The Effects of a Planned Behavior Program on the Sedentary Behaviors of Late Primary School-Aged Children with Obesity
ผลของโปรแกรมปรับเปลี่ยนพฤติกรรมตามแผนต่อ พฤติกรรมเนือยนิ่งของเด็กวัยเรียนตอนปลายที่มีภาวะอ้วน
Keywords:
Planned Behavior Program, Late primary school-aged children, Obesity, Sedentary behaviorAbstract
ABSTRACT
Obesity in school-aged children is a global challenge in healthcare management. The purpose of this quasi-experimental study, a two-group, pre-test/post-test design, was to examine the effects of a planned behavior program on the sedentary behavior of late primary school-aged children with obesity. The theory of planned behavior was applied as the framework of the study. Samples were late primary school-aged children aged 10-12 years old studying in two government schools in Saraburi. The participants were assigned to either the experimental group (n = 35) or the control group (n = 35) using simple random sampling. The experimental group received a plan behavior program for 6 weeks. The control group received usual care. Sedentary behavior questionnaires were used for collecting the data before and after the intervention. Data were analyzed using descriptive statistics and t-test.
The results indicated that the mean score for the sedentary behavior of the experimental group after the program was lower than on the pretest with a statistical significance (M = 24.29 , S.D. = 5.86 และ M = 32.51 , S.D. = 5.27 ; p < .01). Further, the mean score for the sedentary behavior of the experimental group was lower than that of the control group with a statistical significance (M = 24.29 , S.D. = 5.86 และ M = 31.54 , S.D. = 3.50 ; p < .01)
This study suggests that the effects of a planned behavior program are effective in terms of decreasing the sedentary behaviors of overweight late school-aged children. Consequently, nurses can use this program by coordinating with teachers and primary caregivers in order to encourage children with obesity to develop appropriate behavior.
References
in children. Retrieved June 18, 2017, Retrieved from
http://www.noo.org.uk/uploads/doc/vid_11601_A_simple_guide_to_classifying_BMI_
in_children.pdf
2. Ministry of Public Health. Promotion & Prevention Excellence [Internet]. Bangkok:
Ministry of Public Health; 2018 [cited 2019Mar12]. Available from:
https://hdcservice.moph.go.th/hdc/main/index_pk.php
3. Hockenberry, MJ., Wilson, D. Wong’s Nursing Care of infants and children. 9th ed.
Deborah L Vogal: Canada; 2011.
4. Chaisri, J., Klungtumneim, K., Buajarean, H. Clinical Nursing Practice Guideline for
Management of Obesity in Children: the Synthesis of Thesis. Journal of The Royal
Thai Army Nurses, 2014; 15(2): 360-367. (in Thai)
5. Ounnapiruk, L., Leelahakul, V., Bunnag, A., Autthakornkovit, C. The Effects of A Health Promotion Program on the Physical Activity in Overweight Primary School Children. Journal of Nursing Science, 2011; 29(2): 15-26. (in Thai)
6. Amornsriwatanakul, A., Nakornkhet, K., Katewongsa, P., Choosakul, C., Kaewmanee, T.,
Konharn, K., Purakom, A., et al. Results from Thailand’s 2016 report card on physical activity for children and youth. Journal of Physical Activity and Health, 2016; 13(2): S291-S298.
7. World Health Organization, 2016, Global Recommendations on Physical Activity for
Health, Blossoming. it, Switzerland.
8. Noin, K. Overweight and Obesity among Thai School-aged Children and Adolescents.
Journal of The Royal Thai Army Nurses, 2017; 18(1): 1-8. (in Thai)
9. Tuntiakara, S., Thongbai, W., Takviriyanun, N. The effectiveness of obesity prevention
program on eating and physical activity behaviors among overweight school aged
children. Journal of Boromarajonani College of Nursing, Bangkok, 2015; 31(3): 47-61.
(in Thai)
10. Yaemmen, P. & Duangsong, R. The effects of health promotion program by application of Health Belief Model and Social Support on behavioral modification for weight control among overweight students at level 5 of primary school, Muang District,
Phitsanulok Province. KKU Research Journal (Graduate Studies), 2012; 12(1): 57-67.,(in Thai)
11. Pichairat, A., Tato, R., Rodcumdee, B. Effect of health alliance nursing program on food consumption and exercise behaviors in obese school age children. Journal of Boromarajonani College of Nursing, Bangkok, 2013; 29(1): 121-134. (in Thai)
12. Rosario, R., Oliveira, B., Araujo, A., Lopes, O., Padrao, P., Moreira, A., et al. The impact of an intervention taught by trained teachers on childhood overweight. International Journal of Environment Research and public Health, 2012; 9(4): 1355-1367.
13. Ajzen, I. Theory of Planed Behavior. In: Ajzen, I, editor. Organizational Behavior and
Human Decision Processes. Massachusetts: United States of America; 1991. p.
179–211.
14. Orathai, P. & Phumonsakul, S. Power analysis and sample size estimation
using G*Power program. 1th ed. pimdee: Bangkok; 2013.
15. Chunechit, C. & Duangsong, R. Effects of a health promotion program for weight control among primary school student, level 4-6, Mueang district, Khon Kaen province. KKU Journal for public health Research, 2013; 6(4): 1-9. (in Thai)
16. Srisatidnarakul, B. The methodology in nursing research. 5th ed. And I Inter
Media: Bangkok; 2010.
17. Amornsriwatanakul, A., Bull, F., and Rosenberg, M. Thailand Physical Activity Children
Survey - Version 10-13 (TPACS V10-13) [Internet]. Perth: Thailand Physical Activity
Research Centre and University of Western Australia; 2015 [cited 2017Feb9].
Available from: http://padatabase.net/uploads/files/uploads/1499146003-
StudentQ1013FinalCoveringTH.pdf
18. Institute of Medical Research and Technology Assessment, Ministry of Public Health.
Clinical practice guideline of preventing and caring obesity. Bangkok: The agricultural
co-operative federal of Thai and Ltd.; 2010. (In Thai)
