تأثیر آموزش مبتنی بر نظریه خودکارآمدی بر سواد سلامت، خودکارآمدی عادات منظم خوردن و فعالیت منظم جسمی در دانش آموزان دختر 18-15 سال شهر چناران

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد آموزش بهداشت و ارتقای سلامت، گروه آموزش بهداشت و ارتقای سلامت دانشکدة بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران

2 استاد، گروه آموزش بهداشت و ارتقای سلامت، دانشکدة بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران

3 دانشیار، پزشکی اجتماعی، گروه آمار و اپیدمیولوژی دانشکدة بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران

چکیده

مقدمه:
خودکارآمدی یک پیشگویی کننده برای رفتارهای بهداشتی از جمله فعالیت جسمی و عادات خوردن است. سواد سلامت ظرفیت افراد برای کسب، پردازش و درک اطلاعات و خدمات بهداشتی پایه مورد نیاز برای تصمیم گیری های سلامتی می باشد. هدف از این مطالعه تعیین تاثیرآموزش بر اساس نظریه خودکارآمدی بر سواد سلامت، خودکارآمدی عادات منظم خوردن و خودکارآمدی فعالیت منظم جسمی در دانش آموزان دختر مقطع متوسطه دوم، می باشد.
روش کار
این پژوهش مطالعه ای نیمه تجربی بود که در آن 92 دانش آموز دختر 18-15 سال شهر چناران به روش نمونه گیری تصادفی ساده در دوگروه آزمون و کنترل قرار گرفتند. ابزار گردآوری اطلاعات، پرسشنامه های اطلاعات دموگرافیک، سواد سلامت (NVS)، خودکارآمدی عادات منظم خوردن و فعالیت منظم جسمی بود. مداخله آموزشی درپنج جلسه آموزشی 40 دقیقه ای در گروه آزمون طراحی و اجرا شد. تجزیه وتحلیل داده ها با استفاده از آزمون های توصیفی و تحلیلی با نرم افزار spss انجام شد.
یافته ها
قبل از مداخله تفاوت معناداری بین دو گروه آزمون و کنترل از نظر میانگین نمره سواد سلامت، خودکارآمدی عادات منظم خوردن و خودکارآمدی فعالیت منظم جسمی مشاهده نشد. اما بعد از مداخله، تفاوت آماری معناداری در نمره سواد سلامت) 001/0(p˂ ، خودکارآمدی عادات منظم خوردن) 001/0(p˂ و خودکارآمدی فعالیت منظم جسمی( 001/0(p˂ در گروه آزمون مشاهده شد.
نتیجه گیری
نتایج نشان داد که طراحی و اجرای مداخلات آموزشی مبتنی بر نظریه خودکارآمدی می تواند منجر به افزایش سواد سلامت، خودکارآمدی عادات منظم خوردن و خودکارآمدی فعالیت منظم جسمی دانش آموزان گردد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of education based on self-efficacy theory on health literacy, self-efficacy of regular eating habits and self-efficacy of regular physical activity in Female students aged 15-18 years in Chenaran

نویسندگان [English]

  • masoumeh motamedi 1
  • NOOSHIN PEYMAN 2
  • monavar afzalaghaee 3
1 Master of Health Education and Health Promotion, Department of Health Education and Health Promotion, Mashhad University of Medical Sciences, , Mashhad, Iran
2 Professor, Department of Health Education and Health Promotion, Faculty of Health, University of Medical Sciences, Mashhad, Iran
3 Associate Professor, Social Medicine, Department of Statistics and Epidemiology, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده [English]

Self-efficacy is a predictor of health behaviors, including physical activity and eating habits. Health literacy is the capacity of individuals to obtain, process and understand information and basic health services needed for health decision making. The purpose of this study was to determine the effect of education based on self-efficacy theory on health literacy, self-efficacy of regular eating habits and self-efficacy of regular physical activity in second-grade female students
Materials and Methods
This research was a Semi-experimental study in which 92 female students aged 15-18 years were randomly selected through simple random sampling and assigned to two groups of test and control. Data gathering tools were demographic information, Health Literacy (NVS), self-efficacy of regular eating habits and self-efficacy of regular physical activity questionnaires. Educational intervention was designed and implemented in a 40-minute training session in the experimental group. Data analysis was done using descriptive and analytical tests by SPSS software.
Results
Before intervention, there was no significant difference between the two test and control groups in terms of mean score of health literacy, self-efficacy of regular eating habits and self-efficacy of regular physical activity. But after intervention, there was a significant difference in health literacy score (P= 0.001), self-efficacy of regular eating habits (P

کلیدواژه‌ها [English]

