The Effects of the “I see right sodium” Program for promoting health literacy regarding sodium consumption among university students in the lower northern region of Thailand 10.55131/jphd/2022/200107

Main Article Content

Waraporn Youngiam
Pajaree Abdullakasim
Nipa Maharachpong

Abstract

Low health literacy regarding sodium consumption has been associated with high sodium consumption behaviors among university students. This study aimed to determine and compare the effectiveness of the “I see right sodium” programs that promote health literacy concerning sodium consumption amongst first-year students. A quasi-experimental study using pre-test, post-test, and follow-up was designed to study two experimental groups and one control group. The program implementation period was September to December, 2020. Experimental group 1 (n=35) was involved in a multiple-activity program that involved both in-class workshop activities and a virtual component via the online application ‘LINE’; experimental group 2 (n=34) participated in the program virtually via online applications, whereas the control group (n=34) did not participate in any of the aforementioned programs. The research instrument was a self-administered pre-test, post-test, and follow-up questionnaire. Repeated Measures ANOVA and One-way ANOVA tests were used to analyze the program’s effectiveness. Results of the study revealed that the mean difference in health literacy regarding sodium consumption among the three study groups was significantly different (p-value < 0.001). The mean difference in sodium consumption behavior between experimental group 1 and experimental group 2 was significantly different (p-value = 0.005). Health literacy regarding sodium and sodium consumption behavior at the collection time (pre-test, post-test, and follow-up) was significantly different between the three different groups (p-value < 0.001, and p-value = 0.015, respectively). The researchers have concluded that the mean difference in health literacy regarding sodium consumption and its effects on sodium consumption behavior at the designated measurement points were influenced by the programs. These findings indicated that the program with multiple platforms was the most effective in promoting health literacy regarding sodium and encouraging appropriate sodium consumption behavior amongst first-year students.

Article Details

How to Cite
1.
Youngiam W, Abdullakasim P, Maharachpong N. The Effects of the “I see right sodium” Program for promoting health literacy regarding sodium consumption among university students in the lower northern region of Thailand: 10.55131/jphd/2022/200107. J Public Hlth Dev [Internet]. 2022 Jan. 29 [cited 2024 Apr. 28];20(1):81-95. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/254438
Section
Original Articles
Author Biographies

Waraporn Youngiam, A Doctor of Philosophy Candidate in the Health Education and Health Promotion program, Faculty of Public Health, Burapha University, Chonburi, Thailand

A Doctor of Philosophy Candidate in the Health Education and Health Promotion program, Faculty of Public Health, Burapha University, Chonburi, Thailand

Pajaree Abdullakasim, Department of Health Education, Faculty of Public Health, Burapha University, Chonburi, Thailand

Department of Health Education, Faculty of Public Health, Burapha University, Chonburi, Thailand

Nipa Maharachpong, Department of Health Education, Faculty of Public Health, Burapha University, Chonburi, Thailand

Department of Health Education, Faculty of Public Health, Burapha University, Chonburi, Thailand

References

Leyvraz M, Chatelan A, da Costa BR, Taffé P, Paradis G, Bovet P, et al. Sodium intake and blood pressure in children and adolescents: a systematic review and meta-analysis of experimental and observational studies. Int J Epidemiol. 2018;47(6):1796-810.

Luo D, Cheng Y, Zhang H, Ba M, Chen P, Li H, et al. Association between high blood pressure and long term cardiovascular events in young adults: systematic review and meta-analysis. Br Med J. 2020;370:m3222.

Jones ESW, Esack I, Mangena P, Rayner BL. Hypertension in adolescents and young adults referred to a tertiary hypertension clinic in Cape Town, South Africa. J. Med. 2020;99(48).

World Health Organization. Country Office for T. Hypertension care in Thailand: best practices and challenges, 2019. Bangkok: World Health Organization. Country Office for Thailand; 2019. (In Thai)

Chailimpamontree W, Kantachuvesiri S, Aekplakorn W, Lappichetpaiboon R, Sripaiboonkij Thokanit N, Vathesatogkit P, et al. Estimated dietary sodium intake in Thailand: A nationwide population survey with 24-hour urine collections. J Clin Hypertens (Greenwich). 2021;23(4):744-54.

World Health Organization. Guideline: Sodium Intake for Adults and Children. Geneva; 2012.

