The Effects of Health Literacy Development Program with Family Participation of Overweight Primary School Students in Nakhon Pathom Province
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Abstract
This quasi-experimental research used the two-group pretest-posttest design and aimed to investigate the effects of a health literacy development program with family participation for the overweight primary school students in Nakhon Pathom Province. The samples were overweight primary school students aged 9 - 12 years, selected using simple random sampling and assigned into experimental group and control group with 30 respondents each. The experimental group received the 8-week health literacy development program developed from Nutbeam’s health literacy concept and House’s social support theory, whereas the control group received the usual activity. Research instruments consisted of health literacy skill measurement and obesity preventive questionnaire. The content validity index was 1 and 0.90, respectively. The overall reliability of 6 health literacy skills before implementation was 0.82 while cognitive skill (KR-20) was 0.74. Cronbach’s alpha coefficient of access skill, communication skill, self-management skill, media literacy skill, decision-making skill, and obesity prevention were 0.88, 0.85, 0.84, 0.86, 0.78, and 0.83, respectively. Data were analyzed using descriptive statistics, independent t-test, and paired t-test.
The results revealed that after receiving the intervention, the experimental group had significantly higher mean scores of health literacy and obesity preventive behavior than before and also when compared with the controlled group (t = -16.39, p < .001; t = 8.70, p < .001). Moreover, the experimental group had a statistically significant higher mean difference score of body weight than the control group (t = -13.45, p < .001).The research findings indicated that school nurses could apply this program to enhance health literacy and modify health behavior for weight control among overweight school-aged children.
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