  • Health literacy
  • self-efficacy of regular physical activity
  • self-efficacy of regular eating habits
[1]. Santoro K, Speedling C. The Case for Investing In Youth health literacy: one step on The path To Achiving health equity for adolescents. NIHCM. 2011:1-15.
[2]. Ghanbari S, Ramezankhani A, Mehrabi Y, Montazeri A. The Health Literacy Measure for Adolescents(HELMA): Development and psychometric evaluation. Payesh. 2016;4:388-402.
[3]. Saedi F, Panahi R. The Survey of associaton between health literacy and BMI among adolescents. Journal of Health Literacy. 2017;2(1):22-30.
[4]. Linnebur L, Linnebur S. Self-Administered Assessment of Health Literacy in Adolescents Using the Newest Vital Sign Health Promotion Practice. 2016;2(1):1-6.
[5]. Guntzviller L, King AJ, Jensen J, Davis L. Self-Efficacy, Health Literacy, and Nutrition and Exercise Behaviors in a Low-Income ,Hispanic Population. Immigrant Minority Health. 2016;18(1).
[6]. Peyman N, Ezati_Rastegar K, Taghipour A, Esmaeili H. Effect of Education on the Weight Self-Efficacy lifestyle among Adolescent Girls with Overweight and Obesity. Armaghane-danesh 2012;17(2):1.28-17.
[7]. Osborn CY, Weiss BD, Davis TC, Skripkauskas S, Rodrigue C, Bass PF, et al. Measuring adult literacy in health care: performance of the newest vital sign. American journal of health behavior. 2007;31(1):S36-S46.
[8]. Javadzade SH, Sharifirad G, Reisi M, Tavassoli E, Rajati F. Health Literacy among Adults in Isfahan, Iran. Health Research Journal. 2013;9(5):540-9.
[9]. Weiss B, Mays M, Martz W, Merriam Castro K, DeWaltD, Pignone MP. Quick Assessment of Literacy in Primary Care: The Newest Vital Sign .ANNALS OF FAMILY MEDICINE. 2005;3(6):514-22.
[10]. Samadbeik M, Garavand S, Sohrabi Zadeh M, Koshki N, Mohammadi Z. Health Literacy Instruments for Computer-Based Applications: A Review Article Health and Biomedical Informatics. 2015;2(3):195-203.
[11]. Bandura A. Guide for constructing SELF-EFFICACY SCALES. 2006.
[12]. Cronbach LJ. Coefficient alpha and the internal structure of tests. 1951;16:297-334.
[13]. Lawshe C. A quantitative approach to content validity. Pers Psychol 1975;28(4):563-75.
[14]. Almanasreh E ,Moles R, Chen TF. Evaluation of methods used for estimating content validity. Research in Social and Administrative Pharmacy. 2018.
[15]. Hejazi S, Peyman N, Tajfard M, Esmaily H. The Impact of Education Based on Self-efficacy Theory on Health Literacy, Self-efficacy and Self-care Behaviors in Patients With Type 2 Diabetes 2017 [cited 5 4]. 296-303.
[16]. Peyman N, Zadehahmad Z, Doosti H. The effect of education based on self-efficacy theory on self-care behaviors in patients with heart failure in Shahid Modarres Hospital in Kashmar. Journal of Health in the Field. 2018;5 (4).
[17]. Kahtari M, Farmanbar R, Kasmaei P, Omidi S. The effect of the educatonal interventon on health literacy level in the girl students. Health Literacy. 2017;2(3):187-97.
[18]. Peyman N ,Abdollahi M. The relatonship between health literacy and self-efcacy physical actvity in postpartum women. Journal of Health Literacy. 2016;1(1):5-12.
[19]. Hejazi S, Peyman N, Tajfard M, Esmaily H. The Impact of Education Based on Self-efficacy Theory on Health Literacy, Self-efficacy and Self-care Behaviors in Patients With Type 2 Diabetes. Iran J Health Educ Health Promot. 2017;5(4):296-303.
[20]. Schulz P, Nakamoto K. Health literacy and patent empowerment in health communicaton: the importance of separatng conjoined twins. Patent educaton and counseling. 2013;90(1):4-11.
[21]. Safavi M, Yahyavi SH, Mahmoudi M, Pourrahimi M. The Effect of Education on the Self-efficacy of Nutritional Behaviors of Kerman Middle School Students in 2010. Razi Nursing and Midwifery Faculty of Kerman. 2011;11:41-50.
[22]. Elliott J, Jacobson M, Seals B. Self-efficacy, knowledge, health beliefs, quality of life, and stigma in relation to osteoprotective behaviors in epilepsy. Int J Nurs Stud. 2006;9(3):478-91.
[23]. Watanabe J, Watanabe M, Yamaoka K, Adachi M, Nemoto A, Tango T. School-based lifestyle education involving parents for reducing subjective psychosomatic symptoms in Japanese adolescents: study protocol for a cluster randomised controlled trial. BMJ open. 2018;8(2):e018938.
[24]. Stevens J, Story M, Ring K, Murray D, Cornell C, Juhaeri, et al. The impact of the Pathways intervention on psychosocial variables related to diet and physical activity in American Indian schoolchildren. Prev Med. 2003;37(6):70-9.
[25]. Dishman R, Saunders RP, Motl RW, Dowda M, Pate R. Self-Efficacy Moderates the Relation Between Declines in Physical Activity and Perceived Social Support in High School Girls. J Pediatr Psychol. 2009;34(4):441-51.
[26]. Owen MB, Curry WB, Kerner C, Newson L, Fairclough SJ. The effectiveness of school-based physical activity interventions for adolescent girls: A systematic review and meta-analysis. Preventive medicine. 2017.
[27]. Aghamoolaei T, Tavafian S, Hasany L. Self– efficacy, perceived barrier and benefit compared to regular physical activity in Hormozgan University of medical sciences. Journal of Epidemiology Community Forums. 2009;4(3):9-15.