Department of Deseases Control, Ministry of Public Health, Thailand. National Strategy on salt and sodium reduction 2016-2025. Nonthaburi: Ministry of Public Health; 2016. (In Thai)

Piaseu N, Boonsiri C, Panichkul K, Jarupat Maruo S, Putwatana P, Kantachuvesiri S. Effects of Program Promoting Food Consumption for Sodium Reduction on Knowledge, Sodium Consumption Behaviors, and Urinary Sodium in Nursing Students: A Multi-Setting Study. BKK Med J. 2020;16(1).

Ismail L, Hashim M, Jarrar A, Mohamad M, Saleh S, Jawish N, et al. Knowledge, Attitude, and Practice on Salt and Assessment of Dietary Salt and Fat Intake among University of Sharjah Students. Nutrients. 2019;11:941.

Magalhães P, Sanhangala EJ, Dombele IM, Ulundo HS, Capingana DP, Silva AB. Knowledge, attitude and behaviour regarding dietary salt intake among medical students in Angola. Cardiovasc J Afr. 2015;26(2):57.

Biswas J, Haque MM, Mahbub MS, Nurani RN, Shah NA, Barua L, et al. Salt intake behavior among the undergraduate students of Bangladesh University of Health Sciences. J Xiangya Med. 2020;5.

Zamora MCV. Applying Health and Food Literacy Models to College Students’Nutrition Knowledge and Salt Consumption. The Normal Lights. 2019;13(1):229 - 55.

Kalkan I. The impact of nutrition literacy on the food habits among young adults in Turkey. Nutr Res Pract. 2019;13(4):352-7.

Kazi RNA, El-Kashif MML, Ahsan SM. Prevalence of salt rich fast food consumption: A focus on physical activity and incidence of hypertension among female students of Saudi Arabia. Saudi J. Biol. Sci. 2020;27(10):2669-73.

Srikan P, Thatan S, Srichanpan W, Pinsakul C. Relationship between knowledge, self-care agency, sodium reducion behavior and urinary sodium level of students and employees of the Boromarajonnani College of Nursing Phayao. Journal of Boromarajonani College of Nursing, Bangkok. 2018;34(3 ):21-33. (In Thai)

Youngiam W, Abdullakasim P, Maharachpong N. Health literacy on sodium consumption of undergraduate students in lower northern region, Thailand. Naresuan University Journal: Science and Technology (NUJST). In press.

Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 2012;12(1):80.

Health Education Division, Department of Health Service Support, Ministry of Public Health. Health Promotion, Health Literacy Evaluation and Health Behavior for children and adolescent 7-14 years old and aged over 15 years old. 2, editor. Bangkok: New Thammada Press; 2018. (In Thai)

Winkelman TN, Caldwell MT, Bertram B, Davis MM. Promoting health literacy for children and adolescents. Pediatrics. 2016;138(6).

Du G, He Y, Li W, Ni Q, Li R, Liu Y, et al. Health literacy of college freshmen in jiangsu, China: A 3-year longitudinal survey. Medicine (Baltimore). 2021;100(4):e24057.

Seedaket S, Turnbull N, Phajan T, Wanchai A. Improving mental health literacy in adolescents: systematic review of supporting intervention studies. Trop Med Int Health. 2020;25(9):1055-64.

Wong JY-H, Zhang W, Wu Y, Choi EPH, Lo HHM, Wong W, et al. An Interactive Web-Based Sexual Health Literacy Program for Safe Sex Practice for Female Chinese University Students: Multicenter Randomized Controlled Trial. J Med Internet Res. 2021;23(3):e22564.

Thongnopakun S, Pumpaibool T, Visanuyothin3 S, Rodjarkpai1 Y, Manwong M. Effects of a safe sex program for increasing health literacy intention and practice to prevent pregnancy among undergraduates in Thailand. J. Public Health Dev. 2021;19(1):141-51.

Singtong T, Ivanovitch K, Boonshuyar C. Effects of a Nutrition Literacy Promotion Program on Eating Behaviorof Secondary School Students. Thai Journal of Public Health. 2020;50(2):148-60. (In Thai)

Kuczmarski MF, Adams EL, Cotugna N, Pohlig RT, Beydoun MA, Zonderman AB, et al. Health Literacy and Education Predict Nutrient Quality of Diet of Socioeconomically Diverse, Urban Adults. J Epidemiol Prev Med. 2016;2(1):13000115.

