The Effects of Using a Guidance Activities Package to Develop Health Literacy of Nursing Students in The Royal Thai Army Nursing College


  • Savangjit Kanchanakomol Sukhothai Thammathirat Open University


Guidance Activities Package, Health Literacy, Nursing student


The purposes of this study were: (1) to compare health literacy of nursing students before and after receiving a guidance activities package and (2) to compare health literacy of an experimental group receiving the guidance activities package and a control group receiving regular guidance. The samples consisted of 40 second-year nursing students in an academic year 2019, who volunteered to participate in the research project. Then, a method of simple random sampling was conducted to separate the samples into two groups, the experimental group and the control group, with 20 students in each group. The experimental group received the guidance activities package to develop health literacy for 12 sessions with duration of 50 minutes in each session, while the control group received normal guidance. The instruments included: (1) the guidance activities package to develop health literacy, and (2) the health literacy questionnaire with a reliability of .83. The statistics employed for this analysis were percentile, medium, standard deviation and t-test.

Research findings revealed as follow; (1) after receiving the guidance activities package, health literacy of nursing students in the experimental group was higher with statistical significance at a level of .01 and (2) the health literacy of the nursing students in the experimental group who received the guidance activities package was higher than the nursing students in the control group who received normal guidance with statistical significance in a level of .01.


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DeWalt, et al. Literacy and Health outcomes. Journal of General International Medicine, 2004;19(12):1228-39.

Baker, D.W., et al. Health Literacy and Mortality Among Elderly Persons. ARCH INTERN MED, 2007; 167(14): 1503-9.

Woratanarat, T. Revision on situation and mechanism of health literacy management Health Systems Research Institute, Bangkok.; 2015: 16 (in Thai)

Indhraratana, A. Health literacy of Health Professionals Journal of The Royal Thai Army Nurses, 2014; 15(3): 174-178. (in Thai)

Sookpool, A. Effectiveness of Health Literacy and Health Behavior Development Program for Working People Journal of Health Science, 2020; 29(3): 420-30 (in Thai)

Thongdee, S., & Ramasut, P. Development of Guidance Activities and Instruments. Sukhothai Thammathirat Open University; 2012: 49-50 (in Thai)

Phongsakchat, P. (Sornnate Areesophonpichet, Ph.D.) (Rungrawee Navicharern, Ph.D.) The Effect of Health Literacy Development Program and 3E Health Behaviors based on Local Wisdom among Nursing Students in Praboromarajchanok Institute for Health Workforce Development, Ministry of Public Health, 2018; 35(2): 199- 209. (in Thai)

Heijmans, M., Waverijn, G., Rademakers, J., van der Vaart, R., & Rijken, M. Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Education Counseling, 2015; 98(1): 41-8.

Pannark, P. The Effectiveness of a Program for Health Literacy Development of the Patients with Uncontrolled Type 2 Diabetes at Bangwua District, Chachoengsao Province Thesis of Master of Nursing Science, Sukhothai Thammatirat Open University, 2018; 28(3): 91-106 (in Thai)

Turner, K., Mamark, N, Srilamai, N, & Jamjan, L. Effects of the STEM Project-Based Learning to Enhance the 21st Century Skills in College Nursing Students, 2018; 26(2): 11-19. (in Thai)

Arahung, R. The Effects of Health Literacy Enhancement Program on Hypertensive Prevention Behavior of Pre-hypertension Risk Group at a Community in Nakhon Pathom Province, Royal Thai Navy Medical Journal, 2018; 45(3): 506-529 (in Thai)

Stiles, E. Promoting health literacy in patients with diabetes. Nursing Standards, 2011; 26(8): 35-40.



How to Cite

Kanchanakomol ส. The Effects of Using a Guidance Activities Package to Develop Health Literacy of Nursing Students in The Royal Thai Army Nursing College. J Royal Thai Army Nurses [Internet]. 2021 Apr. 26 [cited 2022 May 18];22(1):432-41. Available from:



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