. Neda Karimi; . Shahrzad Saadat‑Gharin; . Azar Tol; . Roya Sadeghi; . Mehdi Yaseri; . Bahram Mohebbi
Volume 9, Issue 12 , December 2019, , Pages 1-11
Abstract
BACKGROUND: Health‑promoting behaviors are essential beliefs and actions to develop andsustain the adolescent health; however, people with inadequate health literacy have poorer healthstatus. ...
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BACKGROUND: Health‑promoting behaviors are essential beliefs and actions to develop andsustain the adolescent health; however, people with inadequate health literacy have poorer healthstatus. This study aimed to determine the effect of a problem‑based learning (PBL) health literacyprogram on improving health‑promoting behaviors among female students (15–18 years) at highschools in 2018–2019.METHODS: This study was a quasi‑experimental intervention one which carried out on 377 girlstudents using a cluster sampling method of intervention (n = 183) and control (n = 194) groups. Theintervention was performed in four educational sessions of PBL health literacy program using relatedscenarios for 90 min. Data were collected through demographic variables, the Health Literacy Measurefor Adolescents, and the Health‑Promoting Lifestyle Profile II. Participants filled the questionnairesimmediately and 3 months after the intervention in both the groups.RESULTS: There were significant differences comparing the mean score of health literacydimensions in numeracy (P < 0.001), use (P < 0.001), communication (P < 0.001), access (P = 0.03),self‑efficacy (P < 0.001), and total health literacy (P < 0.001) after intervention. These differencesalso observed in numeracy (P < 0.001), use (P = 0.03) and total health literacy (P < 0.001) infollow‑up between the intervention and control groups. The mean scores of health‑promoting lifestyledimensions in all dimensions immediately after intervention (P < 0.001) and follow‑up (P ≤ 0.006)showed significant differences between the two groups, while the intervention group revealed ahigher mean scores.CONCLUSION: It seems that PBL health literacy and practicing real‑life scenarios can improvethe adolescent lifestyle. It is recommended to examine the effectiveness of the program for otherhealth‑related behaviors among other populations.
