The development of a board game to promote 3E 2S behaviors intention to prevent chronic non-communicable diseases in undergraduate students

Main Article Content

Theerapon Phungdee

Abstract

Background: Chronic non-communicable diseases (NCDs) can be prevented by 3E2S behavior including diet, exercise, emotion, smoking cessation, and drinking alcohol cessation.


Objectives: To develop and examine the effects of a board game for promoting 3E2S behaviors intention to prevent chronic non-communicable diseases in undergraduate students.  


Methods: This research and development study is divided into 2 phases: developing the board game and the board game experiment. In Phase 1, developing board games using design thinking and assessing quality with input from 5 experts. Phase 2, the board game experiment was a quasi-experimental study involving pre-post experimental measurements of 72 participants, divided equally into an experimental group and a comparison group, each consisting of 36 participants. The research tools consisted of board games and questionnaires. The data were analyzed using descriptive statistics and t-test. Then adjust the board game accordingly.


Results: The results of the developed board game for promoting 3E2S behaviors intention to prevent chronic non-communicable diseases in terms of utility, feasibility, appropriateness and accuracy were at a very good level. Moreover, the evaluation showed that in the post-trial phase the experimental group showed an improvement in perceived severity of NCDs, perceived susceptibility to NCDs, expectation of response efficacy of 3E2S behavior, perceived self-efficacy to 3E2S behavior and 3E2S behavior intention compared to the pre-trial phase and better than the comparison group with a statistical significance of .05.


Conclusions: The developed board game has the effect of improving 3E2S behavior Intention to prevent chronic non-communicable diseases.

Article Details

How to Cite
Phungdee, T. (2024). The development of a board game to promote 3E 2S behaviors intention to prevent chronic non-communicable diseases in undergraduate students . BCNNON Health Science Research Journal, 18(1), 12–23. Retrieved from https://he01.tci-thaijo.org/index.php/JHR/article/view/267330
Section
Original Articles

References

Thongtaeng N. Non-communicable diseases. [Internet]. 2020 [cited 2023 Nov 11]; Available from: https://www.si.mahidol.ac.th/ siriraj_online/thai_version/Health_detail.asp?id=1371 (in Thai).

Institute for Population and Social Research, Mahidol University. Health of Thai people 2023. Bangkok: Amarin Printing and Publishing Public Company Limited; 2023. (in Thai).

Ministry of Public Health. Handbook for health care according to the principles of 3E2S for health leaders. Nonthaburi: Ministry of Public Health; 2023. (in Thai).

Sanloa P, Lalun A. The study of non–communicable disease prevention behaviors of students of Chaiyaphum Rajabhat University. Journal of Health Research and Innovation. 2019;2(2):21-33. (in Thai).

Sidahat J, Kwansungnoen P, Poangklang P, Aeksanti T, Yupa P. Health behavior on 3e2s (eating, exercise, emotion, stop smoking, and stop drinking) among students in Nakhon Ratchasima Rajabhat University. Journal of Health Research and Development Nakhon Ratchasima Provincial Public Health Office. 2022;8(2):60-73. (in Thai).

Jumroonjareed T, Attavoranan O, Dhamapong P, Chalermthiralert P, Chaiprasopwong R, Youjaiyen P, et al. Perception of non communicable diseases and health behavior among high school students: case study. Academic Journal of Community Public Health. 2023;9(3):100-12. (in Thai).

Dashti S, Dabaghi P, Tofangchiha S. The effectiveness of training program based on protective motivation theory on improving nutritional behaviors and physical activity in military patients with type 2 diabetes mellitus. J Family Med Prim Care. 2020; 9(7):3328-32.

Rogers RW. A protection motivation theory of fear appeals and attitude change. J Psychol. 1975;91(1):93-114. doi: 10.1080/ 00223980.1975.9915803.

Rapp K, Stroup C. How can organizations adopt and measure design thinking process? [Internet]. 2016 [cited 2023 Oct 20]; Available from: http://digitalcommons.ilr.cornell.edu/student/138.

Lickiewicz J, Hughes P, Makara-Studzinska M. The use of board games in healthcare teaching. Nursing Problems. 2020;28(2):71-4. doi: 10.5114/ppiel.2020.98766.

Bantawang J, Sritana K. Using educational board game: game of germs to develop self-care protection skills from viral infection in primary students in Mae Yao Wittaya School, Mueang District, Chiang Rai Province. Social Sciences Research and Academic Journal. 2022;17(2):77-90. (in Thai).

Stufflebeam DL. The meta evaluation imperative. Am J Eval. 2001;22(2):183-209.

Roberts JP, Fisher TR, Trowbridge MJ, Bent C. A design thinking framework for healthcare management and innovation. Healthc (Amst). 2016;4(1):11-4.

Poomsoong P, Nuangchalerm P. Development design thinking of Mathayomsuksa 4 students by using STEAM education. Journal of Educational Administration and Supervision Mahasarakham University. 2021;12(3): 204-15. (in Thai).

Asanok M. Integrated design thinking for instructional innovation development. Journal of Educational Technology and Communications Faculty of Education Mahasarakham University. 2018;1(1):6-12. (in Thai).

Ritland R, Rodriguez L. The influence of antiobesity media content on intention to eat healthily and exercise: a test of the ordered protection motivation theory. J Obes. 2014;2014:954784. doi: 10.1155/2014/954784.

Yao X, Zhang L, Du J, Gao L. Effect of information-motivation-behavioral model based on protection motivation theory on the psychological resilience and quality of life of patients with type 2 DM. Psychiatr Q. 2021;92(1):49-62. doi: 10.1007/s11126-020-09783-w.