1 Department of Reproductive Health, Women’s Health Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences

2 Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran


BACKGROUND: Family participation is an important element on nutritional education especially
for students. Parents have a key role in instilling and understanding healthy eating habits, but yet
the use of family participation strategies in the nutrition education was low. The aim of this study
is determining the effect of parental educational intervention program for parents on adolescents’
nutritional behaviors in Isfahan, Iran in 2016.
MATERIALS AND METHODS: This study was a kind of field trial that conducted on 63 girl teenagers
from junior high schools of Isfahan in 2016 that were randomly divided into two groups of intervention
and control. The data collection tool which was a researcher made questionnaire was completed
in both groups before and 1 month after the intervention. The intervention included three training
sessions for parents and giving educational compact disc and forwarding SMS. To analysis of data
independent t‑test and paired t‑test were used.
RESULTS: Paired t‑test showed that in intervention group the average score of fruit (P = 0.03) and
in control group the average score of vegetables (P < 0.05) were significant statistical difference, but
in other aspects of nutritional behaviors was not a significant difference. Independent t‑test showed
that after intervention, mean scores nutritional behavior of adolescent girls in both groups had no
significant differences.
CONCLUSIONS: No significant difference was in the nutritional behaviors before and after the
intervention. Hence, just educating the parents is not enough for achieving appropriate nutritional
behaviors in the adolescents.


