The effect of nutritional promotion program among school children in Kong-Ra district, phatthalung province
Article Sidebar
Main Article Content
Abstract
Background: The nutritional status of school-age children in Kong Ra District, Phatthalung Province, was assessed in 2015 and 2019. The proportion of students with normal height and weight decreased from 65.33% to 65.05%. Meanwhile, the prevalence of obesity increased from 8.02% to 11.65%, and the prevalence of stunting rose from 6.47% to 10.39%. The study aims to compare knowledge about nutrition, daily nutrient intake, self-perceived abilities, food selection skills, and the nutritional status of school-age children between the experimental group and the control group following the implementation of a nutritional promotion program.
Methods: This program was applied Social Cognitive Theory in order to change food consumption among school children. The sample group was a pair of school students in grade 5 and their parents. The sample in experimental group was 62 people and the control group of was 62 people. They were involved in this program for 8-week. Data were collected using questionnaires and the 24-hour dietary recall and analyzed by descriptive statistics and inferential statistics that included Paired t-test, Independent t–test, Wilcoxon Sign Rank test, Mann–Whitney U test, McNemar test and Fisher exact test
Results: The results showed statistically significant differences in score for nutrition knowledge between the experimental group and the control group (p-value=0.001). Furthermore, self-efficacy for healthy food choices score was same between group. Daily intake of calcium, vitamin A and vitamin Camong experimental group were increased than control group (p-value < 0.05). However, this program could not improve nutritional status (weight for age, height for age and weight for height). For parents group, the knowledge and attitudes for children’s nutrition did not differ between groups (p-value> 0.05).
Conclusion: This program improved knowledge and daily intake among school-aged children. However, the lesson for the parent group that in order to promote good nutritional status among school-age children.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Ministry of Public Health. School Lunch Guidelines 2015: Ministry of Public Health; 2020 [cited 2020 September 26 ]. Available from: http://nutrition. anamai.moph.go.th.
Health Data Center. School-age child nutrition situation 2019: Ministry of Public Health; 2019 [cited 2020 September 13]. Available from: https://hdcservice.moph.go.th.
Rajanukul Institute. Children are obese because of whom: 7 behaviors that parents have to explore themselves: Rajanukul Institute; 2019 [cited 2020 September 26 ]. Available from: https://th.rajanukul.go.th.
Sunanthaporn C. Can you change it? Thai children’s lunch 2017 [cited 2020 September 26]. Available from: https://waymagazine.org.
Bandura A. Social cognitive theory of self-regulation. Organizational Behavior and Human Decision Processes. 1991;50(2):248-87.
Prussia GE, Kinicki AJ. A motivational investigation of group effectiveness using social-cognitive theory. Journal of Applied sychology. 1996;81(2):187-98.
Noordzij M, Dekker FW, Zoccali C, Jager KJ. Sample Size Calculations. Nephron Clinical Practice. 2011;118(4):c319-c23.
Höfler M, Pfister H, Lieb R, Wittchen H-U. The use of weights to account for non-response and drop-out. Social Psychiatry and PsychiatricEpidemiology. 2005;40(4):291-9.
Bloom BS, Madaus GF, et al,. Hand book on Formative and Summative Evaluation of Student Learning. New York: Mc Graw-Hill Book Company; 1972.
Christmann A, Van Aelst S. Robust estimation of Cronbach’s alpha. Journal of Multivariate Analysis. 2006;97(7):1660-74.
Maenpuen A TM, Tansakul S,et al,. Effects of Eat Smart Program to Promote Nutritional Diet of Grade Four Students, Nonthaburi Province, Thailand. Journal of Health Education. 2018;41(1):126-37.
Chukaew O JP, Buapeth A,. Effect of Nutritional Self-Management Program on Food Consumption Behavior and Body Weight of Obese Upper-Primary School Children. Songklanagarind Journal of Nursing. 2016;36(1):69-85.
Tuntiakarat S TW, 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. 2015;31(3):47-61.
Choojan S TW, Kummabut J,. The effects of self-efficacy and family support promotion program on consumption behavior among late school aged children with overweight. Journal of Boromarajonani College of Nursing. 2016;32(1):31-43.
Youngiam W PP, Imamee N, et al,. Promoting Fruit and Vegetable Intake through the Application of Social Cognitive Theory among 4th Grade Students in Phrompiram District, Phitsanulok Province. Journal of Public Health. 2013;43(2):126-37.
Pichairat A TR, 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. 2013;29(1):121-34.
Srithanya S TW, Kummabutr J,. The Effects of a Planned Behavior Program on The Eating and Physical Activity Behaviorof Overweight Late Primary School-Aged Children. Journal of Nursing Science Chulalongkorn University. 2019;31(2):85-97.
Bunnag A SP, Krongthammachart K, et al,. The Effect of School Lunch Program on Nutritional Status of Overweight Adolescents in Public Schools. Journal of Nursing Science Chulalongkorn University. 2013;31(2):67-76.
Jaicherdchoo R UN, Boonchieng W,. Development of a Community Participative Program for Health Promotion among Overweight Students. Nursing Journal. 2013;40(2):64-76.
