nutrition education program on self-efficacy in dietary behavior among female students of guidance school in Shiraz, Iran: application of PRECEDE model. J Health. 2017;7(5):499-509. [Persian]
[9]Schmidt RL. Impact of nutrition education on dietary habits of female high school students. [Dissertation]. Ypsilanti, Michigan: Eastern Michigan University; 2010.
[10] Kelishadi R, Ardalan G, Gheiratmand R, Sheikholeslami F, Majdzadeh R, Delavari A, et al. Do the dietary habits of our community warrant health of children and adolescents now and in future? Caspian study. Iran J Pediatr. 2005;15(2):97-107. [Persian]
[11]Damari B, Riazi-Isfahani S, Hajian M, Rezazadeh A. Assessment of the situation and the cause of junk food consumption in Iran and recommendation of interventions for reducing its consumption. Community Health. 2015;2(3):193-204. [Persian]
[12]Taghipour A, Moshki M, Mirzaei N. Prediction of self-care behavior using extended theory of reasoned action among women with type 2 diabetes referred to health centers of Mashhad. Iran J Health Educ Health Promot. 2016;4(2):120-9. [Persian]
[13]Tavousi M, Heidarnia AR, Montazeri A, Taremian F, Hajizadeh E, Ghofranipour F. Modification of Reasoned Action Theory and comparison with the original version by path analysis for substance abuse prevention among adolescents. Med J Hormozgan Univ. 2010;14(1):44-54. [Persian]
[14]Didarloo AR, Shojaeizadeh D, Eftekhar Ardebili H, Niknami S, Hajizadeh E, Alizadeh M, et al. Physical activity among women with type 2 diabetes: prediction by the extended theory of reasoned action. Payesh. 2012;11(2):201-11. [Persian]
[15]Shakerinejad G. Design and evaluation of a theory-based educational program for continuing use of oral contraceptive pills with emphasis on control of its side effects in Ahwaz, Iran [Dissertation]. Tehran: Tarbiat Modares University; 2013. [Persian]
[16]Kamalian AR, Baharvand F, Zare Elmi N, Gooran M. Structural equation modeling for the relationship between cultural intelligence and entrepreneurial orientation. Public Manag Res. 2014;7(23):89-106. [Persian]
[17]Didarloo A, Shojaeizadeh D, Eftekhar Ardebili H, Niknami S, Hajizadeh E, Alizadeh M. Assessment of factors affecting self-care behavior among women with type 2 diabetes in Khoy City Diabetes Clinic using the extended theory of reasoned action. J Sch Public Health. 2011;9(2):79-92. [Persian]
[18]Keshavarz Z, Simbar M, Ramazankhani A, Alavi Majd H, Nasiri M. Assessing the relationship between health promoting behaviors and the Integrated Model of Planned Behavior and Self-Efficacy of female workers at reproductive age. Mod Care J. 2015;11(4):293-303. [Persian]
[19]Broadhead-Fearn D, White KM. The role of self-efficacy in predicting rule-following behaviors in shelters for homeless youth: a test of the theory of planned behavior. J Soc Psychol. 2006;146(3):307-25.
[20]Bai Y, Middlestadt SE, Peng CY, Fly AD. Predictors of continuation of exclusive breast feeding for the first six months of life. J Hum Lact. 2010;26(1):26-34.
[21]Basen-Engquist K, Parcel GS. Attitudes, norms and self-efficacy: a model of adolescents' HIV-related sexual risk behavior. Health Educ Q. 1992;19(2):263-77.
[22]Levy AR, Polman RC, Marchant DC. Examining the revised theory of planned behavior for predicting exercise adherence: A preliminary prospective study. Athletic Insight J. 2008;10(3):1-7.