1. Pillitteri A. Maternal & Child Health Nursing Care of Childbearing
and Childbearing Family. 14th ed London: Lippincott; 2007.
p. 947‑51.
2. Gupta G, Kochar K. Role of nutrition education in improving
the nutritional awareness among adolescent girls The Internet
Journal of Nutrition and Wellness 2009;7 (1):491‑94. Available
from: [Last accessed on
2015 Aug 25].
3. Taslimi Taleghani M, Djazayery A, Keshavarz SA,
Sadrzadeh Yeganeh H, Rahimi A. Effect of socio‑ economic status
on the efficacy of nutrition education in promoting the nutritional knowledge, attitude and practice in first‑grade guidance school
girls in Tehran. Tehran Univ Med J 2005;63:77‑82.
4. World Health Organization. 2006, Implementing the Global
Reproductive Health Strategy Department of Reporoductive
Health and Research. Available from:
childadolescent‑health./. [Last accessed on 2014 Oct 11].
5. Statistical Center of Iran; 2010. Available from: http://www.amar.[Last accessed on 2015 May 5].
6. International Conference Population Development. Programme
of Action of the International Conference on Population and
Development, (ICPD); 1994.
7. Paknahad Z, Sharifirad GR, Yazdani M, Hosseini SM. Effect
of nutritional education on knowledge and attitude of female
students in the Isfahan city 1385‑86. J Health Syst Res 2011;6:73‑8.
8. Kelishadi R, Sadri GH, Hashemi Pour M, Sarrafzadegan N,
Khasi HA, Bashardoost N, et al. Lipid profile and fat intake of
adolescents: Isfahan healthy heart program projects heart health
promotion from childhood. Semnan Univ Med Sci J 2004;4:167‑76.
9. Kelishadi R, Hashemipoor M, Ziaei M, GhatrehSamani SH,
Poursafa P, Khavarian N. Compared to nutrition and physical
activity among obese children and adolescents with and without
the metabolic syndrome. J Med Sci 2011;15:36‑45.
10. Rich K, LeBlanc H, Boyce L, Anderson J, Christofferson D.
Parent Nutrition Education and the Influence on Familylifestyle
Behavior Changes. A Thesis Submitted in Partial Fulfillment of
the Requirements for the Degree, of Master of Science in Nutrition
and Food Sciences, Utah State University Logan, Utah; 2012.
11. Allahdadian M, Jan Ghorbani M, Janani F, Sharifi M, Shokrollahi P,
Mohammadi F. Nutrition in the Life Cycle. 1st ed. Najaf Abad Islamic
Azad University and Falavarjan Azad University; 2016. p. 1.
12. Yarahmadi Samani P, Sharifirad GH, Azadbakht L, Pirzadeh A,
Yarmohammadi P. Study of factors related to fruit and vegetable
consumption among high school students in Isfahan using the
theory of planned behavior during the academic year 1391‑1392.
J Health Syst Res 2014;1595‑604.
13. Jenkins S, Horner SD. Barriers that influence eating behaviors in
adolescents. J Pediatr Nurs 2005;20:258‑67.
14. Bastable SB. Essentional of Patient Education. 2nd ed. London: T.
Jones and Bartlett; 2006.
15. Lofton K, Nettles MF. Ready, Set, Go! Creating and Maintaining
a Wellness Environment in Child Care Centers Participating in
the CACFP. University, MS: National Food Service Management
Institute; 2010.
16. National Food Service Management Institute 2012. CARE
Connection. Available from:
ResourceOverview.aspx?ID=199.[Last accessed on 2014 May 23].
17. Shariff ZM, Bukhari SS, Othman N, Hashim N, Ismail M,
Jamil Z, et al. Nutrition education intervention improves nutrition
knowledge, attitude and practices of primary school children:
A pilot study. Int Electron J Health Educ 2008;11:119‑32.
18. Austin SB, Melly SJ, Sanchez BN, Patel A, Buka S, Gortmaker SL,
et al. Clustering of fast‑food restaurants around schools: A novel
application of spatial statistics to the study of food environments.
Am J Public Health 2005;95:1575‑81.
19. The Center for Management of Disease, Ministry of Health and
Medical Education. [Nutrition and Osteoporosis]. Tehran: Iran
Osteoporosis Society; 2008.
20. Rahimikian F, Moshrefi M, Yavari P, Mehran A,
Mirzaei Roozbahani M, Amel Valizade M. The effect of educating
mothers and daughters at the same time Osteoporosis preventive
behaviors among girls. J Nurs Midwifery Tehran Univ Med
Sci (Haiat) 2009;14:15‑22.
21. Azadbakht L, Rohani SM, Ismail Zadeh A. The relationship
between energy density and dietary diversity score of female
students of Isfahan Medical Sciences University in year 1389‑88.
J Lorestan Univ Med Sci 2012;13:83‑93.
22. United Nations Population Fund. Supporting Adolescent and
Youth: Giving Adolescents Girls the Chance to Reach their
Full Potential. 2009. Available from:
adolescents/girls.html. [Last accessed on 2015 Mar 12].
23. Delvarian‑Zadeh M, Khosravi A, Razavian‑Zadeh N,
Bolbol‑Haghighi N, Abbasian M. 2011 nutritional knowledge,
attitude and practice of female junior high school students in two
regions of Iran. Knowl Health 2011;6:19‑26.
24. Turconi G, Celsa M, Rezzani C, Biino G, Sartirana MA,
Roggi C. Reliability of a dietary questionnaire on food habits,
eating behaviour and nutritional knowledge of adolescents. Eur
J Clin Nutr 2003;57:753‑63.
25. Anari A, Tahmasian K, Fath Abadi M. Anxiety and social support
in adolescence. Dev Psychol 2012;8:27‑34.
26. Uchenna O, Ijeoma E, Pauline E, Sylvester O. Contributory factors
to diabetes dietary regimen non adherence in adults with diabetes.
World Acad Sci Eng Technonl 2010;45:655‑62.
27. Banna JC, Buchthal OV, Delormier T, Creed‑Kanashiro HM,
Penny ME. Influences on eating: A qualitative study of
adolescents in a periurban area in Lima, Peru. BMC Public
Health 2016;16:40.
28. Helgeson VS. Social support and quality of life. Qual Life Res
2003;12 Suppl 1:25‑31.
29. Moser RP, Green V, Weber D, Doyle C. Psychosocial correlates of
fruit and vegetable consumption among African American men.
J Nutr Educ Behav 2005;37:306‑14.