Model Development of the Create Values and Health Literacy in Prevention Non- communicable Diseases for School - age Children

Abstract

        The main non-communicable diseases are diabetes and hypertension. The risk factors from obesity tend to be more common in younger age groups. Currently, students are at high risk due to obesity. The cause is lack of exercise and inappropriate diet. Therefore, good prevention methods should create correct values ​​and health literacy to prevent diseases. The research objectives were 1) to find the factors related to creative values ​​and knowledge in disease prevention 2) to develop a creative values ​​and knowledge model for disease prevention 3) to evaluate the effectiveness of the creative values ​​and knowledge model for diabetes and hypertension prevention in school-aged children. The research and development model collected data by a single mixed method at the specified time. The sample group was 408 school-aged children in grades 3-6 of the Nakhon Sawan Primary Educational Service Area Office 1 in the academic year 2020. The two-stage simple random sampling was used. Content analysis and structural equations were used. The results of the research found that the factors significantly related to diabetes and hypertension prevention behavior were knowledge, creative values, and knowledge (P-value < 0.01). The creative values ​​and knowledge model for diabetes and hypertension prevention in school-aged children found that the components of knowledge and attitude. The constructive values ​​and knowledge have an effect on the components of diabetes and hypertension prevention behavior by 39, 41 and 21 %, respectively. The model is consistent with the empirical data at c²= 57.27 P = 0.20 DF =49 CMIN/DF = 1.17 RMR = 0.18 GFI = 0.98 AGFI = 0.96 RMSEA = 0.02). The effectiveness evaluation result by the expert seminar method found that the value and knowledge development curriculum can develop preventive behavior. Relevant agencies should use the results from this research to change the behavior of school-aged children and prioritize the implementation according to the model found from this research.