Development of a dance game-based health promotion program and satisfaction for overweight and obesity adolescents
Keywords:
physical activity, dance game, pender’s health promotion model, sedentary behavior, adolescentsAbstract
This descriptive research design aimed to 1) develop a health promotion program using dance game for overweight and obese adolescents, and 2) evaluate the satisfaction of overweight and obese adolescents with the program. The research methodology comprised five steps: 1) analyzing the problem and needs; 2) designing the program based on Pender’s Health Promotion Model combined with the application of dance games; 3) developing the program and creating a satisfaction questionnaire; 4) testing the quality and piloting the programand 5) evaluating the program’s outcomes. The research instruments were validated by six experts. The program was piloted with purposive sampling of 15 adolescents aged 13-18 years with overweight and obesity over a period of four weeks. The program promoted perceived benefits through activities such as perceived benefit assessment, goal setting, and educational sessions. It also addressed perceived barriers through problem-solving analysis activities and providing opportunities for adolescents to consult about their individual problems. Furthermore, it promoted perceived self-efficacy through watching videos of mastery experiences (role models sharing their success) and playing dance games. Also, the program incorporated social persuasion by having participants play games in pairs to encourage physical movement. Afterwards, the adolescents completed a satisfaction questionnaire. Data were analyzed using descriptive statistics.
The results revealed: 1) the program content was consistent with the objectives and definitions (100%) and had very good content validity (Content Validity Index: CVI=1.00); 2) participants had a high level of overall satisfaction with the program (81.73%). In conclusion, this study suggested that the program can be a viable option for promoting health increase physical activity and reduce sedentary behavior in adolescents with overweight and obesity.
References
World Health Organization. Adolescent health. Geneva: World Health Organization; 2021.
Thailand Physical Activity Knowledge Development Center (TPAK), Thai Health Promotion Foundation (ThaiHealth). Regenerating physical activity in Thailand after COVID-19 pandemic. Bangkok: TPAK; 2020. (in Thai)
Puangmalai O, Muktapan B. Association of sedentary behavior and obesity of junior high school students at Khon Kaen University Demonstration School. J Health Educ 2018;41(1):90-102. (in Thai)
Bureau of Nutrition, Department of Health. Handbook on the use of growth reference standards for children aged 6-19 years. Nonthaburi: Ministry of Public Health; 2021. (in Thai)
Bureau of Nutrition, Department of Health, Ministry of Public Health. Annual nutrition surveillance report 2022. Nonthaburi: Bureau of Nutrition; 2022. (in Thai)
Bureau of Nutrition, Department of Health, Ministry of Public Health. Guideline for obesity management in children for health service facilities. Nonthaburi: Bureau of Nutrition; 2024. (in Thai)
Sritippayawan S. Impact of obesity on respiratory system in children. Chula Med J 2010;54(5):410-8. (in Thai)
Mongkol S. The effect of obesity on respiratory and cardiovascular system. Chiang Mai Med Technol J 2018;45(3):10-6. (in Thai)
Sangngeon P. The effect of health program management on weight and body fat percentage of overweight elementary school students [dissertation]. Bangkok: Chulalongkorn University; 2014. (in Thai)
Piaget J. The psychology of intelligence. London: Routledge; 1999.
Kaewtes V. Effects of dietary and physical activity behaviors promotion program for overweight students in Bangkok metropolitan schools [dissertation]. Bangkok: Mahidol University; 2013. (in Thai)
Thai Health Promotion Foundation. Guidelines for promoting physical activity in schools in Thailand. Bangkok: Thai Health Promotion Foundation; 2020. (in Thai)
World Health Organization. WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization; 2020.
Jantacummma N, Manachevakul S, Cheevakasemsook A, Kaewsan P, Sanboonsong P. Effects of a school-based overweight control program on primary school students in Nonthaburi Province. R Thai Navy Med J 2020;47(2):301-16. (in Thai)
Chaboonraung S, Rodcumdee B. Effects of a self-efficacy promoting program by peer group on food consumption and physical exercise behavior in overweight early adolescents. J Nurs Health Care. 2014;32(3):119-26. (in Thai)
Xue H, Tian G, Duan R, Quan L, Zhao L, Yang M, et al. Sedentary behavior is independently related to fat mass among children and adolescents in South China. Nutrients 2016;8(667):1-19.
Pinkaew J, Tingsabhat S, Lerytim S. Effects of exercise program using bodyweight and fitness board game on physical fitness of upper elementary school students. Acad J Thailand Natl Sports Univ 2022;14(3):168-77. (in Thai)
Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 7th ed. Philadelphia: Wolters Kluwer Health; 2015.
Konthongtom T, Nookong A, Sangperm P. Effects of weight control program on eating and physical activity behaviors among school-aged children with overweight. J Nurs Sci Chulalongkorn Univ 2018;30(2):28-40.
Williams N. The Borg rating of perceived exertion (RPE) scale. Occup Med (Lond) 2017;67(5):404-5.
Mo Y, Saibon JB, Li Y, Li J, He Y. Effects of game-based physical education program on enjoyment in children and adolescents: a systematic review and meta-analysis. BMC Public Health 2024;24(1):517.
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