Effects of Health Promotion Program on Body Mass Index and Health Behaviors of Nursing Students, Boromarajonani College of Nursing, Bangkok

Main Article Content

Vidaporn Dhabdhimsri
Jintana Rungsa


Introduction: Health promotion is most likely to benefit participants when it is guided by social and behavioral science theories of health behavior and health behavior change. Research objectives: The study aimed to investigate the effects of health promotion program on body mass index (BMI) and health behaviors of nursing students, Boromarajonani College of Nursing, Bangkok. Research methodology: The study used a quasi-experimental, two-group, pretest-posttest design. Participants were selected using a purposive sampling technique according to inclusion criteria (BMI > 22.9) with similar features, and then randomly assigned to two groups of 30 each, namely, experimental and control. The experimental group received a health promotion program guided by the Pender’s concept. The program consists of inspiring, health promotion education, healthy food, exercise, stress management and focus group. Instrument was a set of health-promoting behavior questionnaires consisting of 45 items. Item Objective Congruence (IOC) index was 0.94 and a confidence coefficient was 0.81. Data were collected using general information sheet, and health-promoting behaviors. Data were analyzed using paired and independent t-tests. Level of significance was set at p< .05. Results: At baseline, mean scores of health promoting behaviors in the experimental and control groups were 164.13 (SD=13.17), and 164.83 (SD=11.94); and mean scores of BMI were 26.46 (SD=4.63), and 26.93(SD=3.36), respectively. Also, there was no significant difference between the experimental and control groups at baseline. At follow-up, mean score of health-promoting behaviors in the experimental group (mean=183.80, SD=13.17) was higher than the control group (mean=170.20, SD=11.94); and BMI of the experimental group (mean=25.28, SD=4.06) was less than the control group (mean=27.53, SD=3.47). There were significant differences between the experimental group and control group, both at baseline and follow-up (p<0.05). Conclusions: The results showed that health promotion program can help control BMI and attained better health behaviors of nursing students Implications: The findings of this study could be continuously and annually used as a guideline to develop health promotion program for nursing students or adapted to fit their individual context to promote better health.


Download data is not yet available.

Article Details

How to Cite
Dhabdhimsri, V., & Rungsa, J. (2021). Effects of Health Promotion Program on Body Mass Index and Health Behaviors of Nursing Students, Boromarajonani College of Nursing, Bangkok. Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok), 37(2), 251-262. Retrieved from https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/245573
Research articles
Author Biography

Vidaporn Dhabdhimsri, วิทยาลัยพยาบาลบรมราชชนนี กรุงเทพ

การทดสอบและวัดประเมินผล ปร.ด.มศว ประสานมิตร

การพยาบาลอายุรศาสตร์และศัลยศาสตร์ พย.ม. เชียงใหม่


1. Executive Committee for the Formulation of the National Health Development Plan, Ministry of Public Health. National health development plan issue 12 (2017 - 2021). The War Veterans Organization of Thailand. October 2016; (in Thai)

2. Sakolsatayathorn, P. Looking at the future of Thai health in 2018 with changing public health policies. [internet]. 2018 (cited 2019 Dec 25); Available from: https://www.matichon.co.th/local/quality-life/news_786690. (in Thai)
3. World Health Organization (WHO). Noncommunicable diseases. [internet]. 2018 (cited 2019 Dec 25); Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicablediseases

4. Danyuthasilpe C. Pender’s health promotion model and its applications in nursing practice. Songklanagarind J Nurs.. 2018;38(2):132-41. (in Thai).

5. Lattanand K, Ninwatcharamanee C. Health literacy of nursing students at Boromarajonani College of Nursing Bangkok. JHNR 2019; 35(1):277-89. (in Thai)

6. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 4th (ed). New Jersey :
Pearson Education, Inc; 2002.

7. Committee of department of health. Handbook of good health. [internet]. 2020 (cited 2020 Aug 26); Available from: http://nutrition.anamai.moph.go.th/images/files/pdf

8. Purakom A, Kaewmahingsa Y. Health promoting behaviors of undergraduate students at Kasetsart University, Kamphaengsaen Campus National Symposium Kasetsart University Kamphaeng Saen Campus No. 10; 2013. (in Thai)

9. Wiersma EW, Jurs SG. Research methods in education: An introduction, 8th Edition. 2002.

10. Danyuthasilpe C. Pender’s health promotion model and its applications in nursing practice. Songklanagarind J Nurs. 2018;38(2):132-41. (in Thai)

11. Khodaveisi M, Jafari A, Omidi A, Roshanaei G, Sazvar A. the effect of a Pender’s health promotion model based educational intervention on physical activity in office staff. [internet]. 2020 (cited 2020 Aug 26); Available from: https://nursinganswers.net/essays/penders-health-promotionmodel. php?vref=1

12. Khodaveisi M, Omidi A, Farokhi S, Soltanian AR. The effect of Pender’s health promotion model in improving the nutritional behavior of overweight and obese women. IJCBNM. 2017 Apr; 5(2):165–74.

13. Heetaksorn C, Sarakshetrin A, Kwanchum R, Yuychim Y. The effects of using a health promotion program among sellers at the Kobkhan Fresh Market in Suratthani, Thailand The Southern College Network. JNPH 2017;s:91-101.

14. Khampeng S, Boonpradit A. The effects of using health promotion program and social support among people with hypertension in Donpud District, Saraburi Province, Thailand Nursing. NJPH 2012;22(3):112-23. (in Thai)

15. Songwatthanayuth P, Watthanakorn K, Klainhom K, Ratanapak P. Development of health behavior promotion program among pre-hypertension adults in Nong-Plub, Phetchaburi Province. JHNR 2016;32(2):105-18. (in Thai)