Joulaei H, Keshani P, Kaveh M. Nutrition literacy as a determinant for diet quality amongst young adolescents: A cross sectional study. Prog. Nutr. 2018;20:455-64.

Ali SH, Luo R, Li Y, Liu X, Tang C, Zhang P. Application of Mobile Health Technologies Aimed at Salt Reduction: Systematic Review. JMIR Mhealth Uhealth. 2019;7(4):e13250.

Visanuyothin S, Boonshuyar C, Plianbangchang S, Somrongthong R, Thongnopakun S. Health literacy and self-management behaviors among poorly controlled hypertension patients at the primary care level in an urban community of Nakhon Ratchasima Province, Thailand. J. Public Health Dev. 2019;17(1):1-13.

Cohen J. Statistical power analysis for the behavioural sciences, 2nd edn.(Hillsdale, NJ: L. Erlbaum Associates). 1988.

Lipsey MW. Design sensitivity: Statistical power for experimental research: Sage Publications, Inc; 1990.

Schmidt SAJ, Lo S, Hollestein LM. Research Techniques Made Simple: Sample Size Estimation and Power Calculation. J Invest Dermatol 2018 Aug;138(8):1678-1682. doi: 10.1016/j.jid.2018.06.165. PMID: 30032783.

Boonsiri C, Piaseu N, Putwatana P, Kantachuvesiri S. Effects of Program Promoting Food Consumption for Sodium Reduction on Knowledge and Urinary Sodium in Nursing Students. Thai Journal of Nursing Council. 2017;32(3):104-19. (In Thai)

Chau PH, Leung AY, Li HL, Sea M, Chan R, Woo J. Development and Validation of Chinese Health Literacy Scale for Low Salt Consumption-Hong Kong Population (CHLSalt-HK). PloS one. 2015;10(7):e0132303.

Meehanpong P, Chatdokmaiprai K. Assessing quality of research instrument in nursing research. Journal of The Royal Thai Army Nurses. 2018;19(1):9-15. (In Thai)

Vamos S, Schlueter K. The Conceptualization of a Competency-Based Health Literacy Intervention for a German University. Pedagogy Health Promot. 2016;3(1):23-35.

Bandura A. On the Functional Properties of Perceived Self-Efficacy Revisited. J. Manag. 2012;38(1):9-44.

Anderson ES, Winett RA, Wojcik JR. Self-regulation, self-efficacy, outcome expectations, and social support: Social cognitive theory and nutrition behavior. Ann Behav Med. 2007;34(3):304-12.

Au LE, Whaley SE, Gurzo K, Meza M, Rosen NJ, Ritchie LD. Evaluation of Online and In-Person Nutrition Education Related to Salt Knowledge and Behaviors among Special Supplemental Nutrition Program for Women, Infants, and Children Participants. J Acad Nutr Diet. 2017;117(9):1384-95.

Muscat Danielle M, Morony S, Trevena L, Hayen A, Shepherd Heather L, Smith Sian K, et al. Skills for Shared Decision-Making: Evaluation of a Health Literacy Program for Consumers with Lower Literacy Levels. HLRP: Health Lit Res Pract. 2019;3(3):S58-S74.

Warren-Findlow J. CM, Thomas E., Krinner L. ECHO: A Pilot Health Literacy Intervention to Improve Hypertension Self-Care. HLRP: Health Lit Res Pract. 2019;3(4):e259-e67.

Wang W, Sun R, Mulvehill Alice M, Gilson Courtney C, Huang Linda L. Handling Internet-Based Health Information: Improving Health Information Web Site Literacy Among Undergraduate Nursing Students. J Nurs Educ. 2017;56(2):110-4.

Keikha, F., Ansari, H., khosravi, M., Seraji, M. The Effect of Educational Intervention on Health Literacy and Nutritional Performance of Female High School Students in Zahedan. J Health Lit 2021; 6(1): 41-50. doi: 10.22038/jhl.2021.56038.1154

Nutbeam D. The evolving concept of health literacy. Soc Sci Med 2008 Dec;67(12):2072-8. doi: 10.1016/j.socscimed.2008.09.050. Epub 2008 Oct 25. PMID: 18952344.