Journal of Education and Health Promotion

Outcome of structured health education intervention for obesity‑risk reduction among junior high school students: Stratified cluster randomized controlled trial (RCT) in South India

. Jaun Z. Rizvi; . Pawan Kumar; . Muralidhar M. Kulkarni; . Asha Kamath

Volume 12, Issue 11 , December 2022, , Pages 1-8

Abstract

BACKGROUND: Obesity has been identified as a serious global health concern whose prevalencedoubles almost every 10 years. Health education regarding physical activity and healthy diet ... Read More BACKGROUND: Obesity has been identified as a serious global health concern whose prevalencedoubles almost every 10 years. Health education regarding physical activity and healthy diet impartedto adolescents could prove to be fruitful in reducing obesity‑risk. Objectives of this study were toevaluate the effect of health education intervention on knowledge, attitude, and practices (KAP)regarding obesity‑risk reduction and to estimate the postinterventional change in body massindex (BMI) and total body fat (%) among adolescent school children in South India.MATERIALS AND METHODS: Stratified cluster randomized controlled trial was carried out among398 students recruited at baseline including 206 and 192 participants in intervention and controlgroup respectively selected through simple random sampling from eligible government aided andprivate schools to assess KAP regarding physical activity and diet using pretested and validatedquestionnaire by making three school visits 6 months apart. Anthropometric measurements wererecorded in first and third visit only, while health education intervention was given in first visit tointervention and third visit to control group after taking their responses on the questionnaire. Datawere entered and analyzed using SPSS version 15.RESULTS: Overall dropout rate was 13.5% with dropout in intervention and control group being12.6% and 14.5% respectively, making 180 participants in intervention and 164 in control groupavailable for analysis. Mean physical activity KAP score improved significantly from 16.19 ± 4.61to 19.46 ± 10.07 in intervention group. Mean dietary KAP score also improved significantly from21.38 ± 4.07 to 23.43 ± 4.53 in intervention group (p < 0.001). Mean BMI decreased significantlywithin intervention group (p < 0.001) as compared to control group (p = 0.908). Based on cut‑off levelfor total body fat (%) to categorize obesity‑risk among participants, statistically significant decline inproportions from 26.1% to 13.3% was observed in intervention group (p < 0.001).CONCLUSION: Results depicted better KAP in intervention group than control group in all the threevisits while it improved significantly within both groups. Hence, the health education was found tobe effective in improving the overall KAP regarding modifiable risk factors of obesity among thestudy participants. Further studies to screen the adolescents for obesity‑risk and successive healtheducation sessions must be carried within schools in order to bring about change in knowledge,attitude, and practices regarding obesity‑risk.

Risk Perception in the COVID‑19 pandemic; a health promotion approach

. Maryam Feiz Arefi; . Amin Pouya Babaei; . Somaye Barzanouni; . Sahar Ebrahimi; . Amir Reza Salehi; . Farahnaz Khajehnasiri; . Mohsen Poursadeghian

Volume 12, Issue 4 , April 2022, , Pages 1-8

Abstract

BACKGROUND: Many measures have been taken so far to minimize the outbreak of COVID‑19, but it is still unclear to what extent people have understood the risk. Public participation ... Read More BACKGROUND: Many measures have been taken so far to minimize the outbreak of COVID‑19, but it is still unclear to what extent people have understood the risk. Public participation plays a vital role in better and effective control of the coronavirus, and the importance of risk perception is effective in their preventive behavior. The aim of this study was to investigate the pandemic risk perception of coronavirus disease after began of pandemic in Iranian society.MATERIALS AND METHODS: This cross‑sectional study was conducted in Iran in spring 2020. The data collection tool was a researcher‑made questionnaire. The questions were extracted through interviews with experts and summarizing the opinions of public interviews, etc., The questionnaire was made available to the public through social media. The information was collected within 3 months. Quantitative data were reported as mean ± standard deviation and the qualitative data were reported as number and percent. Multiple linear regression and cross were also used to examine the demographic factors associated with risk perception. Data Analysis was performed using the SPSS version 21 statistical software.RESULTS: In this study, 402 individuals from 28 provinces (Azarbaijan Gharbi, Azarbaijan Sharghi, Alborz, Ardabil, Bushehr, Chaharmahal and Bakhtiari, Esfahan, Fars, Ghazvin, Gilan, Golestan, Hamedan, Hormozgan, Ilam, Kerman, Kermanshah, Khorasan Razavi, Khorasan Shomali, Khuzestan, Kohgiluyeh and Boyerahmad, Kurdistan, Lorestan, Mazandaran, Semnan, Sistan and Baluchestan, Tehran, Yazd, and Zanjan) of Iran participated. The risk perception score obtained from the sum of the scores of the questions was classified into quartiles. Accordingly, the risk perception score of (22.9) 92 people was very low, (26.6) 107 people low, (26.9) 108 people moderate, and (23.6) 95 people high. The results of multiple linear regression showed that the variables of gender (P = 0.008) and occupation (P = 0.013) had a significant relationship with risk perception. There was no significant relationship between risk perception and variables of age, marital status, and level of education (P > 0.05).CONCLUSION: The study showed that the risk perception of the people is more in categories of moderate to high. Assessing the risk perception of a pandemic can be helpful for preventive measurements and planning, and also, according to the results of the research, can be done appropriate educational interventions. Given that 47.5% of respondents were employees, of course, it should be noted that in sending a questionnaire virtually, there is usually a lot of loss and this is a limitation of the research. The results of this study can be useful in making prevention decisions and maintaining safety and health in the workplace.

Types of trust experienced in a risky medical operation (A case among cosmetic surgeries in Isfahan)

. Mehdi Zhianpour; . Vahid Ghasemi; . Mahmood Keyvanara

Volume 5, Issue 2 , March 2015, , Pages 1-6

Abstract

Background: In all areas of life including health, choices have widely increased andconcerns over getting hold of further choices have made trust a necessary element. Thisstudy, taking ... Read More

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Keywords = risk

Outcome of structured health education intervention for obesity‑risk reduction among junior high school students: Stratified cluster randomized controlled trial (RCT) in South India

Abstract

Risk Perception in the COVID‑19 pandemic; a health promotion approach

Abstract

Types of trust experienced in a risky medical operation (A case among cosmetic surgeries in Isfahan)

Abstract